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.
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.
Complex 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.
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 wrist-hand, free fingers; adjustable forearm rotation option available that can also be used as an EO or WHO separately) |
Spasticity, good passive range but lacking reach, grasp and pinch and active supination
(hemiplegia) |
Custom Molded EWHO - First Flex |
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 |
Spasticity, good passive range but lacking reach, grasp and pinch and active supination (hemiplegia) |
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 wrist-hand, free fingers; adjustable forearm rotation option available that can also be used as an EO or WHO separately) |
Gait Deviations |
Post stroke, Post Polio syndrome, ankle instability – Adult/Adolescent |
Clinical Problem |
Ultraflex Solution |
Drop foot, foot slap or crouch gait |
Custom Molded AFO with UltraSafeStep components |
Post stroke, Cerebral Palsy, Post Polio Syndrome, incomplete spinal cord injury – Adult/Adolescent |
Clinical Problem |
Ultraflex Solution |
Gross low extremity weakness causing combined knee and ankle instability |
Custom Molded KAFO with UltraSafeStep components at knee and ankle |
Complex 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) |
Total Knee Replacement – Adult/Adolescent |
Clinical Problem |
Ultraflex Solution |
Post op loss of extension and/or flexion in early rehab |
Custom Molded KO with extension, flexion or bidirectional power unit as needed
Prefabricated:
KO F1 V2 (extension loss only)
KO F2 V2 (flexion loss only)
KO F3 V2 (flexion and extension loss) |
Colles' fracture; Smith's fracture; Barton's fracture; Chauffeur's fracture – Adult/Adolescent |
Clinical Problem |
Ultraflex Solution |
Capsular loss of motion - one joint only |
Custom Fitted WHO F2 |
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 |
Juvenile Rheumatoid Arthritis and other joint loss of motion - Pediatric |
Clinical Problem |
Ultraflex Solution |
Capsular loss of motion - one joint only |
Prefabricated pediatric line
KO F6-13
EO F3-F10
WHO F3-F6 |
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. |
