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  Spasticity Management
- EWHO

Spasticity from a Cerebral Origin, CP, TBI – Pediatric

Clinical Problem:  Upper extremity flexor-pronator
spasticity (quadriplegia)
This design allows static progressive pronation or supination
Ultraflex Solution:  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) View EWHO Rotation fitting video (2 minutes, 13 seconds)

Clinical Goal:  Conservatively maintain and increase length of flexor-pronator muscles, complement multi-level Botulinum Toxin A.

Evaluation/Casting:  Initial casting limb posture - finger, wrist and elbow flexed and forearm in maximum pronation for solid design, any forearm angle for rotation option.  Cast segmentally distal to proximal. First flex MPs and straighten fingers and cast, then cast opposed thumb in partial abduction isolating maximum web space and to achieve a good palmar arch, cross and cast flexed wrist, then correct forearm to maximum supination for solid design only (keeping elbow flexed to use all muscle “slack” to achieve maximum supination); continue casting to axilla. Forearm rotation design can be cast in any pronation or supination position.  Read more on Casting Considerations.

Evaluation/Ordering Information:  Clinical and technical support: (800) 220 6670
Fax: (610) 906-1420, info@ultraflexsystems.com

Ordering Information:

Components Only
Pediatric:< 25 kg (no donning lock desired)
Extension
Assist
Lateral Joint EO PC1(Left or Right)
Medial Joint EO P ROM

Adolescent:
Extension Assist
Joints EO SS1 (Lateral Side)
Power Unit EO P# depending on patient weight (P1>50 kg, P3>25 kg, P5 <25 kg) (Lateral side)
Medial Joint EO P ROM

Ultraflex Custom Fabrication:
Above listed components and EWHO CM2 (Measurement Form)

EWHO with solid wrist
©2010 UltraflexSystems.Inc., U.S. and International Patents Pending 237 South Street Pottstown Pa 19464 1-800-220-6670