Ormesa Grillo, Use And Maintenance Handbook

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There is no predetermined position!
Each position must be decided according to the User and it must be modified according to his
physical development, to the change in his motory situation and rehabilitation programme.
The pelvic support should be adjusted around the higher part of the pelvis.
The support of the pelvis and the weight on his feet can be increased or decreased
by
adjusting the harness height
The height of the
thoracic support is usually adjusted according to the child's ability to control
his trunk.. If the User has a sufficient trunk control, the chest support may be removed.
THE NEXT STEP IS TO ADJUST THE CORRECT LINE-UP OF THE TWO SUPPORTS. THIS
IS AN IMPORTANT AND DELICATE OPERATION BECAUSE THE CORRECT POSITIONING
OF THE TRUNK ON THE PELVIS DEPENDS ON IT.
Use the locking levers to position the thoracic support and move the support backwards or
forwards.
THE IDEAL POSITION TO LOOK FOR IS THE ONE WHICH LINES SHOULDERS, TRUNK
AND HIPS UP.
By pushing the thoracic support further forward as regards to the pelvic support and by
putting the hands on the handlebar, the trunk is moved forwards, thus stimulating
walking. This position must not be forced, otherwise it might have the opposite effect.
The handlebar must be adjusted depending on how much the User has to bend or straighten
his arms in order to push and guide GRILLO.
WHEN THESE OPERATIONS ARE COMPLETED, GRILLO CAN BE USED AS DESCRIBED
BELOW.
First of all it is important to know the aid and how to use it.
Children are not usually afraid to use the aid. On the contrary they are often extremely pleased
and happy and they want to move in all directions. These "rash" children must not be prevented
from doing so. In fact they should be encouraged. In the first days it is a good idea to let the
child use GRILLO freely so that he can try the different ways of using it.
For "fearful" children who are afraid to use GRILLO (probably due to problems of perception
which make awareness of space and distance difficult) it is better to start its use in a different
way.
In his first steps the User mustn't be left alone, but he must be accompanied by qualified
personnel either therapist or parent who will stand either in front or to one side and will move
GRILLO slowly and gently.
This gives the User a feeling of safeness particularly if the therapist or parent speaks to him at
the same time and explains what they are doing (for instance, "now we are going towards the
table, we are reaching the TV, we are going to get the ball on the table, we are going back ...")
The first steps are always made forwards, then backwards and finally sideways.
At first walking will be at a constant speed, then a change in step will be asked for so that speed
will be faster or slower.
We suggest to follow well defined paths specifically designed to help orientate both "rash" and
"fearful" Users.
For those children who cannot easily walk, it is better to position the thoracic support
forwards respect to the pelvic support in order to get the flexion of the trunk. In this way
it will be easier to start moving the lower limbs
.
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