Clinical Pathways Orthotic Selection Guide

Transcription

Clinical Pathways
DynaPro™
“The next generation
of NeuroFlex® Technology”
OrthoPro™
SoftPro™
AirPro™
800/375-0207www.OngoingCare.com
Product Selection Guide
Ongoing Care Solutions, Inc.
Introduction to Clinical Pathway
Clinical Pathways Orthotic Selection Guide
OCSI offers a wide selection of orthotic types and designs.
The Clinical Pathways Orthotic Selection Guide is intended to facilitate
brace selection based upon:
1.) the orthotic therapy provided by brace type and design,
2.) the clinical pathology of the joint(s) being treated, and
3.) the rehabilitation goal for treatment.
Static Orthotics
Static/Flex Neuro-Dynamic Orthotics
Designed to support, protect, and correctly position the
joint(s) being treated and provide maintenance therapy,
preserving existing passive range of motion with routine use.
Fabricated from bio-engineered flexible components that
“flex” into the lost range of motion to provide Low Load
Prolonged Stretch dynamic therapy. The “flex” characteristics
of the devices will “give” or reduce tension on the stretched
joint during episodes of abnormal tone uniquely appropriate
for managing spasticity.
Maintenance orthotic therapy is appropriate when therapeutic
stretching is contraindicated due to pain or risk of injury
(Rheumatoid Arthritis, RSD, severe osteoporosis, etc.).
Static orthotics can also effectively provide PROGRESSIVE
EXTENSION ORTHOTIC THERAPY by setting the device 5°
to 8° ahead of comfortable end range stretch.
DynaPro Orthotics are “The Next Generation of Neuroflex
Technology” providing abnormal reflex arc therapy to
effectively manage abnormal tone and spasticity.
OCSI offers STATIC bracing with the SoftPro™ line of orthotics.
OCSI offers STATIC/FLEX bracing with the DynaPro™ line of orthotics.
Air Bladder Orthotics
Orthotics for Specific Orthopedic Conditions
Designed with strategically placed air bladders to provide
gentle Low Load Prolonged Stretch (LLPS) on shortened tissue
to reverse Lost Range of Motion (LROM). LLPS is effective
orthotic therapy to reverse tissue shortening contractures.
Air bladder inflation stretching is effective in gently reversing
tissue shortening, even for severely contracted joints as the
bladder(s) will conform to the angle of the joint.
Designed components intended to effectively treat specific
orthopedic conditions. Range of Motion Elbow and Knee
Orthotics, ambulating knee braces, night splints for treating
plantar fasciitis, and spinal supports are included in the
product line.
OCSI offers AIR BLADDER bracing with the AirPro™
line of orthotics.
OCSI offers ORTHOPEDIC bracing with the OrthoPro™ line of
orthotics.
Orthotic Fitting
The Palpation Method of Orthotic Fitting should be utilized when using Progressive Extension, Low Load Prolonged Stretch, or NeuroInhibiting orthotic therapy to ensure a good fit. Palpate the crease in the affected joint immediately after fitting the brace. The tissue
should feel taut due to the therapeutic stretch being applied by the device. If the tissue is not taut, the device should be re-set to initiate
a gentle stretch. There should never be significant discomfort or pain associated with orthotic device stretching. Immediately remove
the brace and re-set the orthotic to reduce the stretch applied by the device if pain or significant discomfort occurs.
Always re-palpate the treated joint several minutes after device application (10 – 15 minutes). An optimal fit will display significant
softening in the joint crease when re-checked. If softening has occurred and the patient reports comfort, the fit is good. If there is no
softening, the device should be re-set to provide a more gentle stretch.
CLINICAL CONDITION/PROBLEM
THERAPY GOAL
ORTHOTIC SELECTION/THERAPY
FITTING GUIDELINES
RA-pain, inflammation, deformity
RSD– pain w/ movement
or stretch
Support/Protect/Position
SoftPro™ Orthotics
Static Fit for support
and positioning
Full contact fit at
comfortable end range
Post injury/surgery
pain w/movement
Control motion of joint
Limit/control motion of joint
OrthoPro™ Knee & Elbow
Support the joint during
movement
Set hinge to limit
motion to tolerance
Tissue shortening –
0/mild tone
poor end feel
poor skin integrity
Maintain Range of Motion
Maximize comfort and skin
protection
Static Fit for support
and positioning
Comfortable end range
0/mild tone
fair end feel
Conservative Stretch Therapy
Restore Range of Motion
Progressive Extension
Therapy
Set device 5° - 8° ahead
Use strapping for
3 pt. leverage*
0/to mild tone
fair to good end feel
Air Low Load Prolonged Stretch
AirPro™ Orthotics
Air Inflation Stretching
Gentle Low Load Prolonged
Stretch
Fill air bladder(s) to
provide gentle stretch;
palpate joint to assess fit
mild to severe tone
fair to good end feel
Dynamic Low Load Prolonged
Stretch
DynaPro™ Orthotics
Dynamic Flex Therapy
Dynamic Low Load Prolonged
Stretch
to provide optimal
Low Load Prolonged Stretch
Neurological hypertonicity –
spasticity
Neuro-contracture
management
Manage hypertonicity/spasticity
Provide stretch on relaxed tissue
DynaPro™ Orthotics
Neuro-inhibiting Tension
Negative non-linear dynamic tension
to inhibit joint(s) and
provide LLPS
Orthotic Selection Guide
Orthotic Selection Guide
Terms:
Adaptive Tissue Shortening: connective tissue, tendons, and muscles adapt to disuse over time by shortening and becoming less
elastic which limits movement of the joint (contracture).
