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. |
