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Allard BOSTON LITE SOFT BODY JACKET Manual

Spinal orthosis
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BOSTON LITE™
MANUAL
1

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Summary of Contents for Allard BOSTON LITE SOFT BODY JACKET

  • Page 1 BOSTON LITE™ MANUAL...
  • Page 3 CHARACTERISTICS OF THE BOSTON LITE™ SOFT BODY JACKET ADAPTABILITY TO PATIENTS Due to the flexibility of the foam, and the strategically placed reinforcements, the Boston Lite Soft Body Jacket can be used to treat a variety of etiologies. ACCEPTABILITY In order to be effective, a brace must be accepted and worn by the patient. Due to its soft features, edge pres- sure on the patient is negligible.
  • Page 4 MEASURING, FITTING AND FABRICATION PATIENT EVALUATION BY THE ORTHOTIST Patient measurement and selection of an appropriate Boston Lite Soft Body Jacket Module. Fashion stockinette to the appropriate width and length to cover the patient, or use a cast shirt. The stocki- nette over the underwear preserves the patient’s modesty and provides a sense of security.
  • Page 5 TRIM LINES Lines are drawn on the module with a wax pencil or a whiteboard marker to indicate where the foam is to be cut away. There are referred to as the trim lines. STANDARD TRIM LINES Anterior inferior Trim Lines are kept as low as the patient can tolerate.
  • Page 6 TRIM LINES POSTERIOR INFERIOR The standard posterior inferior trim line extends as low as possible, but not more than one finger width from the seat or a firm chair when the patient is sit- ting with hips flexed at 90˚. Establishing this line too high will result in increased lumbar lordosis and often unsightly bulges of soft tissues.
  • Page 7 TRIM LINES ANTERIOR SUPERIOR TRIM LINES The standard anterior superior trim line originates 2.5 cm below the sternal notch. The trim line flows into the lateral trim line. See Fig 6. Fig. 6 POSTERIOR SUPERIOR TRIM LINE The standard posterior superior trim line originates at the spine of the scapula.
  • Page 8 TRIM LINES LATERAL SUPERIOR TRIM LINE The standard lateral trim line originates 5 cm below the level of the axilla. (The patient should have full range of motion in the arms.) See fig.8 Fig. 8...
  • Page 9 FABRICATION OF THE BRACE 1. Remove excess foam with scissors or an edge trimmer. 2. Establish smooth flowing lines using a belt sander. Fine sanding is necessary to prevent any nicks, which can lead to the foam tearing. See Fig 9, 9A and 9B Fig.
  • Page 10 FABRICATION OF THE BRACE Attach the buckle and loop using plastic cover with 4mm screws as shown in fig 10. Attach velcro strap and plastic cover with 4mm screw as shown in fig 10A. Repeat process for all three straps. See Fig 11. Trim straps as required, see figure 12.
  • Page 11 Fig. 11 Fig. 12...
  • Page 12 The reinforcements have been designed to provide the maximum amount of support whilst allowing areas of the brace to be removed creating windows to access feeding tubes, surgical hardware or wounds if required as shown in fig 13,13A and 13B. Fig.
  • Page 13 FITTING OF THE BRACE 3D SPACER LINER Open the liner and wrap loosely around torso. Attach the middle Velcro strap and then the top and bottom Velcro straps. Adjust the straps alternatively until liner is at the required tightness. THE BOSTON LITE Open Boston Lite Orthosis and wrap loosely around torso.

  • Page 14: Skin Care

    INSTRUCTIONS PATIENT HYGIENE The Boston LITE Soft Body Jacket should be cleaned daily with soap and water, and thoroughly rinsed, especially if patients have considerable incontinence, drooling or vesicostomes. A terrycloth towel can be used to dry the brace. The spacer liner can be machine washed at 60° and dried overnight. The liner should be put in a washing bag and the Velcro closed properly.
  • Page 15 www.allarduk.co.uk w Phone +353 42 932 8177 w Fax + 353 42 932 8182 w customerservice@allarduk.co.uk...
  • Page 16 Today, Allard Support UK Ltd supplies the Original Boston product range directly to our custo- mers in the UK and through our distribution partners in Europe, Japan, Korea, India, and many other countries.