Name of the Procedure:

Static Progressive Stretch Forearm Pronation/Supination Device (E1818)

• Common Names: Forearm Stretch Device, Wrist Stretch Orthosis
• Technical Terms: Static Progressive Stretch Orthosis, Forearm Pronator/Supinator Orthotic Device

Summary

A static progressive stretch forearm pronation/supination device is a medical tool designed to help improve the range of motion in the forearm and wrist. By gradually applying a consistent stretch, it aids in the rehabilitation of patients with limited forearm rotation due to injury or medical conditions.

Purpose

This device is used to address limited range of motion in the forearm, specifically in pronation (rotation towards the palm facing down) and supination (rotation towards the palm facing up). The main goals are to enhance wrist and forearm flexibility, reduce stiffness, and improve overall functionality.

Indications

• Limited range of motion due to fractures, dislocations, or surgery.
• Post-stroke spasticity affecting the forearm.
• Conditions such as arthritis or tendon injuries limiting wrist movement.
• Recommended for patients experiencing difficulty performing daily tasks due to wrist stiffness.

Preparation

• Follow any specific instructions provided by your healthcare provider.
• No special preparation such as fasting is typically needed.
• A physical examination and possibly diagnostic tests (like X-rays) may be required to assess the condition of the forearm and wrist.

Procedure Description

1. Fitting the Device: The healthcare provider custom-fits the device to the patient's forearm.
2. Adjusting the Stretch: The device is adjusted to provide a low-load, prolonged stretch to the forearm muscles.
3. Using the Device: The patient wears the device for specific periods, as advised by the healthcare provider.
4. Monitoring Progress: Regular adjustments and monitoring to ensure optimal stretch and comfort.

Tools Used:

• Static progressive stretch orthotic device.
• Adjustable components for calibration of the stretch.

Anesthesia: Not required.

Duration

The duration of each session can vary but typically lasts between 30 minutes to an hour, depending on the healthcare provider's advice. The overall treatment duration may span weeks to months based on the patient's progress.

Setting

This procedure is generally performed in an outpatient clinic or a home setting with follow-up visits to a clinic.

Personnel

• Orthopedic specialist or rehabilitation physician.
• Physical therapist or occupational therapist.
• Trained medical technicians may assist with device fitting and adjustments.

Risks and Complications

• Skin irritation or pressure sores from the device.
• Discomfort during initial sessions.
• Rarely, worsening of symptoms if used improperly.

Benefits

• Improved range of motion in the forearm and wrist.
• Enhanced ability to perform daily activities.
• Potential reduction in pain and stiffness.

Expected benefits are usually observed within weeks, but full recovery may take longer.

Recovery

• Consistent use as prescribed by the healthcare provider.
• Regular follow-up appointments to assess progress and make necessary adjustments.
• Avoiding activities that may strain the affected forearm.
• Adherence to any additional physical therapy recommendations.

Alternatives

• Physical therapy exercises.
• Surgical intervention for severe cases.
• Dynamic orthotic devices or splints.

Pros & Cons of Alternatives:

• Physical Therapy: Non-invasive and customizable but may progress slower.
• Surgery: Potentially quick improvement but involves risks associated with surgery (e.g., infection, longer recovery).
• Dynamic Devices: Allows active movement but may be less effective in severe stiffness.

Patient Experience

• Mild discomfort during the initial stages of use, which typically decreases over time.
• Patients may feel a gentle pressure or stretching sensation while using the device.

• Pain management techniques, such as over-the-counter pain relievers or relaxation exercises, may be recommended.

  Ensuring patient comfort and adherence to the recommended usage will maximize the effectiveness of the treatment.