JAS range of devices
All JAS devices are designed to be easy to apply, comfortable to wear, and simple to use. JAS device technology enables total patient control of their ROM therapy. Patient compliance directly equates to better results and successful rehab outcomes. Watch Jane's story of her total knee replacement and her JAS journey, post-op, to date:
The start of Jane’s knee journey
Jane’s product review
What is Static Progressive Stretch (SPS)?
Static Progressive Stetch utilises the application of stress relaxation loading in a series of positional (displacement) changes. Stress relaxation applies a stretching load to a visco-elastic material (connective tissue) to reach the displacement of a desired resistance. That displacement is held constant, so over time the connective tissue in a joint stretches and resistive loads drop (laxity. Once desired resistance is achieved, the new displacement is held constant until resistive load drops again.
What is Stress Relaxation and Low-Load Stretch?
Stress Relaxation and Low-load Stretch is defined as the reduction of forces over time in a material that is stretched and held at a constant length. This is the very same force load that forms the basis for manual physical therapy stretching techniques and the decades-old turnbuckle orthotic correction techniques. These are used to apply stress relaxation loading using low intensity force to position a joint at its end range and to hold joint tissues at their maximal therapeutic length.
As tissues lengthen in response to the applied stress, the device is adjusted to position the joint tissues at their new maximal therapeutic length. This process is repeated several times during a treatment session, and sessions are performed three times daily to achieve steady increases in joint ROM.
When to initiate JAS therapy
What factors contribute to ROM deficit?
"Arthrofibrosis is a fibrotic joint disorder characterised by excessive collagen production and adhesions that result in restricted joint motion and pain. It can occur in most joints and is referred to by a number of names, including frozen shoulder, adhesive capsulitis, joint contracture, stiff knee and stiff elbow. Sterile arthrofibrosis is typically caused by chronic or repetitive injury or surgery that leads to a dysregulated immune reaction and fibrosis in and/or around the joint to varying degrees. The fibrotic scar tissue that forms in the joint is known as extracellular matrix (ECM) and is primarily composed of collagen."
Pathological mechanisms and therapeutic outlooks for arthrofibrosis - Kusha et al: Nature - Bone Research (2019) 7:9
JAS should be used before further surgery or an MUA
What does the patient need to do for pain free stretch?
JAS devices allow patients total control in carrying out their ROM therapy. Because patients control the intensity of stretch, muscle guarding is virtually eliminated. The patient is to wear the JAS device at rest and the recommended timings are for 3 x 30-minute sessions per day.
- Rotate therapy knob until a gentle, pain-free stretch is felt.
- Attempt to achieve Level 2-3 on stretch intensity scale of 1-10 (1 = no stretch | 10 = painful stretch).
- Hold stretch position for 5 minutes. Before turning the knob, re-assess stretch level:
- If stretch has decreased, rotate knob until you feel a level 2-3 stretch again.
- If stretch intensity has not changed, leave in same position.
- If stretch has increased, rotate knob in opposite direction until a level 2-3 stretch is felt.
- Hold the stretch for another 5 minutes.
- Repeat process for 6 stretches to complete a 30-minute therapy session.
How to apply and use:
- Sit in a comfortable position.
- Open all hook and loop fabric straps on the device.
- Adjust arc of the device to match the starting position of your comfortable range of motion.
- Place your limb in the device with the affected joint centred over the proper marker on the device.
- Secure all hook and loop fabric straps to ensure snug fit.
- Perform JAS therapy as above.
Adult and paediatric range
JAS devices are available for all of the following joints:
JAS GL Knee Extension, offers:
A no-compromise approach to Range of Motion (ROM) therapy - 48 degree flexion, 36 degree hyperextension - in a lightweight, easy-fit device reinforced for additional durability.
JAS GL Knee Flexion, offers:
A no-compromise approach to Range of Motion (ROM) therapy - 50 degree flexion, 148 degree flexion - in a lightweight, easy-fit device reinforced for additional durability.
JAS GL Elbow, offers:
Full range, bi-directional Range of Motion (ROM) therapy - 167 degree flexion, 15 degree hyperextension - in a lightweight, low profile device reinforced for additional durability.
JAS GL Shoulder, offers:
Full range, multi-plane Range of Motion (ROM) therapy - 100 degree external rotation, 90 degree internal rotation and 90 degree abduction - in a lightweight, low-profile device reinforced for additional durability.
