What is the difference between active and passive spinal motion restriction?

Active spinal motion restriction involves the patient's engagement in their own movement control. This means that the patient is actively participating in limiting their own spinal motion, typically by following instructions to brace or stabilize their body while being assessed or treated. This approach not only helps to protect the spine during movement but also empowers the patient by making them a part of the process. This can be crucial in achieving better outcomes during rehabilitation or emergency response situations, where cooperation might be necessary for effective management.

In contrast, passive spinal motion restriction refers to methods that do not require the patient to engage directly; instead, external devices or support mechanisms, such as braces or straps, are used to limit movement. This approach is often employed in scenarios where the patient may not be able to actively participate, such as due to a lack of consciousness or severe injury.

By understanding this distinction, it becomes clear why the idea of engaging the patient is central to the concept of active spinal motion restriction. This contrasts with techniques that rely solely on external assistance without any patient involvement.