User manual MULHOLLAND WALKABOUT JULIAN

[. . . ] Periodically check and tighten all loose fasteners. Loose fasteners can cause the WalkaboutTM to be inoperable. 3 PROGRAM RECOMMENDATIONS Initially, many children use the WalkaboutTM as a stationary stander to develop standing tolerance and to develop hip and knee extension. Remember that spasticity has nothing to do with strength. A child with weak hip flexors may utilize their adductors to assist (this is not a good thing!) This situation can become more severe if the child has limited dorsiflexion. [. . . ] Loosen the four (two on each side) al- 6 len screws (4) on the back of the pelvic support and adjust to accommodate the child s hip width (use measurement #2 above). Sit bar height: Loosen the adjustment lever (5) and slide the the sit bar along the front column. Initially place the sit bar as high as possible on the column. Pelvic support height: Loosen the two allen screws (6) on the top and bottom of the pelvic pad. Place the pelvic support assembly as close to the sit bar as possible without preventing hip flexion. If this support is too high or too low, it will not provide the stability required for the child to step forward. Trunk pad height: Repeat step #4, but with the allen screws above and below the trunk pad (7). The child s shoulders should be positioned slightly in front of his/her lower body and feet (in most situations) with the pitch of the column at approximately 85 degrees to the floor. Occasionally the column will be positioned in a more upright, or more prone position, 1 to improve the child s gait pattern or to diminish primitive reflex patterning. When more pitch is needed, the rear column can be tilted forward. Loosen the two allen screws on the upper Figure 9 tube clamp assembly (fig. 9. 1). Raise the upper clamp assembly and frame brace while tilting the column forward (fig 10). When the desired angle is achieved tighten the allen screws to secure the column. Note: lowering the upper tube clamp Figure 10 assembly will tilt the column back upright. 11 Column Height: Refer to figure 11. After setting the pitch and the sit bar-to-trunk support distance, set the column height. 3 2 1. Measure the inseam: 1 Determine the child s inseam height: ____ a) If the child requires support at the upper trunk to stand, measure from the floor to 2 Figure 11 inches above the inseam. b) If the child requires only hip support to stand, measure from the floor to the inseam. Adjust the Column Height: a) Loosen the T-nut (1) and then remove the ball lock pin on the rear column adjustment tube. b) Slide the rear column (2) up/down so that the sit bar height is the same as the inseam height determined above. c) Replace the ball lock pin and tighten the T-nut to secure the rear column in place. d) For more precise adjustments, rotate the crank (3) clockwise to raise the column assembly or counterclockwise to lower the column assembly. 12 Spring Tension: Refer to figures 12. The sit bar, pelvic support, and trunk support assist in lifting the child into standing. The amount of lift is controlled by the degree of spring tension. [. . . ] If they are contacting the floor, the user cannot turn the device. Adjust the height of the seat prior to putting the user in the device. Adjust the spring tension after loading. If the rear column tilts forward spontaneously you need to adjust the angle and TIGHTEN the clamp screws. [. . . ]