The Journal of Bone and Joint Surgery, Vol 59, Issue 3 332-339, Copyright © 1977 by Journal of Bone and Joint Surgery, Inc
Cervical orthoses. A study comparing their effectiveness in restricting cervical motion in normal subjects
RM Johnson, DL Hart, EF Simmons, GR Ramsby and WO Southwick
The effectiveness of five cervical orthoses in restricting cervical motion
was evaluated quantitatively in normal subjects using roentgenograms and
overhead photographs made at the extremes of three planes of motion, while
the effectiveness of the halo with a plastic body-vest was studied in seven
patients with cervical fractures or local fusions. Flexion and extension
were measured at each cervical intervertebral joint and combined cervical
motion was measured for rotation and lateral bending. The best conventional
braces restricted only 45 per cent of flexion-extension at the
atlanto-axial joint; the halo restricted 75 per cent. The conventional
braces were more effective in the middle and lower portions of the cervical
spine. The results may prove to be useful guidelines for the selection of
an appropriate orthosis to control motion in different planes and at
different levels of the spine.