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Unbending orthosisUUnbending orthosisUnbending orthosisEnglishOrthopaedics/MusculoskeletalPre-teen (9-12 years);Teen (13-18 years)SpineSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices7.0000000000000067.00000000000001378.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how to wear and take care of your unbending orthosis.</p><h2>What is the unbending orthosis?</h2><p>The unbending orthosis (say: or-THOH-sis) is a type of body brace designed to treat scoliosis. It is worn at night or when lying down. It is designed to correct or overcorrect the curves in the spine as much as possible during sleep. </p><p>Because it is only worn at night, you are free to be active during the day. Try to be as physically active as possible to maintain good muscle tone. </p><p>You may experience some discomfort at first when wearing the orthosis. This is because it will put your spine in an unusual position. However, most people get used to the orthosis very quickly and are able to sleep through the night with the orthosis after a few nights.<br></p><p>The orthosis is worn over a cotton undershirt.</p><p>For general information about scoliosis orthoses, including instructions on making cotton undershirts, please see <a href="/Article?contentid=974&language=English">Scoliosis: Treatment with a spinal orthosis (spinal brace).</a></p> <figure><span class="asset-image-title">Unbending orthosis</span><img src="https://assets.aboutkidshealth.ca/akhassets/HSC_bending_brace_EQUIP_ILL_EN.jpg" alt="Illustration of unbending orthosis" /> </figure> <br><h2>Key points</h2> <ul> <li>The unbending orthosis is an orthosis designed to treat scoliosis. </li> <li>It is designed to correct or overcorrect the curves in the spine as much as possible during sleep. </li> <li>Because it is only worn at night, you are free to be active during the day. </li> <li>Most people get used to the orthosis very quickly and are able to sleep through the night with the orthosis after a few nights. </li> </ul><h2>Putting the orthosis on</h2> <ol> <li>To put the orthosis on, spread the orthosis at the bottom of the front opening and slide one side over your hip. Reach around the back and pull the rest of the orthosis around you.</li> <li>Make sure all the straps are outside the orthosis.</li> <li>Make sure the orthosis is facing straight ahead and not twisted. The cut-out at the back of the orthosis should be centered on the crease between the buttocks. The waist roll of the orthosis (the indentations inside) should sit at your waist, just above the hip bones.</li> <li>Thread the straps through the Velcro loops. Tuck the tongue under the orthosis. Starting with the bottom straps, fasten the straps loosely, tightening one side, then the other, until they are all at the proper tightness. As you do up the orthosis, you should be checking to ensure that the waist rolls are properly positioned. </li> <li>Pull the extra cloth of the undershirt down around the bottom and top of the orthosis so that it is smooth. Make sure there are no wrinkles in the undershirt. Wrinkles can cause sores on your skin. </li> <li>Always wear the orthosis at the proper tightness once you are used to it. The only reason an orthosis should be loosened is to have room for growth. In this case, you should contact your orthotist. </li> </ol><h2>At SickKids</h2> <p>In Ontario, OHIP does not cover any of the cost of the unbending orthosis; however, most extended health insurance plans may cover all or a portion depending on your coverage. Ask your orthotist for an insurance letter to submit to your insurance company for coverage. If you need help to pay for the orthosis, visit our reception desk for a listing of charitable organizations that may assist you. </p> <p>A minimum of 50% of the payment for this device is expected at the time of the casting. The remaining 50% of the cost is expected when you receive the orthosis. We are unable to bill your insurance company directly. </p> <p>Please visit or contact The Centre for Orthotics for further information on pricing.</p> <p>All proceeds from orthotic treatment at The Centre for Orthotics go to support patient care and research at SickKids. For more information, please see <a href="http://www.centrefororthotics.ca/" target="_blank">www.centrefororthotics.ca</a>.</p>
