KENYA STANDARD               DKS 2613:2017 
 
 
 
 
 
 
 
Orthoses  – Neck and Spinal – Specification  
 
 
 
  
 
 
   
  
KENYA STANDARD               DKS 2613:2017 
 
 
 
TECHNICAL COMMITTEE REPRESENTATION 
 
The following organizations were r epresented on the Technical Committee:  
 
Ministry of Health (MOH) 
Ministry of Lands Housing and Urban Development  
National Council for Person s with Disability (NCPWD) 
Kenyatta National Hospital (KNH) Kenya Medical Training College (KMTC) 
National Association for Orthopaedic Technologists Kenya (NAOT-K) 
Kenya Society of Physiotherapists (KSP) Association for Physically Disabled of Kenya (APDK) 
DOKIMOS Construction Company 
Association for Accessibility and Equality (AAFE) ISOLE Engineering-Building and Construction Services 
Action Network for the Disabled (ANDY) 
Kenya Bureau of Standards — Secretariat 
 
 
 
  
REVISION OF KENYA STANDARDS 
 
In order to keep abreast of progress in indust ry, Kenya Standards shall be regularly reviewed.  
Suggestions for improvements to published standar ds, addressed to the Managing Director, Kenya 
Bureau of Standards, are welcome. 
 
 
 
  
 
 
© Kenya Bureau of Standards, 2016 
 Copyright. Users are reminded that by virtue of Section 25 of t he Copyright Act, Cap. 12 of 2001  of the Laws of Kenya, copyrig ht 
subsists in all Kenya Standards and exc ept as provided under Section 26 of this  Act, no Kenya Standard produced by Kenya 
Bureau of Standards may be reproduced, stored in a retrieval syst em in any form or transmitted by any means without prior 
permission in writing from the Managing Director. 
  
KENYA STANDARD               DKS 2613:2017 
 
 
 
 
 
Orthoses  – Neck and Spinal – Specification  
  
  
KENYA STANDARD               DKS 2613:2017 
 
FOREWORD 
This Kenya Standard has been prepared by the TC 132, Assistive devices 
and Products for Persons with Disabilities Technical Committee, in 
accordance with the pro cedures of the Bureau. 
The standard was found necessary to assi st specialists within the medical 
field in ensuring the quality of ort hoses either manufactured locally or 
imported to meet minimum requirements into the country. This is only a 
guide to the manufacturers, fabricat ors, service providers and users of 
spinal orthoses. 
 
Spinal and Neck Orthoses are orthopaedic devices prescribed and 
designed to basically improve func tion, support, stabiliz e, immobilize, 
correct and accommodate an  injured or weakened spin al column to prevent 
further deformity   
The degree of restraint, r anges from the lesser am ount provided by fabric 
corsets to the maximum immobilization and control of the spine afforded by 
a custom made spinal orthoses. 
 
  
 
    
 
   
KENYA STANDARD               DKS 2613:2017 
 
1. Scope 
This Kenya Standards specifies the requi rements of Spinal Orthoses used 
by clients or patients with spinal problems or conditions. 
Application 1.1 This standard covers requirements for prescription, assessment, 
fabrication and management of supportive, accommodative, 
maintenance, preventive, and corrective spinal Orthoses. 
1.2 Spinal Orthoses are either mostly custom-made or prefabricated 
based on clinical assessment by the service provider. Ultimately they 
should meet client’s needs. 
1.3 Neck and Spinal Orthoses are appl ied to regions of the spinal based 
on the assessment and prescripti on by the service provider. 
 
