Abstract: A handheld tissue stretching device combined with an extremity flexibility number, stretchscore, enables users to independently evaluate and treat the flexibility of their extremity tissue minimizing physical therapist intervention to evaluate and treat tissue. The distance between handheld stretching devices and the extremity supports changes with a high degree of variability during home treatments; whereas, medical professionals monitor stretch intensity visually and manually. Patients performing home-based stretches impart variable intensity that leads to inconsistent tissue treatment resulting in increased tissue stiffness. The present inventors have discovered when the slack is automatically retracted, the distance between the users hands and the extremity support is continuously proportional to the flexibility of the extremity.

Abstract: Many known portable tissue stretching devices do not properly allow the user to control the treatment intensity because of the need to reposition one's hands on the device when increasing stretch intensity. Some known portable tissue stretching devices are not readily held with two hands due to the small gripping surface. The limitations of these devices often leads to decreased home exercise compliance thereby negatively affecting patient outcomes. Medical professionals have widely accepted the notion that patient compliance with home exercises is poor. A handheld tissue stretching device with left and right handles, a retractor and release mechanism provides numerous benefits, such as improved ease of use and increased home exercise compliance. Individuals now have the option to independently and reliably improve their flexibility with a bilateral grip that does not require changing hand position while stretching.

Abstract: A handheld tissue stretching device combined with a retractor and release mechanism enables users to independently treat the flexibility of their extremity tissue minimizing need for upper extremity coordination and grip strength during treatment. The distance between prior handheld stretching devices and the extremity supports changes with a high degree of variability during home treatments; whereas, medical professionals monitor stretch intensity visually and manually. Patients performing home-based stretches impart variable intensity that leads to inconsistent tissue treatment resulting in increased tissue stiffness. The present inventors have discovered when the slack is automatically retracted; the distance between the users hands and the extremity support is continuously proportional to the flexibility of the extremity. This “distance matching” between the handheld stretching device and the extremity support provides a reliable, repeatable, and independent tissue treatment.

Abstract: A handheld tissue stretching device combined with an extremity flexibility number, stretchscore, enables users to independently evaluate and treat the flexibility of their extremity tissue minimizing physical therapist intervention to evaluate and treat tissue. The distance between handheld stretching devices and the extremity supports changes with a high degree of variability during home treatments; whereas, medical professionals monitor stretch intensity visually and manually. Patients performing home-based stretches impart variable intensity that leads to inconsistent tissue treatment resulting in increased tissue stiffness. The present inventors have discovered when the slack is automatically retracted, the distance between the users hands and the extremity support is continuously proportional to the flexibility of the extremity.

Abstract: A heat transfer system capable of being coupled to at least one temperature controlled zone, the elements of the system comprising: (i) at least one liquid refrigerant line; (ii) at least one expansion valve selected for R22 or R422D; (iii) at least one evaporator (iv) at least one compressor; (v) at least one condenser; (vi) at least one vapor refrigerant line; and wherein all of the elements have an inlet side and an outlet side and elements (i) through (vi) are in fluid communication together and contains R422D; and the system further comprising a sensing element communicatively coupled to the outlet side of at least one evaporator and at least one expansion valve and at least one sensing element contains a fluid selected to work when R22 is in the condenser-to-evaporator circuit, or R422D. Further disclosed are methods for retrofitting R22 containing heat transfer systems, including refrigerators and air conditioners. Also disclosed are refrigerators and air conditioners containing only R422D.