Orthèse rigideOOrthèse rigideUnbending orthosisFrenchOrthopaedics/MusculoskeletalPre-teen (9-12 years);Teen (13-18 years)SpineSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices7.0000000000000067.00000000000001378.00000000000Health (A-Z) - ProcedureHealth A-Z<p>​Apprenez comment porter une orthèse rigide et comment en prendre soin.</p><h2>Qu’est-ce qu’une orthèse rigide?</h2><p>Une orthèse rigide est un type de corset pour soigner la scoliose. Elle se porte la nuit ou en position allongée. Elle vise à corriger ou surcorriger les courbures de la colonne autant que possible pendant le sommeil. </p><p>Puisqu’elle est portée uniquement la nuit, vous pouvez être actif pendant le jour. Essayez d’être aussi actif que possible pour maintenir un bon tonus musculaire.<br></p><p>Vous ressentirez peut-être un certain inconfort au début lorsque vous porterez l’orthèse. C’est parce que l’orthèse placera votre colonne dans une position inhabituelle. Cependant, la plupart des personnes s’habituent très rapidement à l’orthèse et peuvent dormir toute la nuit avec l’orthèse après quelques nuits.</p><p>L’orthèse se porte sur un maillot de corps en coton. </p><p>Pour obtenir plus de renseignements sur les orthèses pour la scoliose, y compris des instructions sur la façon de fabriquer un maillot de corps en coton, consultez « <a href="/Article?contentid=974&language=French">« Scoliose : Traitement avec une orthèse vertébrale (corset dorsal) ».</a></p> <figure><span class="asset-image-title">Orthèse rigide</span> <img src="https://assets.aboutkidshealth.ca/akhassets/HSC_bending_brace_EQUIP_ILL_FR.jpg" alt="Illustration de l'orthèse rigide" /></figure><h2>À retenir</h2> <ul> <li>L’orthèse rigide sert à soigner la scoliose.</li> <li>Elle vise à corriger ou surcorriger les courbures de la colonne autant que possible pendant le sommeil.</li> <li>Puisqu’elle n’est portée que la nuit, vous pouvez être actif pendant le jour.</li> <li>La plupart des gens s’habituent à l’orthèse très rapidement et peuvent dormir toute la nuit avec l’orthèse après quelques nuits. </li> </ul><h2>Mettre l’orthèse</h2> <ol> <li>Pour mettre l’orthèse, écartez la en bas de l’ouverture avant et faites glisser un côté sur votre hanche. Attrapez l’orthèse dans le dos et tirez-la pour l'enfiler. </li> <li>Assurez-vous que toutes les sangles se trouvent à l’extérieur de l’orthèse. </li> <li>Assurez-vous que l’orthèse n’est pas tordue et qu’elle est bien orientée vers l’avant. La découpe à l’arrière devrait être centrée sur la raie des fesses. Le rouleau de taille de l’orthèse (indentations vers l’intérieur) devrait se trouver au niveau de votre taille, juste au-dessus des os des hanches. </li> <li>Enfilez les sangles dans les boucles Velcro. Rentrez la languette sous l’orthèse. En commençant par les sangles inférieures, fixez lâchement les sangles, en serrant d’un côté, puis de l’autre, jusqu’à ce qu’elles soient toutes à la tension voulue. Au fur et à mesure que vous attachez l’orthèse, vous devriez vérifier que les rouleaux de la taille soient bien placés. </li> <li>Tirez sur le maillot de corps vers le bas et le haut de l’orthèse pour vous assurer qu’il est bien lissé. Assurez-vous que le maillot ne fait aucun pli, car les plis pourraient blesser votre peau. </li> <li>Portez toujours l’orthèse serrée comme il convient une fois que vous y êtes habitué. La seule raison de desserrer une orthèse est pour la croissance. Dans ce cas, vous devriez communiquer avec votre orthésiste. </li> </ol><h2>À l’hôpital SickKids :</h2> <p>En Ontario, l’assurance-santé ne couvre pas les coûts de l’orthèse rigide; cependant, la plupart des assurances médicales complémentaires peuvent couvrir la totalité ou une partie de ces frais. Demandez à votre orthésiste de vous fournir une lettre pour votre société d’assurance. Si vous avez besoin d’aide pour payer l’orthèse, demandez au personnel à la réception une liste des organismes de charité qui pourraient vous aider.