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SEATED LOWER EXTREMITY PROTOCOLS

REFER TO SEC. III PRIOR TO PROCEEDING

QUAD STRENGTHENING

1. Orient the machine with the Adjustment Load Knobs facing the patient.
2. Stabilize the machine.
3. Set the Footplate to the appropriate angle for patient’s comfort.
4. Secure the patient's foot/feet to the Footplate using the Security Straps around the heel

and the Velcro strap over the top of the foot.

5. The patient can perform a simple push-pull exercise within the desired range of motion.
6. Engage Elasticords as strength and comfort dictate.

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Содержание MiniPress

Страница 1: ...t OWNER S MANUAL 4201 Guide Meridian Suite 101A Bellingham WA 98226 TOLL FREE 800 334 5633 PHONE 360 599 2833 FAX 360 599 2171 INFO SHUTTLESYSTEMS COM WWW SHUTTLESYSTEMS COM MADE IN U S A PATENT NO 6 042 523 MANUAL VERSION 2 0 Page 1 ...

Страница 2: ...Page 2 ...

Страница 3: ...TABLE OF CONTENTS I SHUTTLE MINIPRESS INTRO II UNDERSTANDING YOUR SHUTTLE MINIPRESS III USING THE SHUTTLE MINIPRESS IV EXERCISE PROTOCOLS Page 3 ...

Страница 4: ...Page 4 ...

Страница 5: ...be easily transported to the patients home as well as be used in a professional setting with a patient in need of early range of motion movement or exercise The MiniPress utilizes the same general technology employed on all models of Shuttle machines and is poised to bring the benefits of early closed chain rehabilitation to an even wider range of patients than was previously possible Users and pr...

Страница 6: ...se and correct assembly if assembled by consumer purchaser as follows Warranty does not apply to defects due directly or indirectly to misuse abuse negligence or accidents repairs or alterations outside our facilities or to a lack of maintenance 1 For a period of FIVE YEARS Bolted metal frames Carriage Footplate frame and wheels 2 For a period of TWO YEARS Footplate face 3 For a period of ONE YEAR...

Страница 7: ...Page 7 ...

Страница 8: ...and the patient For example a patient will have greater flexion at the knee if they use the MiniPress while seated in a chair or lying in a supine position in bed or sitting flexed at the hip on a treatment table Use of a goniometer will ensure an accurate flexion angle measurement and documentation of improvement Increasing the number of Elasticords allows the practitioner to add small incrementa...

Страница 9: ... from 0 to 75 degrees from a horizontal line with the Carriage Adjustment is accomplished by lifting the support bar on the back side of the Footplate frame and placing the bar into the appropriate slot The rubber sleeve helps secure the bar Foot Position Label The label on the Footplate shows correct positioning of the patient s foot Security Strap There is a black strap attached to the Footplate...

Страница 10: ...ooks are attached to each side of the MiniPress When secured properly these ropes keep the machine in place when the patient pushes the Footplate Stability from a chair The Stabilization Ropes may be attached to chair legs or wheelchair frame to maintain the desired range of motion for the patient Place the chair up against a wall in order to keep it from tipping over when resistance is applied Pa...

Страница 11: ...are not able to wrap around the legs of the table or bed Stability from a tabletop for Upper Body Exercise The rubber feet at the ends of the frame are placed against the edge of a tabletop This helps stabilize the machine and prevents it from sliding on the table when the patient pushes against the Footplate Page 11 ...

Страница 12: ...o install the Carriage reverse the process During normal use the carriage will be held on the rails by the two clips extending under each rail Cleaning the Carriage and Frame Once the Carriage is removed both the Frame and Carriage may be washed with mild soap and water Prolonged exposure to water can rust the bearings in the wheels attached to the Carriage so do not immerse the Carriage or Frame ...

Страница 13: ...a time and press carriage 10 12 inches exposing the Elasticord 2 Apply a pea size portion of Shuttle Systems Silicone Gel to each Elasticord using latex gloves Part 4011 SILICONE GEL 5 3 oz tube Part 4407A COMPLETE SET MINIPRESS ELASTICORDS SET OF 6 An example of a poorly maintained Elasticord WARNING Do not use oil or any petroleum products on the elasticords Silicone gel may be purchased from yo...

