PEER LEVEL STANDERTM PRONE ASSEMBLY Use r s Manual 1
TABLE OF CONTENTS 2 Preface 3 Precautions 3 Required Tools 4 Components 4 Assembly 5-9 Trouble Shooting 10 Fitting Instructions 10 Adjustment Overview 11 Adjustments 12-15 Options: Prone Neckrest and/or Shoulder Pads 16-17 Placing the Child in the Stander 18 Maintenance 19
PREFACE: These pages provide information to professionals for the set up and use of the Prone Assembly version of the Peer Level Stander. The Mulholland Standing Systems are designed to provide individuals requiring prone, vertical, or supine standing, precise postural control at the upper trunk, pelvis, knees and ankles.
REQUIRED TOOLS: Tape Measure Allen Wrenches (3/16 , 5/32 ) (Included in tool pouch) COMPONENTS: Refer to Figure 1. 1. Knee Blocks 2. Hip Support 3. Column 4. Trunk Support 5. Chest Support 6. 7. 8. 9.
PRONE ASSEMBLY INSTRUCTIONS: 1. Attach the two side frames to the frame brace. 2. With the two side frames attached (they may need to be slightly loose), slide the pivot bar into position. 3. Tighten the four bolts on the top of each side, and make sure the block is situated so the pivot bar is above the frame.
4. Three important measurements to insure the column is properly positioned on the frame are: (fig 5A) 14 3/4 from the top of the pivot clamp to the top of the main column piece; (fig 5B) 4 from bottom of pivot to the top of the gas strut; (fig 6C) 16 3/16 on a diagonal from the front of the pivot bar to the back end if the top cross brace.
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). Tighten these bolts well. A B Figure 7 6. The tray mounting tubes (fig 8A) should be loosened just enough to let them swivel on the frame and brought through 180 degrees to point upwards (fig 9B). Retighten the screws.
7. Finally add all the hardware. The slings (fig 10A) will simply slide into the sling holding clamps or the intact sling units can be slid on to the main column and secured with push pins. The chest support (B) drops down into the column and is secured with a push pin, if it isn t already attached to the upper sling. The knee blocks (C) slide into their adjustment clamps on the knee bar, the short cross bar below the pivot bar on the main column.
A Figure 11 8. To adjust the angle of the stander the operator should stand behind the unit and while squeezing the trigger (fig 11A) on the left side of the frame, use their foot to move the column to the desired angle.
TROUBLE SHOOTING: Careful alignment of the Peer Level Stander during assembly is critical to the correct functioning of the mechanical tilt mechanism. If the stander doesn t tilt correctly after assembly check the following list of common problems. The frame is not square: The side frames need to be parallel to each other and the frame braces need to be perpendicular to the side frames. The knee block bar is not parallel to the frame braces. The column is twisted.
ADJUSTMENT OVERVIEW: The separate and combined adjustments are critical to the effectiveness of the Peer Level Stander. The therapist is encouraged to try various adjustment combinations to find the optimal position for weight-bearing, tonal balance and head-righting. It is further recommended that an on-going adjustment schedule be identified to meet the needs of physical growth, decrease or increase in postural support, and weight bearing activities.
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. NEVER MAKE ANY OF THESE ADJUSTMENTS WITH THE CHILD IN THE STANDER! 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 12A). Note: Fine tuning instructions for the Foot Supports to follow.
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.
Adjustable Knee Supports 1) Angle: Loosen the allen screws (fig 13A) and tilt to the appropriate angle to support the knees. Retighten. 2) Width: Loosen screws (A) and slide to the correct width to assist in alignment of the lower extremity. Retighten. 3) Height: Small height adjustments can be made by loosening screws (B) and moving the knee pad on the vertical post.
3) 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.
PEER LEVEL STANDER OPTIONS: 16 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 remove the foot supports, pull out the push pin and slide the support off the column. To remove the knee supports, do the same, as well as loosen the two allen screws securing it in place. b) Slide the mounting support tube (fig. 14A) into place, with the tube sticking out backwards between where the knee blocks go.
close to the child and reinsert the push pin. e) Adjust the depth of the neckrest by releasing the two allen screws that attach it to the vertical mounting bar. f) Adjust the depth of the shoulder pads: 1) Loosen the front retainer ring (fig. 14D) to allow adjustment. 2) Loosen the rear index clamp (fig. 14E) and move the shoulder pads in place to provide the appropriate amount of anterior support. 3) Tighten the index clamp (fig.
PLACING THE CHILD IN THE STANDER: 1. Always lock all four casters before putting the child in the stander. This is done by stepping on the lock lever on each castor. 2. The child's therapist should identify whether or not one or two people should be required for the standing transfer. 3. 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.
MAINTENANCE: 1. Keep the stander clean. The metal and plastic parts can be washed with a mild concentration of dish soap (the same as is used on your dishes). Rinse with water and dry. Wipe down all of the upholstered parts with a damp cloth. 2. Check weekly for frayed straps and Velcro. For the child's safety, discontinue use of the stander until worn Velcro and straps are replaced. 3. Periodically check for loose screws and tighten them as needed.
839 Albion Ave P.O. Box 70 Burley, ID 83318 20 Phone: (208) 878-3840 (800) 543-4769 Fax: (208) 878-3841 info@mulhollandinc.com www.mulhollandinc.
