~3.5 years – 8-9 years
7.25 ins (18.5 cm) long x 10 ins (25.5 cm) in wrap around girth x 3.0 mm thick
The child should have about 9.5 ins (24 cm) of length from the beginning of the underarm to the wrist. To ensure a secure fit and performance, we recommend 0.5 ins (1.25 cm) as the minimum amount of overlap on the wrap-around portion.
The M-Younger Grade School brace is a good option for many 3-4 year olds through 8-9 year olds. There are some younger 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 1-2 ins of space beyond the brace above and below the elbow. The M-Younger Grade School size is also a favourite for girls with Rett syndrome, as well as children with autism and other genetic diagnoses where it helps deter mouthing, hand wringing and unwanted facial interaction.
In situations where the user can manage the length of the brace with sufficient space beyond the brace above and below the elbow, but the wrap-around girth has too much material, the M sized brace can be cut-down to mimic the wrap-around of the S brace. Locate the gap between the hook & loop patches about 2 ins (5 cm) up from the bottom of the brace and trim across with fabric scissors being careful not to damage the stitching securing the remaining hook & loop patches.