TM PEER LEVEL STANDER SUPINE 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: Supine 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 Supine 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.Hip Support 2.Trunk Support 3.Strut 4.Column 5.Side Frames 8. 6. Trigger Release 7. Frame Brace Column Pivot 9. Foot Support 10.
SUPINE ASSEMBLY INSTRUCTIONS: a 1. Attach the column pivot into the blocks (a) on the top of the side frames. Make sure the strut receiver (b) is facing the towards the trigger (c) when it is above the pivot. b c 2. Tighten the four bolts on the top of each side, and make sure the block is situated so the pivot bar is below the frame. 3. Attach the frame brace to the two side frames, using the lower set of holes. Make sure the bar with the stickers is on top.
4. 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).
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. Figure 7 a b 6. The tray mounting tubes (fig 8a) should be loosened off just enough to let them swivel on the frame and brought through 180 degrees to point upwards (fig 9a). 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 supine neckrest (b) drops down into the column and is secured with a push pin. The knee block unit (c) slides on to the main column and are secured with a push pin. The shoe holders (d) can slide up on to the bottom of the column and be secured with a push pin. Lastly, the tray (e) drops into its mounting tubes. 8.
Figure 10 b e a c f d 9
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! 12 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). 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 12A) 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.
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 Supine Neckrest and/or Shoulder Pads: 1. Assembly: a) Slide the mounting support tube (fig. 13a) into the top of the column, and secure it with the push pin. b) Measure the height to the top of the child s shoulders and then to the mid ear. c) Adjust the height of the shoulder pads to the height of the top of the shoulders, and the middle of the neckrest to the mid-ear height, using the foot supports as the baseline. Adjustments are made using the allen screws.
positions: set and out-of-the-way. 4) Tighten the inner retainer ring (e) to provide enough tension to allow the pivot to lock into place.
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 one or two persons are 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 Phone: (208) 878-3840 (800) 543-4769 Fax: (208) 878-3841 info@mulhollandinc.com www.mulhollandinc.