End Feel: the assessment of the relative viscoelastic quality of connective tissue, tendons, and muscle perceived by the practitioner
at the very end of the available range of motion of a joint.
Tone: common term for “hypertonicity” which is an involuntary increase in tendon reflexes including an oversensitivity and
opposition to therapeutic stretching.
ROM: an acronym for Range of Motion exercise of the joint.
Spasticity: exaggerated deep tendon reflexes or muscle spasms usually due to an upper motor neuron (brain) lesion.
Progressive Extension: a type of orthotic therapy where a brace is set to apply a gentle stretch beyond the end range of shortened
tissue. The brace is “progressively” modified to maintain stretch and incrementally lengthen shortened tissue.
Neuro-Inhibiting Tension: therapeutic muscle tension applied by a brace that is below the stretch reflex threshold which can initiate
muscle inhibition and provide relaxed therapeutic stretch.
Negative Non-Linear Dynamic Tension: dynamic stretch below the stretch reflex threshold which is applied by the brace to the
affected joint which gives or reduces tension applied by the brace with a dynamic muscle contraction.
Three Point Leverage: leverage points at the proximal and distal ends of a brace in one direction (i.e., down) with an adjustable
leverage brace component at the apex of the joint in the opposite direction (up) to exert a therapeutic stretch of the joint (i.e.,
reverse elbow flexion).
RA: Rheumatoid Arthritis
RSD: Reflex Sympathetic Distrophy
1
Decision Tree –- Upper Extremity
Clinical Pathways Orthotic Decision Tree
Upper Extremity
Support/Position
Control Motion
Maintain Range
of Motion
Conservative Stretching
Restore Range
of Motion
Control Motion
Restore Range of
Motion
Neuro-rehab w/stretch
Mild (<20˚)
SoftPro™ Champ
SoftPro™ Champ
DynaPro™ Resting
DynaPro™ Resting
Moderate (25˚-55˚)
SoftPro™ Functional
Resting
Resting
DynaPro™ Finger
Flex
DynaPro™ Finger
Flex
Severe (>60˚)
Resting
Resting
DynaPro™ Flex Hand
SoftPro™ Grip
SoftPro™ Grip
AirPro™ Graduate
AirPro™ Graduate
Mild (25% ROM loss)
SoftPro™ Champ
SoftPro™ Champ
DynaPro™ Resting/
Finger Flex
DynaPro™ Resting/
Finger Flex
Moderate (30-50% ROM loss)
Resting
Resting
DynaPro™ Resting/
Finger Flex
DynaPro™ Resting/
Finger Flex
Severe (>50% ROM loss)
SoftPro™ Palmar
Resting
SoftPro™ Palmar
Resting
SoftPro™ Champ
SoftPro™ Champ
Resting
Resting
DynaPro™ Resting
Molded
DynaPro™ Resting
Molded
SoftPro™ Grip
SoftPro™ Grip
DynaPro™ Finger
Flex Molded
DynaPro™ Finger
Flex Molded
Ulnar Drift Strap
Ulnar Drift Strap
Ulnar Drift Strap
Ulnar Drift Strap
SoftPro™ Dorsal
Resting
SoftPro™ Dorsal
Resting
SoftPro™ Dorsal
Resting
SoftPro™ Dorsal
Resting
UPPER EXTREMITY
Wrist Flexion w/
Fingers Mild - Moderate
Wrist Flexion w/
Fingers Severe (>60˚)
Fingers Severe (>60˚)
Thumb Adduction
Ulnar Drift
Hand
Fingers
Wrist - Hyperextension
Hyperextension /
supination
Elbow
Flexion
SoftPro™ Static/Gel
Elbow
OrthoPro™ ROM Elbow
w/ Movement
Hyperextension
2
SoftPro™ Hyper X Static
Gel Elbow
DynaPro™ Elbow
SoftPro™ Static/Gel
Elbow
OrthoPro™ ROM
Elbow w/ Movement
DynaPro™ Elbow
SoftPro™ Hyper X Static
Gel Elbow
DynaPro™ Hyper X
Flex Elbow
DynaPro™ Hyper X
Flex Elbow
Wrist / Hand /Finger Orthotics
SoftPro™ WHFO’s
Static Therapy – Support, Protect and Position
Progressive Extension Stretch Therapy
• Finger Separators and Ulnar
Drift Strap available separately
to allow custom fitting
d
Ben to F i t ”
“
• Easily molded without tools yet sturdy enough to maintain
shape during wear
• E asily adjustable for ulnar and/or
radial deviation
• Extra cover
included with
every SoftPro wrist/
hand/finger orthosis
• Bacti-Ban™ keeps covers cleaner and more
odor resistant than competitive braces
• Color Coded Straps
facilitates brace application
SoftPro™ Grip
• Treats moderate to severe contractures of the
wrist/hand/fingers
• Palmar bar comfortably fits into the palm of a fisted hand
• Two incrementally larger palmar rolls included to gradually
increase extension of the MCP and PIP joints
Size
HCPCS L3807
Child
Youth
Small
Medium
Large
Product Code
SP 31FG-C (Left or Right)
SP 31FG-Y (Left or Right)
SP 31FG-S (Left or Right)
SP 31FG-M (Left or Right)
SP 31FG-L (Left or Right)
Width of
MP Joints
1 3/4”– 2”
2”– 2 1/2”
2 1/2”– 3”
3”– 3 1/2”
3 1/2”– 4”
Length
7”
8”
9”
10”
11”
3
SoftPro™ Functional Resting Hand
• Treats moderate contractures of the wrist/hand/fingers.
