Ormesa DONDOLINO, Руководство по эксплуатации и обслуживанию

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HOW DONDOLINO WORKS
It works very simply and safely.
DONDOLINO is a standing frame composed of a lateral frame that is graduated so that its height
can be easily adjusted.
When the child is standing he is supported by wide straps across the pelvis and trunk that can be
adjusted from the front to the back (to follow knee-hip flexion) as well as in its circumference.
Two front knee pads and two heel rests fix the position of the lower limbs. The physiatrist and/or
therapist must continuously monitor the child’s position on the DONDOLINO.
In fact DONDOLINO is used by handicapped children during their developmental period. Since they
grow up quickly and they can also change in terms of their pathological picture, this entails constant
assessment and adjustment.
ATTENTION: Before starting to position the child, brake the wheels of DONDOLINO!
When starting it is advisable to have an adult stand behind the child and hold his sides firmly if the
child has an adequate control of the trunk. Otherwise, the child should be supported by his armpits.
The therapist should temporarily position the lower limbs first, followed by the pelvis and the chest. At
this point, always attempting to get the child cooperate as actively as possible and explaining him what
is being done and why, the position of the feet in the heel rests and knee pads must be controlled,
following any flexion that may be present. Subsequently, the pelvis must be controlled through the pel-
vic support and then, the trunk must be controlled using the chest support.
It is important to pay special attention to “dosing” the right amount of chest and pelvic sup-
port. There must be an adeguate support to assure a minimum amount of stability.
Avoid any excessive support since it could give the child a heavy feeling of “confinement”. At
the same time, however, the support must not be too “light” since this could cause a reaction of “
fear of falling” or instability.
If the child is able to communicate, it is important to listen to his feelings and impressions so that the
amount of restraint can be “modulated” as correctly as possible.
Always bear in mind that DONDOLINO is a standing frame that must allow the child to carry out sev-
eral activities and that it was not designed to keep him still and immobilized. This is the main objective
that must be taken as a guideline in using this aid, which should work as a tool “ to do things in a
correct and favourable position”.
Naturally the correct posture will be different from one child to another according to their age, motor
picture and overall picture.