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  Brace Design/Selections - Areas of Specialty

Spasticity Management
Use simultaneously to address muscle length, strength, balance, posture, and flexibility.  Preserve and add longevity to gains achieved by non-orthotic spasticity treatments including physical therapy, surgery, and drug therapy.  Ease caregiver function and treat underlying factors that may be contributing to pain.

Ultraflex ONE™

Gait Deviations
Use for patients requiring additional support in the areas of stability, strength, balance, and endurance without unnecessarily limiting joint motion or use of inherent muscle strength.  Treat the entire gait cycle and accommodate the patient’s changing needs as rehabilitation (or their condition) progresses or changes over time.

Ortho Rehab
Use for the changing stages of the post-operative rehabilitation course from immobilization, to protected motion, to assisted motion, and ultimately to restoration of full active motion. Address healing, prevention of adhesions, and range.

Ultraflex ONE™

Spasticity Management

Spasticity from a Cerebral Origin, CP, CVA, TBI - Pediatric/Adolescent

Clinical Problem

Ultraflex Solution

Multi-level lower extremity spasticity, adductors, hamstrings, gastroc-soleus (quadriplegia, diplegia)

Custom Molded HKAFO with abduction and external rotation adjustment - HOPE 1

Hamstring spasticity
(quadriplegia, diplegia)

Custom Molded KAFO (dynamic knee component, solid ankle or rom stop joint)  

Gastroc-soleus spasticity
(quadriplegia, diplegia)

Custom Molded KAFO (dynamic ankle component, solid knee or rom stop joint) 

Soleus spasticity
(hemiplegia)

Custom Molded AFO with SMO insert

Upper extremity flexor-pronator spasticity (quadriplegia) Custom Molded EWHO (dynamic elbow, and solid wrist-hand-finger; adjustable forearm rotation option available that can also be used as an EO or WHO separately)

Good passive range but lacking reach, grasp and pinch and active supination

Custom Molded EWHO - First Flex

Loss of elbow flexion or extension motion Custom Molded EO

Traumatic Brain Injury – Adult/Adolescent

Clinical Problem

Ultraflex Solution

Gastroc-soleus and intrinsic foot spasticity; Equino-varus deformity that cannot be corrected with ankle in maximum plantar flexion.  

Custom Molded AFO - Lively

Cerebral Vascular Accident – Adult

Clinical Problem

Ultraflex Solution

Tight intrinsic finger flexors and wrist flexors

Custom Molded WHO

Good passive range but lacking reach, grasp and pinch and active supination

Custom Molded EWHO - First Flex


Other Neurological

Erbs Palsy/Brachial Plexus Injury - Pediatric

Clinical Problem

Ultraflex Solution

Injury causes muscle imbalance leading to flexor-pronator posture and loss of active supination

Custom Molded EWHO (dynamic elbow, and solid wrist-hand-finger; adjustable forearm rotation option available that can also be used as an EO or WHO separately)

Other Neurological

Duchenne muscular dystrophy - Pediatric

Clinical Problem

Ultraflex Solution

Joint range of motion loss at feet and ankles, frequent falling, difficulty climbing stairs, losing ability to ambulate

 

Custom Molded AFO with SMO



Adult/Adolescent Gait Deviations - Adjustable Dynamic Response™ (ADR™) UltraSafeStep™ - patients 110 lb/50kg - 250 lb/115kg

Post stroke, Post Polio syndrome, ankle instability – Adult/Adolescent

Clinical Problem

Ultraflex Solution

Drop foot, foot slap or crouch gait

Custom Molded AFO ADR™ with UltraSafeStep components

Post Stroke, Cerebral Palsy, Post Polio Syndrome, Incomplete Spinal Cord Injury – Adult/Adolescent

Clinical Problem

Ultraflex Solution

Gross lower extremity weakness causing combined knee and ankle instability, patients who reject traditional locked KAFOs, some UE impairment but able to unlock knee joint with one hand

Custom Molded bilateral strut KAFO ADR™ with UltraSafeStep components at knee and ankle, cable release option

Gross lower extremity weakness causing combined knee and ankle instability, patients who would reject traditional locked KAFOs, cognition and UE function is adequate