    
 
   
 
   
KENYA STANDARD               DKS 2613:2017 
 
 
 2. References 
In the preparation of this standard, reference was made to the following 
documents, which we acknowledge:   
 
1. Askins V, Eismont FJ. Efficacy of five cervical orthoses  in restricting cervical motion: 
A comparison study. Spine 1997;22:1193-8. 
 2. Gavin MT et al. Biomechanical analysis of cervical or thoses in flexion and extension: 
a comparison of cervical collar s and cervico thoracic orthoses. J Rehabil R D 
2003;40:527-38.  3. Hughes SJ. How effective is the Newport/Aspen collar? A prospective radiographic 
evaluation in healthy adult volunteers. 
J Trauma 1998;45(2):374-78. 
 4. Sandler AJ, Dvorak J, Hu mke T, Grob D, Daniels W. The effectiveness of various 
cervical orthoses. An in vivo comparison 
of the mechanical stability provi ded by several widely used models. Spine. 
1996;15;21(14):1624-29.  5. Sharpe KP, Rao S, Ziogas A. Evaluation of the effect iveness of the Minerva 
cervicothoracic orthosis. Spine 
1995;20 (13):1475-79.  
6. Dunn, Sharon (January 23, 2008). "Amazing brace". Macleans Magazine .  
7. "Jewett vs. TLSO Replies". OANDP-L on oandp.com . 2010-09-27. Retrieved 2012-
09-02.  
8. "What Is a Jewett Brac e?". Retrieved 2012-09-01.  
9. "Types Of Back Braces For Compre ssion Fractures". LIVESTRONG.COM. 2011-06-
14. Retrieved 2012-09-01. 
10.  “Braces and Supports” Product Catalogue, 2013 . Ottobock Healthcare GmbH. 
11.Atanasio S, Zaina F, Negrini S. The SP oRT (Symmetric, Patient-oriented, Rigid, 
Three-Dimensional active) concept for scoliosi s bracing: principles and results. ISICO 
(Italian Scientific Spine Institute). PMID 18401104
  
KENYA STANDARD               DKS 2613:2017 
 
12.Blount WP. Use of the Milwaukee brace. Orthop Clin North Am. 1972 Mar;3(1):3-16. 
13.Emans JB, Kaelin A, Banc el P, Hall JE, Miller ME. The Boston bracing system for 
idiopathic scoliosis. Follow-up results in  295 patients. Spine.  1986 Oct;11(8):792-801. 
14.Howard A, Wright JG, Hedden D. A com parative study of TLSO, Charleston, and 
Milwaukee braces for idiopathic scoliosi s. Spine. 1998 Nov 15;23(22):2404-11. 
15.Wong MS, Cheng JC, Lam TP, et al. The effect of rigid versus flexible spinal orthosis 
on the clinical efficacy and acceptance of  the patients with adolescent idiopathic 
scoliosis. Spine 2008;33:1360-5. 
16.Coillard C, Circo A, Riv ard CH. A new concept for t he non-invasive treatment of 
Adolescent Idiopathic Scoliosis: the Correct ive Movement principle integrated in the 
SpineCor System. Disab il Rehabil Assist Tec hnol. 2008 May;3(3):112-9. 
17.Katz DE, Durrani AA. Factors that infl uence outcome in bracing large curves in 
patients with adolescent idiopathic sco liosis. Spine. 2001 Nov 1;26(21):2354-61 
18.Paul C.McAfee, MD.Types of Scoliosis bracing: Spine health 
19.Shantanus S. Kulkami, DO ,Spinal Orthotics : Medscape  
20.Sherman KA. Pilot study to validate a scoli osis-specific instrument that measures 
quality of life and treatment effect. Scoliosis. 2007. 2(Suppl 1): P11. 
21.Vasiliadis E, Grivas TB, GkoltsiouK. Development and prelim inary validation of 
Brace Questionnaire (BrQ): a new instrument  for measuring quality of life of brace 
treated scoliosis. Attica, Greece. PMID 16759366  
22.Vasiliadis E, Grivas TB, Savvidou O, Tri antafyllopoulos G. The influence of brace on 
quality of life of adolescent wit h scoliosis. Attica, Greece.  
 
