RehabStation Manual 9-25-14 rev00

RehabStation Manual 9-25-14 rev00
The
RehabStation
User Manual
www.med-mizer.com
*Patent Pending
1
TABLE OF CONTENTS
1.
Important General Safety Guidelines……………………………….3
2.
General Use and Features………………………………………………4
3.
Use of Safety Ropes and Harness System………………………..7
4.
Use of Resistance Cords………………………………..................11
5.
Use of Upper Extremity Accessories………………………………13
6.
Upper Extremity Activities…………………………………………….15
7.
Lower Extremity Activities…………………………………………….19
8.
Functional Activities……………………………………………………..22
9.
Balance Activities…………………………………………………………24
10.
Product Specifications………………………………………………….25
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1.
Important General Safety Guidelines
This icon means a potentially hazardous situation which, if not avoided, could result in
death or serious injury.
Before using this equipment, obey the following warnings:
Read and understand the complete Owner’s Manual. Keep owner’s manual for future
reference. Read and understand all warnings stickers on this machine.
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Set up and operate this machine on a solid, level, horizontal surface.
This machine should only be used under the direct guidance of qualified health care professional such as a
physical therapist, occupational therapist or exercise professional with appropriate certification.
This machine should only be used when at least two healthcare professionals are present in the room to safely
remove patient from apparatus in case of emergency.
Children must not be let on or near this machine. Moving parts and other features of the machine can be
dangerous to children.
Not intended for use by anyone under 14 years of age.
Consult a physician before you start an exercise program or use this machine. Stop exercising if you feel pain or
tightness in your chest, become short of breath, or feel faint. Contact your doctor before you use the machine
again.
Before each use, examine this machine for loose parts or signs of wear. Inspect all straps
and connections, making sure they are properly secured and attached, and show no signs of
visible wear or damage. Contact Customer Service for repair information.
Maximum user weight limit: 450 lb. Do not use if you are over this weight.
Do not wear loose clothing or jewelry. This machine contains moving parts. Do not put
fingers or other objects into moving parts of the exercise equipment.
Always wear rubber soled athletic shoes when using this machine. Do not use the machine
with bare feet or only wearing socks.
Do not operate this machine outdoors or in moist or wet locations.
Keep at least 36” (0.9m) on each side of the machine clear. This is the recommended safe distance for access
and passage.
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2. General Use and Features
1.
Lowering the stabilizing feet
The stabilizers must be lowered and locked anytime the system is being used. Failure to do
so could result in injury or death. The only exception is when doing supervised gait training
activities.
Grab end of lever
2.
Extend telescoping lever
Pull lever over fully to lock
stabilizer feet in position
Raising and lowering upper support structure
The top portion of the RehabStation may be raised or lowered several inches to accommodate
a low doorway or to make reaching the overhead support easier.
Grab end of lever
3.
Pull fully until it passes the
white plastic safety catch
Moving the RehabStation
4
When moving the RehabStation it is generally easiest to lock the directional caster first and
then to push and steer the unit by holding the support handles as pictured below.
4.
Using the Folding Step
Adjust step height (4, 6 or 8”) by moving
the legs in or out to the desired height.
Move step lock out of way.
Lower step
5.
Adjusting tension of the Activity Poles
5
6.
Raising and lowering the support handles and pad.
Grasp the black knobs on both sides of the pad. Pull out on the
right knob and adjust to desired height.
3. Use of Safety Rope and Harness System
Once you have properly fitted the safety harness included with you system (see separate instructions)
you will need to attach it and the patient to the overhead support structure using the safety rope
system. Read the instructions below carefully.
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Never allow excessive slack in the safety rope system.
Practice using the device before attempting to use with a patient.
Inspect the rope for wear with each use.
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Read the separate instructions included with the “Ropeman” device.
The safety ropes should be hung
from each side of the overhead
structure using the carabiner
attached to the top of the
“swaged” portion of the rope .
Upper
Carabiner
Swage
“Ropeman”
The adjustable sliding “Ropeman”
should always
be positioned with the “cam
cleat” pointed down.
Cam Cleat
Lower
Carabiner
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Using the “Ropeman” device
To slide the “Ropeman” up, simply
grab the device and slide it up
while holding the rope below it.
To slide the “Ropeman” down, pull
out on the orange tab attached to
the metal wire as you also pull
down. You may also lift the red
cam cleat with your thumb as you
slide the “Ropeman” down
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Connecting safety “Ropeman” to the Harness
Attach the “Ropeman” to the triangular metal ring located on each shoulder strap by sliding
the “Ropeman” up and down on the rope as needed to allow for easy connection of the lower
carabiner.
