Ultraflex - Patient Inspired Solutions

Custom Fabrication

CASTING CONSIDERATIONS
For Ultraflex^TM custom-molded orthoses
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Congratulations! You have chosen the most innovative therapy orthosis available for your patient. Once fabricated, Ultraflex^TM custom-molded orthoses are comfortable, easy for the patient/caregiver to don & doff and cost effective for all involved.

Suggested casting guidlines for an Ultraflex^TM custom therapy orthosis:

Patient evaluation, casting and measurements follow standard orthometry for custom KO, EO, WHO, AFO, EWHO, KAFO, etc. Mark anatomic landmarks, joint line and problem areas clearly on the stockinette before casting.
Cast for maximum levers superior and inferior to the joint.
Introduce hand pressure for a rigorous application of a traditional three point system.
Ultraflex technicians locate joint centers for insertion of rod before pouring the positive mold. For unusual anatomic or unclear joint lines, make identical marks on outside of cast to aid in anatomic location.
Use Ultraflex^TM orthometry form filling out all required diagnosis, use and measurement information.

Please note the following special cases:

AFOs: Cast the foot in as neutral a position as possible. Both subtalar and rear foot neutral positions are recommended and is more important than achieving maximum dorsi-flexion (i.e. if a choice need be made in the presence of tone or spasticity). For spasticity, cast after NDT (Bobath) stretching session by therapist for maximum motion or have the attending physician consider nerve or motor point blocks before casting.

EWHOs: Cast from the axilla to the finger tips. For tight pronator patterns, assure finger/hand/wrist is in a functional neutral position (wrist at 0° or slightly extended, MCPs slightly flexed, fingers straight, thumb in opposition. Forearm should be in maximum supination.) For spasticity, cast after NDT (Bobath) stretching session by therapist for maximum motion or have the attending physician consider nerve or motor point blocks before casting. Sacrifice wrist flexion to assure a functional intrinsic hand position.

CASTING CONSIDERATIONS OFTEN VARY ACCORDING TO PATIENT APPLICATION. CALL OUR CLINICAL SUPPORT TEAM FOR GUIDANCE.