Elastic Trunk Orthoses in the Treatment of Osteoporosis
Vertebral fractures in the case of osteoporosis are very rarely unstable, that's why big stabilizing metal or plastic corsets, but also industrially produced rigid orthoses with dorsal pads are unnecessary. They increase patient's inactivity, hinder them in their activities of every day life and press onto the bony promontories which are sensitive with osteoporosis patients.
According to experiences made by the author an elastic lumbar orthosis is enough to restore the balloon function of the abdomen in order to increase the statics of the spine and to reduce the troubles of the patients even after fresh vertebral fractures. Using this a quicker mobilisation of the patients in acute stage and a higher resilience and thus higher activities in the chronic stage are possible. So this type of bandages, in contrast to the rigid corsets, counteracts the patient's inactivity. For patients with severe spinal kyphosis after numerous fractures of the spine a straightener has been developed in addition to the elastic lumbar orthosis, which is dorsally connected with this orthosis. With these patients it improves the breathing, reduces the pressure onto the stomach and relieves the painful friction of the ribs on the iliac crest (ileocostal friction-syndrom).
These bandages represent an improtant constituent in the treatment of osteoporosis as a whole, especially for pain relief. Finally some newly developed, mainly actively straightening orthoses are presented.