Direct contact? Call: +31 53 4302 836

Wilmer Stretching Orthosis

Wilmer Stretching Orthosis

For people with paralysis of the muscles around the elbow

Push as hard as needed - maximum correction with maximal comfort

The Wilmer Stretching Orthosis, abbreviated WSO, is a lightweight arm orthosis (also called brace or splint) from the Wilmer line, developed by Delft University of Technology. The orthosis helps to stretch the arm through an adjustable spring mechanism.

A Wilmer Stretching Orthosis, for whom?

The WSO is designed for people having trouble to stretch their elbow. Being unable to stretch the arm leads to loss of function of the arm, pain and discomfort. If the arm is not stretched for a long time, shortening of the muscles can occur, making stretching even more difficult. This is called a contracture.

Specifications and of the Wilmer Stretching Orthosis

  • Elbow function restored by adjustable spring mechanism.
    • Spring possibly mounted double for extra strength.
  • Intended to support arm stretching. (extension)
    • For contractures (eg due to spasms).
    • To prevent contractures.
    • In case of imbalance between bending muscles(biceps – too strong) and stretching musles (triceps brachii muscle – too weak) of the arm.
  • Custom-made and therefore perfect fit.
  • Open structure so good ventilation.
  • Tilting self-adjusting pelottes for perfect transfer of pressure on the skin.
  • Can be worn fully underneath clothing.
  • No Velcro strap required.
  • Easy donning and doffing.
  • Lightweight (< 140 g).

 

armorthese

Further specifications and performances of the Wilmer Stretching Orthosis

  • Standard model.
    • Only supports the paralyzed arm, but the fingers and hand remain free.
  • Handmodel.
    • Supports arm but also the hand with a handsupport.
  • All units are available in one size in left and right models.
  • The orthosis is usually carried on the inside of the arm.
  • Optional carried on the outside of the arm.
    • For example as a night splint to avoid contact from the orthosis on the torso.
    • Than is a left version carried on the right arm and vice versa.
  • The Wilmer Stretching Orthosis is suitable for forearms with a length between 18 en 25 cm.
    • Measured from biceps in 90° till wrist.
  • Forearm circumference between 21 and 30 cm (thickest part of the forearm).
  • Wrist circumference between 18 and 23 cm.
  • Different sizes are available on request.
  • Is support needed in flexion? Then is the Wilmer Stretching Orthosis not suitable and Wilmer Elbow Orthosis should be considered.

Not able to stretch the elbow

Having trouble stretching the elbow, or not being able to stretch it a all can have many causes. For example an incorrect functioning triceps brachii muscle, the stretcher of the forearm. However, it is more likely that the arm can not be stretched properly due to an occuring spasm in the bending muscles (biceps) of the elbow, for example after a stroke. (CVA)

An elbow contracture

If the arm can not be stretched for a long time (and thus remains in a bent position), a shortening of the bending muscle (biceps) often occurs. The more serious the shortening, the more difficult it is to stretch the arm. This type of shortening that results in a joint no longer having its full range of motion, is called a contracture and generally requires treatment. Stretching the shortened structures again requires time.

Affecting wrist and hand

Spasms that lead to a contracture usually have a cause (eg stroke/CVA), which causes the complaints to not be restricted to the elbow. Therefore, the Stretching Orthisus is also available in an version that supports the wrist and hand.

Treatment of an elbow contracture

When treating a contracture due to shortened tendons or muscles, it is important that the structures are tensioned and held so that they can slowly retract slightly. Time is much more important than force. There is no point in pulling harder if you’re already at your limits. Certainly if wearing the orthosis that has to do this, becomes uncomfortable so that you can not wear it for a long time. Then it even works opposite.

Working too hard, does not work

It is better to adjust the orthosis so that it is good and comfortable to wear, but brings the joint for a long time to the end position. We know that this slow, long lasting stretch gives the most lasting effect. That is why Ambroise also believes that the orthosis should be comfortable. Our custom made Stretching Orthosis is that for sure.
And in addition, in our eyes searching for the correct force is important. Therefore, the Stretching Orthosis is well adjustable over a wide range, so we can work to ‘enough to correct by wearing a long time’

The Wilmer Stretching Orthosis as night splint

That “wearing a long time” is also done at night, so that during the sleep the orthosis can just do its job. Even though the orthosis also works well during the day, you may need the elbow more often during the day so that there is no correction at that moment. That’s why the Stretching Orthosis is definitely an option as a night splint. However, the orthosis is often carried on the outside of the arm. Then there is less material between the arm and the torso so that is more comfortable while sleeping, while it is more visible in the dark under the blankets, but that is of course not so important.

Order codes Wilmer Stretching Orthosis for the professional

250025 | Wilmer Stretching Orthosis | left
250026 | Wilmer Stretching Orthosis | right
250023 | Wilmer Stretching Orthosis + hand support | left
250024 | Wilmer Stretching Orthosis + hand support | right

250304 | hand support unit
250042 | tube extension connection for hand support | left
250043 | tube extension connection for hand support | right

Watch the videos on our YouTube channel. For example:

How do I get a Wilmer Stretching Orthosis?

The Wilmer Stretching Orthosis is custom made. For optimal operation and good comfort it is important that the orthosis fits well. The orthosis can only do good work if it is worn for a long time a day (or night). That’s why the orthosis is always measured and fitted by professionals (orthopedic therapists).

The Wilmer Stretching Orthosis is prescribed by your attending physician. In most cases, this will be the rehabilitation physician. In most cases, this will be the rehabilitation therapist. In many cases, approval must be sought from your insurer. Besides, all insurers in the Netherlands pay the Wilmer Stretching Orthosis with a correct indication of the situation.

Do you want a non-binding advise from one of our clinical experts about the possibilities of a Wilmer Stretching Orthosis in your situation, or do you want to know which professionals in your area have experience with this orthosis? Feel free to contact us. We are happy to assist you.

Manual Wilmer Stretching Orthosis (WSO)


Or download here the Wilmer Stretching Orthosis manual.

wilmer-strekorthese

How does a Wilmer Stretching Orthosis work?

The Wilmer Stretching Orthosis contains a spring mechanism in dat helpt that helps to stretch your arm. The spring force of the stretching mechanism is adjustable over a wide range, so that the correct moment can be adjusted around the elbow.

The arm is slowly stretched further, due to the tension of the spring (the green rubber band at the upper arm part)

The Stretching Orthosis is also individually tailored. Those combinations make this lightweight orthosis one of the most comfortable in its kind: just enough power, but not too much, in a well-fitted orthosis.

Wilmer Stretching Orthosis with hand support

Wilmer Stretching Orthosis with hand support, seen from the inside of the arm.

Versions of the Wilmer Stretching Orthosis

The Wilmer Stretching Orthosis is available in two versions. The standard model only supports the affected elbow and leaves the hand and fingers free. The hand model also supports the hand with the aid of a hand support. All models are available in a left or right version and are custom made and adjusted.

The Stretching Orthosis is usually carried on the medial side but can also be made in a lateral version as a night splint so that during sleeping the orthosis irritates the body as little as possible.

To top

Our partners: