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Functional Electrical Stimulation and Neuromuscular Rehabilitation Prosthetic and orthotic solutions for an active and independent lifestyle

Functional Electrical Stimulation and Neuromuscular ......It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG ... •omuscular

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Page 1: Functional Electrical Stimulation and Neuromuscular ......It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG ... •omuscular

Functional Electrical

Stimulation and Neuromuscular

Rehabilitation

Prosthetic and orthotic solutions for an active and independent lifestyle

Page 2: Functional Electrical Stimulation and Neuromuscular ......It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG ... •omuscular

Oapl is committed to improving peoples quality of life through offering a comprehensive range of neuromuscular rehabilitation devices.

In this catalogue we offer you a range of premium devices right through to economical options for short term use. If you are not confident prescribing them yourself, oapl has orthotic and prosthetic facilities all around Australia and we are an NDIS registered supplier.

If you need customer service or support or would like more information on any products, please contact our head office located in Rowville, Vic on 1300 866 275 or visit www.oapl.com.au.

Carbon Fibre AFOs 4

Dynamic Walk 6

Foot Drop and Knee Hyperextension 8

Upper Limb 9

Foot Drop Solutions 7

Functional Electrical Stimulation 1 - 3

oapl.com.au

CONTENTS

Page 3: Functional Electrical Stimulation and Neuromuscular ......It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG ... •omuscular

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FUNCTIONAL ELECTRICAL STIMULATION

What can the OmniHi5™ do?With multiple electrodes and a one size fits all arm strap, the device can be worn in many locations to trigger different muscle contractions. Move it closer to the wrist to get more finger movement, or move it closer to the elbow to achieve wrist extension.

OmniHi5™

Designed to improve upper extremity function and active range of motion in patients with hemiplegia or upper limb paralysis. The device is indicated for patients living with limited upper limb function and mild to moderate upper limb tone caused by upper motor neurone syndrome.

How does the OmniHi5™ Work?

The OmniHi5™ is the first upper limb FES device to incorporate surface electromyography (sEMG) to measure muscle activity and react to muscle contraction by stimulating weakened nerves. Electrical stimulation creates a stronger contraction resulting in hand or upper limb movement. It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG and FES. NMES and FES facilitate motor function while individuals use their hand to perform exercises and/or functional tasks. Ipad/Iphone Patient management app makes it easy for clinicians to manage patients, track treatment sessions and document functional progression.

Dynamic Treatment Options Encourage Optimal Outcomes• Neuromuscular and Functional Electrical Stimulation (NMES/FES) promote

re-education and recovery of neural pathways.

• Surface Electromyography (sEMG) enhances evaluation, exercise progressionand participation.

• sEMG Triggered Electrical Stimulation (ETS) and Power Assist Stimulation (PAS)support users during exercise and functional activities.

• Gaming features increase participation by making rehabilitation fun andengaging.

The OmniHi5™ enhances function of the fingers, hand, wrist, arm and shoulder by:• Maintaining or increasing ROM• Decreasing muscle spasms

• Preventing or reducing disuse atrophy

• Promoting neuromuscular re-education

POACode Description Size

H1-1000 OmniHi5 patient kit One size fits most

H1-1007 Cuff strap extender Large forarm > 45cm

Page 4: Functional Electrical Stimulation and Neuromuscular ......It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG ... •omuscular

The WalkAide® II is an advanced functional electrical stimulation (FES) system for the treatment of drop foot. Designed to improve walking for individuals with the inability to safely and effectively clear their toes from the ground, the WalkAide® II uses FES to assist weakened nerves and muscles.

WalkAide II

FUNCTIONAL ELECTRICAL STIMULATION

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With multiple integrated stainless steel electrodes and a one size fits all calf strap*, your inventory is kept lean.

