disputed . relevant discussion may be found on the talk page . please do not remove this message until conditions to do so are met . october 2013 learn how and when to remove this template message dynasplint systems incorporated type privately held founder george r. hepburn pt headquarters stevensville maryland production facility severna park maryland area served usa canada netherlands germany products dynamic splinting range of motion rehabilitation equipment number of employees 150 divisions orthopedic neurological carpal tunnel jaw veterinary international website www.dynasplint.com dynasplint systems incorporated dsi is a company that designs manufactures and sells dynamic splints that are used for range of motion rehabilitation . the corporate headquarters are located in severna park maryland and it is considered a major employer in anne arundel county . 1 products are made in the usa in stevensville maryland . there is a national sales force throughout the us as well as a presence in canada and europe . 2 contents 1 background 2 current uses 2.1 orthopaedic diagnoses 2.2 neurological diagnoses 3 treatment 3.1 types of splints 3.2 treatment protocol 4 veterinary division 5 community outreach 5.1 educational outreach 5.2 dynasplint cares 6 references 7 external links background edit dynasplint was founded in 1981 by physical therapist george r. hepburn pt and is the pioneer and recognized market leader in dynamic splinting . the need was recognized for longer periods of stretching to keep range of motion rom gains made in therapy and to make further gains to resolve joint stiffness . in 1981 the dynasplint was conceived to continue the work of the physical therapist at home . this spring loaded dynamic splint is worn at rest for six to eight hours at a time and employs adjustable low load prolonged duration stretch technology llps to achieve a permanent change in shortened connective tissues . 3 conversely when a joint is stretched quickly by high intensity short duration hisd some range of motion may be gained but rebounding will occur . 4 current uses edit the appropriate patient for dynamic splinting has structural changes in the joint capsule such as shortened muscles ligaments tendons and skin as well as those who have adhesion formation . 5 if passive range of motioned has been prescribed then dynamic splinting may commence . dynamic splinting is contraindicated if there is an unstable fracture deep vein thrombosis dvt or a bone to bone end feel . orthopaedic diagnoses edit in most orthopaedic cases a trauma surgery or condition paired with immobilization that has resulted in a loss of range of motion and joint stiffness . common orthopaedic diagnoses are frozen shoulder distal radius fracture such as colles fracture hallux rigidus or limitus 6 acl reconstruction plantar fasciitis 7 total knee replacement 8 open reduction internal fixation external fixation rheumatoid arthritis dupuytren s contracture fracture burn rotator cuff tear achilles tendon rupture bunion surgery recovery carpal tunnel syndrome temporomandibular joint disorder tmj disorder or trismus which is an involuntary contraction of the jaw muscle causing a restriction of the mouth opening often seen in head and neck cancers . 9 neurological diagnoses edit neurological disorder patients may have sustained trauma to the brain or a disease such as multiple sclerosis cerebrovascular accident cva or stroke traumatic brain injury tbi and cerebral palsy and resultant toe walking . the spring loaded tension system safely accommodates a patient s tone and spasticity by moving with the patient during episodes of resistance or spasms . when tone is challenged with a consistent even force that fatigues the muscle and mentally relaxes the patient the spring tension systems then bring the patient back to their end range to continue a low load prolonged duration stretch llps . 10 additional neurological diagnoses include spinal muscular atrophy sma arthrogryposis muscular dystrophy md parkinson s disease hypertonic muscle spasm pierre robin malformation treatment edit types of splints edit there are more than eighty dynasplint systems that stretch in extension and flexion of the elbow wrist hand finger knee and toes as well as dorsiflexion and plantarflexion of the foot and ankle supination and pronation of the forearm internal rotation and external rotation of the shoulder as well as abduction and adduction of the fingers and toes . sizes are available from infant to extra large adult and are individually fit by consultants . treatment protocol edit while each patient is different the average course of treatment is 3 to 4 months for an orthopedic case and 8 months to a lifetime for a neurological patient . a physician orders a dynasplint and the patient is individually fit at either the doctor s office physical therapy appointment or in the residential facility . the splint is used at rest or overnight . the biomechanically correct tensioning is adjusted on both sides as range of motion gains occur . time spent at end range vs. rapid increase in tension force allows for permanent length change . 