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Upper Extremity System for Pediatric Hemiplegia
UpEx Hemiplegia System 
Reimbursement Guidelines

Product Information Sheet


The UE System for Pediatric Hemiplegia is designed for application to a single shoulder and arm, and to support the clinical objectives of managing or correcting various malalignments of the torso, scapula, shoulder, elbow, and forearm.

The TankTop provides a stable, Velcro®-sensitive surface area to attach strapping selected by the clinician. The Pelvic Anchor secures the TankTop against riding up, and increases the Velcro®-sensitive surface area for attaching postural alignment strapping.

Indications/Applications
  • Hemiplegic UE shoulder and elbow dysfunction
  • Flexible thoracic kyphosis/ lumbar lordosis
  • Scapular instability or malalignment
  • Inadequate scapulo-humeral disassociation
  • Shoulder protraction or retraction
  • Mild to moderate shoulder subluxation
  • Flexible forearm pronation
System Contents
2 TankTops
2 Pelvic Anchors
6 Limb Cuffs
2 Short Stretch Straps
2 Stiff Straps
3 Rotation Straps
3 Long Stretch Straps
7 Split Straps
2 Sheets Double-Gripper Velcro©
Size-appropriate tabs
Marker dots
Donning, fitting, and strapping instructions

System Sizes
Model No. Description
#106 Infant: 15-25 lbs
#206 Pre-School: 25-45 lbs
#306 Pediatric: 45-65 lbs
#406 Adolescent: 65-110 lbs