24
Bench alignment process
Exterior foot rotation:
approx. 5°
a–p positioning, middle of the prosthetic foot to the alignment reference line:
Positioning according to the table below
.
Connect the prosthetic foot and prosthetic socket using the chosen adapters.
Be sure to follow the adapter instructions for use during adjustment and installation.
Determine the centre of the prosthetic socket with the 50:50 gauge.
Align the prosthetic socket centrally to the alignment reference line.
Socket flexion:
Individual residual limb f 5°
Frontal plane
Alignment reference line of prosthetic foot:
between big toe and second toe
Alignment reference line of prosthetic socket:
along the lateral patella edge
Observe the abduction or adduction position.
a – p positioning, middle of the prosthetic foot
Foot size [cm]
Mid-foot anterior to the alignment
reference line
Heel height
22 to 25
25 mm
26 to 28
30 mm
29
35 mm
Effective heel height
(shoe heel height -
sole thickness of forefoot) + 5 mm
TF bench alignment
►
Observe the information in the prosthetic knee joint instructions for use.
►
Call up the
Initial Setup
function in the Galileo™ app and carry out the
Initial Heel Height
step. The neutral position of the prosthetic foot is set to the heel height in the alignment
apparatus.
5.2.2 Static Alignment
•
Continue the
Initial Setup
in the Galileo™ app and carry out the
Manual Alignment
step.
Follow the instructions.
•
Ottobock recommends checking the alignment of the prosthesis using the L.A.S.A.R. Posture
and adapting it as needed.
•
If necessary, the alignment recommendations (TF modular leg prostheses:
646F219*
, TT
modular leg prostheses:
646F336*
) may be requested from Ottobock.
5.2.3 Dynamic Trial Fitting
•
Adapt the setup of the prosthesis in the frontal plane and the sagittal plane (e.g. by making
angle or slide adjustments) so that correct heel contact and optimal roll-over are ensured.
•
TT fittings:
Make sure that physiological knee movement is achieved after the heel makes
impact and the leg begins to bear weight.
•
Continue with the
Manual Alignment
step in the Galileo™ app and follow the instructions.
Training
After the dynamic trial fitting process is complete, the prosthetic foot has to be trained. The user's
reference values are determined during training.
Training is started through the Galileo™ app. It consists of the following three steps. Further
information is found in the instructions for use for the Galileo™ app.
•
Lifting the prosthetic foot (see fig. 8).
•
Even load distribution while standing still (see fig. 9).
•
Walking 5 steps straight ahead (see fig. 10).
Ottobock recommends
training the prosthetic foot again
once the user has become accus
tomed to the prosthetic foot. This sets the modified gait behaviour as the reference value.
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