Gerilynn
Gobuyan,
OTS
Touro
University
Nevada
REASON FOR DEVELOPMENT
 Limited treatment strategies for patients with decrease
arm/hand function
 Inability to integrate the arm/hand during functional tasks
 Major road block in neuro rehab treatments
 Large percentage of neuro patients are unable to participate
in current treatment programs, such as CIMT
 To assist in decreasing compensatory movement patterns
during functional activities
DYNAMIC SOLUTIONS FOR DYNAMIC
PEOPLE
 Individuals with stroke, CP,
TBI, SCI
 Volitionally-based, taskoriented drills
 Involved hand and arm are
kept in a functional position
 Early initiation of functional
grasp and release activities
with involved UE
 Exercises isolated muscle
groups
SAEBOSTRETCH
 Dynamic resting hand
splint
 Low-load, longduration stretch (6-8
hours/day)
 Dynamic energy
restoring hand plate
 3 interchangeable
hand pieces, each
with different
resistance grades
 Client must show:
 35° active wrist
extension with MCPs,
PIPs and DIPs in neutral
 Should be able to
tolerate splint for 6-8
hours
 Purpose: Prevent
contractures and
minimize soft tissue
shortening
SAEBOSTRETCH
 Dynamic resting hand splint
 Low -load, long-duration
stretch (6-8 hours/day)
 Dynamic energy restoring
hand plate
 3 interchangeable hand
pieces, each with dif ferent
resistance grades
 Purpose: Prevent
contractures and minimize
soft tissue shortening
MOVEMENT CRITERIA FOR
SAEBOFLEX AND SAEBOREACH
 Minimum 15° active shoulder movement in any plane
 Minimum 15° active elbow flexion
 ¼ range of active finger flexion (25% of a closed fist)
 Passively position wrist to 15 ° of extension with fingers
straight
 Optimal – 35°
 Some ability to pick up objects with the device
 Patients are NOT required to extend wrist or open fingers
independently
*If the client is an inpatient, there are no active shoulder or
elbow movement requirements.
SAEBOFLEX
 Incorporates hand
function while
supporting the
weakened wrist, hand,
and fingers
 Custom fabricated,
completely mechanical
 Positions the wrist and
fingers in extension
with the use of an
extension spring
system
SAEBOFLEX
Candidates
Goal
 Inability to extend their
fingers
 Allow patients to use
arm functionally
 Inability to straighten
elbow
 Decrease learned
nonuse
 Individuals that are
unable to use their
hand functionally or
cannot open or extend
their fingers actively
 Increase learned use
 Reduce spasticity
 Improve
ROM/strength/control
 Improve Q.O.L.
SAEBOREACH
 Combination of SaeboFlex with a
custom-fabricated above elbow
component
 Elbow extension system assists with
straightening the elbow during
functional reaching
 Dynamic custom fabricated
(EWHFO) Elbow Wrist Hand Finger
Orthosis
Candidates
 Limited shoulder and elbow
movement
 Limited wrist and finger extension
SAEBOREACH
How it works
 The user:
 grasps an object using
his/her volitional flexor
control
 places the objects in the
desired location
 relaxes flexor tone enough
to allow extensor springs to
assist in extending the
fingers and thumb
SAEBO
Saebo products have been proven to increase
the function in a hand exhibiting a
neurologically based deficit
SaeboStretch is worn for long periods of time,
during times of rest
SaeboFlex and SaeboReach are worn only
during functional training with the device
REFERENCES
 Improving Upper Extremity Motor Recovery Following
Neurological Injury, Saebo Course Manual 2012
 Photos courtesy of Google Images, 2014
For more information, visit
www.saebo.com
“Rehabilitating Lives. Empowering Individuals.”