Dynamic splinting devices are spring-loaded and designed to provide a low load, prolonged stretch (LLPS) to joints that have reduced range of motion secondary to immobilization, surgery, contracture, fracture, dislocation, or a number of additional non-traumatic disorders.
Bi-directional static progressive (SP) stretch devices are used for multiple short treatment sessions per day with the joint angle progressively advanced at each session.Patient-actuated serial stretch (PASS) devices provide a low-to-high level load to the joint using pneumatic or hydraulic systems that are adjusted by the patient.
Dynamic low-load prolonged-duration stretch (LLPS) devices for the toe, knee, elbow, wrist, or finger may be considered medically necessary in any of the following clinical settings:
Replacement of soft interface material for dynamic adjustable extension/flexion devices may be considered medically necessary per coverage criteria.
If there is no significant improvement after four months of use, dynamic (LLPS) devices for the toe, knee, elbow, wrist, or finger are considered not medically necessary under any circumstance including, but not limited to, for patients unable to benefit from standard physical therapy modalities because of an inability to exercise.
Dynamic low-load prolonged-duration stretch (LLPS) devices used for all other conditions are considered not medically necessary.
The following devices are considered experimental/investigational. There is a lack of scientific evidence supporting the effectiveness of these devices.
Dynamic splinting is considered experimental/investigational for the following indications (this is not an all-inclusive list):