Dynamic Splinting vs Serial Casting

Dynamic Splinting

Dynasplint® System’s LLPS technology promotes permanent soft tissue range of motion gains, functional improvement and tone management with regular use.1

Very few contraindications—safe and appropriate for most neurological diagnoses, as well as burns, hemophilia and diabetes (not appropriate for DVT or unstable fractures).

Individualized wearing schedules based upon patient needs and tolerance. Worn up to a maximum of 6-8 continuous hours per day or night.

All Dynasplint® Systems are easily removable- lined with lambs wool and foam to protect skin integrity, and to prevent skin breakdown or nerve impingement.

Easy application. Practical and cost effective. One fitting by a Dynasplint® Systems sales consultant with occasional follow-up visits for minor adjustments when necessary.


Serial Casting

Increased tone and spasticity, or contracture can return when casting procedure has ended. Possible loss of functional gain.

Many contraindications and inappropriate for many people—diabetics, broken or healing skin, hot and swollen joints, vascular disease, sensory loss and excessive sweating.2 3

Usually worn 24 hours per day until casting procedure ends.

Complications can include nerve impingement and skin breakdown—possibly leading to hospitalization, wound care, skin grafts and/or amputation. 3

Can be labor intensive and time consuming.3 Requires high degree of skill with material readily available. Can be expensive due to repetitive efforts over many years.

The neurological patient is an excellent candidate for Neurological Dynasplint® Systems. Dynasplint® Systems direct a low-load, prolonged-duration stretch (LLPS) directly across the joint axis using a bilateral tensioning system. LLPS has been used successfully for over 50 years to treat joint stiffness and limited range of motion caused by shortened connective tissue. The bilateral dynamic tensioning system safely accommodates the patient’s tone; moving with the patient during episodes of resistance or spasms. It constantly seeks the patient’s available end range of motion and continues to gently stretch the joint.

Dynasplint® Systems can be beneficial for both existing contracture patients, as well as those new tone patients in need of early intervention. Early application of Dynasplint® Systems can prevent contractures from forming and help maintain range of motion for the future. Used as an adjunct to occupational and physical therapy, Dynasplint® Systems have been proven to significantly improve patient
outcomes.1 4


1. MacKay-Lyons M: Low-Load Prolonged Stretch in Treatment of Elbow Flexion Contractures Secondary to Head Trauma: A Case Report, Physical Therapy, Vol. 69, No. 4:292-296, april 1989.
2. Botte MJ, et al: Spasticity and Contracture, Physiologic Aspects of Formation, Clinical Orthopaedics and Related Research, No. 233, pagina 7-18, augustus 1988.
3. Lebmkubl LD, et al: Multimodality Treatment of Joint Contractures in Patients with Severe Brain Injury: Cost, Effectiveness, and Integration of Therapies in the Application of Serial/Inhibitve Casts, Journal of Head Trauma Rehabilitation, pagina 23-42, december 1990.
4. Hepburn GR: Case Studies: Contracture and Stiff Joint Management with Dynasplint. The Journal of Orthopedic and Sports Physical Therapy, Vol 8. no 10:498-504, april 1997.
Gracies JM: Pathophysiology of Impairment in Patients with Spasticity and Use of Strech as a Treatment of Spastic Hypertonia, Physical Medicine en Rehabilition Clinics of North America, Vol. 12, no 4:pagina 747-768, november 2001.
MchPherson JJ, Becker AH: Dynamic Splint to Reduce the Passive Component of Hypertonicity. Archives of Physcial Medicine and Rehabilitation, Vol. 66, pagina 249-252, april 1985.