Adult Neurological Dynasplint® Systems
In This Section:
Available Neurological Dynasplint® Systems
Wrist


Neurological Wrist Extension w/Anti-Spasticity Ball Hand Attachment

Wrist Extension Dynasplint® System
w/Padded Palmar Hand Attachment
Elbow

Elbow Flexion Dynasplint® System shown with Contour Resting Hand/Wrist Orthosis

Neurological Elbow Extension Dynasplint® System w/Resting Hand/Wrist Accessory

Toe
Knee


Knee Extension Dynasplint® System shown with MPO 2000® Active Boot

Knee Flexion Dynasplint® System shown with MPO 2000® Active Boot
Common Diagnoses
- Cerebral Palsy (CP)
- Cerebral Vascular Accident (CVA)
- Motor Vehicle Accidents and other Trauma
- Multiple Sclerosis (MS)
- Muscular Dystrophy
- Nager Syndrome
- Parkinson's Disease
- Pierre Robin Malformation Sequence
- Spasms
- Spasticity Management
- Tone Management
- Traumatic Brain Injury (TBI)
The neurological patient is an excellent candidate for Neurological Dynasplint® Systems. Dynasplint® Systems direct a low-load, prolonged-duration stretch (LLPS) directly across the joint axis using a bilateral tensioning system. LLPS has been used successfully for over 50 years to treat joint stiffness and limited range of motion caused by shortened connective tissue. The bilateral dynamic tensioning system safely accommodates the patient’s tone; moving with the patient during episodes of resistance or spasms. It constantly seeks the patient’s available end range of motion and continues to gently stretch the joint.
Dynasplint® Systems can be beneficial for both existing contracture patients, as well as those new tone patients in need of early intervention. Early application of Dynasplint® Systems can prevent contractures from forming and help maintain range of motion for the future. Used as an adjunct to occupational therapy, Dynasplint® Systems have been proven to significantly improve patient outcomes.
Benefits of Using Dynasplint® Systems with the Neurological Patient
- Remodel soft tissue and resolve joint contractures
- Reduce contractures by normalizing tone
- Increase ROM to reach functional goals
- Reduce wound care costs by avoiding decubitus ulcerations (bedsores) of the skin
- Minimize number of costly surgeries due to contractures
- Decrease pain associated with ROM deficits
- Improve functional independence with activities of daily living
- Improve quality of life
- Adjunct to the patient’s therapy program
- Adjunct to Botox® and BaclofenTM
- Dynasplint® Systems is a winning combination with use of Botox and the neurological patient, allowing us to have a window of opportunity to achieve end-range stretch while the tone is temporarily modified. After our goals are reached, we can then maintain the gain in range of motion for the future by continuing to manage the tone; thus helping to eliminate the potential for new contractures.
- Adjunct to Serial Casting
- Adjunct to a Tendon Release
- Dynasplint® Systems are fully adjustable for girth changes of an extremity, as well as, changing conditions of a contracture thus eliminating the need for multiple splints over time.
- Dynasplint® Systems will safely accommodate the patient’s neurologically induced tone, moving with the patient during episodes of resistance or spasms. When the tone relaxes or the muscles fatigues, the spring-loaded mechanism gently and steadily brings the patient back to their end range of motion to continue a low-load, prolonged-duration stretch (LLPS).
Dynamic Splinting vs. Serial Casting

Dynasplint® can be an adjunct to a serial casting program. After a series of casting or at the end of the casting procedure, DSI can be applied for a long-term home management program. Unlike casting, Dynasplint® Systems are easy to apply and adjust. This will allow more valuable time for the therapist to give the patient during their therapy sessions. Dynasplint® Systems can be safely worn for 6-8 continuous hours during the course of the day or night maintaining ROM between therapy sessions.
How to Wear the Dynasplint® System
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How to Return the Dynasplint®
The unit will typically stay with the patient when used in conjunction with physical therapy. Returning the Dynasplint® System is simple with the FedEx PRP label located in the box.
How Does a Patient Get a Dynasplint® System?
All Dynasplint® Systems are available by prescription/certificate of medical necessity only. A doctor or therapist can prescribe one for a neurological child if medically indicated to help increase their range of motion and tone management at home.
Print the brochure and certificate of medical necessity of this Dynasplint® System and take it to your doctor or therapist.
Have a representative contact you by filling our information request form.
Email: contact form
Call: (800) 638-6771
Kimbler T, Willis FB “Dynamic Splinting for Pronation Contracture, Following a Spinal Cord Injury” Hand Therapy. 2010March; 15(1):20-21
Lai J, Francisco G, Willis FB “Dynamic Splinting After Treatment with Botulinum Toxin Type-A: A Randomized, Controlled Pilot Study” Advances in Therapy. 2009; 26(2)
Ada L, Goddard E, McCully J, Stavrinos, Bampton J. “Thirty Minutes of Positioning Reduces the Development of Shoulder External Rotation Contracture After Stroke: A Randomized, Control Trial” Physical Med Rehabilitation. 2005February; 86:230-234
VanDyck W, Muckand J “Reducing Contractures after Traumatic Brain Injury” OT Practice. 2004Oct: 11-15
Gracies J “Pathophysiology of Impairment in Patients with Spasticity and Use of Stretch as a Treatment of Spastic Hypertonia” Physical Medicine and Rehabilitation Clinics in North America. 2001Nov; 12(4):747-763
Nuismer B, Ekes A, Holm M “The Use of Low-Load Prolonged Stretch Devices in Rehabilitation Programs in the Pacific Northwest” American Journal of Occupational Therapy. 1997Jul-Aug; 51(7):2.5-43
Lehmkuhl LD, Thoi LL, Baize C “Multimodality treatment of joint contractures in patients with severe brain injury: cost, effectiveness, and integration of therapies in the application of serial/inhibitive casts.” Journal of Head Trauma Rehabilitation.1990; 5:23–42
MacKay-Lyons M “Low Load, Prolonged Stretch in Treatment of Elbow Flexion Contractures Secondary to Head Trauma: A Case Report” Physical Therapy. 1April1989
Botte MJ, Nickel VL, Akeson WH “Spasticity and Contracture: Physiological Aspects of Formation” Clinical Orthopedics and Related Research. 1988Aug; 233; 7-18
Tardieu C. , Lespargot A, Tabary C., Bret M, “For How Long Must the Soleus Muscle be Stretched Each Day to Prevent Contracture?” Developmental Medicine and Child Neurology. 1988; 30(1): 3-10
Hepburn G “Case Studies: Contracture and Stiff Joint Management with Dynasplint” The Journal of Orthopedic and Sports Physical Therapy. 1987April; 8(10):498-503























