PATIENT INFORMATION LEAFLET STROKE THE ASSISTANT DEAR READER, Fuctional solutions for upper limb

This leaflet is developed exclusively for stroke patients.

Stroke often comes abrupt and unexpected. In a very short period of time, the personal life conditions of the affected people change. As a consequence life goals need to be re-accommodated. From the viewpoint of symptomatic, stroke often manifests a paralyses of half of the body (hemi paresis/hemiplegia). Man itself is affected fully, and this has implications to its personal surroundings such as family and other close relatives.

Around 250.000 people suffer each year from stroke in Germany. Almost half of them remain disable even after one year, which then cause long lasting invalidity. Currently around one Million people are affected by stroke. Due to the ageing of society, stroke diseases will increase considerably in the coming years. Affected are also young people. Through the concept “Dynamics instead of Rigid Splints”, we show you through this brochure, modern functional assistive aid for upper and lower limbs, which could help you to improve your life quality after stroke. Fuctional solutions for lower limb

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DYNAMICS INSTEAD OF RIGID SPLINTS - T H E R A P Y C O N C E P T

SUCCESS DEPENDS FROM MANY FACTORS Independent of heavy stroke syndrome, the early therapy is an important condition for a best possible re-win of lost functions. The supply with functional supportive aids is an important part of the therapy. For the motoric rehabilitation, the painful structures and movements are badly trained. Therefore it is important to protect the joints and to support them functionally as long as the musculature could take over these functions independently. Through the principle Dynamics instead of Rigid Splints, our braces will be applied in further rehabilitation process in order to support weak musculature. They have to be adjusted individually in the rehabilitation process. This means: as little support as possible, but always as much as necessary.

BACK TO EVERYDAY LIFE In order to reach a successful continuous therapy, it is essential to transfer the acquired learning into daily life. The active embedding of affected person to the treatment process, shall lead to a fast and better participation to everyday life. Functional orthotics from SPORLASTIC support this purpose.

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FUNCTIONAL SOLUTIONS FOR UPPER AND LOWER LIMBS

PACE MAKER FOR UPPER LIMB

FUNCT IO NAL SO LUT IO NS FO R UPPER LIMB Paralyses of upper extremities (Shoulder, Arm and Hand) are frequent consequences of stroke. They could lead to massive impairment (detriment) in daily life as well as to a continuous disability. A successful treatment of heavy paralysis demands a very intensive therapy. Often, all movements need to be learnt from the beginning. Dynamic braces enable therapeutic and daily-relevant movements. They require the use of arm and hand. In addition, painful mobility restrictions and swelling could be reduced.

SEVERE PERONEUS PARESIS

MIDDLE GRADE

MINOR

EFFECT IVE “PACEMA KE R” FO R LO W ER LIMB One of the most frequent motorics deficit after stroke is (spastic or peripheral) the weakness of foot lifting. Often, it is not about the weakness of the foot lifting musculature, but about appearance of paralyses with individually different occurrence grades. For the treatment of different severe grades of paralyses as well as for optimal stabilization of foot lifting, SPORLASTIC offers a differentiated product supply (see chart). + STABILITY GRADE -

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MOBILAS® AND NEURODYN® - COMFORT

INNOVATIVE HAND THERAPY MOBILAS® HAND-SUPPORT AND MOBILIZATION SYSTEM ®

MOBILAS is developed to support and activate the arm and hand after half-side paralyses. It fulfills the requirements for a modern, flexible and praxis-oriented handsupport and will be combined with a mobility program.

SINGLE-HAND CLOSURE W ITH CLICK NEURODYN®-COMFORT UNIVERSAL FOOT - LEVATOR (Dorsal flexor) The so-called Trick with a Click: the innovative ankle strap could be placed with a onehand system and with only one click. NEURODYN®-COMFORT offers the strongest orthosis among Sporlastic NEURODYN® products for lifting the foot up during gait. The effect of foot up lift regulated by style elastic restraints, will be reinforced through dynamic insole. Thus leg posture will be corrected. Moreover, it will enable a better gait pattern and a high degree of stability.

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MANU-HIT DIGITUS AND NEURODYN – SPASTIC

W RIST JOINT BRACE ® MANU-HIT DIGITUS PROTECTION AGAINST MOBILITY LIMITATIONS ®

Wrist joint brace MANU-HIT DIGITUS protects the wrist and thumb joints from limited mobility. A specialized support could influence and limit the muscle tone. This protects the structures of the hand, in case of increased muscle tone in wrist and/or thumb joints (spastic), as well as if the thumb power and hand extension musculature is not sufficient for a stretcher.