JAS GL Finger, offers:
Full range, bi-directional PIP Range of Motion (ROM) therapy - 100 degree flexion, 10 degree hyperextension - in a lightweight, low-profile device reinforced for additional durability.
JAS GL Pro/Sup, offers:
Full range, bi-directional Range of Motion (ROM) therapy - 110 degree pronation, 130 degree supination - in a lightweight, low-profile device reinforced for additional durability.
JAS GL Wrist, offers:
Full range, bi-directional Range of Motion (ROM) therapy - 90 degree flexion, 90 degree extension - in a lightweight, low-profile device reinforced for additional durability.
JAS GL Ankle, offers:
Full range, bi-directional Range of Motion (ROM) therapy - 40 degree dorsiflexion and 52 degree plantar flexion - in a lightweight, low-profile device reinforced for additional durability.
JAS GL Toe, offers:
Full range, bi-directional ROM therapy for the great toe, from 90 degree dorsi-flexion to 45 degree plantar-flexion in a lightweight, simple-to-use device reinforced for additional durability.
JAS Paediatric range of devices
JAS Paediatric Elbow
- 145 degree flexion
- 15 degree hyperextension
JAS Paediatric Wrist
- 94 degree flexion
- 94 degree extension
JAS Paediatric Pro/Sup
- 110 degree pronation
- 130 degree supination
JAS Paediatric Ankle
- 43 degree dorsiflexion
- 50 degree plantarflexion
JAS Paediatric Knee
- 143 degree flexion
- 52 degree hyperextension
Features and benefits of JAS
JAS devices offer full-range, bi-direction Range of Motion (ROM) therapy in a lightweight, low-profile design, reinforced for additional durability and offers a greater arc of motion than any other brand of stretch device.
Restoration of joint ROM is a critical first step in the rehabilitation process for all patients. Tissue changes happening post-surgery and through the proceeding three months is the ideal time period for JAS therapy. The earlier you address tissue changes, the faster you will reverse it.
- Anatomically correct arc of motion
- Lightweight, easy to apply and simple to use
- Fulcrum positioned away from the joint
- 30-minute treatment sessions
- Patient-controlled, infinitely adjustable ROM
- Stimulates manual stretch
- Bi-directional ROM provided in all devices except the adult knee
- Precision fit
- Delivers optimal stretch loads through entire ROM
- Promotes excellent patient compliance
- Eliminates joint compression and pain
- Dramatically reduced treatment time ensures high patient compliance
- Assures precise and pain-free end-range stretch eliminates muscle guarding
- Provides clinic-quality stretch in the home setting
- Saves cost: full-range stress relaxation therapy in one device
- Optimal comfort and accurate stretch eliminates risk of skin breakdown
Measurement and Order Forms
Each device is assembled to order and you will need to take the measurements, depending on which column is relevant to you.
Click here to download the Upper and Lower Extremity Device Measuring and Order Form.
Please contact our medi Customer Service department for advice on products, best practices or questions.
As soon as a patient is cleared for passive stretching post injury or surgery, it is safe to add a home program of SPS therapy.
Research shows that ideal time to apply low load prolonged stretch is during the adaptive phase of wound healing, or within 90 days post trauma. Collagen fibres are most responsive to remodelling forces such as SPS in this time period. With that in mind JAS ROM therapy should be started as soon as a delay in achieving ROM gains is recognised.
Static Progressive Stretch safely restores joint motion using the physiotherapy principle of low-load graduated stretch.
By turning the ROM knob, the joint is moved to a pain-free stretched position and held there for several minutes, to allow for the surrounding tissues to relax and lengthen. This process is repeated several times to complete SPS treatment session.
Once your doctor has cleared you to begin passive stretching, and after 2-4 weeks of physiotherapy treatment, if you are not making expected gains in joint ROM.
JAS 30-minute sessions can be done any time of day, when and where it is convenient for the patient. It is important that the patient is inactive and relaxed, such as watching TV, at the computer or lying-in bed.
Simply dial down the pressure and continue with pain-free stretch.
Dial up the pressure slightly during sessions, to ensure you are getting adequate level of stretch.
*30+ peer-reviewed studies definitively show that JAS SPS therapy, providing low load stretching forces, are effective at restoring ROM in a wide variety of conditions, including knee arthrofibrosis. These studies absolutely disprove claims that effective therapy for stiff fibrotic joints can only be achieved with high torque, short duration stretch devices. JAS products provide safe and effective ROM restoration for all levels of joint stiffness.