Spinal orthosis (n=38)

Participants were told to wear the activating orthosis Spinomed for 10 minutes the first days, and then successively increase the treatment time during the following 2 weeks to 2 hours or more per day. Individual adjustments were performed by an orthopedic technician. A logbook was used with estimated wearing time (weekly) and possible adverse events. Spinomed has a steel rail from the seventh cervical vertebrae to the sacrum (C7 to S1). The rail that is adapted to the spinal curvature gives feedback when bending resulting in continuous activation of the back-extensor muscles. The spinal orthosis Spinomed was provided by Medi AB.