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this video is to be used as guidance in regards to the correct fitting procedure of a cervical thoracic orthosis in this video we will demonstrate how to fit the cto these are predominantly fitted with patient in line and this involves a minimum of two people the cto will have previously been adjusted to the correct fit by the arthritis roll the patient to their third side align the back panel centrally ensuring that the collar is also aligned with the back of the head and the lower section of the brace around the mid thoracic spine roll back onto their back and adjust as required place the front section to align with the back section by tucking the collar underneath the chin and fastening the velcro straps either side ensuring both of equal length attach the two clips to the front of the brace and adjust tension if required to ensure a snug fit the patient is now able to sit up and mobilize as able if you have any concerns with the fit or function of your brace seek as