Once you have attached the carabiner to the triangular metal ring remove any remaining slack
from the rope by simultaneously lifting up on the “Ropeman” while pulling down on the rope.
Excess rope may be placed in
the rope bag on the back of the
harness.
“Ropeman”
n
Carabiner
Triangular
metal ring
To quickly loosen the rope while the attached to the patient pull out on the orange tab while
simultaneously pulling rope through the “Ropeman”
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Harness and Safety Rope System
When properly attached, the harness and safety rope system should appear as pictured below.
Upper
Carabiner
“Ropeman”
n
Lower
Carabiner
Rope Bag
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4. Use of Resistance Cords
The resistance cords (purchased separately) were selected because they contain
proprietary Distance Governor Safety technology (D.G.S). This technology uses a
strong braided cord inside the tubing that eliminates over stretching and potential
breakage. We do not recommend the use of any other resistance bands with The
RehabStation.
Each system comes with resistance cords (yellow, green, red and purple). When used
individually, each cord provides the resistance stamped on the gold clip. When using several
cords together, the resistance will be that of all of the cords added together. If a cord is
doubled it will provide twice the resistance indicated.
Resistance cord can be attached to any the side pegs or overhead hooks. The length and
tension of the cords can be easily adjusted in a number of simple ways.
1. The cords can be clipped and then wrapped under, over or around any of the pegs on the
side of the unit.
2. The cords can be wrapped around the unit.
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3. A “girth” hitch can be used to attach a doubled cord to the overhead hooks.
4. When using the resistance bar the cords can be wrapped around the end of the bar by
simply turning the bar.
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5. Use of Upper Extremity Accessories
1. Using the “Easy Reach” upper extremity assist device.
The “Easy Reach” (purchased separately) can be is a simple spring assist device ideal for
promoting independent upper extremity activity for those who lack anti-gravity muscle strength.
It can be hung from any of the overhead hooks and the Velcro band can be wrapped around
the upper extremity (generally just below the elbow). The amount of assist provided can be
adjusted by turning the black knob clockwise to increase the support and turning it counter
clockwise (while simultaneously pulling out) to decrease the amount of support.
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2. Upper extremity range-of-motion pulleys.
A set of upper extremity pulleys is included with each system which can be hung from the
overhead hook and used for patient assisted range-of-motion activities
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6. Upper Extremity Activities
Lat-Pull Downs
Primary Purpose:
Strengthen latissimus
Accessories:
Resistance bands and bar or
handles.
Other:
Attach the resistance band to peg
4 and loop over peg 1
Rows
Primary Purpose:
Strengthen middle trapezius and
posterior deltoid
Accessories:
Resistance bands and bar or
handles.
Other:
Attach the resistance band to peg
1 and loop under peg 4
Bicep Curls
Primary Purpose:
Strengthen biceps and elbow
flexors
Accessories:
Resistance bands and bar or
handles.
Other:
Attach the resistance band to peg
2 and loop under peg 6
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Tricep Extension
Primary Purpose:
Strengthen tricep and elbow
extensors
Accessories:
Resistance bands and bar or
handles
Other:
Attach the resistance band to peg
4 and loop over peg 1
Shoulder External Rotation
Primary Purpose:
Strengthen external rotators of the
shoulder
Accessories:
Resistance bands and handle.
Other:
Attach the resistance band to peg
1 and loop under peg 4
Push-Downs
Primary Purpose:
Increase strength of scapular
depressors and triceps
Accessories:
Resistance bands and handles
Other:
Loop resistance band over the
overhead supports clipping both
ends into handles
Overhead Press
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Primary Purpose:
Strengthen deltoids and trapezius
Accessories:
Resistance bands and bar.
Other:
Attach the resistance band to peg
3 and loop under peg 6
Chest Press
Primary Purpose:
Strengthen pectoralis major and
anterior deltoid
Accessories:
Resistance bands and bar or
handles.
Other:
Attach the resistance band to peg
1 and loop under peg 4
Upper Extremity Activity Poles
Primary Purpose:
Increase active ROM and upper
body endurance
Accessories:
Activity poles
Other:
Adjust tension knobs at bottom of
poles to appropriate level. Patient
can move the poles together or in
a reciprocal fashion.
