Weakness from Brachial Plexus Injury

Clinical Problem: good passive range
but lacking reach, grasp and pinch and active
supination

Ultraflex Solution:  Custom Molded EWHO - First Flex
Read more 

Clinical Goal:  Improve reach, grasp, pinch and release and active and passive supination with flexion.

Evaluation/Casting:  Initial casting limb posture - finger, wrist and elbow flexed and forearm in maximum pronation.  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 (keeping elbow flexed to use all muscle “slack” to achieve maximum supination); continue casting to axilla.  Read more on Casting Considerations.

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

Research Information

Ordering Information:

Components Only
Pediatric: < 25 kg (no donning lock desired)
Lateral Joint EO PC1 (Left or Right)
Medial Joint EO P ROM
WHO PROM (X2)
DFP Dynamic Finger Pan
Neuromuscular electrical stimulation unit

Adolescent:
EO SS1 (Lateral side)
EO P1, P3 or P5 depending on weight; (P1>50 kg, P3>25 kg, P5 <25 kg). (Lateral Side)
EO ROM (Medial side)
WHO PROM (X2)
DFP Dynamic Finger Pan
Neuromuscular electrical stimulation unit

Ultraflex Custom Fabrication:
Above listed components and EWHO CM1 (Measurement Form)

With special thanks and in memoriam to Steve Chesher, BOC orthotist and OTA for his input to pioneer the initial First Flex EWHO design and clinical program and for his contributions to advancing the evidence base for its use in peer review publications.  Steve embodied the highest tenets of professional patient care and is sorely missed.