 
 
 
   
KENYA STANDARD               DKS 2613:2017 
 
3. Terminology 
3.1 Spine – the region of the back betw een the head and the hip bones 
comprising of the vertebrae bones 
3.2. Orthosis  - an orthopaedic device/app liance designed to support, 
correct, compensate, accommodate, and prevent further deformity and aid 
movement to an injured or weakened lim b or spine. Orthosis (es) are used 
for chronic conditions, acute injury an d injury prevention. They are a non-
surgical, removable and relatively cost effective treatment for many joint 
and muscular conditions.  
3.3. Spinal Orthoses - basic Orthopaedic appliances or devices applied to 
the spine to protect and stabilize the spinal column, to prevent further 
deterioration, support, corre ct and aid in performance of body functions  
Orthoses are applied to the spinal regions (cervical, thoracic, lumbar, or 
combination of two or more regions ).  The devices may be termed as 
Spinal Orthotic Devices, b races, corsets, or supports. 
3.4. Orthopaedic technologist  - medical professional  who specializes in 
identification, assessment of cli ents, design, fabrication, fitting, 
maintenance and management of  various orthopaed ic devices 
3.5. Prosthetist - medical professional who spec ializes in assessment of 
clients, design, fabrication, fi tting, management and maintenance of 
Orthopaedic appliances that are artifici al substitution of missing body parts 
3.6. Orthotist  - medical professional who specializes in assessment of 
clients, design, fabrication, fi tting, management and maintenance of 
Orthopaedic appliances designed to support, correct, co mpensate, accommodate, and 
prevent further deformity.  
 
   
KENYA STANDARD               DKS 2613:2017 
 
3.7. Cervical Region -  the region between the head and the shoulder 
made up of the first seven vertebrae of the spine usually called the neck 
region. 
3.8. Thoracic Region -   the region of the spine between the neck (cervical) 
and the lower back (Lumbar) comp rising of 12 vertebrae. 
3.9. Lumbar Region -  the lower portion of the spine made up of 5 
vertebrae; connects with the fu sed bones of the sacrum below. 
3.10. Sacral Region -  the five vertebrae at t he base of the spine that 
provide attachment for the iliac (hip) bones. 
3.11 Foam rubber also be known as  cellular, sponge or expanded 
rubber…………… 
4. Shape and Dimensions 
The typical shapes of the Spinal and Neck Orthoses shall conform to 
client’s body size, contours and m eeting the prescription criteria.  
 
5. Classifications and Types 
5.1. Classifications  Spinal and Neck Orthoses are classified as being active and passive. 
Active is corrective in nature. Passive  is supportive in nature preventing the 
condition from worsening. 
5.2. Types  
Types are dependent on the affected part  of the spine and function of the 
Orthosis. Braces can be worn on any  section of the spine (cervical, 
thoracic, lumbar, and sacral) named acco rding to the region of the spine to 
which they are applied. The types ma y be of different designs but shall 
meet the minimum requirements of this standard.  
KENYA STANDARD               DKS 2613:2017 
 
 
 
 
5.2.1 Neck (cervical) braces 
This type of brace is applied on the neck region between the base of the 
skull and the shoulder. There are two types of neck brac es: soft and rigid.  
  
KENYA STANDARD               DKS 2613:2017 
 
 
 
 
 
 
  
 
5.2.2 Cervical-thoracic braces  
This type of brace is applied from the neck up to the thoracic region to 
restrict neck and upper back movement after an injury or neck fusion 
surgery.  
               
  
Figure 3: illustrations of cervical thoracic brace 
 
5.3. Thoraco-lumbar braces This type of appliance is applied from  the thoracic region to the lumbar 
region. This brace shall be flexible or rigid. 
 
Rigid 
Soft     
KENYA STANDARD               DKS 2613:2017 
 
5.3.1. Flexible Thoraco-Lumbar Brace.  
This type of device shall be made from  an elastic cotton/nylon material to 
support the spine. 
 
 
5.3.2. Rigid Thoraco –Lumbar Braces  
This brace is applied on the Thoraco lum bar region to restrict motion of the 
spine during management  and recovery.  
                    
