Functional orthosis post pectoralis muscle rupture

Published:December 15, 2014DOI:
      This author described her success at fabricating a chest compression orthosis for a patient who underwent repair of a pectoralis major muscle rupture. The repair occurred nine months prior to orthotic fabrication, but the patient continued to experience weakness and pain which limited motion. The design of the orthotic allowed him increased mobility and functional use. – Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor
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        • Provencher M.
        • Handfield N.
        • Boniquit N.
        • Reiff S.
        • Sekiya J.
        • Romeo A.
        Injuries to the pectoralis major muscle: diagnosis and management.
        Am J Sports Med. 2010; 38: 1693-1705
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        • Prohaska D.
        Pectoralis major tendon repair post surgical rehabilitation.
        North Am J Sports Phys Ther. 2007; 2: 22-33
        • McKee P.R.
        • Rivard A.
        Biopsychosocial approach to orthotic intervention.
        J Hand Ther. 2011; 24: 155-163

      JHT Read for Credit

      Quiz: #375

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to There is only one best answer for each question.
      • #1.
        The case described involved
        • a.
          a combined pectoralis minor-major injury requiring a compression orthotic device nine months post op
        • b.
          an isolated pectoralis major rupture and a custom made compression orthotic device constructed nine months post injury
        • c.
          a biceps avulsion injury and a support orthotic device
        • d.
          a rotator cuff injury requiring orthotic intervention nine months post op
      • #2.
        The orthotic device
        • a.
          required a caregiver to assist in donning
        • b.
          was cost prohibitive, but the patient had sufficient charity funding to cover the price
        • c.
          could only be worn at home or when sleeping
        • d.
          allowed the patient to return to work wearing the device
      • #3.
        Compression was applied via
        • a.
          kinesio tape
        • b.
        • c.
          1/8 inch thermoplast
        • d.
          ¼ inch thermoplast
      • #4.
        The device was constructed with the patient
        • a.
        • b.
        • c.
        • d.
          side lying
      • #5.
        The accompanying visuals are excellent
        • a.
        • b.
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.