8 veterinary division edit the equine camelid and small animal dynasplint systems aids in treating congenital and acquired angular and flexural deformities . congenital deformities are present at birth and acquired deformities develop at some stage of the growing period . acquired deformities manifest differently depending on the age of the horse . 11 the equine dynasplint systems are also being integrated into treatments for laxity and suspensory ligament injuries . suspensory ligament injuries are common in athletic horses . the suspensory apparatus includes the suspensory ligament that extends down from the back of the knee to the fetlock joint the two sesamoid bones at the back of the fetlock joint and the various ligaments connecting these bones to each other and to the pastern bone . these structures are crucial for supporting the horse s weight and acting as shock absorbers for the leg . 12 community outreach edit educational outreach edit the george r. hepburn dynasplint endowed professorship in physical therapy and rehabilitation science was established on september 22 2004 and is the first endowed professorship for physical therapy within the university of maryland school of medicine . the funds associated with the professorship serve to guarantee the ongoing operation of the department of physical therapy and rehabilitation sciences by providing a permanent resource that is dedicated to this program . dynasplint cares edit dynasplint cares is the community outreach effort of dynasplint systems whose purpose statement is to help restore people business and life the way it ought to be . activities are chronicled on dynasplint.org and benefit environmental projects military medical research and community needs . references edit maryland department of labor licensing and regulation 2006 . dllr s division of workforce development and adult learning . retrieved 2010 10 26 . business week profile mcclure p ; blackburn l. ; dusold c. 1994 . the use of splints in the treatment of joint stiffness biologic rationale and an algorithm for making clinical decisions pdf . physical therapy . 74 12 1101 1107 . pmid 7991651 . retrieved 1994 12 01 . check date values in access date help tan jackson c. 2006 . practical manual of physical medicine and rehabilitation . retrieved 2010 10 26 . blue cross of idaho 09 08 . stretching devices for the treatment of joint stiffness and contracture mp 1.01.100 . retrieved 2010 10 26 . check date values in date help berner s ; willis f. 2010 . dynamic splinting in wrist extension following distal radius fractures . journal of orthopaedic surgery and research . 5 53 53 . doi 10.1186 1749 799x 5 53 . pmc 2924302 . pmid 20691093 . retrieved 2010 08 06 . sheridan l ; lopez a. ; perez a. ; john m. ; willis f. ; shanmugam r. 2010 . plantar fasciopathy treated with dynamic splinting a randomized controlled trial . journal of the american podiatric medical association . 100 3 161 165 . doi 10.7547 1000161 . pmid 20479445 . a b finger e ; willis f. 2008 . dynamic splinting for knee flexion contracture following total knee arthroplasty a case report . cases journal . 1 421 . doi 10.1186 1757 1626 1 421 . pmc 2615769 . pmid 19113998 . shulman d ; shipman b. ; willis f. 2009 . treating trismus with dynamic splinting a case report . journal of oral sciences . 51 1 141 144 . doi 10.2334 josnusd .51.141 . pmid 19325212 . retrieved march 2009 . check date values in access date help lundequam p ; willis f. 2009 . dynamic splinting home therapy for toe walking a case report . cases journal . 2 188 . doi 10.1186 1757 1626 2 188 . pmc 2783143 . pmid 19946498 . trotter dvm ms gayle w. flexural deformities . retrieved 2010 10 26 . smith thomas heather june 1 2002 . treating suspensory injury . the thoroughbred times . june 2002 . retrieved 2010 10 26 . external links edit dynasplint systems inc. dynasplint cares retrieved from https en.wikipedia.org w index.php title dynasplint systems & oldid 727719117 categories health care companies of the united statesmedical equipment manufacturersprivately held companies based in marylandcompanies based in anne arundel county marylandhidden categories cs1 errors datesnpov disputes from october 2013all npov disputes navigation menu personal tools not logged intalkcontributionscreate accountlog in namespaces article talk variants views read edit view history more search navigation main pagecontentsfeatured contentcurrent eventsrandom articledonate to wikipediawikipedia store interaction helpabout wikipediacommunity portalrecent changescontact page tools what links hererelated changesupload filespecial pagespermanent linkpage informationwikidata itemcite this page print export create a bookdownload as pdfprintable version languages add links this page was last modified on 30 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