FirstFlex

Elbow Wrist Hand Finger Orthosis
with electrical stimulator

Clinical Diagnosis

Spasticity, good passive range but lacking reach, grasp, and pinch and active supination (hemiplegia.)

Clinical Solution

Improves reach, grasp, pinch, release and resting flexion/active and passive supinaiton with flexion.

FirstFlex

Breakthrough Treatment For Children With Spastic Hemiplegia (Hemiparesis)

FirstFlex™, a new treatment program, may result in marked improvement for children with spastic hemiplegia. Studies conducted by the Kleinert Institute suggest improved posture, strength, and control of global arm-hand function following treatment.

The combination of custom bracing and neuromuscular electrical stimulation (NMES) offers a conservative treatment option throughout a patient’s growth and development.

FirstFlex™ achieves patient gains without pharmacological injections or surgical procedures.

The treatment program addresses three common deficits found in spastic hemiplegia in children:

1. Postural deformity
2. Grip and pinch weakness, and
3. Loss of inhibitory control over pinch, reach, grasp, and release.

Most study patients reported greater ease in carrying out daily activities such as combing their hair, getting dressed, and playing.

Key Considerations

Good candidates for treatment are children ages 3 to 20. They have mild to moderate spasticity in their scapula, shoulder and elbow and moderate to severe spasticity in their wrist and fingers.

The program is specifically targeted to Cerebral Palsy induced spastic hemiplegia in children.

Patients with fixed capsular elbow or wrist contractures or extremely poor sensation are not good candidates. Prior wrist fusions, tendon transfers and selective neurectomies are treatment exclusions.


The research strongly suggests that patient cognition, motivation and parental support are crucial ingredients in the treatment’s success. These three essential elements are evaluated before a patient enters the program.

The FirstFlex™ program for children with spastic hemiplegia requires an extensive daily time commitment on the part of both the patient and caregivers.

Considerations also include psychosocial family issues as well as the daily logistics of scheduling two thirty-minute treatment sessions and of donning the brace at bedtime.