PRONE STANDER Use r s Manual 1
TABLE OF CONTENTS 2 Preface 3 Precautions 3 Required Tools 4 Components 4 Assembly 5-9 Fitting Instructions 10 Adjustment Overview 11 Adjustments 12-15 Options 16-18 Prone Neckrest and/or Shoulder Pads 16-17 Outriggers 18 Placing Child in the Stander 19 Maintenance 19
PREFACE: These pages provide information to professionals for the set up and use of the Prone 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. All standers adjust from prone to vertical to offer therapists the opportunity to provide graduated weightbearing to promote more normal tone distribution and stability, and selective extension of the spine.
REQUIRED TOOLS: Tape Measure Allen Wrenches (3/16 , 5/32 ) (Included in tool pouch) COMPONENTS: Refer to Figure 1. 1. Tray 2. Sternum Rest 3. Trunk Support 4. Hip Support 5. Knee Blocks 6. 7. 8. 9. 10.
PRONE STANDER ASSEMBLY: 1. Unpack and unwrap all of the parts.
2. Slide the Knee Blocks on to the bottom of the main column and secure it into place with the push pin. Slide the Foot Support on to the bottom of the main column and secure it with the push pin. 3. Lay the column down flat, and insert the bottom of the column into the bracket on the base, until the end of the column is flush with the far side of the bracket. Tighten the allen screws.
4. 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.
5. To attach the tray, insert the two short black bars in to the slots on the sides of the column.
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. Secure the tray onto the column by placing the silver safety pin(a) into the short black bar that has the appropriate hole.
FITTING INSTRUCTIONS: The following measurements are required prior to fitting the Prone Stander: 1. Heel to iliac crest: This is the measurement to the top of the hip support. ____ 2. Groin to mid-scapula: This is the measurement to the top of the trunk support. ____ 3. Floor to mid-knee: This is the measurement to the middle of the knee support. ____ 4. Hip width: This is the measurement of the width of the Hip Support. ____ 5. Trunk width: This is the measurement of the width of the Trunk Support.
ADJUSTMENT OVERVIEW: The separate and combined adjustments are critical to the effectiveness of the Prone 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, reduction or increase in postural support and weight bearing activities.
ADJUSTMENTS : Note: The adjustments for height are made with the hip support as the stationary mid-point. All adjustments are made up or down from this point. Removal of the tray is necessary to make the adjustments. NEVER MAKE THESE ADJUSTMENTS WITH THE CHILD IN THE STANDER! 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. Replace the pin. Remove pin (B) and adjust the height of the sternum support to fit to mid sternum.
D B A C 13
Adjustable Knee Supports: a) Angle: Loosen the allen screws (A) and tilt to the appropriate angle to support the knees. Retighten. b) Width: Loosen screws (A) and slide to the correct width to assist in alignment of the lower extremity. Retighten. 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.
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.
PRONE 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, first remove the column from the base. To do this, unscrew the two screws on the base bracket that hold the bottom of the man column, and gently pull them apart. Then pull out the push pin and slide the foot support off the column.
the column.) d) With the child in the stander, slide the mounting column (B) onto the horizontal tube (A) 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 (D) to allow adjustment. E 2) Loosen the rear index clamp (E) and move the shoulder pads in place to provide the appropriate D amount of anterior support.
Outriggers: Attach the two Outriggers on the base with the push pins above the base. Place them approximately in line with where the child s center of gravity will be. Tighten the two allen screws on each to secure into place. Note: The Outriggers can be flipped upright to keep them out of the way when not in use.
PLACING 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 levers. 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.
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.
