Breg S.T.K. Shoulder Therapy Kit Instruction Booklet

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Instruction
Shoulder
Therapy Kit
Booklet
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CONTENTS:
E/U authorized representative MDSS GmbH Schiffgraben 41 D-30175 Hannover Germany
AW-1.00110 REV L 0113
1
S.T.K. Shoulder Therapy Kit
Warnings and Notes.................. 1
Shoulder Exercises.................... 3
Rope & Pulley Exercises............ 6
Bar Exercises............................. 8
Strengthening Exercises.......... 12
Exercise Schedule.................... 18
Warranty.................................. 20
WARNINGS:
Federal law restricts this device to sale by or on the order of a licensed health care practitioner and should only be used under the supervision of a licensed health care practitioner.
CAREFULLY READ ALL INSTRUCTIONS PRIOR TO USE.
The S.T.K. is a tool provided to the health care practitioner to be used as appropriate in the treatment of patients. While certain features are incorporated in the design of the device to provide for its safe use, it is strongly suggested that its use be directly controlled and monitored by the health care practitioner.
PRIOR TO EACH USE, CAREFULLY INSPECT FOR ANY WORN OR BROKEN COMPONENTS. Parts will deteriorate
with age and use.
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Collapsible Bar
Rubber Tubings
Rope & Pulley
Carrying Bag
Instruction Booklet
S.T.K. Complete................ #00500
S.T.K. Rope & Pulley Set.. #00600
S.T.K. Callapsible Bar........ #00700
S.T.K. Shoulder
Resistance Set............
#00800
S.T.K. Shoulder Therapy Kit
PLEASE NOTE:
Do exercises only as instructed by your licensed health care professional.
Use pain as an exercise guideline. If a specific exercise increases pain, discontinue that exercise and notify your therapist.
Do exercises slowly and carefully.
PRIOR TO EACH USE, CAREFULLY INSPECT FOR ANY WORN OR BROKEN COMPONENTS. Parts will deteriorate with age
and use.
Not all exercises shown are appropriate to every patient. Some may be contra indicated for shoulder problems. A licensed health care practitioner must specifically assign both the appropriate exercises to perform as well as the frequency and number of repetitions for each patient.
Hold all stretches for 15-20 seconds. Please do not bounce.
Exercises illustrated are for the right shoulder.
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S.T.K.
1
2
Shoulder Exercises
Pendulum Exercise: While leaning forward as shown,
with arm hanging relaxed, do clockwise and counter clockwise circles.
3
Shoulder Shrug: Shrug shoulders up toward neck.
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4
3
4
Shoulder Exercises Continued
Bat Wave: Start from an erect posture with elbows bent and palms facing forward at shoulder height. Squeeze shoulder blades together while bringing hands back as shown.
Shoulder Depression: Place two thick blocks or books on table. Position yourself between blocks with palms rest­ing on them. Raise body off table by pushing down.
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Shoulder Exercises Continued
5
Posterior Capsule Stretch: With unaffected arm, grasp affected arm just above elbow and slowly pull it across chest until you feel a good stretch in shoulder. Affected arm should be completely relaxed during this stretch.
5
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6
6
45°
45°
7
The following exercise requires the Rope and Pulley Set with Door Strap. Position the door strap at the top of the door jamb so that the pulley is on the non- opening side of door. To adjust rope length, simply move knot at rope ends.
S.T.K. Rope & Pulley Exercises
Abduction: Begin with affected arm bent and 45° from
the side of the body. Using opposing arm, raise affected arm as high as you can while keeping arm as relaxed as possible. Lower affected shoulder to prevent shoulder raising toward ear.
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NOTES:
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8
8
9
The following exercises require an assembled S.T.K. Bar.
Remember, use pain as an exer­cise guideline.
S.T.K. Bar Exercises
Forward Flexion: Lying on your back, grasp bar with both
hands, shoulder width apart. Start with bar resting across hips. Lift bar with arms straight as high as you can, hold 15 seconds, then return to starting position.
Internal/External Rotation: Lying on your back with arms positioned as shown, grasp bar shoulder width apart. Keeping elbows in, rock bar as far as you can from side to side and hold for 15 seconds at each side.
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Bar Exercises Continued
10
11
Rotation with Arms at 90°: Lying on your back, grasp bar near ends with both hands. With arms positioned as shown and bar resting on stomach, rotate bar over your head and back.
9
Side to Side: Lying on your back, grasp bar with both
hands, shoulder width apart. Bring bar to eye level and move it from side to side.
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10
12
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Bar Exercises Continued
Diagonal Side to Side: Lying on your back, grasp bar with both hands, shoulder width apart. Move bar from hip to opposite shoulder and back.
Internal Rotation Behind Back: Hold bar behind your back as shown with unaffected arm at top of bar. Use un­affected arm to pull up affected arm as far as you can.
