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Increase upper extremity ROM through positioning techniques including prolonged stretch, tone management, and shoulder support

Capacity to facilitate elbow flexion, internal/external shoulder rotation, abduction, wrist extension.

Wear schedule for device

> 2 hours prolonged stretch (Ada et al., 2005)

Continual assessment of fit to ensure

progress and comfort (ie. edema, pressure,

skin breakdown)

Demonstration link:

Cost

  • Arm Rest Channel $104
  • Hand Pads $ 52
  • Swivel Mount $182
  • Hardware $ 20

Otto Bock Arm Trough

Created By: Traci Barcelow

Grand Valley State University

Estimated Total

$150-$360

Treatment

OT Theory and Practice

Product Description

  • Biomechanical FOR

  • Ecology of Human Performance

*THANK YOU FOR WATCHING*

  • Upper extremity support device that attaches to arm rest of wheelchair

  • Provides customized positioning to treat abnormal tone patterns, flaccidity, and contractures

  • Easily tailored to increase function and meet client-centered needs

Link to manufacturer website:

http://professionals.ottobockus.com/cps/rde/xchg/us_en/.xsl/18061.html

References

Ada, L., Goddard, E., McCully, J., Stavrinos, T., & Bampton, J. (2005). Thirty minutes of positioning reduces the development of shoulder external rotation contracture after stroke: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 86(2), 230-234. doi:10.1016/j.apmr.2004.02.031

Carr, K., & Kenney, D. (1992). Positioning of the stroke patient: A review of the literature. International Journal of Nursing Studies, 29(4), 355-369. doi:10.1016/0020-7489(92)90014-8

Collins, M. (2014). Seating and positioning evaluation process: Customization is key to unlocking maximized function for each wheelchair user's unique needs. Rehab Management, 27(6), 12..

Gustafsson, L., & McKenna, K. (2006). A programme of static positional stretches does not reduce hemiplegic shoulder pain or maintain shoulder range of motion -a randomized controlled trial. Clinical Rehabilitation, 20(4), 277-286. doi:10.1191/0269215506cr944oa

Gustafsson, L., & McKenna, K. (2003). Treatment approaches for clients with a stroke-affected upper limb: Are we following evidence-based practice? Australian Occupational Therapy Journal, 50(4), 205-215. doi:10.1046/j.1440-1630.2003.00395.x

Horsley, S. A., Ada, L., & Herbert, R. D. (2007). Four weeks of daily stretch has little or no effect on wrist contracture after stroke: A randomised controlled trial. Australian Journal of Physiotherapy, 53(4), 239.

Khan, M., Soomro, N., & Jalal, S. (2012). Reviewing the role of supportive devices for the treatment of hemiplegic shoulder pain. Medical Channel, 18(3), 8.

Morley, A., Clarke, A., English, S., & Helliwell, S. (2002). Management of the subluxed low tone shoulder. Physiotherapy, 88(4), 208-216. doi:10.1016/S0031-9406(05)60412-9

Product Design

Conditions

  • Modular arm troughs are available in a variety of sizes
  • Interchangeable hand pads (ie. flat, palm extensor, horn, cone)
  • Elevated swivel mount
  • Hand pad strap kit
  • Stroke
  • TBI
  • SCI
  • Cerebral Palsy
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