PERCEPTION AND DYNAMICS NEURODYN®–SPASTIC FOR COMPENSATION OF SPASTIC PARALYSES ®

In the swing and safe walking phase, NEURODYN –SPASTIC effects through its style ankle encircling restraints, finger loop and a good back-foot positioning with a fore-foot corrector. An outward string avoids twist one’s ankle. The light material conveys a lot of “sensory information” and a good stability feeling. It is possible an almost physiologic roll motion movement with bigger step size.

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NEURO-LUX® II AND NEURODYN®- CLASSIC

SHOULDER JOINT ORTHOSIS ® NEURO-LUX II JOINT STABILITY BY FREE MOTION Up to 30% of the stroke patients suffer from a painful shoulder as a result of the heavy complications of a paralysis of shoulder-arm-musculatur. Acute pains hamper the rehabilitation process and prevent the re-win of the function. ®

NEURO-LUX II contributes to prevention of shoulder pains caused by sub-luxation. The orthosis supports the alignment of the upper-arm heading into the joint socket, and improves the muscular command. Through a decline of the arm weight by free movement, arm will remains operational and trainable.

PERCEPTION AND W EAR COMFORT ® NEURODYN - CLASSIC FOR COMPENSATION OF PHERIPHERAL PARALYSES ®

The construction and effect comply basically with those of NEURODYN –SPASTIC. ®

The essential difference from NEURODYN –SPASTIC lies in the fact that the existing additional ® corrective elastic restraints at the fore-foot of NEURODYN – SPASTIC do not apply in case of ® NEURODYN - CLASSIC. The deeper front-connected opening with the variable Velcro fastener as well as the pull strap (loop at the ankle) enable a very easy starting and comfortable application.

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NEURO – RESTICT AND FOOT-UP®

CIMT – THERAPY NEURO - RESTRICT RE-USE OF ARM AND HAND CIMT (Constraint Induced Movement Therapy) therapy concept will be introduced very effectively in the rehabilitation of arm function.

The limited functionality of the paralyzed arm leads patients to the “learned non-use” of the arm which states for the frequent use of non-affected arm (healthy hand). This compensatory use of the healthy hand should be reversed through CIMT-Therapy, in which the use of healthy hand is stopped temporary through restrictive orthosis. Paralyzed arm shall carry out the movement, thus assuring its training.

SIMPLE AND EFFECTIVE ® FOOT-UP FOR COMPENSATION OF SLIGHT STROKE ®.

In the range of foot-levator orthosis impresses us FOOT-UP It has simple handling and effective lift of foot up during gait. It is applicable by many neurological diseases with foot-lifting weaknesses. The gait pattern dynamics and stability will be increased and on the other side the risk of overturning will be reduced. ®

FOOT-UP BARFUSS As accessory for shoes without laces.

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THERAPY FOR CLINIC AND HOME MOBILAS®

SUPPORT – FOUNDATION FOR SUCCESSFUL THERAPY Through support of hand in “functioning position” enables MOBILAS the reduction of hand edema. The paralysed hand keeps the necessary mobility. The muscel tension (tonus(spasticity) will be ragulated, and concetration and perception will be encouraged. AGAIN MORE AUTONOMY (SELF-RELIANCE) A self responsible arm training with everday objects or prevalent therapy materials, is by heavy paralyses often not possible. With MOBILAS® many early exercises necessary for preservation and encouragement of mobility could be performed.

MOBILAS® - 3-PILLARS CONCEPT

1 Hand support 2 Self mobilization and self-training 3 Computer assisted, motor driven repetitive training (CAMP) for single, group and individual therapy The exercises from the exercise book, can be followed by the patients step by step as prescribed by the therapists. Then patients could sequentially and individually train in different difficulty levels. Therewith, MOBILAS® is applied effectively also in a long run treatment. The combination with computer and games brings up new motivation and fun in the therapy.

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JOINT PROTECTION AND MOBILITY NEURO-LUX® II

PO W ERFUL AG AINST SHO ULDER PAIN As shown by a study, the development and pecularity of a painful shoulder, could be drastically reduced through wearing functional orthotics NEURO-LUX® II. The weight of arm will be relieved and little tension on shoulder joint will occur. Pains could be reduced. The arm can be used at the therapy and for daily activities and it remains “trainable”. Arm oscillating movements remain possible. For gait pattern rehabilitation means this a positive influence of balanced reactions and step lengths.