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Bar Exercises Continued
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External Rotation: Lying on your back next to the edge of table, grasp bar as shown. Hold bar in palm of hand on affected arm. Push down with unaffected hand to rotate affected arm as far as you can below the table surface. Hold stretch for 15 seconds.
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15
16
The following exercise requires the Rubber Cord Set with Door Strap. For each exercise, posi­tion the door strap at appropriate location between door and door jamb on hinge side so that Rub-
ber Cord is on the non-opening side of door.
S.T.K. Strengthening Exercises Phase 1
Internal Rotation: Stand sideways with affected shoulder
closest to the door and elbow against pillow or rolled tow­el at your side as shown. Pull handle toward unaffected arm while keeping elbow position. Return slowly.
External Rotation: Stand sideways with affected shoulder farthest from the door and elbow against pillow or rolled towel at your side as shown. Pull handle away from unaf­fected arm while keeping elbow position. Return slowly.
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Strengthening Exercises Phase 1 Continued
Shoulder Extension: Stand facing door with affected arm extended and straight as shown. Pull handle back as far as you can while keeping arm straight. Return slowly.
13
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14
18
19
The exercises 18 and 19 loop Door Strap around your foot as
shown; however, shorter people may eliminate Door Strap and loop Rubber Cord directly under foot.
S.T.K. Strengthening Exercises Phase 2
45° Raise: Grasp handle with arm at side and thumb
pointed forward as shown. Keeping arm straight and thumb pointing down, lift handle at 45 degrees from front to shoulder height. Return slowly.
Forward Flexion: Grasp handle with arm at side and palm down as shown. Keeping arm straight, lift handle forward to shoulder height. Return slowly.
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Strengthening Exercises Phase 2 Continued
20
21
Scapula Strengthening: Stand facing door with affected arm as shown. Without rotating upper body, pull arm back as far as you can. Maintain arm position as shown. Return slowly.
15
Forward Press: Stand facing away from door with
arm positioned as shown. Push handle out until arm is straight. Return slowly.
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22
23
For exercises 22 and 23, secure Door Strap near top of door
jamb.
S.T.K. Strengthening Exercises Phase 3
Diagonal Patterns: Stand sideways with affected shoul-
der closest to the door and arm out straight with palm facing forward as shown. Pull handle down and across body toward opposite hip. Return slowly.
Diagonal Patterns: Stand sideways with affected shoul­der farthest away from door. Position arm across face with palm facing backwards as shown. Pull handle down and across body toward opposite hip. Return slowly.
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24
25
CAUTION: For exercises 24 and 25, secure Door Strap to bottom of door by first inserting an object such as one of the S.T.K. Bar pieces through the loop in the Door Strap. This will prevent the Door Strap from slipping out from the door.
17
Strengthening Exercises Phase 3 Continued
Diagonal Patterns: Stand sideways with affected shoul­der farthest away from door. Position arm across body with palm facing backwards as shown. Pull handle up and across body as shown. Return slowly.
Diagonal Patterns: Stand sideways with affected shoul­der closest to the door and arm out straight with palm facing forward as shown. Pull handle up and across body as shown. Return slowly.
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Shoulder Exercises Repetitions and Notes
Rope & Pulley Exercise
Pendulum Exercise
1
Shoulder Shrug
2
Bat Wave
3
Shoulder Depression
4
Posterior Capsule Stretch
5
Abduction
Bar Exercises
6 & 7
Forward Flexion
8
Internal/External Rotation
9
Rotation with Arms @ 90°
10
Side to Side
11
Diagonal Side to Side
12
Internal Rotation Behind Back
13
S.T.K. Exercise Schedule
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Patient Name___________________________________ Date___________
Repetitions and Notes
Strengthening Exercises
Phase 1
Phase 2
Phase 3
External Rotation
14
45° Raise
18
Forward Flexion
19
Scapular Strengthening
20
Forward Press
21
Diagonal Patterns
22
Internal Rotation
15
External Rotation
16
Shoulder Extension
17
Diagonal Patterns
23
Diagonal Patterns
24
Diagonal Patterns
25
19
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S.T.K. Limited Warranty
Breg, Inc. warrants that this product is free from defects in work­manship, materials, and fitness for use for six months from the date of purchase under normal use for which it was intended if, and only if, it has been properly used under direct supervision of a licensed health care practitioner. Breg, Inc.’s obligation under this warranty is limited to the replacement or repair of any defec­tive part or parts of this product. All express or implied warranties, including the warranty of merchantability and fitness for a particular purpose, are limited to the actual warranty period set forth above. No other warranty, express or implied, is given and no aff irmat ion of or by se ller, by words o r actio n, will constitute a warranty.
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AW 1.00110 REV L 0113
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