  
 
KENYA STANDARD               DKS 2613:2017 
 
 
5.4. Thoraco- Lumbar Sacral Orthosis (TLSO)  
This brace is applied from the upper ba ck (thoracic) to the sacral region to 
restrict movement and reduce stress on the spine and may be semi-rigid 
 
 
  
 
  
5.5: Cervical Thoraco Lumbar Sacral Orthosis (CTLSO) 
This device is applied on the whole spine from base of the skull to the 
sacral region to support weakene d or damaged areas of the spine  
KENYA STANDARD               DKS 2613:2017 
 
 
  
  
5.6. Lumbar Sacral Orthosis (LSO). 
This device covers the whole of the lower back to serve as a postural 
support or a post-surgery brace.    
5.6.1. Flexible LSO 
 
5.6.2. Rigid LSO 
        
   
KENYA STANDARD               DKS 2613:2017 
 
5.7. Sacro-iliac belt (brace) 
 
 
 
 
The rigid pelvic belt is used to control instability  of sacro‐iliac joints after injury, and pubic symphysis  
instability  after accident or childbirth.  It assists in fixing the hip joint in case of joint laxity and shall be 
made from rigid or elastic webbing buckled or fastened in front using Velcro straps 
 
 
  
  
 luballo to 
sketch  
 
5.8. Hyperextension Braces 
 
 
A hyperextension brace puts pressure and support on the thoracic spine, 
because it is primarily used to treat spinal compression fractures that occur where the upper back meets the low back. This pressure keeps the spine in an 
extended position. 
 
 
KENYA STANDARD               DKS 2613:2017 
 
 
6. Materials Requirements The following materials shall be used in  the manufacture of spinal orthoses 
or other materials which are equiva lent or superior in performance. 
6.1. Material used for the fabrication of spinal orthoses shall be plaster of 
paris, leather, metal, fabric, or lightwei ght thermoplastic. The thermoplastic 
sheets shall be moulded to fit body parts exactly, and some shall be 
reshaped repeatedly as the treated  body part changes shape.  
6.2. The material used in the manufacture  of Spinal orthotic devices shall 
be low-temperature thermoplastics and thermosetting that can be custom-
made, prefabricated or moulded to fit. The material used shall be durable, 
tough, cosmetic, light weight, non-cor rosive and non-allergi c to the skin.  
6.3. Other materials shall include fasteners, fabric, adhesives and Velcro 
but shall meet the requirements of 6.2.  
6.4 Custom-made Spinal and Neck Ort hoses shall be fabricated by a 
qualified orthopaedic technologist  or Orthotist and Prosthetist. 
 
NOTE   High-temperature thermoplastic materials shall be moulded 
over a plaster model of the body part at a temperature that is too high to 
come in contact with human skin, bu t they have the advantage of being 
stronger and more durable than low-te mperature thermoplastics. They 
are used in situations where the Or thosis will under-go a lot of stress or 
will be used for a long time. 
 
 8.1 Plastics   
Spinal orthoses shall be fabricated of low-temperature thermoplastics 
which becomes pliable below 180°F (80°C), and shall be moulded directly 
against the body. The materi al shall have excellent Ventilation, lightweight,  
KENYA STANDARD               DKS 2613:2017 
 
durable, Non-toxic, X-Ray translucent , Biodegradable, Self Bonding, Water 
resistant and easy to process. The materi al shall be in a variety of widths, 
thickness and colour and can be pad ded to cushion sensitive areas.  
 
8.2 Plaster of Paris bandage Plaster bandages consists of a cott on bandage that has been impregnated 
with plaster of Paris, which hardens after it has been made wet. Plaster of 
Paris is calcined gypsum and is used to get an impression. When water is 
added, the more soluble form of calcium sulphate returns to the relatively insoluble form and heat is produced. 
Plaster of Paris shall be easy to mould with water and setting time shall be 
3 - 10 minutes at 23 degrees centigrade. The  mould should be hard and 
lightweight, durable, and readily adjust able. On setting it takes a shape 
impression and comfortable fit. 
Must have a porous structure  and yet still be fine-grained. 
8.3. Plaster of Paris Powder 
Plaster shall be easily w orked and adaptable with  other material and 
equipment.  
Plaster of Paris has other several us es, in orthopedic casts are used for an 
immobilization of the spine in immediate care. 
The setting and drying time should allow enough time for working. 
8.4. Foam rubber Properties Foam rubber lightweight to provide insulation, cushioning or impact 
dampening.  The foam rubber can be flex ible or rigid in applications.  
NOTE: Foam rubber is also known as cellular, sponge or expanded rubber  
   