• Extra long wrist strap holds the wrist in the proper position
and applys a gentle stretch.
• Thumb is “Bend to Fit” to support, position, and/or correct
alignment of the thumb.
Size
Child
Youth
Small
Medium
Large
Product Code
SP 31FFR-C (Left or Right)
SP 31FFR-Y (Left or Right)
SP 31FFR-S (Left or Right)
SP 31FFR-M (Left or Right)
SP 31FFR-L (Left or Right)
Width of
MP Joints
1 3/4”– 2”
2”– 2 1/2”
2 1/2”– 3”
3”– 3 1/2”
3 1/2”– 4”
Length
7”
8”
9”
10”
11”
HCPCS L3807
SoftPro™ Palmar Resting Hand
• Severely adducted thumb rests on finger platform
• Thumb can be positioned under the finger platform as second
step in abducting the thumb
• Large finger platform provides a comfortable “pan” to support
and protect the hand and fingers
Size
Small
Medium
Large
Product Code
SP 31FPR-S (Left or Right)
SP 31FPR-M (Left or Right)
SP 31FPR- L (Left or Right)
Width of
MP Joints
2 1/2”– 3”
3”– 3 1/2”
3 1/2”– 4”
Length
10”
11”
12”
HCPCS L3807
SoftPro™ Dorsal Resting Hand
• Effectively positions the wrist in neutral, especially when the
wrist tends to pronate
• Provides three point leverage to increase dorsal extension
of the wrist
• Thumb is “Bend to Fit” to support, position, and/or correct
alignment of the thumb
Size
Small
Medium
Large
HCPCS L3807
4
Product Code
SP 31FDR-S (Left or Right)
SP 31FDR-M (Left or Right)
SP 31FDR- L (Left or Right)
Width of
MP Joints
2 1/2”– 3”
3”– 3 1/2”
3 1/2”– 4”
Length
10”
11”
12”
SoftPro™ Champ™ Resting Hand
•T
reats mild to moderate contractures of the wrist/hand/fingers
• Maintains/supports the wrist/hand/fingers in functional alignment
•U
nique strapping system provides optimal support
• Comfortably positions the wrist/hand/fingers in functional alignment
• Thumb is “Bend to Fit” to support, position, and/or correct alignment
of the thumb
Size
HCPCS L3807
Xsmall
Small
Medium
Large
Product Code
SP 31CHA-XS (Left or Right)
SP 31CHA-S (Left or Right)
SP 31CHA-M (Left or Right)
SP 31CHA-L (Left or Right)
Width of
MP Joints
Up to 2 1/2”
2 1/2”– 3”
3”– 3 1/2”
3 1/2”– 4”
Length
10”
11”
12”
13”
Finger Accessories
Finger Separator
• Provides finger separation and mild abduction
• Protects finger skin integrity
SP FS-S
Ulnar Drift Strap
•Holds fingers in comfortable, neutral position
• Enhances gentle three point leverage over the PIP joints
SP FS-U
5
AirPro™ Air Graduate WHFO
Air Therapy – Low Load Prolonged Stretch
•B
acti-Ban keeps covers cleaner and more
™
“
d
Ben to F i t ”
• Easily adjustable
• Extra cover included
AirPro™ Air Graduate WHFO
• Conforms to the shape of the hand accommodating
different degrees of finger contracture
• Ideal for severely contracted fingers
• Removable cone shaped palmar air bladder can be used
independently of wrist support
Size
Child
Youth
Adult
HCPCS L3807
Product Code
Width of MP Joints
AP 31AG-C
AP 31AG-Y
AP 31AG
1 3/4”– 2”
2”– 2 1/2”
3 1/2”– 4”
Coming Soon!