INNO VAT IVE DET AILS MAKE T HE DIFFEREN C E NEURO-LUX® II is developed in consistency with requirements of therapy and needs of stroke patients. The orthosis convinces through innovative details, high quality and perfect correct fit with high wearing comfort.

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NEW LEARNING OF AMBIDEXTERITY NEURO–RESTRICT

SUCCESSF UL CO NCEPT IN HAND T HERAPY CIMT-Therapy is scientifically known as an effective training concept. It is highly effective by paralyses of arm and hand. The restriction orthosis prevents effectively the compensation mobility of healthy arm. The paralysed hand will be forced to conduct exercises and everday life duties. The re-learned mobility operations will be saved in brain and are therewith conductable over and over in everday life.

LESS CO MPENS AT IO N General conditions for application of CIMT-Therapy are a stable level, a residual mobility in handand thumb joint as well a sufficient conversation understanding.

During CIMT-Therapy, the use of the restriction orthosis avoids the compensation reached by healthy arm. It provides more support for the torso and assures overall sense of safety. CIMT-Concept is provided in many neurological rehabilitation as well as specialized clinics.

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FOOT-LEVATOR ORTHOSIS – DYNAMIC SUPPORT OF FOOT MUSCULATUR FOUR “PACEMAKER” BY PARALYSES

RE- G AIN O F LO ST FUNCT IO NS As a result of paralyze with weak foot-levator, the affected person usually conducts automatic compensation mechanisms such as round foreword placement of leg with sidestep movements in torso and hip. As a result, the risk of overturning is increased.

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Stumble upon cable – typical stumble cases take place above all at home environment such as cable, carpet edge, door sill.

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Gait pattern without orthosis – as a result of paralyses, the foot without orthosis provides less stability by standing, and remains “hanging” with foot-heading to the ground by going.

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Gait pattern with orthosis – it shows, that less round movement (see green line) occur above the knee or hip. A good heel contact cares for the right training impulse of the footlevator musculature. In terms of a normal gait pattern, the gait coordination and step sizes will be improved.

Dynamic orthotics encourage the weak musculature and enable a better going, without preventing muscle function.

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FOOT-LEVATOR ORTHOSIS – DYNAMIC SUPPORT OF FOOT MUSCULATUR FOUR “PACEMAKER” BY PARALYSES

NEURODYN®-COMFORT Innovation by placement - Trick with Click! The independent placement of orthosis causes very often some problems, in case one hand is paralyzed. Many patients can not use the advantages of dynamic orthosis without help of third parties. 1 With the innovative Click-Strap, the ankle element could be placed with one hand. 2 The Velcro closure system enables the simple adaption of the width. It could be fixed without big effort through Y-Strings.

NEURODYN®- RANGE Through dynamic construction of NEURODYN®- CLASSIC and NEURODYN®- SPASTIC, it will be ensured an optimal transfer of “sensory information” of foot ground from underground to the brain. This leads to improved posture control, balanced and subjective stability. Additionally it is possible the application of orthopedic and proprioception insoles.

FOOT-UP® Very often, exactly the milde foot paralyses will not be treated sufficiently and therefore it leads to risk of overturning. FOOT-UP® is the optimal functional treatment for this indication – easy treatment, light weight.

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GALILEO SYSTEM VIBRATION THERAPY

MUSCLE TONE AND POSTURE CONTROL The damages after stroke do not only affect single muscles but also its interplay, which is decisive for posture and mobility. The frequency of muscle simulations optimizes the motoric learning according to basic principle of repetition. The amount of repetitions is decisive for learning success. Through side alternation during vibration training, body perception, posture control and muscle performance will be improved. Spasticity and muscle tone could be controlled effectively.

THERAPY GOALS _ Improvement of posture and movement control _ Preservation and improvement of muscle power and muscle performance _ Improvement of perception ( position and attitude significance) _ Re-establishment of body symmetry through rhythmic right-left-movements of training compensator _ Improvement of balance reactions and reaction velocity and therewith fall prophylaxes _ Prevention of damages caused by inactivity status (contractures and arthropies)

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DYNAM ICS INSTEAD OF RIGID SPLINTS

_ MAXIMUM THERAPY SUCCESS _ Specific to the indication and therapy _ Proprioceptive _ Ensuring functionality and stabilization

_ HIGHEST ACCEPTANCE _ Microclimatic _ Skin compatibility _ Optimal to fit _ Individually adjustable _ Haptic comfortable

_ LONG LASTING APPLICATION _ Optimized material _ Processed in high quality _ Designed for best functionality

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