Страница 14: ...Page 14 ...

Страница 15: ...s outside the frame at all times while the MiniPress is in use 4 When using the MiniPress with a patient sitting in a chair the back of the chair must be up against the wall or an immovable object to prevent the chair from being overturned Excessive force applied to the Footplate might cause the chair to tip over backwards 5 Do not stand on the MiniPress or attempt to use it while standing on it T...

Страница 16: ...all Elasticords engaged the initial load is approximately 32 lbs When stretched to the maximum the total load is approximately 100 lbs Attach Elasticords Pull one black knob from the Carriage and insert the slotted knob into the respective slot on the frame to secure it Detach Elasticords Grasp the knob and lift from the frame slot allowing the cord to retract gently to its starting position Page ...

Страница 17: ...iPress are shown below TREATMENT PROGRESSION NOTE THESE ITEMS BEFORE YOU USE THE SHUTTLE MINIPRESS 1 Use the Stabilization Ropes to steady the machine if necessary 2 Set the Footplate to the appropriate angle for the patient s use The varying angles of the footplate will allow Plantarflexion and Dorsiflexion 3 Monitor range of motion smoothness and alignment of the foot with the knee 4 Begin with ...

Страница 18: ...ize the machine 3 Set the Footplate to the appropriate angle for patient s comfort 4 Secure the patient s foot feet to the Footplate using the Security Straps around the heel and the Velcro strap over the top of the foot 5 The patient can perform a simple push pull exercise within the desired range of motion 6 Engage Elasticords as strength and comfort dictate Page 18 ...

Страница 19: ...th no resistance useful for increasing ROM after knee surgery 1 Orient the machine with the Adjustment Load Knobs facing the patient 2 Stabilize the machine 3 Set the Footplate to the appropriate angle for the patient s comfort 4 Secure the patient s foot feet to the Footplate using the Security Straps around the heel and the Velcro strap over the top of the foot 5 The patient can start moving the...

Страница 20: ... patient can move the Carriage by pushing one leg away from the body and drawing it back in a controlled manner while the other leg maintains stability on the floor 6 Engage Elasticords based upon weight bearing ability 7 Monitor for range of motion smoothness and alignment of the foot with the knee Unilateral Variation I Rotating the ankle clockwise or counter clockwise while pressing on the Foot...

Страница 21: ...ate angle for the patient s comfort 4 Secure the patient s foot feet to the Footplate using the Security Strap over the foot 5 The patient can start moving the Carriage by pushing the leg s away from the body and drawing them back in a controlled manner If applicable the uninjured leg may be used to propel the MiniPress to assist the injured leg 6 Engage Elasticords based upon weight bearing abili...

Страница 22: ...ce The ball should not rotate if both limbs are pressing equally hard Unilateral OR Bilateral Leg Press Variation I Leg Press with Theraband pulling laterally on one or both knees Attach a Theraband from the patient s knee to a hard point to the right or left of the knee This will activate the lateralis of either limb Page 22 ...

Страница 23: ...he patient s foot or feet This will introduce neurological involvement with the patient s ankle and knee Leg Press Tip To accurately determine the load during the entire stroke place a simple spring scale under the patient s foot or feet Zero out the spring scale to compensate for vertical orientation Page 23 ...

Страница 24: ...otplate to a flat position 4 Secure the patient s foot or feet to the Footplate using the Security Strap over the foot 5 The patient can perform a slow controlled push pull exercise within the desired range of motion 6 Engage Elasticords as based upon weight bearing ability 7 Monitor for range of motion smoothness and alignment of the foot with the knee Page 24 ...

Страница 25: ...Secure the machine 3 Remove the Support Bar so the Footplate swings freely 4 Secure the patient s foot to the Footplate using the Security Strap over the foot 5 Keep the knee at full extension while pulling the toes toward the chair STANDING PROTOCOLS REFER TO SEC III PRIOR TO PROCEEDING Page 25 ...

Страница 26: ...t position 3 Direct the patient to stand in such a way that the machine is facing sideways with the Adjustment Knobs on the same side as the supporting leg 4 Direct the patient to place their foot on the open surface of the Carriage directly before the Footplate so that the active leg is slightly across the front of the body 5 The patient will start by pushing the Carriage laterally away from the ...

