Spinal brace for Osteoporosis SPINAL PLUS

ADAPTING FOR THE DOCTOR/TECHNICIAN
1 Remove the metal frame from the padding:
– Unfasten the four press studs (fig. A) that attach the pad to the metal frame.
– Unfasten the top buckles (fig. B) and push them so they are released from the pin (N.B.: the buckles have a pin to
prevent them from coming out of the fabric).
– Slide out the metal part (frame) from the padding (fig. C).
– Rest the metal frame on the patient’s back and check if any points need to be shaped (fig. D).
– Shape the brace in accordance with medical instructions: using a surface as leverage can make it easier to shape the
brace, e.g. the edge of a table (fig. E).
– Slide the metal part back into place in the padding (fig. F) and ensure that the pins are at the top.
– Fasten the two lower press studs (fig. G1).
– Fasten the two central press studs (fig. G2) – N.B.: there are two possible positions for the central attachment to suit
the size of the patient’s shoulders; use the indentations on the outer padding as a guide when aligning the press studs.
– Fasten the top buckles (fig. H), ensuring that they fit onto the pins, and pull them until you hear a click.
– The brace is now ready to be fitted on the patient; please note that the shoulder straps and the straps are fully extended
at this point.
2 To shorten the corset:
– Undo the Y-shaped fastenings and remove the abdominal corset from the dorsal part (fig. K1).
– Measure the circumference of the patient’s pelvis.
– Cut off any excess from the velour part using the following table as a guide: TAKE CARE not to cut too much

– Reattach the corset to the dorsal part using the Velcro® fastenings (fig. K1).
3 To put on the brace, slide the patient’s arms through the shoulder straps (fig. J).
4 Fasten the abdominal pads with Velcro® so that they are centred on the abdomen in a slightly staggered position (fig. I):
– Check that the rear part of the brace is centred over the spine.
– The corset can be further shortened if necessary as described in point 2.
5 Adjust the shoulder straps using the tip with the Y-tab. N.B.: it is very important that the ring which attaches to the dorsallumbar strap is centred on the median line of the body (fig. L). If a strap is too long, cut to the correct length (fig. M).
6 Use the Velcro® fastenings provided to adjust the positioning of the pads on the shoulder straps so that the tubular part
remains under the armpit (fig. N).
7 Position the pads of the dorsal-lumbar straps on the abdominal pads (fig. O), pass the straps inside these until the
desired degree of tension is achieved (fig. P) and slide out the corresponding card to attach the pads to the straps (fig.
Q). Check that the tension is correct by positioning the pads in the centre of the abdominal pad and adjust further if
required. Only cut off any excess when this procedure has been completed (fig. R).
8 Check that the straps pass through the corresponding holes on the corset (fig. S) so that it easier to don in the future.
9 If prescribed, attach the OPTIONAL inflatable pad (REF. 33049PA) to the internal Velcro® fastening at the back (fig. T) in
the prescribed position and inflate as required to increase dorsal pressure. N.B. – do not exert too much pressure on the
spine.

PUTTING ON THE APPLIANCE FOR THE PATIENT
Fitting the orthosis
1 Fit the orthosis by inserting the arms in the shoulder straps (fig. 1).
2 Close the abdominal pelottes using the Velcro® closure. Ensure that they are centred (fig. 2).
3 Loosen the pelottes of the tensioning straps of the back and lumbar area (pre-set at the rear ends of the abdominal
tensioning straps), pull outwards (fig. 3) and fix on the front closure using the Velcro® closure (fig. 4).
Taking off the orthosis
4 Loosen the small pelottes of the tensioning straps of the back and lumbar areas (fig.5) and fold them provisionally on
themselves.
5 Loosen the shoulder straps pulling them forward (fig. 6).
6 Loosen the abdominal pelotte (fig

MAINTENANCE
Do not bleach, No chemical cleaning, Do not iron, Do not tumble-dry
Washing instructions: Pull out the metal frame, see points 1-a, b, c. Wash by hand in lukewarm water with neutral
soap, rinse thoroughly. Leave to dry away from heat sources. Reinsertion of the metal frame: See points 1-f, g, h.
Do not dispose of the product or any of its components into the environment.