How does it work?The WalkAide® II is an innovative functional electrical stimulation (FES) technology used for rehabilitation in a therapy setting and/or during activities of daily living (ADL). Integrated stainless steel electrodes and Smart Technology with a self programming feature, leverage therapist efficiency allowing more time for the provision of patient care. Beyond its simplicity as a self-programming device, the WalkAide® II can also utilise Bluetooth communication with an iOS or Android application. This extends options for customised programming, manual delivery of stimulation, real-time gait analysis and tracking of compliance or progress.

Features and benefits • Maintaining or increasing ROM• System self-programs in minutes

• Electrodes don’t need replacement

• Device plugs in for charging

• Design is slim and self-contained

• Clothing and footwear aren’t affected

• Barefoot walking is possible, due to no heel switch

• Smartphone app controls adjustments

• Activity mode options include Gait and Training

• Reporting function through app tracks steps walked

• SPLASH PROOF!

*Calf extension strap available

POA$2500WALKAIDE II DEVICECUFF EXTENDER

Code Description Size

25-1000 Walkaide II patient unit One size fits most

H1-1007 Cuff strap extender Large calf > 45cm

Please contact OAPL customer serviceon 1300 866 275 for more information

or a demonstration

Indications

• CVA (Stroke)• Cerebral Palsy• Incomplete Spinal Cord injury

• Multiple Sclerosis

Page 5: Functional Electrical Stimulation and Neuromuscular ......It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG ... •omuscular

FUNCTIONAL ELECTRICAL STIMULATION

WalkAide I

The WalkAide is a battery-operated, single-channel electrical stimulator that can be used to address foot drop with functional electrical stimulation.WalkAide utilises a Tilt Sensor to control stimulation during normal gait which is programmed by the clinician using WalkAnalyst software can be downloaded for free here: https://acplus.com/walkaide

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Indications

Cerebrovascular accident, incomplete spinal cord injury, traumatic brain injury, multiple sclerosis, cerebral palsy.

ContraIndicationsHeart disease, epilepsy, recent surgery, pregnancy, pacemaker, DVT of the leg.

WalkAide Unit includes: WalkAide control unit and electrode Lead Cable.

POA

Code Size Variation Calf Circ.

Unit

20-1000 Walkaide Unit

Cuffs

20-0240 XSmall Paediatric Cuff 190 - 254mm

20-0250 Small Bi Flex Cuff 254 - 381mm

20-0260 Medium Bi Flex Cuff 297 - 432mm

20-0270 Large Bi Flex Cuff 305 - 483mm

Liner

20-0290 Pk 10 Disposable liner

Electrodes

20-0510 1.25 Round Pk 4

20-0531 1.25 Premium Round Pk 4

20-0550 1.875 Premium Round Pk 4

WALKAIDE UNIT

Find our blogswritten by clinicians on:oapl.com.au/blog

Looking for educational material?

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Ypsilon®Flow was designed for your active patients or others who require less resistance or more flexibility. Ypsilon Flow is the AFO of choice for your active patients who need sagittal plane assist. The footplate is engineered to allow the orthosis to adapt to and move with the lower leg with less resistance to ground reaction forces while the proximal ends of the “Y” provide fixation points, eliminating pressure on the tibial crest. Ypsilon®Flow has a heel height of only 7 mm.

Recommended applicationFoot drop with no spasticity to moderate spasticity. Limb proprioception deficit and mild proximal deficit. It is recommended that a foot orthosis should be adhered to the footplate of this device.

ContraindicationsSevere oedema, leg ulcers, moderate to severe spasticity, medial-lateral instability.

OtherInterface and strap included.