New
AirProII
Air Graduate
AirPro™ Air Graduate Hand Orthosis
• Ideal for severely contracted fingers only when no wrist
support is needed
Size
Youth
Adult
6
Product Code
AP 31AGHO-Y
AP 31AGHO
Width of MP Joints
2”– 2 1/2”
3 1/2”– 4”
DynaPro™ WHFO’s
• Uniquely designed for
treatment of spasticity
Static/Flex Neuro-Dynamic Therapy
• Bacti-Ban™ keeps covers cleaner and
more odor resistant than competitive
braces
• Heat moldable/adjustable
• Extra cover included with every
DynaPro™ wrist/hand/finger orthosis
•R
everses moderate/severe flexion and/or spasticity of wrist/hand/fingers
• Two incrementally larger palmar rolls included to gradually increase
extension of the MCP and PIP joints
• Provides gentle ulnar drift correction
Size
Child
Youth
Adult
Product Code
DP WF20721-C (Left or Right)
DP WF20721-Y (Left or Right)
DP WF20721-R (Left or Right)
Width of
MP Joints
1 1/4”– 2”
2”– 2 1/2”
3 1/2”– 4”
Length
7”
8”
13 1/4”
HCPCS L3807
DynaPro™ Finger Flex
• Resting hand design with flexible finger platform
• Flexible wrist, MCP, and PIP joints
• Thumb pocket with two gel inserts treats thumb abduction
• Finger separators included
HCPCS L3807
Size
Product Code
Width of
MP Joints
Child
Youth
Small
Medium
Large
DP WFF-24C (Left or Right)
DP WFF-25Y (Left or Right)
DP WFF-21S (Left or Right)
DP WFF-22M (Left or Right)
DP WFF-23L (Left or Right)
1 3/4”– 2”
2”– 2 1/2”
2 1/2”– 3”
3”– 3 1/2”
3 1/2” – 4”
Length
8 1/4”
10 1/4”
11 1/4”
12 1/4”
13 1/4”
DynaPro™ Resting Hand (Thumb Ease)
• Resting hand design with rigid finger platform
• Thumb pocket with two gel inserts treats thumb abduction
• Flexible wrist minimizes spastic episodes
• Maintains functional hand alignment
Size
HCPCS L3807
Small
Medium
Large
Product Code
DP WR20737-S (Left or Right)
DP WR20737-M (Left or Right)
DP WR20737-L (Left or Right)
Width of
MP Joints
2 1/2”– 3”
3”– 3 1/2”
3 1/2” – 4”
Length
11 1/4”
12 1/4”
13 1/4”
7
Elbow Orthotics
Elbow Orthotics...
• Elbow cuff
extenders available
• New fabric reduces
shear/friction
• Proprietary gel padding in cuff
• Bacti-Ban™ keeps covers cleaner and more odor
resistant than competitive braces
• Gel elbow pad included
SoftPro™ Static Gel Elbow
• Easily adjustable single setting hinge
• Provides 3 point progressive extension stretch
Size
HCPCS L3760
Small
Medium
Large
XLarge
Size
Child
Youth
Product Code
SP 503-0
SP 503-1
SP 503-2
SP 503-3
Product Code
SP 503-4
SP 503-5
Upper Arm
Circumference
8” – 10”
10” – 12”
12” – 14”
14” – 17”
Upper Arm
Circumference
5” – 7”
7” – 10”
Lower Arm
Circumference
7” – 9”
9” – 11”
11” – 13”
13” – 15”
Length
8 1/2””
9 1/2”
SoftPro™ Static II Elbow
• Provides 3 point progressive extension stretch
Size
HCPCS L3760
8
Small
Medium
Large
XLarge
Product Code
SP2 503-0
SP2 503-1
SP2 503-2
SP2 503-3
Upper Arm
Circumference
8” – 10”
10” – 12”
12” – 14”
14” – 17”
Lower Arm
Circumference
7” – 9”
9” – 11”
11” – 13”
13” – 15”
Decision
Tree
- Lower
Extremity
Elbow &
Shoulder
Orthotics
OrthoPro™ ROM Elbow
Range of Motion Therapy
• ROM hinge provides controlled Range of Motion therapy
• ROM hinge easily modified without removing brace
Size
Small
Medium
Large
X Large
Product Code
Upper Arm
Circumference
Lower Arm
Circumference
OP 500-0
OP 500-1
OP 500-2
OP 500-3
8” – 10”
10” – 12”
12” – 14”
14” – 17”
7” – 9”
9” – 11”
11” – 13”
13” – 15”
HCPCS L3760
Optional ROM Exercisers available
DynaPro™ Flex Elbow
Static/Flex Neuro-Dynamic Therapy
• Treats mild/moderate flexion
•A
bnormal reflex arc therapy provided by the
device assists in neuro-rehabilitation
•A
xial hinge with legible goniometer facilitates brace fitting
Size
HCPCS L3760
Small
Medium
Large
Size
Child
Youth
Product Code
DP FE20724-S
DP FE20724-M
DP FE20724-L
Product Code
DP FE20724-C
DP FE20724-Y
Upper Arm
Circumference
8” – 10”
9 1/2” – 11 1/2”
11” – 14”
Upper Arm
Circumference
5” – 7”
7” – 10”
Lower Arm
Circumference
5” – 8”
7 1/2” – 10”
9” – 12”
Length
8 1/2””
9 1/2”
Coming Soon!