Custom Molded bilateral strut KAFO ADR™with UltraSafeStep components at knee and ankle, slide lock/safety option, (no cable release)

 

Pediatric Gait Deviations - Adjustable Dynamic Response™ (ADR™)
UltraSafeGait™
- patients up to 110 lb/50kg

Spastic hemiplegic, diplegic and quadriplegic cerebral palsy; Peripheral weakness; Spinal cord pathology; Idiopathic toe walking syndrome; Post-stroke, Challenging neurological and developmental conditions

Clinical Problem

Ultraflex Solution

Early Childhood Equinus (Extension Gait Moment) Soleus Spasticity with flexible rear, mid and/or forefoot deformities

Custom Molded ADR™-AFO with Posterior Calf Shell and SMO - UltraSafeGait™

Clinical Problem

Ultraflex Solution

Late Childhood Equinus (Extension Gait Moment) Soleus Spasticity with rigid foot deformities

Custom Molded ADR™-AFO with Posterior Calf Shell - UltraSafeGait™
(consider SMO for comfort and heel post to bring floor to patient)

Clinical Problem

Ultraflex Solution

Early Childhood Crouch (Flexion Gait Moment) Hamstring and Gastroc-Soleus Spasticity with flexible rear, mid and/or forefoot deformities

Custom Molded ADR™-AFO w/Anterior Proximal Shell and SMO - UltraSafeGait™
(recommended with rigid toe plate)

Clinical Problem

Ultraflex Solution

Late Childhood Crouch (Flexion Gait Moment) Hamstring and Gastroc-Soleus Spasticity with rigid rear, mid and/or forefoot deformities

Custom Molded ADR™-AFO w/Anterior Proximal Shell - UltraSafeGait™
(consider SMO for comfort and heel post to bring floor to patient)

Clinical Problem

Ultraflex Solution

Gross lower extremity weakness causing crouch that cannot be managed with AFO alone, patients with good knee range of motion 

Custom molded unilateral strut KAFO ADR™ with UltraSafeGait™knee and ankle joints

Clinical Problem

Ultraflex Solution

Childhood crouch, hamstring and gastroc-soleus spasticity with rear, mid, and/or forefoot deformities

Custom molded dynamic assist KO and ADR™ AFO - UltraSafeGait™ with the UltraQuick Release™



Ortho Rehab

Biceps Tendon Repair – Adult/Adolescent

Clinical Problem

Ultraflex Solution

Power lifting injury - biceps tendon avulsion

EO bidirectional power unit and extension stop platform - available in custom molded, made to measure, and prefabricated

Severe elbow, forearm and/or wrist trauma and post-op – Adult/Adolescent

Clinical Problem

Ultraflex Solution

Loss of elbow flexion and/or extension motion in early rehab

EO with extension, flexion or bidirectional power unit and extension or flexion stop platform as needed - available in custom molded, made to measure, and prefabricated

Loss of supination and/or pronation motion in early rehab  

Custom Molded EWHO, or
Made to Measurement (Fracture Brace) Fb with P11 component

Below Knee Amputee – Adult/Adolescent

Clinical Problem

Ultraflex Solution

Limb loss below knee, post op loss of motion

Custom Molded KO for BKA (dynamic extension power unit at the knee)

Post-op knee trauma– Adult/Adolescent

Clinical Problem

Ultraflex Solution

Post-op instability (Total Knee Replacements, Soft Tissue Injuries, Fractures, Repairs) with possible loss of extension and/or flexion in early rehab

Custom Molded KO or Custom Fit (KO CF) with optional extension, flexion or bi-directional power unit

Ilisarov or external fixation for trauma - Pediatric

Clinical Problem

Ultraflex Solution

Maintain soft tissue extensibility throughout extended rehab

Custom molded KO for femoral rings Custom molded KO for tibial-fibular rings Custom molded AFO for tibial-fibular rings

Loss of motion - great toe post surgery – Adult/Adolescent

Clinical Problem

Ultraflex Solution

Post operative loss of great toe motion impacting gait

Custom molded great toe orthosis GTO

This chart is provided as an example only; the final bracing solution will be determined by the prescribing physician and the physician’s rehab team.


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