KENYA STANDARD               DKS 2613:2017 
 
8.5.  Fabric  
Fabrics are woven material that are soft, drapeable, strong and durable, 
resistant to shrinking and breathes well .  Fabrics shall be washable, easy to 
clean and dries quickly, non-toxic, non reactive and cosmetically 
acceptable 
8.6 Metal  The most commonly used metal is al uminium, stainless steel, duralumin, 
mild steel with the properties of being non corrosive, light weight, ductile, 
malleable and tough.  
The material shall be cosmetically acceptable, ease of fabrication, high 
strength to weight ratio and high fract ure toughness. 
8.7 Paddings 
 
The padding shall be made of foam, li ning leather, eva foam, soft ban, and 
pelite. They shall be non-allergic, shall absorb and not retain moisture. The 
material shall be elastic in nat ure and not get perm anent distortion. 
Most modern spinal Orthoses may be li ned inside or may be without lining.  
 
NOTE.  Clients/users can use a separate in terface that absorbs perspiration 
and protects the skin, and which c an be washed or replaced as needed.  
 8.8. Attachments and accessories   
The accessory parts shall be fasteners - buckles, rivets, Velcro straps, 
laces, hooks-and-loops, rigid and flexib le webbings. They are used to 
secure the spinal orthoses on the body.  
 
Head supports may be needed in some specific medical conditions. The 
orthoses may be reinforced by uprights  in the back (which may be metallic 
or plastic). 
7. Criteria of conformity and performance of materials 
The orthoses shall meet the requirements specified in clauses 5, 6 and 8.   
KENYA STANDARD               DKS 2613:2017 
 
NOTE The manufacturer should state the sp ecifications of the materials 
used for fabricating the orthoses. 
8. Workmanship and Finish 
Spinal orthoses shall be cosmetic ally acceptable, without rough sharp 
edges and easy to apply and remove. It shall conform to the body parts 
applied to and meet the prescription.  
 9. Test methods 
When tested and subject ed to tensile, comprehensive, shearing and 
twisting  forces the orthoses shall not fail from fatigue. 
11. Marking  Each pre-fabricated Orthosis shall be permanently and indelibly be marked 
with the manufacturer’s name, init ials or recognized trade-mark and the 
size. 
 12. Packaging 12.1.  Each pre-fabricated Orthosis s hall be supplied with a user manual 
and the country of origin. 
12.2.  Custom made Orthoses shall have clear instructions to the user / 
client regarding the use, assembli ng, maintenance and necessary follow-
ups 
 
 
    
KENYA STANDARD               DKS 2613:2017 
 
ANNEX-A 
USER MANUAL FOR NE CK AND SPINAL ORTHOSIS  
Neck and spinal Orthoses  
1. Ask your service provider   to evaluate the effectiveness and function of 
your neck and spinal orthosis.  
2. If there is need for change of orthosis, have a wri tten prescription from a 
service provider. Take your prescr iption to an orthopaedic technologist 
/orthotist (a person who makes orthosis). 
3. Slip or fit the orthosis on affected part of the neck or t he spine as directed 
by the service provider. 
4. Use the Velcro strap or a buckle to position and fasten the orthosis as 
shown and trained by the service provider.  
5. The service provider should train yo u on how to use and take care of the 
orthosis 
6. Visit your orthopaedic technologist/ort hotist for any adjustments until you 
have a proper fit. Expect to f eel some discomfort at first. 
7. Prevent skin problems from occurring with your new orthosis by following 
a “wearing” schedule. Wear your orthosis as recommended by the 
service provider. 
8. Always check affected body part for any areas of redness or change of 
skin colour, blisters or swelling s, when you remove your orthosis 
discontinue use and consul t your service provider. 
9. Notify your orthopaedic technologist/o rthotist or doctor immediately if 
redness or change of skin colour occurs.  
10. Adjust your orthosis by loosening t he Velcro straps if you notice redness 
or feel uncomfortable but ensur e that it is well secured. 
11. Tips & Warnings  
KENYA STANDARD               DKS 2613:2017 
 
