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PANat Urias Johnstone, User Manual

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P

RO-

A

ctive approach to 

N

eurorehabilitation 

integrating 

a

ir splints* and other 

t

herapy tools 

(* Urias

®

 Johnstone air splints) 

 

 

 
 

 
 

 

 
 

 
 

 

PANat: 

Theoretical framework, clinical 

management and application of 

the Urias

® 

Johnstone air splints. 

 

 
 

 

 
 

 
 

 

 
 

 
 

1.

 

Theoretical Framework 

 

2.

 

User Guide 

 

 

 
 

 

 

 
 

 

2017 

Summary of Contents for Urias Johnstone

Page 1: ...habilitation integrating air splints and other therapy tools Urias Johnstone air splints PANat Theoretical framework clinical management and application of the Urias Johnstone air splints 1 Theoretica...

Page 2: ...TS USED IN PANat 11 ADVANTAGES OF USE 13 GENERAL INFORMATION 14 LONG ARM AIR SPLINT 70 CM AND 80 CM 17 HALF ARM AIR SPLINT 53 CM 20 HAND AIR SPLINT DOUBLE CHAMBER 20 CM 24 HAND WRIST AIR SPLINT DOUBLE...

Page 3: ...integrating air splints and other therapy tools Urias Johnstone air splints 1 Theoretical framework and clinical management of PANat G Cox Steck dipl Physiotherapist FH accredited Teacher of PANat Ma...

Page 4: ...ctivity As a consequence they may develop learned non use muscle stiffness contractures and pain Studies have shown that using the air splint for repetitive and early stimulation in training the upper...

Page 5: ...vement sequence with feedback in hands off situations Self directed practice is therefore on going in both supervised and unsupervised therapy sessions and at home Clinical Management Clinical managem...

Page 6: ...ng the lever effect with air splints or other therapy tools and introducing cognitive elements e g dual tasking The appropriate choice and use of air splints and therapy tools may be used to reduce th...

Page 7: ...etitive practice using external focus instructions and feedback during hands on off training This can be practiced when severe sensory motor cognitive and perceptual problems are present In addition t...

Page 8: ...c carers An integral part of PANat is the education of carers family members and friends in understanding and managing the disease process Through training they develop skills to continue long term r...

Page 9: ...tivities of the hemiparetic limbs in uni bi lateral and bimanual movements whilst preventing detrimental compensatory strategies The choice of activity in the session is based on the impairments that...

Page 10: ...tion Movement and Neuromotor Processes In Carr J Shepherd R Movement Science Foundations for Physical Therapy in Rehabilitation 2nd ed 2000 16 Shumway Cook A Woollacott MH Motor Control Translating Re...

Page 11: ...9 revised 02 2015 version 2017 11 PRO Active approach to Neurorehabilitation integrating air splints and other therapy tools Urias Johnstone air splints 2 Application of the Urias Johnstone air splint...

Page 12: ...STING SPECIALLY DESIGNED FOR PATIENTS WITH MULTIPLE SCLEROSIS 41 LEG FOOT AIR SPLINT FOR STANDING SPECIALLY DESIGNED FOR PATIENTS WITH MULTIPLE SCLEROSIS 43 This user guide is developed by Gail Cox St...

Page 13: ...ng tools applied in positions and postures that may have a negative outcome on training and potential recovery e g Poole 1990 Kwakkel 1999 Platz 2009 This is contrary to the aims and use of the air sp...

Page 14: ...uble chamber 70 cm Ref 70 102 0 80 cm Ref 70 101 0 Foot air splint double chamber Ref 70 108 0 Half Arm air splint 53 cm Ref 70 003 0 Leg air splint double chamber 60 cm Ref 70 007 0 70 cm Ref 70 006...

Page 15: ...and reapplied Inflation pressure should be checked by a manometer and must not exceed 40 mm Hg at rest use a 10 cm connection between splint valve and manometer Electric mechanical pumps to blow up ai...

Page 16: ...chable mouth piece is easily fitted and carried in the user s pocket This can be washed as necessary 2 Disposable filter bottle contains crystals which absorb excess moisture This is fitted to the inf...

Page 17: ...Passively mobilise realign and support the scapula to permit accurate positioning of the shoulder and arm Carefully bring the extended arm into outward rotation flexion and abduction Encourage the cli...

Page 18: ...he hemiplegic hand The air splint is drawn up the arm to leave a space of 3 fingers width from the axilla 3 4 Place the inflation tube in your mouth This leaves both hands free to maintain the positio...

