All orthoses control spinal motion by a combination of dynamic and passive mechanisms. Dynamic control describes the significant role of intrinsic musculature in actively stabilizing the spine and is a major component in the effect of most orthoses. It has been demonstrated experimentally that opposing muscular forces significantly stiffen the spinal column, increasing its load-bearing capacity.8 If isolated from its muscular support, the osseous and ligamentous spinal column holds only 2 kg of axial load before failure by buckling.2 In terms of a column model, muscular action directly affects the modulus of elasticity and relative cross-sectional area of the composite spinal column. Orthoses promote muscular stabilization through tactile feedback, guiding the patient to maintain proper positioning of the body
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