fatigue) the exercise can be prolonged by one minute. In case of any adverse effects associated with upright position,
the exercise should be discontinued immediately. When the symptoms subside, the training should be resumed, starting
the stage from the beginning.
3.
Leaving the parapodium and changing position to sitting on a chair, bed or wheelchair (the presence of an
accompanying person
mandatory
during this exercise).
The second stage
Daily training: up to 3 repetitions daily (the presence of an accompanying person during this exercise is
mandatory
).
The aim of the exercise is training the ability to balance the body correctly in the parapodium (the ability to raise the
runners and the platforms from the background).
1.
Changing the position from sitting to standing in the parapodium directly from a chair or bed, (the help of a
physiotherapist during the exercise is
mandatory
).
2.
In standing position, with the handles of the parapodium held from the top, alternating deflections from the right to the
left (attempts to incline the body to the sides), rhythmical shifting of the centre of gravity, standing for 20 minutes.
3.
Shifting the body balance for 1 min.; then standing for the rest of time. We add 1 minute daily of the balance-shifting
exercise. Between the balance-shifting exercises, lasting 1 minute each we use 1 minute break. This stage of training is
completed when we are able to do the 1-minute balance-shifting exercise ten times per session.
4.
Leaving the parapodium and changing position to sitting on a chair, bed or wheelchair (the presence of an
accompanying person
mandatory
during this exercise).
The third stage
Daily training up to 3 repetitions a day (depending on the patient’s condition).
The aim of this exercise is a preliminary learning of walking.
1.
Changing the position from sitting to standing in the parapodium directly from a chair or bed, (the help of a
physiotherapist during the exercise is
mandatory
).
2.
In standing position, with the handles of the parapodium held from the top, alternating deflections from the right to the
left combined with raising the runners and the platforms from the background. During the brakes in the previous
exercise, inclining and turning the trunk in various directions, and/or active training of the upper extremities with various
loads.
3.
Prolongation of the period of patient’s stay in the parapodium to 30 minutes guiding the parapodium by holding its
handles, with the help of an accompanying person. First attempts of self-dependent walking.
4.
Leaving the parapodium and changing position to sitting on a chair, bed or wheelchair (the presence of an
accompanying person
mandatory
during this exercise).
The fourth stage
Daily training up to 3 repetitions daily (depending on the patient’s condition).
The aim of this exercise is learning to walk without the aid of an accompanying person.
1.
Changing the position from sitting to standing in the parapodium directly from a chair or bed, (the help of a
physiotherapist during the exercise is
mandatory
).
2.
Self-dependent walking with changes of directions – 20-30 minutes.
3.
Leaving the parapodium and changing position to sitting on a chair, bed or wheelchair (the presence of an
accompanying person
mandatory
during this exercise).
In the subsequent weeks and months the load during the exercise is gradually increased, depending on the patient’s
condition. The patient learns to carry out everyday routines ( in the kitchen, bathroom, etc.). Gradual becoming
independent of the help of accompanying persons.
2.
USER’S MANUAL
2.1
General Principles Of Safety
The greatest concern of mdh sp. z o.o. is improving the quality of life of the users of the device, ensuring safety to
the patients as well as to all individuals helping our patients and coming into contact with the device.
In order to ensure absolute safety to the users of the Dynamic Parapodium Model PD150, PD 180, PD 200 the
following recommendations should be strictly observed:
1.
Before undertaking any attempts to use the device, read the details in the “Medical Manual” and the “User’s Manual”.
2.
Make sure that you fully understand all information, recommendations and warnings contained in the “Medical Manual”
and the “User’s Manual”.
All the Manuals attached to the devices manufactured by mdh sp. z o.o. contain paragraphs marked with symbols
ATTENTION
,
WARNING
and
DANGER
intended to attract the reader’s particular attention to their contents. The meaning of
the aforementioned symbols is as follows:
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