Page 19: ...active movement is present encourage the client to move his limb 2 Passively mobilise all joints see preparation for application Ask the client if he is aware of changes in feeling or in movement of...

Page 20: ...refully bring the extended arm into outward rotation flexion and abduction Encourage the client to turn his head to the affected side to watch and follow the movements of the arm and hand 3 4 Support...

Page 21: ...ase of 1st metacarpal Hold it in this position during inflation The fingers are straight and held together not apart The wrist is supported in approx 10 dorsal extension Both of your hands are needed...

Page 22: ...ls into prone and accepts weight through the forearm The yellow band is used as an external focus so that the client knows where to place the elbow The client drops his head to look at the yellow band...

Page 23: ...r splint thus avoiding any potential trauma to the shoulder Do not leave the air splint on for more than 30 45 minutes Within the course of a treatment session it may be removed and reapplied if it is...

Page 24: ...istributed through the buttocks and feet The feet must be flat on the floor Prior to application passive movements of the shoulder girdle and arm are carried out at the same time muscle pliability and...

Page 25: ...oft tissues and to encourage extension of the toes during functional activities Removal of the air splint Inform the client that the air splint is to be removed Deflate the air splint If active moveme...

Page 26: ...r splint for the larger hand Preparation Ensure the client is sitting with weight evenly distributed through the buttocks and feet The feet must be flat on the floor Prior to application passive movem...

Page 27: ...toes during functional activities Removal of the air splint Inform the client that the air splint is to be removed Deflate the air splint If active movement is present encourage the client to move his...

Page 28: ...the elbow Selective soft tissue mobilisation of the elbow Can be slipped on or off over the hand air splint when required Preparation 1 2 Prior to application ensure the following movements are comple...

Page 29: ...the elbow air splint with the zip placed on the front anterior aspect of the elbow joint The arm is outwardly rotated externally rotated and positioned for weight bearing through the heel of the hand...

Page 30: ...ovement is present encourage the client to move his limb Passively mobilise all joints see preparation for application Ask the client if he is aware of changes in feeling or in movement of the limb Pr...

Page 31: ...ocks and feet The feet must be flat on the floor Prior to application passive movements of the shoulder girdle and arm are carried out at the same time muscle pliability and joint ranges are assessed...

Page 32: ...training of the open hand with different materials and textures Removal of the air splint Inform the client that the air splint is to be removed Deflate the air splint If active movement is present en...

Page 33: ...nsfers to minimise injury to the foot and maintain alignment of the heel forefoot and toes Preparation 1 2 Mobilise the ankle joint by sliding the foot backwards and forwards Ensure the heel and sole...

Page 34: ...foot and toes allowing heel strike Removal of the air splint Inform the client that the air splint is to be removed Deflate the air splint If active movement is present encourage the client to feel t...

Page 35: ...ike in gait To maintain foot ankle position thus limiting the likelihood of injury during gait Preparation 1 2 Place the foot in a functional position Ensure the heel and sole of the foot are flat on...

Page 36: ...in the corner of the air splint Gather the excess fabric into your hands and direct the pressure backwards towards the heel Maintain the foot in a neutral position with pressure on the heel and infla...

Page 37: ...rush a rag or ice Precautions Do not apply to the bare foot This air splint was made to be applied over the shoe Do not apply over shoes with sharp edges as this may damage the air splint Never allow...

Page 38: ...ing To enable the following activities squats weight transfer from side to side single leg stance and side stepping To stretch Soleus and Gastrocnemius Preparation 1 2 Mobilise the trunk prior to stan...

Page 39: ...Ensure the air splint is comfortable in between the legs and that the catheter if present is attached to the non plegic leg Adjust the zip so that it runs down the centre of the outside of the leg in...

Page 40: ...t that the air splint is to be removed Deflate the air splint If active movement is present encourage the client to actively stabilise the leg whilst the air splint is deflating Passively mobilise all...

Page 41: ...ssure with your hands to mobilise the joints and soft tissues of the leg The movements are slow and rhythmical Passively mobilise the leg ensuring all movements are pain free Application 1 2 Put the o...

Page 42: ...the limb Remove the air splint Passively mobilise all joints see preparation for application and re evaluate the response to stretch reflex sensitivity Precautions Not to do with the Leg and Foot air...

Page 43: ...in sitting with a back support for the client if necessary In sitting Ensure symmetrical postural alignment Apply a comfortable pressure with your hands to mobilise the joints and soft tissues of the...

Page 44: ...autions Never walk in the leg and foot air splint for standing side stepping is allowed as it produces an abnormal gait pattern Ensure no air is under the heel when it is in the air splint Never use a...

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