Shoulder Range of Motion Pulley
17
Primary Purpose:
Increase flexion and abduction
range of motion
Accessories:
Shoulder pulley
Other:
Hang pulley from end of overhead
support structure. Position patient
straddling support base if needed
“Easy Reach” Spring Assist
Primary Purpose:
Improve active movement of upper
extremity
Accessories:
Easy Reach Spring assist device
Other:
Hang device from appropriate
overhead hook (A-D). Adjust
device to provide amount of
assistance desired.
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7. Lower Extremity Activities
Knee Extension
Primary Purpose:
Strengthen quadriceps
Accessories:
Resistance bands, ankle strap and
bench.
Other:
Adjust height of bench so feet are
slightly off the ground. Attach the
resistance band to peg 2 and loop
under peg 6.
Knee Flexion
Primary Purpose:
Strengthen hamstrings
Accessories:
Resistance bands and ankle strap
Other:
Attach the resistance band to peg
2 and loop under peg 6.
Hip Flexion
Primary Purpose:
Strengthen hip flexors
Accessories:
Resistance bands and ankle strap
Other:
Attach the resistance band to peg
2 and loop under peg 6.
Hip Extension
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Primary Purpose:
Strengthen gluteus maximus and
hamstrings.
Accessories:
Resistance bands and ankle strap
Other:
Attach the resistance band to peg
2 and loop under peg 6.
Hip Abduction
Primary Purpose:
Strengthen gluteus minimus and
medius
Accessories:
Resistance bands and ankle strap
Other:
Attach the resistance band to peg
2 and loop under peg 6.
Hip Adduction
Primary Purpose:
Strengthen hip adductor
Accessories:
Resistance bands and ankle strap.
Other:
Attach the resistance band to peg
2 and loop under peg 6.
Mini-Squats
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Primary Purpose:
Increase lower extremity extensor
muscle strength
Accessories:
Support handles
Other:
Adjust height of bars to appropriate
level
Heel Raises – Flat Ground
Primary Purpose:
Strengthen gastroc and soleus
muscles
Accessories:
Harness may be used if needed for
balance.
Other:
Heel Raises – Over Edge of Step
Primary Purpose:
Strengthen gastroc and soleus
muscles
Accessories:
Step and support handles.
Harness may be used if needed for
balance.
Other:
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8. Functional Training
Step-Ups
Primary Purpose:
Improve steps and stair negotiation
and strengthen lower extremities
Accessories:
Step
Other:
Adjust step height (4,6 or 8”) to the
appropriate level for patient
Step-Downs
Primary Purpose:
Improve steps and stair negotiation
and strengthen quadriceps and
gluteus maximus
Accessories:
Pull down step
Other:
Adjust step height (4,6 or 8”) to the
appropriate level for patient
Sit to Stands
Primary Purpose:
Improve sit-to stand performance
and strengthen quadriceps and
gluteus maximus
Accessories:
Bench attachment
Other:
Adjust height of bench to
appropriate level for patient
Assisted Sit to Stand
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Primary Purpose:
Improve sit to stand performance
Accessories:
Activity harness, resistance cords
Other:
Attach resistance bands to pegs 4
or 5 and wrap over peg 1 and
attach to “D” rings on each side of
the pelvic support strap. Adjust
amount as assistance provided by
resistance bands as needed.
Assisted Squats
Primary Purpose:
Improve lower extremity extensor
strength for patients unable to
tolerate full body-weight.
Accessories:
Support handles and resistance
cords.
Other:
Attach resistance bands to
overhead hooks using “girth hitch”
and attach both clips to “D” rings
on each side of the pelvic support
strap. Adjust amount as assistance
provided by resistance bands as
needed.
Standing
Primary Purpose:
Improve standing tolerance for
functional activities
Accessories:
Harness and safety rope
attachments
Other:
Adjust height of chest padded to
provide desired support.
9. Balance Activities
Standing Balance
23
Sitting Balance
24
Product Specifications
Product Weight
260 lbs
Height of Product
Lowest Position
Highest Position
78”
82”
Product Foot Print (Not to scale)
25”
48”
35 ½”
30”
47 ½”
26 ½”
34 ½”
Product Weight Capacities
Harness Attachment
Step
Seat
Parallel Bars
Shelf
Drawer Size
Parallel Bar Widths
Warranty
450 lbs
450 lbs
350 lbs
350 lbs
200 lbs
3
112 in
21 ¼” to 28 ½”
Limited Warranty
1 Year on casters, drawer/slides and wood products
5 Years on the mechanical mechanisms
Lifetime on all welds
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