• Orthosis are custom-made or off-t he-shelf (prefabricated). The off-the-
shelf (prefabricated) Orthosis will have to be adjusted to fit. 
• Do not soak in water. Keep ort hosis clean by wiping with clean damp 
piece of clothing.  
• Always keep orthosis/ joints  lubricated or well oiled 
• Keep the orthosis away from fire. 
• In case of wear and tear or damage,  take the orthosis to the service 
provider for repair/ replacement. 
• A cotton undershirt should always be worn under the Spinal Orthoses. 
If you have any questions or concerns, c ontact the service provider or other 
health care professional before engaging in  any activity re lated to health and 
diet. This information is not intended as  a substitute for professional medical 
advice or treatment. Stick to appointment dates for reviews. For all spinal 
Orthoses, consult with your se rvice provider before putting on. 
 
	
	
	
 
	
ANNEX‐B	INFORMATIVE 	
  
KENYA STANDARD               DKS 2613:2017 
 
1‐Cervical	Orthotics 		
 
Cervical orthotoses are  prescribed for patients  requiring  restraint of flexion, extension, lateral 
flexion and rotation of the neck.  
Common types  are:  
 Soft Collar   
 Rigid Collars 
 Halos 
S.O.M.I.  Sterno Occipital Mandibular  Immobilizer  
      
 
  
 2‐Spinal Orthotics    
KENYA STANDARD               DKS 2613:2017 
 
 
.  Types are: 
 Elastic Rib Binder  
 Sacroiliac  Belt 
 Trochanter  Belt 
 Corset 
 Soft lumbar‐sacral support(LSO)  and Thorac‐lumbaro sacral support( TLSO) 
 Rigid LSO and TLSO 
 Scoliosis Brace  
KENYA STANDARD               DKS 2613:2017 
 
 
KENYA STANDARD               DKS 2613:2017 
 
  
KENYA STANDARD               DKS 2613:2017 
 
 
KENYA STANDARD               DKS 2613:2017 
 
 
KENYA STANDARD               DKS 2613:2017 
 
Spinal Orthosis (SO)  
Clockwise starting top left: Charleston Be nding Brace; 2 Thoraco-Lumbo-Sacral Orthoses 
(TLSO) for treating scoliosis; Plastic TLSO for a traumatic injury; Harris Brace for chronic low 
back pain.  Spinal orthoses can be made to support fr om the cervical spine to the lumbar spine. 
 Custom orthoses can be total contac t plastic, fabric garments with rigid plastic inserts or a corset 
style to help control the back.  
 
KENYA STANDARD               DKS 2613:2017 
 
  
KENYA STANDARD               DKS 2613:2017 
 
Back and Spinal Bracing 
 Centre  Spinal Orthoses includes cervical orthoses, cervical-thoracic orthos es, thoracic orthoses, 
thoracic-lumbar-sacral orthoses, lumbar-s acral orthoses and lumbar orthoses. 
While sitting or standing, the upper body receives its support from the sacroiliac joint. But, over 
a period of time, the joint can wear out and cau se lower back pain. Back pain is a common 
ailment that affects individuals of all ages and may result from  conditions including,  injury, 
obesity, age, disc disease, spinal st enosis, spinal spra ins and strains. 
Back pain treatments include back braces / spinal orthotics.  It 
restricts spine movement after trauma. 
Spinal orthoses include cervic al orthoses, cervical-thoracic 
orthoses, thoracic orthoses, t horacic-lumbar-sacral orthoses, 
lumbar-sacral orthoses and lumbar orthoses. 
Spinal orthoses have been recommended for the treatment of back 
pain and to stabilize the spin e. Conditions for which spinal 
orthoses have been recommended for relieving pain, reducing 
progression of disease/injury, and improving function include 
spinal stenosis, vertebral fract ures, scoliosis, spondylosis, 
spondylolisthesis, Scheuermann's disease and sprains. 
Spinal orthoses have also been recommended fo r use following spinal surgery as a method of 
restricting excessive spinal mo tion, allowing for soft tissue hea ling, and to reduce postoperative 
pain. In addition, spinal bracing re sults in lower incidence of hard ware failure, loss of surgical 
correction, and pseudoarthrosis. The indications for bracing ar e dependent on the degree of 
injury and spinal instability, the presence of neurological deficit, the type and quality of internal 
fixation, bone q uality, and the pa tient's individual profile. 
3-Types o Spinal Orthoses 
 
