For UltraflexTM custom-molded orthoses
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|Congratulations! You have chosen the most innovative
therapy orthosis available for your patient. Once fabricated,
UltraflexTM custom-molded orthoses are comfortable,
easy for the patient/caregiver to don & doff and cost effective
for all involved.
|Suggested casting guidlines for an UltraflexTM 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 UltraflexTM 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.