![]() ![]() Treatment duration, range of motion, and complications with the device were assessed. Study participants began treatment using an SPS orthosis at a mean of 47 weeks (range, 6 to 272 weeks) following their initial injury.Īccording to the patient-directed protocol, the SPS orthosis was used for a period of 30 minutes, 1 to 3 times per day, until the range of motion (ROM) was considered to have plateaued. Research on SPS devices, (including but not limited to the JAS device), is limited to case reports and small uncontrolled studies.Īnkle Costa and colleagues (2012) evaluated an SPS orthosis for the treatment of post-traumatic chronic ankle stiffness in 26 individuals (26 ankles). SPS devices essentially allow the individual to duplicate physical therapy by therapists who apply a new positional stretch multiple times throughout the session.Įxamples of this type of device include but are not limited to the Joint Active Systems (JAS) splints (for example, JAS Elbow, JAS Shoulder, JAS Ankle, JAS Knee, JAS Wrist, and JAS Pronation-Supination) and Air Cast. Static progressive stretch (bi-directional static progressive stretch) devices Static progressive stretch (SPS) devices (also known as bi-directional SPS devices) are used for multiple short treatment sessions per day with the joint angle progressively advanced at each session. #WHAT IS A SERIAL STATIC SPLINT MANUAL#Manual physical therapy is limited in terms of the number and duration of sessions, and stretching devices may be considered when physical therapy is unable to achieve treatment goals. Serial Static Splint Manual Physical Therapy Techniques include active and passive ROM exercises, manual stretching, splinting and serial casting. ![]() Rationale Various types of physical therapy are often prescribed to restore normal joint mobility, particularly after surgical intervention. ![]() Patient-actuated serial stretch (PASS) devices are considered investigational and not medically necessary. Note: For additional information, please see the following documents: CG-DME-05 Cervical Traction Devices for Home Use CG-DME-39 Dynamic Low-Load Prolonged-Duration Stretch Devices SURG.00008 Mechanized Spinal Distraction Therapy Position Statement Investigational and Not Medically Necessary: Static progressive stretch (SPS) devices are considered investigational and not medically necessary. This document specifically addresses two types of mechanical stretching devices used as a treatment of joint stiffness and contracture: the bi-directional static progressive devices (for example, Joint Active Systems (JAS) splints and Air Cast ) and the patient-actuated serial stretch (PASS) devices (for example, Elite Seat, ERMI Knee Extensionater, ERMI Elbow Extensionater, ERMI KneeAnkle Flexionater, and ERMI Shoulder Flexionater ). ![]()
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