User manual MULHOLLAND PEER LEVEL SUPINE ASSEMBLY

[. . . ] Attach the frame brace to the two side frames, using the lower set of holes. Three important measurements to insure the column is properly positioned on the frame are the following: 19 3/4 from the top of the pivot clamp to the top of the main column piece (fig 5a); 3 3/8 from the top of the pivot clamp to the bottom of the strut receiver (fig 5b); 17 on a diagonal from the front of the pivot bar to the back end of the top cross brace (fig 6a). a b Figure 5 a Figure 6 6 5. Attach the upper end of the gas strut to the receiver mounting (fig 7a) on the main column. Then attach the lower (and thinner) end of the black gas strut to the black plate between the cross bars (fig 7b). [. . . ] Column Tilt (Pitch): Affects the child's orientation in space, postural tone and distribution of weight. Hip and Trunk Supports: Provide not only lateral, but also anterior/posterior support. Although the hip support should always be snug, the trunk support can be graded to allow for lateral movement as the child acquires increased trunk control. Knee Supports: Knee blocks provide not only anterior support, but can also change in angle to accommodate flexion at the knees. Foot Supports: The full Footplate was designed for a level weight bearing surface. The 5-Way Adjustable Foot Supports can accommodate anterior/posterior adjustment, leg length discrepancies, plantarflexion/ dorsiflexion, and rotation Tray Height: Tray height adjustment can provide an upper extremity weight-bearing surface (to assist with head control), and a surface for activity placement. A pitch adjustable tray is available for an additional charge. 11 PEER LEVEL STANDER ADJUSTMENTS: Note: The columns on these standers telescope up from the foot support. This allows the child to stand as close to the floor (peer level) as possible. Foot Support: Initially, measure from the foot support to the knee pad and lower or raise the foot supports to the desired height (floor to mid-knee measurement) with the push pin (fig 11a). Trunk Support:Removing both push pins (b & c) pull the column up to the correct height for the chest support and put trunk pin (b) in place. Hip Support: Pull the hip support up to the desired height (heel to iliac crest measurement) and replace the pin (c). Head Support: Position the neckrest(d) at mid-ear height of the child, using the push pin and allen screws for adjustment. Hip and Trunk Support Widths: Loosen the black knobs (e) and slide the bars to the appropriate width (you may need to loosen the straps). It is very important to make sure that the outsides of the bars are an equal distance from the mid-line of the column. This will be adjusted later as part of the "fine tuning" while the child is in the stander. Complete this adjustment for both the trunk and hip supports. 12 Tray support: Adjust the height of the tray by lifting the tray to the desired height, loosening the allen screws on the stops (f), placing the stops at the appropriate height, and retightening the screws. d b f c e a Figure 11 13 14 Adjustable Knee Supports 1) Angle: Loosen the allen screws (fig 12A) and tilt to the appropriate angle to support the knees. 2) Width: Loosen screws (A) and slide to the correct width to assist in alignment of the lower extremity. 3) Height: Small height adjustments can be made by loosening screws (B) and moving the knee pad on the vertical post. 4) DO NOT ADJUST THE PLACEMENT OF THE COLUMN BRACKET (F) ON THE STANDER!Foot Support Adjustments: 1) Footplate Height: Release the push pin (fig 12C), and adjust the height. 2) Five-Way Foot Supports: a) Height: Release the push pin (C), and adjust the height. b) Leg length discrepancy: Lower foot support to accommodate the lower leg by releasing the push pin (C) and placing it at the appropriate height. [. . . ] The child's therapist should identify whether one or two persons are required for the standing transfer. Placing the child s feet on the foot supports, slowly lift him/her into the stander, fastening the hip straps first, then the trunk straps. After checking for proper alignment and weight bearing, fasten the buckle straps on the hip supports, trunk supports, foot supports, and knee straps. Provide a table or socialization activity while the child is standing. [. . . ]