New
AirPro
Elbow
9
Orthotic Decision
–Lower Extremity
Knee Tree
Orthotics
Clinical Pathways Orthotic Decision Tree
Lower Extremity
LOWER EXTREMITY
Support/Position
Control Motion
Maintain Range
of Motion
Conservative Stretching
Restore Range
of Motion
Control Motion
Restore Range
of Motion
Neuro-rehab w/stretch
KNEE
Non-Ambulatory
AirPro™ COKO ROM Knee
Flexion
Hyperextension
DynaPro™ Flex Knee
SoftPro™
Static/Gel Knee
SoftPro™
Static/Gel Knee
SoftPro™ Hyper X
Static Gel Knee
SoftPro™ Hyper X
Static Gel Knee
DynaPro™ Hyper X
Flex Knee
OrthoPro™ ROM Knee
DynaPro™ ROM Knee
DynaPro™ ROM Knee
OrthoPro™
Stabilizer Knee
OrthoPro™
Stabilizer Knee
OrthoPro™
Stabilizer Knee
DynaPro™ COKO
Dynamic Knee
DynaPro™ Hyper X
Flex Knee
Weight Bearing
DynaPro™ ROM Knee
Ambulation Support
Stabilization
OrthoPro™
Stabilizer Knee
Pain Relief
OrthoPro™ OA Knee
Joint Stabilization
OrthoPro™ POP Knee
HIP
Hip Adduction
Mild
SoftPro™ Gel HKO
SoftPro™ Gel HKO
SoftPro™ Gel HKO
SoftPro™ Gel HKO
Moderate
SoftPro™ Gel HKO
SoftPro™ Gel HKO
SoftPro™ Gel HKO
SoftPro™ Gel HKO
Severe ≤ 20°
Air Starter Kit w/HKO
Combined Hip Abduction
SoftPro™ Hip combined w/
w/knee flexion
(non-weight bearing)
Softpro™ Static Gel KO
Softpro™ Static Gel KO
w/knee flexion
(weight bearing)
SoftPro™ In-Bed AFO
DynaPro™AFO
SoftPro™ Gait Trainer AFO
SoftPro™ Ambulating AFO
HIP/THIGH/KNEE
ANKLE/FOOT
Non-Ambulatory
Plantarflexion
Weight Bearing/Transfer
Plantarflexion/
Inversion/Eversion
Assisted Ambulation
Plantarflexion
Ambulatory
Foot Drop
10
DynaPro™ Elite
DynaPro Elite
Knee Orthotics...
• Proprietary gel
padding in cuff
Knee Orthotics
• New fabric reduces shear/friction
• Knee cuff extenders available
• Bacti-Ban™ keeps covers cleaner and more odor
resistant than competitive braces
SoftPro™ Static Gel Knee
• Non-ambulatory knee brace reverses tissue shortening
• GEL KNEE PAD included provides 3-point leverage
HCPCS L1832
Size
Small
Medium
Large
XLarge
Size
Child
Youth
Product Code
Thigh Circumference
12” – 15”
15” – 19”
19” – 21”
21” – 25”
SP 406-0
SP 406-1
SP 406-2
SP 406-3
Product Code
Thigh Circumference
SP 406-4
SP 406-5
Calf Circumference
7” – 10”
10” – 13”
13” – 16”
16” – 19”
Length
10” – 12”
12” – 14”
8 1/2””
10 1/2”
OrthoPro™ HyperEx™ Knee
Genu Recurvatum Control
• Adjustable air bladder incorporated behind hyperextension control strap
significantly improves comfort and enhances gait
• Lightweight
• Easy to apply
• Conforms to leg anatomy
• Won’t migrate
Size
HCPCS L1850
Small
Medium
Large
X Large
Product Code
OP 403-0 (Left or Right)
Thigh Circumference
9” – 13”
14” – 19”
20” – 25”
26” – 31”
11
Knee Orthotics
Weight Bearing/Assisted Ambulation
• ROM hinge provides controlled Range of Motion therapy
• ROM hinge easily modified without removing brace
• Optional GEL KNEE PAD available
Size
HCPCS L1832
Small
Medium
Large
X Large
Product Code
Thigh Circumference
OP 400-0
OP 400-1
OP 400-2
OP 400-3
Calf Circumference
12” – 15”
15” – 19”
19” – 21”
21” – 25”
7” – 10”
10” – 13”
13” – 16”
16” – 19”
Gel Knee Pad
Provides 3-point leverage
SP 4017
OrthoPro™ Stabilizer Knee
Ambulation Support
• Breathable neoprene with front wrap closure
•R
OM hinge allows range of motion from 0°–105° of flexion
• Ability to be set for controlling hyperextension
• Bilateral supports provide medial/lateral stability and protection
HCPCS L1832
12
Size
Small
Medium
Large
X Large
XX Large
Product Code
OP 404-0
OP 404-1
OP 404-2
OP 404-3
OP 404-4
Thigh Circumference
13” – 16”
16” – 19”
19” – 22”
22” – 25”
25” – 28”
Static Flex Neuro-Dynamic Therapy
HCPCS L1831
Size
Gel Knee Pad
Included
Small
Medium
Large
Size
Child
Youth
Product Code
DP FK20725-S
DP FK20725-M
DP FK20725-L
Product Code
DP FK20725-C
DP FK20725-Y
Thigh Circumference
11” – 15”
15” – 19”
19” – 21”
Thigh Circumference
Knee Orthotics
• Treats mild/moderate flexion contractures
• Provides dynamic low load prolonged stretch
• Patented negative non-linear “flex” properties accommodates
involuntary muscle contractions
• GEL KNEE PAD included
Calf Circumference
5” – 8”
7 1/2” – 10”
9” – 12”
Length
10” – 12”
12” – 14”
10 1/2”
12 1/2”
DynaPro™ ROM Knee
Weight Bearing
• Treats mild/moderate flexion contractures
• ROM flexion and extension stop setting hinges
• Unique multi-functional brace provides static, ROM, Low
Load Prolonged Stretch, and Anti-Spasticity therapy all in one
• GEL KNEE PAD included
Size
HCPCS L1832
Gel Knee Pad
Included
Small
Medium
Large
Product Code
DP RK-21 S
DP RK-22 M
DP RK-23 L
Thigh Circumference
11”– 15”
15”– 19”
19”–21”
Calf Circumference
10”– 13”
12”– 15”
14”–18”
OCSI Static Air Knee
•G
ently reverses tissue shortening
• Air bladder therapy for severe contracture treatment
• Removeable Range of Motion hinge control maintains brace settings
HCPCS L1831
Gel Knee Pad
Included
Size
Product Code
Small
Medium
Large
OCS4080
OCS4081
OCS4082
Thigh Circumference
12”– 15”
15”– 18”
18”–22”
Calf Circumference
8”– 11”
12”– 15”
15”–19”
13
Ankle / Foot Orthotics
Ankle / Foot Orthotics...