YPSILON FLOW

Left Right Size Footplate Length Brace Height

28880-1011 2888-2011 Small 230mm 355mm

28880-1012 28880-2012 Medium 245mm 365mm

28880-1013 28880-2013 Large 270mm 375mm

28880-1014 28880-2014 XLarge 285mm 385mm

CARBON FIBRE AFOs

Range ofMotion

BraceStability

Push OffAssist

SpacticityLevel

BraceFlexibility

To assist in the management of footdrop and ankle instability. Constructed of fibreglass, carbon fibre, and kevlar. Open heel design allows the heel to perform its biomechanical role of shifting from eversion to inversion. The ToeOFF has a heel height between 12-15mm depending on size. The anterior plate assists with knee extension at the mid-stance phase of gait. It is recommended that a foot orthosis should be adhered to the footplate of this device. Straps are included with brace. A SoftKIT or ComfortKIT interface should be ordered with this product.

TOE OFF 2.0

left Right Size Footplate Length Brace Height

28375-1010 28375-2010 XSmall 210mm 360mm

28375-1011 28375-2011 Small 230mm 380mm

28375-1012 28375-2012 Medium 245mm 405mm

28375-1013 28375-2013 Large 270mm 430mm

Page 7: Functional Electrical Stimulation and Neuromuscular ......It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG ... •omuscular

CARBON FIBRE AFOs

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ComfortKIT

Code Description Size Qty

28751XS Comfort kit for Toeoff & Bluerocker 2.0 X-Small 2 Pack

28751S Comfort kit for Toeoff & Bluerocker 2.0 Small 2 Pack

28751M Comfort kit for Toeoff & Bluerocker 2.0 Medium 2 Pack

28751L Comfort kit for Toeoff & Bluerocker 2.0 Large 2 Pack

28751XL Comfort kit for Toeoff & Bluerocker 2.0 X-Large 2 Pack

ComfortKIT is our premium interface for ToeOFF and BlueROCKER. Made with memory foam, it is designed for patients that require added cushioning and a more intimate fit due to the shape of the tibia, skin condition or activity level.

SoftKIT

Code Description Size Qty

28750L Softkit Padding for Toeoff & Bluerocker 2.0 Large 2 Pack

28750M Softkit Padding for Toeoff & Bluerocker 2.0 Medium 2 Pack

28750XL Softkit Padding for Toeoff & Bluerocker 2.0 X-Large 2 Pack

28750XS Softkit Padding for Toeoff & Bluerocker 2.0 X-Small 2 Pack

Provides support for foot and ankle for patients with foot drop. T-Strap pulls the talocrural and subtalar joints laterally to position them back underneath the tibia. Quick and easy to apply: Distal end attaches to bottom of ToeOFF footplate – proximal “T” wraps around ankle and attaches to ToeOFF. Plastazote inner core may be gently heated with dry heat to improve shape and fit. Soft, breathable, yet supportive outer fabric.

Code Description Size

287771000 T-Strap for Toe Off – Left Universal

287772000 T-Strap for Toe Off – Right Universal

T-STRAP

Carbon fibre and Kevlar design, The open heel design allows the heel to perform its biomechanical role of shifting from eversion to inversion. The BlueROCKER has a heel height between 12-15mm depending on size. The anterior plate assists with knee extension at the mid-stance phase of gait. This dynamic ankle foot orthoses is designed to provide extra stability to improve both balance and posture. Developed for patients with more involved pathology in addition to footdrop. Suitable for; bilateral involvement, foot drop resulting from neurological and neuromuscular deficit disorder, such as stroke, multiple sclerosis, post polio or post spinal cord injury, muscular dystrophy and partial foot amputation. It is recommended that a foot orthosis should be adhered to the footplate of this device. Straps are included with brace. A SoftKIT or ComfortKIT interface should be ordered with this product.

Left Right Size Footplate length Brace Height

284051010 284052010 XSmall 210mm 360mm

284051011 284052011 Small 230mm 380mm

284051012 284052012 Medium 245mm 405mm

284051013 284052013 Large 270mm 430mm

284051014 284052014 X-Large 285mm 450mm

Every ToeOFF and BlueROCKER should have a soft interface between the orthosis and the tibial crest. SoftKIT is a padding system that includes two narrow neoprene pads to create a pressure-free channel to help relieve any potential discomfort from bony prominences. Two foam pads are included so one can be worn while the other is laundered.