Страница 27: ...so that the active leg is slightly to the side of the supporting leg 4 The patient can start by pulling the Carriage laterally across in front of the body and pushing it back in a controlled manner 5 Engage Elasticords slowly to allow full use of the patient s available range of motion and gradually increase resistance 6 Monitor for proper stabilization of the trunk and supporting leg Page 27 ...

Страница 28: ...e patient can perform a pushing exercise within the desired range of motion The relationship between the machine and the patient will need to be adjusted to accommodate leg length 4 Direct the patient to place the active foot on the Footplate 5 The patient can start moving the Carriage by pushing the leg away from the body and drawing it back in a controlled manner 6 Monitor for smoothness of exte...

Страница 29: ...oad Adjustment Knobs on the same side as the supporting leg 4 Direct the patient to place their active moving foot on the open surface of the carriage directly before the Footplate A pad under the patient that brings the level of the patient to the level of the MiniPress is recommended 5 Ask the patient to start by pushing the Carriage laterally away from the body and allowing it to return in a co...

Страница 30: ...t to the level of the MiniPress is recommended 4 The patient will place his her foot on the open surface of the Carriage directly before the Footplate 5 Ask the patient to start by pulling the Carriage laterally toward and across in front of the body and allowing it to return in a controlled manner 6 Begin with a light load to allow full use of the patient s available range of motion and gradually...

Страница 31: ...e patients comfort 4 With the patients leg fully extended in a supine position place a foam roll or pillow under the knee to act as a cushion 5 The patient can press their knee down into the cushion creating a stretch in the quadricep 6 Engage Elasticords slowly to allow full use of the patient s available range of motion and gradually increase resistance Page 31 ...

Страница 32: ...UPPER EXTREMITY PROTOCOLS REFER TO SEC III PRIOR TO PROCEEDING SEATED SHOULDER STABILIZATION Bilateral or Unilateral protraction retraction Page 32 ...

Страница 33: ...patient s use 5 Direct the patient to place her his hands on the Footplate With straightened arms use the shoulders to push the Footplate away from the body in a controlled manner With arms still straight draw the shoulder blades together allowing the Carriage to return to its starting position 6 Engage Elasticords slowly to allow full use of the patient s available range of motion and gradually i...

Страница 34: ...he right for a right arm press or to the left for a left arm press 3 Stabilize the machine 4 Set the Footplate to the appropriate angle for the patient s use 5 Direct the patient to place her his hand on the Footplate With a straight arm press on the Footplate while pivoting from the waist to obtain full travel of the MiniPress 6 Engage Elasticords slowly to allow full use of the patient s availab...

Страница 35: ...ith a light load to allow a full use of the patient s available range of motion at the hips and gradually increase resistance 5 Direct the patient to place her his hands on the Footplate With straightened arms use the abdominals transmitted through the straight arms to push the Footplate away from the body in a controlled manner With arms still straight allow the Carriage to return to its starting...

Страница 36: ...Variation Add a stability ball between hands and Footplate Page 36 ...

Страница 37: ...th a straight arm in a controlled manner The back should be stabilized with the abdominals doing the work Then return to starting position 5 Engage Elasticords slowly to allow full use of the patient s available range of motion and gradually increase resistance 6 Monitor for range of motion smoothness alignment and stabilization VARIATION To increase the activation of the core muscles move the cha...

Страница 38: ...ate support bar in her his hands 5 The patient will straighten the arms and begin to pull the bar in a controlled manner toward the body with elbows lifted and out to the side The back should be stabilized with the arms doing the work Then return to starting position 6 Begin with a light load to allow a full use of the patient s available range of motion and gradually increase resistance 7 Monitor...

Страница 39: ... grasp the Footplate support bar in her his hands 5 Ask the patient to straighten the arms and begin to pull the bar using the back and gluteus muscles in a controlled manner The arms are straight with the back and gluteus doing the work Then return to starting position 6 Engage Elasticords slowly to allow full use of the patient s available range of motion and gradually increase resistance 7 Moni...

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