User manual MULHOLLAND PRONE STANDER

[. . . ] Pivot the column upright and insert the pitch bar from the column in to its corresponding piece from the base. Secure in place with the push pin at the desired pitch angle. 7 5. To attach the tray, insert the two short black bars in to the slots on the sides of the column. 8 6. Place the corresponding holes under the tray inside the ends of the bars, and secure the tray support arms onto the pitch bar with a push pin. [. . . ] Trunk Support: Pushing in on the push pin (A), pull the pin and move the upper column up to the desired distance from the hip support. Remove pin (B) and adjust the height of the sternum support to fit to mid sternum. Pitch: Remove the push pin (C) while holding on to the upper portion of the stander. Hip and Trunk Support Widths: (You may need to loosen the straps to increase the width. ) Loosen the black inside knobs (D) and slide the bars to the appropriate width. 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. Tray Support: Adjust the angle of the tray by removing the push pin, while supporting the front of the tray, and lifting or lowering the tray to the desired angle, then replacing the pin. 12 D B A C 13 14 Adjustable Knee Supports: a) Angle: Loosen the allen screws (A) and tilt to the appropriate angle to support the knees. b) Width: Loosen screws (A) and slide to the correct width to assist in alignment of the lower extremity. c) Height: Small height adjustments can be made by loosening the single lever screw (B) and moving the knee pad on the vertical post. d) Depth: Loosen the single lever screw (C), place the Knee Block at the appropriate depth, and retighten. b) 5-Way & 6-Way Foot Supports: 1) Height: Release the push pin (D), and adjust the height. 2) Leg length discrepancy: Lower foot support to accommodate the lower leg by releasing the push pin (D) and placing it at the appropriate height. 3) Abduction: Loosen the screws under the shoe holders (E) and adjust the width between the shoe holders. Note: Excessive abduction may cause increased weight-bearing on the medial borders of the feet. 4) Plantarflexion/Dorsiflexion: Loosen the same screws as for abduction (E) and adjust. 6) Inversion/Eversion: Loosen the allen screws (F) and adjust the angle. Retighten. 7) Pronation/Supination: Loosen the same screws as for Inversion/Eversion (F) and adjust. c) AFTER ADJUSTING FOOT SUPPORTS, RECHECK TO MAKE SURE THAT ALL OF THE SCREWS HAVE BEEN TIGHTENED. An appropriate fitting is that which supports the child securely and promotes symmetrical weight-bearing. B A C F D E 15 PRONE STANDER OPTIONS: Prone Neckrest and/or Shoulder Pads: 1. Assembly: a) Mark the position of the foot and knee supports and then remove them from the main column. To do this, unscrew the two screws on the base bracket that hold the bottom of the man column, and gently pull them apart. [. . . ] The child's therapist should identify whether or not one or two people should be 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 and trunk supports, the foot supports, and the knee straps. Provide a table or socialization activity while the child is standing. [. . . ]