BlueROCKER 2.0

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DYNAMIC WALK

DYNAMIC WALK

POADUAL UPRIGHT

Dynamic Walk Double Side

Code Description Size Orientation

700111121 Dynamic Walk S Left

700111122 Dynamic Walk S Right

700111141 Dynamic Walk M Left

700111142 Dynamic Walk M Right

700111161 Dynamic Walk L Left

700111162 Dynamic Walk L Right

700111321 Dynamic Walk - Wide Ankle S Left

700111322 Dynamic Walk - Wide Ankle S Right

700111341 Dynamic Walk - Wide Ankle M Left

700111342 Dynamic Walk - Wide Ankle M Right

700111361 Dynamic Walk - Wide Ankle L Left

700111362 Dynamic Walk - Wide Ankle L Right

Dynamic Walk Single Side

Code Description Size Orientation

700113121 Dynamic Walk - Medial S Left

700113122 Dynamic Walk - Medial S Right

700113141 Dynamic Walk - Medial M Left

700113142 Dynamic Walk - Medial M Right

700113161 Dynamic Walk - Medial L Left

700113162 Dynamic Walk - Medial L Right

700114121 Dynamic Walk - Lateral S Left

700114122 Dynamic Walk - Lateral S Right

700114141 Dynamic Walk - Lateral M Left

700114142 Dynamic Walk - Lateral M Right

700114161 Dynamic Walk - Lateral L Left

700114162 Dynamic Walk - Lateral L Right

Padding kits

Code Description Size

700100220 Padding Kit S

700100240 Padding Kit M

700100260 Padding Kit L

700100321 Padding Kit - Left Lateral or Right Medial S

700100322 Padding Kit - Right Lateral or Left Medial S

700100341 Padding Kit - Left Lateral or Right Medial M

700100342 Padding Kit - Right Lateral or Left Medial M

700100361 Padding Kit - Left Lateral or Right Medial L

700100362 Padding Kit - Right Lateral or Left Medial L

POASINGLE SIDE

Custom Dynamic Walks are Now Available.Please contact OAPL customer serviceon 1300 866 275 for more information.

Sizing and Selections

Shoe Size Small Medium Large

U.S. M 4 - 6.5 7 - 10 10.5 - 14

W 5.5 - 8 8.5 - 11.5 12 - 15.5

Europe 35.5 - 38.5 39 - 43.5 44 - 48.5

AustraliaM 3.5 - 6 6.9 - 9.5 10 - 13.5

W 4 - 6.5 7 - 10 10.5 - 14

Length 9.1 in. (23mm)

9.8 in. (25mm)

10.6 in. (27mm)

Height 12.6 in. (23mm)

13.4 in. (34mm)

14.6 in. (37mm)

Regular Ankle Width (Only appears to dual upright version)”

2.7 in.

6.8mm

2.9 in.

(7.3cm)

3.2 in.

(8.1cm)

Wide Ankle Width (Only appears to dual upright version)”

2.9 in. (7.3cm)

3.2 in. (8.1cm

3.5 in.

(8.9cm)

The Dynamic walk is designed to allow people with dorsiflexor paresis or paralysis toconfidently regain their stride. Whether their goal is to walk, hike, jog or play, theDynamic Walk’s flexible dorsi assist joints allow them to move freely. Featuring a heat mouldable (TFC) trimmable calf band and footplate, the Dynamic Walk ensures acomfortable fit every time. This high activity design enables freedom of motion and allows for walking, running, and climbing stairs.