• Bacti-Ban™ keeps covers cleaner and more
• Anti Rotation Bar
• Suspended heel
SoftPro™ AFOs
tatic Therapy – Support, Protect & Position
S
• Effectively treats plantar flexion
• Non-skid bottom for assisted transfers
• SoftPro™ Short Back In-Bed AFO available in all sizes
•A
vailable smooth or fleece
HCPCS L4396
14
Size
Product Code
Small Fleece
Medium Fleece
Large Fleece
XLarge Fleece
Small Smooth
Medium Smooth
Large Smooth
XLarge Smooth
Child Fleece
Youth Fleece
Child Smooth
Youth Smooth
SP 10-00
SP 10-01
SP 10-02
SP 10-03
SP 10-50
SP 10-51
SP 10-52
SP 10-53
SP 10-04
SP 10-05
SP 10-54
SP 10-55
Length Of Foot
6” – 8”
8” – 10”
10” – 11”
11” – 12”
6” – 8”
8” – 10”
10” – 11”
11” – 12”
3 1/2” – 5”
5” – 6”
3 1/2” – 5”
5” – 6”
Max Calf
Circumference
15”
17”
19”
23”
15”
17”
19”
23”
12”
14”
12”
14”
SoftPro™ InBed AFO Ultra Smooth
• Effectively Treats Plantar Flexion
• UltraSmooth fabric reduces sheer and friction
Size
Product Code
Small
Medium
Large
XLarge
SP 10T-00
SP 10T-01
SP 10T-02
SP 10T-03
Length Of Foot
Max Calf
Circumference
6” – 8”
8” – 10”
10” – 11”
11” – 12”
15”
17”
19”
23”
HCPCS L4396
SoftPro™ InBed AFO with Gel
• Gel insert reduces pressure on planter aspect of foot
• Treats plantar flexion
• Adjustable dorsiflexion straps provide optimal stretch
• Non skid bottom
Size
Product Code
Small
Medium
Large
XLarge
SP 106-0
SP 106-1
SP 106-2
SP 106-3
Length Of Foot
Max Calf
Circumference
6” – 8”
8” – 10”
10” – 11”
11” – 12”
15”
17”
19”
23”
HCPCS L4396
SoftPro™ Ambulating™ AFO
• Effectively treats plantar flexion
• Non-removable Transfer Pad
• Rocker bottom design facilitates initial weight bearing
and assisted gait training
• Available smooth or fleece
• Adjustable Toe Post
HCPCS L4396
Size
Product Code
Small Fleece
Medium Fleece
Large Fleece
XLarge Fleece
Small Smooth
Medium Smooth
Large Smooth
XLarge Smooth
Child Fleece
Youth Fleece
Child Smooth
Youth Smooth
SP 20-00
SP 20-01
SP 20-02
SP 20-03
SP 20-50
SP 20-51
SP 20-52
SP 20-53
SP 20-04
SP 20-05
SP 20-54
SP 20-55
Length Of Foot
6” – 8”
8” – 10”
10” – 11”
11” – 12”
6” – 8”
8” – 10”
10” – 11”
11” – 12”
3 1/2” – 5”
5” – 6”
3 1/2” – 5”
5” – 6”
Max Calf
Circumference
15”
17”
19”
23”
15”
17”
19”
23”
12”
14”
12”
14”
15
SoftPro™ Gait Trainer™ AFO
• Effectively treats plantar flexion, inversion, and eversion
• Removable Transfer Pad
• Rocker bottom design facilitates initial weight bearing and assisted gait training
•A
vailable smooth or fleece
• Adjustable Toe Post
HCPCS L4396
Size
Product Code
Small Fleece
Medium Fleece
Large Fleece
XLarge Fleece
Small Smooth
Medium Smooth
Large Smooth
XLarge Smooth
Child Fleece
Youth Fleece
Child Smooth
Youth Smooth
SP 30-00
SP 30-01
SP 30-02
SP 30-03
SP 30-50
SP 30-51
SP 30-52
SP 30-53
SP 30-04
SP 30-05
SP 30-54
SP 30-55
Length Of Foot
Max Calf
Circumference
6” – 8”
8” – 10”
10” – 11”
11” – 12”
6” – 8”
8” – 10”
10” – 11”
11” – 12”
3 1/2” – 5”
5” – 6”
3 1/2” – 5”
5” – 6”
15”
17”
19”
23”
15”
17”
19”
23”
12”
14”
12”
14”
AFO Spreader Bar
• Available for use with SoftPro™ Gait Trainer™ AFO only
SP 2075SB
Suggested Code L2310
DynaPro™ AFO
• Dynamic Low Load Prolonged Stretch
• Neuro-Inhibiting Dynamic Stretch
DynaPro™ AFO
• Effectively reverses ankle/foot contractures
• Elastic pull straps effectively treat plantarflexion, inversion,
or eversion
Size
HCPCS L4396
16
Small
Medium
Large
Child
Youth
Product Code
DP AFO 21 S
DP AFO 22 M
DP AFO 23 L
DP AFO 24 C
DP AFO 25 Y
