© NeuroGym Technologies Inc. 2009 – Sit-to-Stand Trainer Product Manual – March 2009
page 12
Beginning the Sit-to-Stand Practice
Ensure that client’s feet are flat on the floor and that arms are extended to grasp the
handlebar.
Individuals with weak ankles may require additional support to avoid injury at the ankle
joint. This support can be provided by the Trainer or with the use of a properly fitted
splint/brace. The Ankle can be effectively trained with the NeuroGym Ankle Trainer.
(See Other Products)
Individuals with lower extremity flexor tone must be observed to ensure heels do not
elevate during the standing motion. The Trainer may place a foot behind the client’s
heels to ensure feet stay flat on the ground.
Start the training with controlled partial standing; gradually progress to full standing.
Observe the smoothness of the standing motion. If the client is being pulled to
standing and contributing little to the standing effort, reduce the counterweight. If they
are unable to achieve even a slight standing motion, increase the counterweight. The
goal is to provide the client with just enough assistance to be able to successfully
perform the standing motion, but with as much independent effort as possible.
Adjusting the Counterweight
Adjust the counterweight when the client is in a seated position. Disengage the weight
by releasing the Petzl while firmly gripping the rope and lowering the weight down onto
the weight stack. As when pulling up a weight, make use of body weight and lower
extremities while maintaining a slight backward lean when lowering the weight.
Standing Practice Activities
When the correct counterweight is selected, the client may perform repeated standing
from a seated position. Alternatively, once standing, a squatting motion (half way
down to a seated position and back to standing) may be practiced.
Once standing, weight shifting from one foot to the other may also be practiced.
When standing is stable and weight shifting is performed adequately, the Trainer may
unlock the wheels of the Sit-to-Stand Trainer to allow for early first steps forward,
backwards or sideways to be taken.
For additional training activities, consult accompanying CD and NeuroGym
Technologies Inc. Application Notes available on the web site at
www.neurogymtech.com
.