</p> <p>Il faut débourser au moins 50 % du paiement au moment du coulage. Le solde (les 50 % qui restent) devra être versé lorsque vous recevrez l’orthèse. Il nous est impossible de facturer directement votre société d’assurance.</p> <p>Veuillez consulter le Centre d’orthétique pour obtenir plus de renseignements sur les prix. Tous les profits des traitements orthétiques du Centre d’orthétique sont destinés aux soins des patients et la recherche à l’hôpital SickKids. Pour plus de renseignements, consultez le site du <a href="http://www.centrefororthotics.ca/" target="_blank">Centre d'orthétique​.</a>.</p>

 

 

Unbending orthosis976.000000000000Unbending orthosisUnbending orthosisUEnglishOrthopaedics/MusculoskeletalPre-teen (9-12 years);Teen (13-18 years)SpineSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices7.0000000000000067.00000000000001378.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how to wear and take care of your unbending orthosis.</p><h2>What is the unbending orthosis?</h2><p>The unbending orthosis (say: or-THOH-sis) is a type of body brace designed to treat scoliosis. It is worn at night or when lying down. It is designed to correct or overcorrect the curves in the spine as much as possible during sleep. </p><p>Because it is only worn at night, you are free to be active during the day. Try to be as physically active as possible to maintain good muscle tone. </p><p>You may experience some discomfort at first when wearing the orthosis. This is because it will put your spine in an unusual position. However, most people get used to the orthosis very quickly and are able to sleep through the night with the orthosis after a few nights.<br></p><p>The orthosis is worn over a cotton undershirt.</p><p>For general information about scoliosis orthoses, including instructions on making cotton undershirts, please see <a href="/Article?contentid=974&language=English">Scoliosis: Treatment with a spinal orthosis (spinal brace).</a></p> <figure><span class="asset-image-title">Unbending orthosis</span><img src="https://assets.aboutkidshealth.ca/akhassets/HSC_bending_brace_EQUIP_ILL_EN.jpg" alt="Illustration of unbending orthosis" /> </figure> <br><h2>Key points</h2> <ul> <li>The unbending orthosis is an orthosis designed to treat scoliosis. </li> <li>It is designed to correct or overcorrect the curves in the spine as much as possible during sleep. </li> <li>Because it is only worn at night, you are free to be active during the day. </li> <li>Most people get used to the orthosis very quickly and are able to sleep through the night with the orthosis after a few nights. </li> </ul><h2>Skin care</h2> <p>It is very important to prevent skin breakdown (sore, red, raw skin). The skin under the orthosis needs to be toughened up, especially where the orthosis presses the hardest.</p> <p>To protect the skin:</p> <ul> <li>Take a bath or shower every day. </li> <li>Always wear a close-fitting, 100% cotton undershirt (tubular knit) without side seams against your skin. You can also use a T-shirt worn inside out so that the side seams are not against your skin. </li> <li>Wear the orthosis at the proper tightness. A loose orthosis will move around and irritate your skin. </li> <li>Put on a clean, fresh undershirt every night. </li> </ul> <p>To toughen your skin:</p> <ul> <li>Do not use creams, lotions, or powder under the orthosis. They soften the skin.</li> </ul> <p>To monitor your skin:</p> <ul> <li>Look at your skin often to spot any red areas. Redness should go away within 20 to 30 minutes after you have removed the orthosis. Redness that remains longer than this may be a sign of excessive pressure. Contact your orthotist if this happens. </li> <li>If the skin becomes sore, red or raw, do not wear the orthosis for a day or so until the skin heals. Call your orthotist right away. The problem may be solved over the phone. Do not use creams, powder or lotions. If irritation persists, call your orthopaedic surgeon or family doctor. </li> <li>Sometimes the skin over the waist and hips gets