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IMPORTANT INFORMATION

Please read all instructions, warnings, and 
precautions before use. Correct application is 
essential for proper functioning of the product. 
Use only on the person it was provided to by a 
healthcare professional and only for the use it was 
intended.

INTENDED USE

The DeRoyal® Warrior™ Spine, powered by The 
Boa® Closure System, is intended for sagittal 
alignment, hyperextension or flexion bracing used 
for lower lumbar strains and sprains, proprioceptive 
feedback, postural control and reinforcement of 
proper body ergonomics.  

CONTRAINDICATIONS

Patients with poor peripheral circulation, diabetes 
or decreased skin sensitivity should not use this 
product.

PRECAUTIONS

•  This product is to be fitted initially by a physician 

(or properly licensed practitioner) who is familiar 
with the purpose for which it is intended. The 
physician or practitioner is responsible for 
providing wearing instructions and precautions 
to other healthcare practitioners or healthcare 
providers involved in the patient’s care as 
well as the patient. Consult your physician (or 
properly licensed practitioner) immediately if 
you experience sensation changes, unusual 
reactions, swelling or increased pain while 
using this product. Follow the instructions of 
your physician (or properly licensed practitioner) 
for duration of use. These instructions do 

not supersede hospital protocol and/or direct 
orders of patient’s physician. Discontinue use 
of the device and consult physician or properly 
licensed practitioner if it becomes damaged 
in any way, limiting its ability to perform as 
intended.

•  Use only as directed by your medical 

professional.

•  Discontinue use of the device and consult 

physician or properly licensed practitioner if 
pressure points or pressure ulcers develop.

•  Inspect brace for damaged or missing 

components prior to patient application.

•  Inspect brace for proper fit immediately 

following patient application.

INSTRUCTIONS FOR USE
SIZING

The DeRoyal Warrior Spine Universal Back Brace 
features four (4) sizing zones:

NOTE:

 Measurement can be determined by 

circumferential waist measurement or pant size.

1

2

3

4

WAIST MEAS.

24”-32”

32”-38”

38”-44” 44”-54”

MEN’S  

PANT SIZE

26-32

32-38

38-44

44-46

WOMEN’S  

PANT SIZE

0-6

8-10

12-16

18-24

NOTE: 

For best results and ease of adjustment, 

brace sizing should be conducted on a large bed 
or table.

WARRIOR

 SPINE

UNIVERSAL BACK BRACE

Single Patient Use
Non-Sterile
Not Made with Natural Rubber Latex

Rx Only

1.  Prior to application, pull out both dials to release 

lacing. Release front hook and loop closure to 
open the brace belt completely.

2.  Place the back of the brace flat 

with the outside of the back 
panel facing upward. Ensure 
the left and right belt arms are 
spread outward evenly and non-impinged. 

3.  Unfasten the back flap hook 

closures (2) at the bottom of the 
back panel, flip open the back 
panel and flip over the belt arms.

4.  Pull up on the two (2) plastic 

hook flaps that secure the belt 
in place until they reach a 45 
degree angle upward from the 
belt.

5.  Place one hand in the middle of 

the adjustment panel and under 
the belt and use the other hand 
to pull up on the belt pull strap 
until the appropriate size zone is reached on the 
left and right side of the belt. 

NOTE:

 Ensure that 

the sizing zones are even on both sides. Reapply 
the hook flaps to secure the belt. 

6.  Press down firmly on any excess 

belt length, fold the flap over 
and reattach the back flap hook 
closures at the bottom of the 
back panel. 

APPLICATION

NOTE:

 Wear a shirt under this brace.

1.  While in a standing or seated position, place 

compression brace so the back panel is centered 
in the low back area.  Secure the front hook and 
loop closure of the belt. 

2.  Next, the patient should lie in a supine position 

with their knees comfortably bent (flexed) and 
their hips parallel with their shoulders.  

3.  At each side of the brace, the 

patient will find a dial.  While 
in the supine position, the 
patient should push the dials 
in to engage then turn knobs 

clockwise to tighten laces. Turn dials at the 
same time to ensure even compression.   Turn 
dials until a comfortable level of compression is 
achieved.  This compression is adjustable and 
can be released or tightened using the dials to 
accommodate different activity levels and degree 
of comfort.  

4.  To remove the brace, pull out the dial to release 

compression and remove the front hook and loop 
closure of the belt.

LATERAL PANELS APPLICATION (159-03 ONLY):

The DeRoyal Warrior Spine Brace (159-03 series) 
features lateral panels for increased stability, 
motion restriction, and support.
1.  Follow all application steps listed under 

“APPLICATION.”

2.  Once the sizing is determined, the brace is 

applied and an appropriate fit is achieved, 
remove the brace and place the lateral panels 
on the inside of the brace’s belt using the two (2) 
hook attachments. 

3.  Reapply the brace and ensure each panel 

aligns directly with the patient’s frontal and 
lateral plane. Readjust panel positioning to 
accommodate different activity levels and degree 
of comfort.

CUSTOM-FITTED POSTERIOR PANEL APPLICATION 
(NOTE: 159-11, 159-12, 159-13 version ONLY):

The DeRoyal Warrior Spine Orthoses feature custom 
formable panels that can be shaped to fit the 
desired specifications of the prescribing clinician. 
Once formed, these panels can be inserted into the 
posterior pocket of the brace.
1.  Follow all application steps listed under 

“APPLICATION.”

2.  Once the sizing is determined, the brace is 

applied and an appropriate fit is achieved, 
remove the brace by opening the hook and 
loop closure in the center of the back panel and 
unfasten the hook and loop closure at the top 
of the back panel to open the posterior panel 
pocket. Remove the existing black plastic panel.

3.  Position the patient into a prone position (on 

3

3

4

5

6

2

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