Sizing and Tips

Quick Reference Guide For Sizing The Bamboo Brace

The Bamboo Brace is available in 5 sizes and is designed to cover the area from the bend of the elbow joint to about halfway to the underarm (axilla) and about halfway to the wrist.

Brace Size Infant/Toddler (XS) Preschool (S) Early Grade School (M) Adolescent (L) Teen (XL) / Adult
Approx. Age Range

 

 2-3 mos. to about 18 mos. 18-20 mos. to about 3.0 yrs. 3.5 yrs to about   8-9 yrs 9-10 yrs to about 15-18 yrs 13-15 yrs +
Maximum arm circumference

 

   7.5” 7.5” 9.75” 11.5” 14.5”
Space needed above elbow before underarm

 

   2” 3” 4” 5” 6-7”
Space needed below the elbow above the wrist    2” 3” 4” 5 6-7″

Detailed Guide For Sizing The Bamboo Brace


The Bamboo Brace – Infant/Toddler (XS)

Age Range: 2-3 months – about 18-20 months

Specs: 4.0″ long x 8.0″ in girth (wrap-around) x 1.5mm thick

Recommendations: The child should have 2″ of space above the elbow before the underarm and below the elbow before the wrist. To ensure a secure fit and performance, we recommend 3/4″ as the minimum amount of overlap on the wrap-around portion.

Notes: In infants to young toddlers with lower muscle tone/weakness (i.e. Down syndrome, Prader-Willi syndrome) the Infant/Toddler (XS) brace can be worn in children as old as 2 years. However, if your child has significant spasticity (i.e. cerebral palsy) and is on the older end of the suggested age range, consider purchasing a Preschool (S) brace.

 

The Bamboo Brace – Preschool (S)

Age Range: 18-20 months – about 3.0 years

Specs: 5.5” long x 8.0” in girth (wrap-around) x 1.5mm thick

Recommendations: The child should have 3″ of space above the elbow before the underarm and below the elbow before the wrist. To ensure a secure fit and performance, we recommend 3/4″ as the minimum amount of overlap on the wrap-around portion.

Notes: The Preschool (S) size is very effective on a wide-range of children. It is a sound selection if your child is growing out of toddlerhood and is of average size for their age. As noted previously, we highly recommend you avoid bracing the entire length of the arm if possible (underarm to wrist). Consider purchasing the Early Gradeschool (M) size for children approaching 4 years in cases of spasticity (i.e. cerebral palsy) or in children who have a very strong, determined urge to interact with the head, neck and face in unwanted fashion.


The Bamboo Brace – Early Gradeschool (M)

Age Range: About 4 years – 8-9 Years

Specs: 7.25” long x 10.25” in girth (wrap-around) x 3.0mm thick

Recommendations: The child should have 4″ of space above the elbow before the underarm and below the elbow before the wrist. To ensure a secure fit and performance, we recommend 3/4″ as the minimum amount of overlap on the wrap-around portion.

Notes: The Early Gradeschool (M) brace is a good option for many 3-4 year-olds through 9 year olds. There are some larger 3-year-olds especially those with a significant amount of spasticity at the elbow, (such as spastic quadriplegia/spastic diplegia cerebral palsy) who will also do well with this size as long as they have at least 4” of space above and below the elbow. The Early Gradeschool (M) size is also a favorite for younger girls with Rett syndrome, as well as children with autism and other genetic diagnoses where it helps deter mouthing, hand wringing and facial interaction.

 

The Bamboo Brace – Adolescent (L)

Age Range: 9-10 years – about 15-18 years

Specs: 9.0” long x 12.0” in girth (wrap-around) x 3.0mm thick

Recommendations: The child should have 5″ of space above the elbow before the underarm and below the elbow before the wrist. To ensure a secure fit and performance, we recommend 3/4″ as the minimum amount of overlap on the wrap-around portion.

Notes: The Adolescent (L) size is designed for children in the later stages of gradeschool to those middle teen years. A full 5” above and below the elbow is recommended for this size and nearly full passive range of motion is helpful in determining its effectiveness in rehab situations as opposed to a contracture management tool.


The Bamboo Brace – Teen (XL) / Adult

Age Range: 14-15 years – adult

Specs: 10.5” long x 15.0” in girth (wrap-around) x 3.0mm thick

Recommendations: The person should have 6-7″ of space above the elbow before the underarm and below the elbow before the wrist. To ensure a secure fit and performance, we recommend 3/4″ as the minimum amount of overlap on the wrap-around portion.

Notes: The Teen (XL) / Adult is the newest addition to our product line and is designed for children in the middle to later teenage years to through adulthood. A full 6-7” above and below the elbow is recommended for this size and nearly full passive range of motion is helpful in determining its effectiveness in rehab situations as opposed to a contracture management tool.

TIPS

It’s an elbow brace, but pay attention to the strength and control gains at the shoulder and core which have a very positive effect on function.

Through the dynamic realignment of the elbow, The Bamboo Brace actually helps produce excellent functional gains at the shoulder and core muscles .  Spastic elbow patterns do not just prevent the elbow from functioning; they also shut down the independent motor control at the shoulder and the trunk as well as the wrist and hand.

Neurodevelopmentally its is more functionally beneficial for all of the joints in our bodies to be able to move either independently or in unison (synergy) with each other depending on what we are trying to accomplish.  This is how the functional movement that we often take for granted is so easily achieved such as eating a sandwich or throwing a ball.  However in many of our children they cannot move the elbow independently of the shoulder or the shoulder independently of the core.

By choosing to brace and realign at the elbow we help create the ability for the children to begin learning to move the shoulder without as much elbow interference and with this newfound freedom the dissociated movement continues between the shoulder and the trunk and so forth.  We simply choose the elbow because it is the easiest joint with which to begin.

Initially when we dynamically brace at the elbow we will unmask a great deal of shoulder weakness because the shoulder is not accustomed to working without the elbow tagging along.  With this in mind it is often helpful to support the arms (not overworking the shoulder against gravity) by playing or practicing seated at a table or highchair in smaller children. This horizontal type play (we call abduction and adduction of the shoulder) along the top side of a surface while braced,  allows the shoulder to begin to gain strength in a side-to-side fashion before we place the requirements to lift it against gravity and play horizontally at the same time.  As the shoulder becomes stronger the children will then be able to use the Bamboo Braces in many different and varied positions and can wear them for longer periods during the day.