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HOW BIRILLO WORKS AND HOW TO USE IT
BIRILLO IS SIMPLE AND SAFE. NEVERTHELESS, WE RECOMMEND
THAT A REHABILITATION DEPARTMENT PROVIDE TRAINING IN ITS
USE AND MONITOR ITS RESULTS, UNDER THE SUPERVISION OF THE
CHILD'S DOCTOR AND PHYSIOTHERAPIST
.
The instructions for its correct use are few and simple:
1. Position the child in the triangular seat
We recommend that an adult (parent or therapist) stand in front of
the child and help him enter Birillo by holding him firmly by the
sides until he is seated (fig. 3)
2. Identify the most functional postural system by taking the following criteria into account:
- first of all, seek the maximum stability of the proximal segments of the body so as to facilitate the
functionality of the distal segments;
-
it is a good idea to, first, stabilize the pelvis in the triangular seat before moving on to the rest of the
trunk and body.
-
FOR THIS REASON, IT WILL BE NECESSARY TO POSITION THE PELVIS AND TRUNK SYMMETRICALLY SO
AS TO, FIRST, DISTRIBUTE THE WEIGHT UNIFORMLY AND, SECOND, ALIGN THE SUPPORT POINTS OF
THE FOLDING BACK.
3. Adjust the frame, taking care to provide an adequate angle between thighs and pelvis.
There is no standard angle that is valid for everyone; this is related to the needs of the child and the
treatment plan. As a guide, a flexion angle of the hip of 85-95° is usually adequate to control spasms
in extending the trunk and to facilitate the subsequent voluntary flexion-extension.
For adjustments, see pages 9 and 10.
4. At this point, there is an operation that is indispensable for
movement
a) set a flexion of the knees of about 80° to allow a pushing
movement of the legs (fig. 4);
b) position the handle to achieve a graduated, modulated and
controlled extension of the upper
limbs (the more the frame is
extended forwards, the greater the elbow extension obtained)
REMEMBER THAT A CORRECTLY SUPPORTED SEATED POSTURE,
WITH A SOLID GRIP OF THE PELVIS, FREES THE HANDS FOR
EXPLORING AND HANDLING OBJECTS.
(fig. 4)
(fig. 3)
Summary of Contents for Birillo
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