Gerilynn Gobuyan, OTS Touro University Nevada

 Limited treatment strategies for patients with decrease arm/hand function  Inability to integrate the arm/hand during functional tasks  Major road block in neuro rehab treatments  Large percentage of neuro patients are unable to participate in current treatment programs, such as CIMT  To assist in decreasing compensatory movement patterns during functional activities REASON FOR DEVELOPMENT

 Individuals with stroke, CP, TBI, SCI  Volitionally-based, task- oriented drills  Involved hand and arm are kept in a functional position  Early initiation of functional grasp and release activities with involved UE  Exercises isolated muscle groups DYNAMIC SOLUTIONS FOR DYNAMIC PEOPLE

 Client must show:  35° active wrist extension with MCPs, PIPs and DIPs in neutral  Should be able to tolerate splint for 6-8 hours  Purpose: Prevent contractures and minimize soft tissue shortening SAEBOSTRETCH  Dynamic resting hand splint  Low-load, long- duration stretch (6-8 hours/day)  Dynamic energy restoring hand plate  3 interchangeable hand pieces, each with different resistance grades

 Dynamic resting hand splint  Low-load, long-duration stretch (6-8 hours/day)  Dynamic energy restoring hand plate  3 interchangeable hand pieces, each with different resistance grades  Purpose: Prevent contractures and minimize soft tissue shortening SAEBOSTRETCH

 Minimum 15° active shoulder movement in any plane  Minimum 15° active elbow flexion  ¼ range of active finger flexion (25% of a closed fist)  Passively position wrist to 15° of extension with fingers straight  Optimal – 35°  Some ability to pick up objects with the device  Patients are NOT required to extend wrist or open fingers independently *If the client is an inpatient, there are no active shoulder or elbow movement requirements. MOVEMENT CRITERIA FOR SAEBOFLEX AND SAEBOREACH

 Incorporates hand function while supporting the weakened wrist, hand, and fingers  Custom fabricated, completely mechanical  Positions the wrist and fingers in extension with the use of an extension spring system SAEBOFLEX

Candidates  Inability to extend their fingers  Inability to straighten elbow  Individuals that are unable to use their hand functionally or cannot open or extend their fingers actively Goal  Allow patients to use arm functionally  Decrease learned nonuse  Increase learned use  Reduce spasticity  Improve ROM/strength/control  Improve Q.O.L. SAEBOFLEX

 Combination of SaeboFlex with a custom-fabricated above elbow component  Elbow extension system assists with straightening the elbow during functional reaching  Dynamic custom fabricated (EWHFO) Elbow Wrist Hand Finger Orthosis Candidates  Limited shoulder and elbow movement  Limited wrist and finger extension SAEBOREACH

 How it works  The user:  grasps an object using his/her volitional flexor control  places the objects in the desired location  relaxes flexor tone enough to allow extensor springs to assist in extending the fingers and thumb

 Saebo products have been proven to increase the function in a hand exhibiting a neurologically based deficit  SaeboStretch is worn for long periods of time, during times of rest  SaeboFlex and SaeboReach are worn only during functional training with the device SAEBO

 Improving Upper Extremity Motor Recovery Following Neurological Injury, Saebo Course Manual 2012  Photos courtesy of Google Images, 2014 For more information, visit “Rehabilitating Lives. Empowering Individuals.” REFERENCES