darker. When the orthosis treatment is over, your skin will return to normal. </li> </ul> <h2>Cleaning the orthosis</h2> <p>The inner soft plastic foam must be cleaned every day. Use a cloth with an antibacterial sanitizer to clean the lining, then wipe the lining thoroughly with a damp cloth. Make sure all the sanitizer is wiped off the inside, as it could cause skin irritation. Clean the hard plastic outer shell with a damp cloth as needed. </p> <p>A terry towel can help dry the orthosis. The orthosis will dry by itself in 20 to 30 minutes. If the orthosis is needed soon, a blow dryer set on cool can be used to dry it in five to 10 minutes. </p> <p>Never put the orthosis in water or put it under the tap. Make sure the metal and leather parts do not get wet.</p> <p>Do not leave the orthosis in very hot sun, in a hot car during the summer, or by a warm radiator. The plastic may soften and lose its shape. </p> <p>Feel free to contact your orthotist if you have any questions or problems.</p><h2>Putting the orthosis on</h2> <ol> <li>To put the orthosis on, spread the orthosis at the bottom of the front opening and slide one side over your hip. Reach around the back and pull the rest of the orthosis around you.</li> <li>Make sure all the straps are outside the orthosis.</li> <li>Make sure the orthosis is facing straight ahead and not twisted. The cut-out at the back of the orthosis should be centered on the crease between the buttocks. The waist roll of the orthosis (the indentations inside) should sit at your waist, just above the hip bones.</li> <li>Thread the straps through the Velcro loops. Tuck the tongue under the orthosis. Starting with the bottom straps, fasten the straps loosely, tightening one side, then the other, until they are all at the proper tightness. As you do up the orthosis, you should be checking to ensure that the waist rolls are properly positioned. </li> <li>Pull the extra cloth of the undershirt down around the bottom and top of the orthosis so that it is smooth. Make sure there are no wrinkles in the undershirt. Wrinkles can cause sores on your skin. </li> <li>Always wear the orthosis at the proper tightness once you are used to it. The only reason an orthosis should be loosened is to have room for growth. In this case, you should contact your orthotist. </li> </ol><h2>Wearing the orthosis</h2> <p>You may need to buy sleepwear one or two sizes larger for sleeping.</p> <p>It may take a few days to a few weeks to get used to the orthosis. This is normal and you should not feel discouraged. The first night, you may want to put the orthosis on for an hour or two before bedtime and lie down while you watch television or read. Then remove it for sleeping. </p> <p>The second night, you can try wearing it to bed. Wear the orthosis as long as you can. If you wake up and cannot get back to sleep, remove the orthosis for the rest of the night. Slowly try to get used to wearing the orthosis all through the night. </p><h2>At SickKids</h2> <p>In Ontario, OHIP does not cover any of the cost of the unbending orthosis; however, most extended health insurance plans may cover all or a portion depending on your coverage. Ask your orthotist for an insurance letter to submit to your insurance company for coverage. If you need help to pay for the orthosis, visit our reception desk for a listing of charitable organizations that may assist you. </p> <p>A minimum of 50% of the payment for this device is expected at the time of the casting. The remaining 50% of the cost is expected when you receive the orthosis. We are unable to bill your insurance company directly. </p> <p>Please visit or contact The Centre for Orthotics for further information on pricing.</p> <p>All proceeds from orthotic treatment at The Centre for Orthotics go to support patient care and research at SickKids. For more information, please see <a href="http://www.centrefororthotics.ca/" target="_blank">www.centrefororthotics.ca</a>.</p>https://assets.aboutkidshealth.ca/akhassets/HSC_bending_brace_EQUIP_ILL_EN.jpgUnbending orthosisFalse

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