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Studies
Gavin
T, Pathwarden A, et al. download
full study pdf
200KB
Biomechanical
Analysis of Cervical Orthoses in Flexion and Extension;
A Comparison of Cervical Collars and Cervical Thoracic
Orthoses. Journal
of Rehab R&D 2004; Vol. 40. No. 6; Pages
Jan Powers, RN, MSN, CCRN
A
Multidisciplinary Approach to Occipital Pressure Ulcers
Related to Cervical Collars.
Journal
of Nursing Care Quality 1997;12(1): 46-52
S.
C. C. Liew and D. A. Hill
Complication
of Hard Cervical Collars in Multi-Trauma Patients.
Australian and New Zealand Journal of Surgery (1994)
64, 139-140
Brian
Plaisier, MD, Sheryl G. A. Gabram, MD, FACS, Robert
J. Schwartz, MPH, FACPM, and Lenworth M. Jacobs, MD,
MPH, FACS
Prospective
Evaluation of Craniofacial Pressure in Four Different
Cervical Orthoses.
Journal
of Trauma, Volume 37, No. 5, November 1994
Steven
J. Hughes, MB, BS, FRCS(Orth)
How
Effective is the Newport/Aspen Collar? A Prospective
Radiographic Evaluation in Healthy Adult Volunteers.
Journal of Trauma, Volume 45, No. 2, August 1998
Barbara
Blaylock, RN, CS, MSN, CETN
Solving
the problem of pressure ulcers resulting from cervical
collars.
Ostomy/Wound Management, Volume 42, No. 4, May 1996
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1: Journal of Rehab R&D 2004;
Vol. 40. No. 6; Pages 527-537.
Biomechanical
Analysis of Cervical Orthoses in Flexion and Extension;
A Comparison of Cervical Collars and Cervical Thoracic
Orthoses.
Gavin
T, Pathwarden A, et al.
ABSTRACT:
The analysis of current cervical collars (Aspen, Miami
J collars) and cervical thoracic orthoses (Aspen 2-post,
Aspen 4-post CTOs) in reducing cervical intervertebral
and gross range of motion in flexion and extension was
measured in twenty normal volunteer subjects. The gross
sagittal motion of the head was measured relative to
the horizon using an optoelectronic motion measurement
system. Simultaneous measurement of cervical intervertebral
motion was performed using a videofluoroscopic (VF)
machine. Intervertebral motion was described in terms
of (i) the angular motion of each vertebra, and (ii)
the translational motion of the vertebral centroid.
Surface electromyographic (EMG) signal data was utilized
to compare subject efforts between the two collars,
and between the two CTOs. Each orthosis significantly
reduced gross and intervertebral motion in flexion and
extension (p<0.05). There were no statistically significant
differences between the Miami J and Aspen collars in
reducing gross or intervertebral sagittal motion, except
at C5-C6. Both CTOs provided significantly more restriction
of gross and intervertebral flexion and extension motion
as compared to the two collars (p<0.05). The Aspen
2-post CTO and 4-post CTO performed similarly in flexion,
but the Aspen 4-post CTO provided significantly more
restriction of extension motion (p<0.05).
download
full study pdf
200KB
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2:
Journal of Nursing Care Quality 1997;12(1): 46-52
A
Multidisciplinary Approach to Occipital Pressure Ulcers
Related to Cervical Collars.
Jan
Powers, RN, MSN, CCRN
Clinical Nurse Specialist, Critical Care
Wishard Memorial Hospital
Indianapolis, IN
Pressure
ulcers related to cervical collars are a common difficult-to-manage
complication of cervical immobilization in the trauma
patient. After many cases of occipital pressure ulcers
occurred at our institution, a multidisciplinary task
force was formed to look at this issue. The group was
to identify causes for this problem and develop a plan
to decrease the occurrence of pressure ulcers related
to cervical immobilization. The problem involved three
areas that needed improvement. These were: nursing care,
the type of collar used, and the lengthy process of
clearing C-spines. The group developed objectives, goals,
and interventions to resolve these concerns. The task
force developed a protocol for nursing care, changed
to a different type of cervical collar, and developed
a protocol for clearing cervical spine films. Through
the use of a multidisciplinary approach, the development
of protocols and a new product, pressure ulcers related
to cervical collars have been eliminated in our institution.
In addition, patients are staying in cervical collars
half the time as before the protocol was implemented.
Key words: cervical collars, cervical spine, multidisciplinary,
occipital area, pressure ulcers, prevention.
Please
contact Aspen
for reprints.
Reprinted/adapted
with permission from Journal of Nursing Care Quality,
Jan Powers, 12:1, p. 46. © 1997 Aspen Publishers,
Inc.
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3: Australian and New Zealand Journal
of Surgery (1994) 64, 139-140
Complication
of Hard Cervical Collars in Multi-Trauma Patients.
S. C. C. Liew and D. A. Hill
Department
of Surgery, Royal Prince Alfred Hospital and The University
of Sydney, Sydney, New South Wales, Australia
Please
contact Aspen
for reprints.
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4:
Journal of Trauma, Volume 37, No. 5, November 1994
Prospective
Evaluation of Craniofacial Pressure in Four Different
Cervical Orthoses.
Brian Plaisier, MD, Sheryl G. A. Gabram, MD, FACS, Robert
J. Schwartz, MPH, FACPM, and Lenworth M. Jacobs, MD,
MPH, FACS
Please contact Aspen
for reprints.
To
go to the Journal
of Trauma web site, click this link Link
last verified 6/21/05
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to top
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5:
Journal of Trauma, Volume 45, No. 2, August 1998
How
Effective is the Newport/Aspen Collar? A Prospective
Radiographic Evaluation in Healthy Adult Volunteers
Steven J. Hughes, MB, BS, FRCS(Orth)
Please contact Aspen
for reprints.
To
go to the Journal
of Trauma web site, click this link Link
last verified 6/21/05
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to top
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6:
Ostomy/Wound Management, Volume 42, No. 4, May 1996
Solving
the problem of pressure ulcers resulting from cervical
collars.
Barbara Blaylock, RN, CS, MSN, CETN
Please contact Aspen
for reprints. Reprints are also available from Health
Management Publications, Inc. at 800-237-7285 or 610-688-8220.
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