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Features of the EX N’ FLEX EF-100 Arm/

100W Arm/Wrist Exerciser

1.   The arm has many more complex movements than the leg and for that reason it can initially be a little 
more challenging for the caregiver to position the compromised individual to the machine.       It is usually 
necessary to work the machine into an optimum position for use by sometimes placing it either inside or 
outside of the wheelchair wheels.     Once you have the machine in position, either in front of or beside the 
wheel chair and the User is comfortable you can commence operation of the machine.   Follow operating 
instructions on previous pages.   The EF-100/100W provides a wide range of movement for the arm, 
trunk and shoulder.      We also suggest that all planes   movements not be attempted on the same day.  
This permits the body to adjust to the different directions of movement.    When a user has good flexibility 
all 3 planes can be used at any time.     In long term care settings the machine is usually used in a single 
plane per day to avoid having to rotate and change the height only once on a given day.

2.   Sometimes a small pillow can be use behind the individual in order to achieve the optimum position.

3. The unique Arm Rest supports frequently painful, subluxated shoulders by supporting the arm 
preventing sag from   the shoulder. 

4.   The Rotation Release Knob  allows the EF-100/100W   machine to permit movement of the arm, 
trunk and shoulder in three different planes, Horizontal, 45° and Vertical.      

t is necessary to adjust the height of the machine by releasing the Height Adjustment 

Knob and raising the Height Adjustment Bar  The height may also be adjusted in the 45°   mode if 
required.     These variables provide a wide range of movement for an individual with a compromised 
arm. 

         In the Horizontal Plane an free arm may be placed over the secured arm,(Fig #4 Page 5).   This 
provides significant trunk movement.     The circular rotating motion provides a shifting of weight from 
one side to the other which is very helpful in establishing balance in recovering Stroke patients.     This 
can also be achieved if the User has the ability to grip both posts and allow the arms to rotate with the 
posts either close to them or away from them.

5.   The  Arm Rest rotates either to the left or to the right .

6.   The circular interface of the machine permits it to be used from any angle.  The Top Unit   section of 
the machine may be placed at any angle to the wheelchair.    The base may be placed either outside the 
wheels of the wheelchair or one base pontoon in between the wheels.   Experimentation is usually 
required in order to find the best position and best results for each individual.

7.   The machine may be placed to the side of the wheelchair and used from this position for 45° or 
Vertical movement.

8.   The machine may also be placed at the side for use in the Horizontal plane..    In this position 
increased shoulder movement may be obtained.

9.     The EF-100/100W is very mobile and easily moved from place to place.     It is easily locked into 
position with locking castor wheels.

10.   Full Biofeedback features are available on this machine.

 When using the In the 

Vertical mode i

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Summary of Contents for EF-100

Page 1: ...EX N FLEX Therapeutic Arm Exerciser Model EF 100 Arm EF 100W Arm Wrist Instructions for Use ...

Page 2: ...achine was turning when it was stopped Try this now Turn on the Main Power Switch located on the right hand edge of Control Box Press the F Off R Switch The Arm Rest should begin to turn in Forward or Reverse depending on your selection Leave the machine running then try the Speed Switch The Speed Switch The Speed Switch contains three indicator lights Lo Med and Hi To choose a speed press the swi...

Page 3: ... light will be in default Biof position Biof or Biofeedback mode displays numbers on the digital display which fluctuate between 0 and150 These numbers indicate the effort require to move a passive arm s The Biofeedback mode is used to measure the User s resistance and or assistance For example if a user has tone stiffness or spasticity in their arm this would cause resistance and require the moto...

Page 4: ...umbers being displayed The more voluntary movement applied the greater the decrease in numbers If an individual is able to apply a consistent amount of voluntary movement with enough strength to hold the Biofeedback at 0 then it would be considered time for him her to use a manual device recumbent or exercise bicycle for exercise therapy Instructions for use of the Active Mode for the EX N FLEX Ar...

Page 5: ...o move on its casters if required When a comfortable position for use is found lock the casters so that the wheels are in line with the pontoons Rotate the arm through a further revolution to be sure that no discomfort is experienced 7 As soon as the Arm Rest starts to rotate some numbers will appear on the Control Unit Display Refer to section on P 2 Understanding the Control Unit subsection Biof...

Page 6: ...elease the Knob so that the machine is locked in a position which will provide Vertical motion for the arm In this plane it is necessary to adjust the height of the machine as described in 15 15 Height Adjustment Release the Height Adjustment Knob and raise the spring loaded Height Adjustment Bar to the desired height Tighten the HeightAdjustment Knob before use 16 For further information on using...

Page 7: ...When the Selection Lever on the White Plate is in the position there is no Wrist movement In this position the Hand Grip is stationary 4 To apply Wrist movement lift the White Lever until the lever clears slot 0 and slide the White Lever across the Black Plate and allow the pin to drop into Slot 1 This will provide the minimum wrist movement Moving the lever to a slot with a higher number ie 2 3 o...

Page 8: ...re you start using the machine 9 If you wish more extreme wrist movement place the provided bean bag in front of or behind the wrist This of course is a more advanced movement once the muscles and tendons have become flexible Fig 6 7 Hand Grip Second Closure Hand Strap Velcro Closure Arm Rest Arm Cradle Wrist Mechanism EF 100 Casing Arm Strap Fig 4 Hand Grip Arm Rest Arm Strap Hand Strap Velcro Cl...

Page 9: ...comfort is experienced the following day the amount of time on the machine may be increased one minute per session to a maximum of 30 minutes per session The time should be equally divided between Forward and Reverse The EX N FLEX may be used for more than one session per day If discomfort is experienced as a result of unaccustomed exercise discontinue use of the machine until discomfort subsides ...

Page 10: ...rtical t is necessary to adjust the height of the machine by releasing the Height Adjustment Knob and raising the Height Adjustment Bar The height may also be adjusted in the 45 mode if required These variables provide a wide range of movement for an individual with a compromised arm In the Horizontal Plane an free arm may be placed over the secured arm Fig 4 Page 5 This provides significant trunk...

Page 11: ...030 100 031 100 032 100 033 100 034 100 035 100 036 100 037 Crank Arm Drive Shaft Centre Shaft of Large Pulley Foam Hand Grip Hand Strap Handles Height Adjustment Bar 2 Pieces Height Bar Inner square Tube Height Bar Outer Square Tube Knob Height Adjustment with Threaded Rod Knob Only HeightAdjustment Knob Rotation Release Motor AM Motor Motor Mounting Plate Nut 3 8 Pontoon Power Cord Power Pack 11...

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