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Upper-Limb-Pronosupinator-Mobilisation-Orthosis-Standard-(UPP-PROSUPINATORS)

Upper Limb Pronosupinator Mobilisation Orthosis, Standard

Code: UPP-PROSUPINATORS
Dynamic Supination & Pronotion
The Upper Limb Pronosupinator Mobilisation Orthosis is designed to mobilise the forearm into supination or pronation. It can hold the forearm at end of range rotation whilst allowing free flexion and extension of the elbow. Meanwhile, the patient can actively rotate in the opposite direction for brief function. The Pronosupinator will reliably stretch the patient straight back to end-of-range.

Strong Stretch at End-of-Range
Can’t achieve full supination or pronation? Stiff or uncomfortable at end-of-range? The Pronosupinator is designed to improve these limitations. Studies show that when conventional therapy fails to achieve full rotation, orthoses (splints) that hold a stretch at the end-of-range produce significant gains in range of motion. We guarantee that it will hold your patient at end-of-range pronation or supination.

Allows Normal Function
The Pronosupinator will hold your patient in the desired position (eg. end-of-range supination), but allow them to rotate out of position (eg. pronate), then return them back to a stretched position. It can be applied in either supination or pronation. The patient’s fingers and thumb are free to move and their elbow is free to flex and extend. No other orthosis allows this while maintaining end-of-range rotation.

Full Elbow ROM
The elbow is free to flex (bend) and extend (straighten). This reduces additional stiffness and limits to function.

Available in:
  • Standard
  • Large
Sizing Guide:
Can be used on the right or left arm. If your patient can fit into either size, we recommend choosing the smaller size as it will be the most comfortable for regular wear. 

  Wrist Width  Forearm Length  Suited for
 Standard  <70mm <270mm  Approx. 152cm (5’2”) - 184cm (6’2”), BMI under 30
 Large <100mm <290mm A taller or larger person, up to 190cm (6’4”)

Intended Use/Indications:
This device is designed to mobilise (stretch) the forearm into supination (palm facing up) or pronation (palm facing down).

Contraindications:
Uncovered, open wounds should not be in direct contact with the Pronosupinator. The Pronosupinator is not suitable for unstable joints or non-united fractures.

Warnings:
Force applied with the aim of stretching should be applied gently and gardually. Mild discomfort is normal however severe, sharp, or increasing pain, changes in sensation (numbness, pins and needles) or skin reactions are not expected. Should you experience any of these, you should remove the Pronosupinator and consult your health professsional. Remove watch and wrist jewellery prior to application. Please note, the aluminium may leave a mark on clothing.

Application:
1.Line the forearm up to the splint. The hinge should be in line with the elbow and the curved section should line up with the wrist crease. If required, loosen the screws using screwdriver and slide the struts to the desired length. Tighten the screws before applying the Pronosupinator. 

2.Apply the upper arm padding.
3.Attach the upper arm aluminium struts to the upper arm padding using the velcro (attached to the inner aspect of the aluminium struts). These should be in line with the upper arm. Tip: Once the aluminium struts have been attached to the padding on first fitting, it can remain in place making future applications easier.
4.Apply the wrist wrap in the desired direction by sliding loop over thumb, then wrapping around the wrist and securing with velcro tab. 
Supination (palm up) – Wrap around the back of the hand

OR 
Pronation (palm down) – Wrap around the front of the hand

5.Position your forearm to the desired amount of rotation. Wrap the elastic straps around the wrist (approximately one rotation around the wrist), then thread over the top of and through the buckles. Push down on the tab to lock the buckle. Slide any excess strap length through the keepers.
6.Adjust the tension on each elastic strap to achieve the desired stretch. The stretch should be applied gently and gradually. Straps should be adjusted one at a time to achieve a central position between the buckles.
7.To release the buckle, lift up on the tab.

Cleaning Instructions:
The soft portions of the device can be removed and hand washed in warm water, using mild detergent. Air dry. The aluminium can be wiped clean using a soft cloth and mild detergent or aluminium suitable products.
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