Corset braces 
 
Corsets are a type of spinal brace co mmonly used to treat low back pain. 
Low back pain can be caused by a numb er of things and Corset braces are 
often prescribed to treat low back pain associated with: 
 degenerative  disc disease 
 trauma, fracture, or injury 
 
KENYA STANDARD               DKS 2613:2017 
 
 spinal deformity  (such as scoliosis) 
A corset brace may also be used to imm obilize your back after spine surgery. 
Jewett Brace 
A Jewett brace is a three points pressure  system of orthosis, which is used 
for controlling the flexion of the spin e. It is a hyperextension orthosis, 
which allows extension but prev ents flexion of the spine. 
The Jewett Hyperextension Spinal Or thosis helps control and support 
your spinal posture, helps reduce pa in, prevents further injury and 
promotes healing.  It will remind you to keep your back upright and 
straight.  It is often prescribed  for the treatment of compression 
fracturesor fractures on the fr ont side of the spine.  
  
 
By activating the back muscles the support stra ightens the dorsal sp ine to decrease the 
osteoporotic kyphosis.  Simulation of the body's ow n muscle power, when optimally fitted the 
support eases the patient's pain and improved mob ility.  The easily mend back brace makes it 
possible to adjust individually to each patient .  The brace is light and bearly visible under 
clothing, the "backpack" principl e makes putting on the brace easy, no obstruction or thoracic or 
abdominal breathing, no restriction of shoulder or arm movements. 
4-Molded Jackets 
 
A molded jacket or a thoracolumbosac ral orthosis (TLSO), provides rigid 
stabilization to treat a number of spinal conditions, including spinal 
fractures and scoliosis. 
A molded jacket is a total-coverage  brace that supports a large area - 
from the thoracic spine, lumbar spine and sacrum.  This type of spinal 
brace provides a strong external support for your thoracic and lumbar 
regions. Molded jackets may help treat a variety of spinal  conditions like: 
 Spinal fractures (including  burst fractures and spinal compression  
fractures)  
 Scoliosis 
 Scheuermann's  kyphosis 
 Ankylosing  spondylitis  
 
KENYA STANDARD               DKS 2613:2017 
 
5-Lumbosacral bel 
 
Miami  
® 
 
The Miami Lumbar® is an easy-to-use lumbar orthosis for post-surgical 
immobilisation, pain relief and the protection of injured ligaments or 
muscles. The superior anatomical design follows the contours of the 
spine while simultaneously ensuring better immobilisation and patient 
comfort. The modular system enable s step-down treatment options for 
every stage of the recovery process.  A TLSO attachment can be used for 
maximum immobilisation, which stabilises the spine up to T7. 
Lumbosacral belts are designed to pr ovide pressure on your abdominals, 
thereby reducing weight and stress on  your low back. This type of brace 
provides lumbar spine stabilization, so it creates an optimal healing 
environment for a number of lumbar spine c onditions, including low back muscle strain. 
 
 
KENYA STANDARD               DKS 2613:2017 
 
A
 
KENYA STANDARD               DKS 2613:2017 
 
	
	
 >  
Thoracic (Upper Torso) Orthoses 
  
KENYA STANDARD               DKS 2613:2017 
 
NOTE   
 
 
 
KENYA STANDARD               DKS 2613:2017 
 
Knight   
 
Chairback Spinal Brace  
  
KENYA STANDARD               DKS 2613:2017