Length Of Foot
6” – 8”
8” – 10”
10” – 11”
3 1/2” – 5”
5” – 6”
Max Calf Circumference
15”
17”
19”
12”
14”
OrthoPro™ AFOs
OrthoPro™ Passive Night Splint
• Comfortable nighttime solution for plantar fasciitis
• Provides passive stretching of plantar fascia, calf muscles,
Achilles tendon
• Non-skid bottom for increased safety
• Pre-set with 5° of dorsiflexion
• Toe wedge included
Size
Small
Medium
Large
Product Code
OP 800-0-S
OP 800-1-M
OP 800-2-L
Lady’s Shoe Size
4 – 7 1/2
8 – 10
10 1/2 +
Men’s Shoe Size
4 – 5 1/2
6 – 9 1/2
10 – 12
OrthoPro™ Stretch Night Splint
• Adjustable dorsiflexion straps provide optimal stretch
• Non-skid bottom for increased safety
• Toe wedge included
Size
Product Code
Small
Medium
Large
OP 800-4-S
OP 800-5-M
OP 800-6-L
Lady’s Shoe Size
4 – 7 1/2
8 – 10
10 1/2 +
Men’s Shoe Size
4 – 5 1/2
6 – 9 1/2
10 – 12
OrthoPro™ Dorsal Night Splint
• Gently stretches the plantar fascia, calf muscles and
Achilles tendon to help relieve pain
• Easier to wear because splint is: Cooler, Lightweight
and Comfortable
Size
Regular
Large
Product Code
OP 810-1
OP 810-2
Lady’s Shoe Size
5 – 9 1/2
10 – 16
Men’s Shoe Size
5 – 10
10 1/2 – 16
17
Hip & Spinal Orthotics
Hip Abduction Orthotics...
SoftPro™ Gel HKO
• Adjustable bar effectively treats adduction
• Allows abduction up to 45°
• Bed and/or wheelchair use
Size
Product Code
Standard
Large
SP 60-00
SP 60-01
Leg Circumference 4” Above Knee
12” – 18”
19” – 27”
HCPCS L1652
SoftPro™ Air Bladder Starter Kit
Air Therapy – Low Load Prolonged Stretch
• Available for severe adduction
SP 6003
Spinal Support Therapy...
OrthoPro™ Soft TLSO
• Soft, lightweight, yet very supportive
• Provides thoracic, lumbar, sacral support
• Easy to apply and remove
• Breathable soft cover; cool and comfortable
Size
Reg/Short
Reg/Tall
Full/Short
Full/Tall
Product Code
OP 61TLSO-RS
OP 61TLSO-RT
OP 61TLSO-FS
OP 61TLSO-FT
Chest/Waist/Hip
Circumference
30” – 36”
30” – 36”
37” – 42”
37” – 42”
Front Height
Back Height
8” – 10”
11” – 13”
8” – 10”
11” – 13”
13” – 15”
16” – 18”
113” – 15”
16” – 18”
HCPCS L0454
DynaPro™ Torticollis Orthosis
• Treats lateral flexion of the head and neck
• “Bend to Fit” shoulder cuff allows easy molding to patient comfort
• Semi-rigid upright with “flex” technology is heat moldable for proper fit
Size
Adult
Youth
Child
HCPCS L0113
18
Product Code
DP TO-A (Left Or Right)
DP TO-Y (Left Or Right)
DP TO-C (Left Or Right)
Forehead To Shoulder Height
6” – 9”
5” – 6”
3” – 5”
Rehabilitators
REHABILITATOR SYSTEM
OA REHABILITATOR™
•
•
•
•
•
•
Increases quadriceps and hamstring strength
Reduces pain and inflammation
Increases leg extension
Improves gait
Improves functional capabilities
IMPROVEMENTS RETAINED UNBRACED!
Circumference
6” Above Mid Patella
Size
XSmall
Small
Medium
Large
XLarge
XXLarge
13” (33cm) - 16” (40.6cm)
16” (40.6cm) - 19” (48.3cm)
19” (48.3cm) - 22” (55.9cm)
22” (55.9cm) - 25” (63.5cm)
25” (63.5cm) - 28” (71.1cm)
28” (71.1cm) - 32” (81.3cm)
Circumference
4” Below Mid Patella
9” (22.9cm) - 12” (30.5cm)
12” (30.5cm) - 15” (38.1cm)
15” (38.1cm) - 17” (43.2cm)
17” (43.2cm) - 20” (50.8cm)
20” (50.8cm) - 23” (58.4cm)
23” (58.4cm) - 26” (66cm)
HCPCS L1845
SPORT REHABILITATOR™
•
•
•
•
•
•
Increases quadriceps and hamstring strength
Accelerates recovery
Provides superior support, comfort and stability
Reduces pain and inflammation
Improves knee extension
TREATS CHRONIC KNEE PAIN AND WEAKNESS!
