User manual MULHOLLAND PRONE STANDER

[. . . ] 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. 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. [. . . ] If they are not, the child may not be weight bearing evenly. Tighten the knobs and re-velcro the inside strap. This will be adjusted later as part of the "fine tuning" while the child is in the stander. Complete this adjustment for both the upper and lower supports. 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. Height: Release the push pin (D), and adjust the height. 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. Then unscrew the side with the shorter leg and adjust accordingly. 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. 5) Rotation: Loosen the nuts under the shoe holders and pivot. 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. [. . . ] The child should be directly supervised at all times. Provide a table or socialization activity while the child is standing. Observe closely for signs of fatigue, distress or discomfort and remove the child within the prescribed period. MAINTENANCE: 1. The metal and plastic parts can be washed with a mild concentration of dish soap (the same as you use on your dishes). [. . . ]