• High quality dorsiflexion assist technology• Lightweight• High strength• Fits easily into normal or narrow shoes

• Flexible for multi-plane action• Dynamic medial/lateral control• Enables athletic activity such as

moderate running

Page 9: Functional Electrical Stimulation and Neuromuscular ......It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG ... •omuscular

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Soft leather cuff, which Velcros around ankle and attaches to forefoot to assist dorsiflexion

Kit Includes• Leather Ankle Cuff• 2 Latex Bands

• 4 Steel Hooks

• 1 Monohook

DICTUS BAND

FOOT DROP SOLUTIONS

*Monohook and latex bands also available in “Natural” colour

Code Size Colour Ankle Circ.

530200-002 Child Black 12 - 17cm

530500-003 Medium Black 15 - 20cm

530500-004 Large Black 20cm - 30cm

530201-000 Child Natural 12 - 17cm

530201-010 Medium Natural 15 - 20cm

530201-020 Large Natural 20cm - 30cm

Code Description

530100-041 Dictus Band latex Bands (Pair)

530100-003 Dictus Band Spring Steel Hooks (Pack Of 2)

530100-002 Dictus Band Monohook Black

Additional orreplacement bandsand hooks can bepurchased separately.The Monohook is anoption for anchoring theband to the shoe whereeyelets are not available.

DICTUS ACCESSORIES

A midfoot cuff compatiblewith the Dictus Band forshoeless dorsiflexion assist.

*This item is an accessory:It can only be purchasedseparately and must beused in conjunction withthe Dictus Kit.

DICTUS SHOELESS UPGRADE

Code Description

530600-003 Dictus Indoor Midfoot Cuff (Black): left Foot

530600-004 Dictus Indoor Midfoot Cuff (Black): Right Foot

Navigait is an alternative for users with a mild foot drop. The amount of dorsiflexion is easily adjusted with an elastic coil to accommodate the user’s specific needs.

IndicationsIntended to support a foot when theability to actively dorsiflex is reduceddue to conditions such as Stroke,Multiple Sclerosis, Post-Polio Syndrome.

ContraindicationsNavigait should not be used bypatients who present with spasticityor severe oedema.

NAVIGAITCode Size

284100011 Navigait AFO - Small/Medium

284100013 Navigait AFO - Large/Xlarge

284120011 Extra Strap/Coil - Small/Medium

284120013 Extra Strap/Coil - Large/Xlarge

284150011 Navigait 4 Foot Small 21-23 cm

284150012 Navigait 4 Foot Medium 23-26 cm

284150013 Navigait 4 Foot Large 26 -29 cm

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FOOT DROP AND KNEE HYPEREXTENSION

A polypropylene posterior shell with velcro closure proximally, designed to limitplantar flexion whilst allowing dorsiflexion. Able to be heat moulded at time offitting.

LEAF SPRING POLYPROPYLENE AFO

Open heel design limits plantarflexion & provides heel stabilisation withoutaffecting dorsiflexion. The perfect interim AFO for inpatient use and low activitylevel definitive use. Toe can be trimmed with scissors

SUPRA-LITE AFO

left Right Size Mens Womens

8250 8255 S Up to 4

8251 8256 M 3.5 - 5.5 4.5 - 6.5

8252 8257 L 5.5 - 8 6.5 - 8.5

8253 8258 XL 8 + 8.5 +

Code Orientation Size Length

13020 Left S 24cm

13021 Right S 24cm

13022 Left L 28cm

13023 Right L 28cm

CROSS HYPEREXTENSION KNEE BRACINGFunctional and Patient Friendly Hyperextension Control Knee Orthosis

• Effective hyperextension control with or without an AFO.

• The only HYPEREXTENSION KNEE ORTHOSIS designed specifically to be worn with an Allard AFO.

• Thin, breathable, lightweight material for user comfort.

• Unique construction of the wide upper cuff keeps the orthosis open so foot and leg slide easilyinto the brace.

• User can easily grasp the wide cuff and pull orthosis up and adjust so patella opening is properlylocated over the knee.

• Ultra-smooth low friction liner with no visible seams.

• Provides protective “layer” between the outer material and the skin.