Size
XSmall
Small
Medium
Large
XLarge
XXLarge
HCPCS L1845
Circumference
4 1/2” Above Mid Patella
13” (33cm) - 16” (40.6cm)
16” (40.6cm) - 19” (48.3cm)
19” (48.3cm) - 22” (55.9cm)
22” (55.9cm) - 25” (63.5cm)
25” (63.5cm) - 28” (71.1cm)
28” (71.1cm) - 32” (81.3cm)
Circumference
9” (22.9cm) - 12” (30.5cm)
12” (30.5cm) - 15” (38.1cm)
15” (38.1cm) - 17” (43.2cm)
17” (43.2cm) - 20” (50.8cm)
20” (50.8cm) - 23” (58.4cm)
23” (58.4cm) - 26” (66cm)
SPORT EXT REHABILITATOR™
• Controls posterior subluxation and provides multi-planar stability
• Facilitates full weight bearing ambulation, simultaneously correcting
posterior subluxation and facilitating quadriceps firing
• Provides pain relief
• Improves knee extension
• Treats knee flexion contracture
• PROVIDES GAIT RETRAINING WITH RETAINED EFFECT!
Size
Circumference
9” Above Mid Patella
XSmall
Small
Medium
Large
XLarge
15” (38.1cm) - 18” (45.7cm)
18” (45.7cm) - 21” (53.3cm)
21” (53.3cm) - 24” (61cm)
24” (61cm) - 28” (71.1cm)
28” (71.1cm) - 31” (78.7cm)
Circumference
9” (22.9cm) - 12” (30.5cm)
12” (30.5cm) - 15” (38.1cm)
15” (38.1cm) - 17” (43.2cm)
17” (43.2cm) - 20” (50.8cm)
20” (50.8cm) - 23” (58.4cm)
HCPCS L1845
19
Rehabilitators
REHABILITATOR SYSTEM
ELITE REHABILITATOR™
• Controls foot drop and improves foot placement
• Facilitates gait rehabilitation
• Improves proprioception and encourages increased
volitional use of leg muscles
• IMPROVEMENTS RETAINED UNBRACED!
Size
Women’s
Shoe Size
Men’s
Shoe Size
3
3.5 - 6
6.5 - 9
9.5 - 12
13 - Dec
––
5
5.5 - 8
8.5 - 11
11.5 - 14
XSmall
Small
Medium
Large
XLarge
Foot Plate
Length
8”
9”
10”
11”
12”
HCPCS L1932
SPORT / ELITE COMBO REHABILITATOR™
•
•
•
•
•
•
•
Provide joint stability
Increase sensorimotor /proprioceptive input
Initiate quadriceps firing to improve leg strength
Kinetically assist normal limb movement
Improve gait muscle memory w/massed practice
Improve UNBRACED gait over time
SIGNIFICANTLY IMPROVE INDEPENDENT PATIENT MOBILITY
AND QUALITY OF LIFE
** To properly size the
SPORT/ELITE COMBO REHABILITATOR,
use both the
ELITE REHABIITATOR size chart (above) and the
**
SPORT REHABILITATOR size chart (page 19).
20
HCPCS L1845 & 1932
Overall
Height
14”
15”
16”
17”
17”
Phone: 727-526-0707
800-375-0207
Fax: 727-525-1424
727-526-0108
Hours:
9:00 am to 5:00 pm Monday - Friday EST
Minimum Orders
There is NO minimum order required.
Payment Methods
We accept checks, money orders and credit cards
(Visa, MasterCard and American Express).
Shipping and Delivery
All shipping charges are the responsibility of the purchaser and
will be added to your invoice.
Orders received after 4:00 pm Eastern Time will be shipped the following day. Special Orders
will be shipped 24 to 48 hours after receipt of order.
All orders are shipped commercial ground carrier unless you specifically request Next Day Air, Second Day Air, or
Third Day Delivery.
Returns
All returns are required to have prior authorization. Please call Customer Service to obtain a Return Goods
Authorization (RGA) number. Please have the original purchase order number or invoice number ready to
expedite your request. No authorization will be given without the original order information.
Customer Returns:
•
•
•
•
•
•
No returns accepted after 90 days from purchase date.
The product must be in the original package and in unused condition.
RGA number must be written on outside of package.
The product may be returned within 30 days of order without a restocking fee.
Products returned after 30 days will be accessed a 15% restocking fee.
$16.50 fee will be accessed to the return if the customer requests OCSI to send an RS Label or Call-Tag.
OCSI Errors or Defective Returns:
•
•
•
•
OCSI will issue RS Label or Call-Tag to pick up product at no charge.
OCSI will reship (if applicable) new product; no charge ground freight.
No restocking fees are accessed.
Credit for replacement product will be issued when defective product is returned.
Product Warranty
Ongoing Care Solutions offers a one (1) year warranty against manufacturing defects for the metal and/or
plastic portion of the product. If any modifications are made to any splint, it immediately voids all manufacturing
warranties. No exceptions. Soft goods are guaranteed for six (6) months. Once deemed defective, we
reserve the right to repair or replace the product at our discretion.
Ordering Information
To Place An Order...
Clinical Pathways
©2006 Ongoing Care Solutions
6551 43rd Street North, Unit 1403
Pinellas Park, Florida 33781
800/375-0207 • 727/526-0707 • Fax 727/525-1424
www. OngoingCare.com

Clinical Pathways Orthotic Selection Guide

Transcription

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