• Helps orthosis glide easily over the foot and up over the knee. The unique CROSS™ donning aid,included with each CROSS™ orthosis makes it possible for:

• Users with limited balance to don the orthosis by themselves while in the seated position.

• Users with hemiplegia or limited hand dexterity to apply with one hand.

• The donning aid is easily inserted into an opening in the posterior semi-rigid thigh cuff (locationeasily identified with a grey binding tape.

• When all straps are released, the orthosis is pulled on with the hyperextension strap facing front.

• Once the sleeve is pulled over the foot, the smooth fabric liner makes it easy to turn the orthosisand pull up the leg until the patella opening is properly located over the knee.

Code Size Circ (15 cm below knee) Circ (mid patella) Circ (15cm above knee)

287150011 S 31 - 37 cm 32 - 37 cm 39 - 44 cm

287150012 M 35 - 41 cm 36 - 41 cm 43 - 48 cm

287150013 L 39 - 45 cm 40 - 45 cm 47 - 52 cm

287150014 XL 43 - 49 cm 44 - 49 cm 51 - 57 cm

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UPPER LIMB

Smart Orthotic Treatment is a resting splint for the spastic and paretic hand, when the goal is to maintain or increase the mobility ofthe hand. The orthosis is smooth and lightweight. The S.O.T has an aluminium core which allows adjustment to the desired position.The brace is delivered in a resting position. A resting position can offer pain relief, relaxation to the hand and it also provides a goodbiomechanical position that may reduce the risk of flexor shortening of the wrist and fingers. Accessories are available to seperate fingers for hygiene, control wrist flexion and assist metacarpalphalangeal extension.

S.O.T RESTING BRACE

A plastic palmar support with dorsal velcro closures, to maintain a resting position of the wrist, hand and thumb. The fingers and thumb are held in a comfortable, slightly flexed position, the device is adjustable to achieve desired position.

FUNCTIONAL RESTING SPLINT

Code Orientation Size

S.O.T Resting Wrist Splint

28710-LXXS Left XX Small

28710-LXS Left X Small

28710-LS Left Small

28710-LM Left Medium

28710-LL Left Large

28710-RXXS Right XX Small

28710-RXS Right X Small

28710-RS Right Small

28710-RM Right Medium

28710-RL Right Large

S.O.T Wrist Brace MCP Wedge

Comfortably extend metacarpals and fingers in resting position

28711-L Large

28711-S Small

Code Orientation Size

S.O.T Wrist Brace Finger Divider

Comfortably divide fingers in resting position

287120003 Paed

287120005 Medium

287120007 Large

S.O.T Wrist Control Strap

Control strap to minimise wrist flexion

287130009 XXXS-XS

287130012 S-L

S.O.T Wrist Brace Extra Cover

Velcro tabbed compressive soft lining for resting splints

28714-LL Left Large

28714-LM Left Medium

28714-LS Left Small

28714-RL Right Large

28714-RM Right Medium

28714-RS Right Small

Code Size Orientation Palm Width

35360 S Left Up to 170mm

35361 M Left 170 - 190mm

35362 L Left 195 - 220mm

Code Size Orientation Palm Width

35365 S Right Up to 170mm

35366 M Right 170 - 190mm

35367 L Right 195 - 220mm

Page 12: Functional Electrical Stimulation and Neuromuscular ......It is a wearable rehabilitation tool used to address the fingers, hand, wrist, arm and shoulder through NMES, sEMG ... •omuscular

WHOLESALE SALES

Orthopaedic Appliances Pty Ltd29 South Corporate Avenue,Rowville Vic 3178

T: 1300 866 275 (1300 TO OAPL) F: 1300 627 539 (1300 OAPL FX) E: [email protected]

Visit our online shop atshop.oapl.com.au

*Prices do not include GST.Orthopaedic Appliances Pty Ltd reserves the right to make any amendmentsand/or variations to this product or pricing without notice.