Mulholland WALKABOUT 3, WALKABOUT 4 User Manual

WALKABOUT
User s Manual
TM
3 & 4C
1
TABLE OF CONTENTS
Preface Design Goals Precautions Program Recommendations Components Assembly Adjustment Overview Fitting Instructions Measure the Child Seat, Hip & Trunk Supports Pitch
3
3
3
4
4-5
6-7
8
9-18
9
10-11
9-10
Column Height Spring/Shock Tension Adjustable Length Base Adjustable Width Base Swivel Locks No-Back Brakes Headrest Unicycle Saddle Seat Options Hand Holds & Arm Troughs Neckrest
17
19-21
20
12
13
14
15
16
16
18
19
2
Shoulder Pads 20-21 Operating Precautions Maintenance Technical Data
22
23
22
PREFACE
This booklet provides the information required for the set up and use of the Walkabout using this system can be profound, not only in terms of gait development, but also in terms of increasing the child s independence, self confidence and social interaction.
DESIGN GOALS
The WalkaboutTM is designed to give a child the potential for hands-free, self-initiated movement while providing lateral support and assisted lift. This spring allows for graduated weight relief as the child develops
TM
3 & 4C. The benefits of
-assisted lift
skill and standing tolerance. The adjustable pitch of the column, along with the pelvic and trunk supports, can be utilized to direct weight shift and assist with stepping.
PRECAUTIONS
1.
This stander should be used under the prescription of the child s physician and under the direction of the child s therapist. Often, ankle support is required prior to utilization of this equipment.
2.
Never leave the child unattended! supervision at all times.
3.
This stander is designed for use on level surfaces only.
4.
Do not use for transportation.
Maintain adult
5.
Adjust the frame length to suit conditions of use. A short base used during play or out-of-doors can be
6.
Periodically check and tighten all loose fasteners. Loose fasteners can cause the WalkaboutTM to be inoperable.
unstable.
3
PROGRAM RECOMMENDATIONS
Initially, many children use the WalkaboutTM as a stationary stander to develop standing tolerance and to develop hip and knee extension.
spasticity has nothing to do with strength!
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. Try activities like kicking, marching, etc. Arrange obstacle courses, tunnels to develop motor planning skills. Whenever possible, integrate their WalkaboutTM into peer appropriate activities: soccer, T ball, participation in family chores , ice-
skating.
Remember that
A child with
COMPONENTS
Refer to figure 1.
1.
Head rest
2.
Trunk support
3. Hip support
4.
Unicycle seat
5.
Swivel locks
6.
No-back brakes
7.
Toggle brakes
8. Anti-
9.
Column brace
10.
Column adjustment tube
tipper
4
11.
Column adjustment clamps
12.
Front column
13.
Rear column
14.
Push handle
15.
Crank
16.
Variable shock
17.
Spring stop assembly
18.
Sling bar clamps
15
14
13
16
11
17
12
18
1
2
Figure 1
3
4
10
9
8
5
6
7
5
ASSEMBLY
Tools Required:
3/16 allen wrench (included in pouch) 5/32 allen wrench (included in pouch) 1/4 allen wrench (included in pouch) Tape measure
Adjustment Levers:
Refer to figure 2. The adjustment levers can be ratcheted so the handle can rotate without affecting the tightness of the screw.
1.
Pull out on black knob. Rotate the handle so it is not obstructed.
2.
Release the black knob, and let the handle slide back and lock with the screw.
3. Continue tightening/loosening the screw by rotating the handle.
Ball Lock Pins:
Refer to figure 3.
1. Hold the head of the pin between your index and middle fingers.
2.
Press in on the button (1) with your thumb while extracting
Figure 2
6
or inserting the pin.
Figure 3
1
Assembly Instructions:
Column Adjustment Tube: Refer to figure 4 .
1.
2.
3.
1 Place the base assembly on the floor. Loosen the four allen screws on each tube adjustment clamp (1). Slide the column adjustment tube through the tube clamps.
2
Figure 4
4.
Tighten all four allen screws on each tube clamp.
AntiĀ­Refer to figure 4. Slide the antiĀ­tube and replace the lower ball lock pin.
so they are 1 to 2 from the ground.
Column: Refer to figure 5.
1.
Tipper:
Adjust the anti-tipper wheels
Loosen the levers (1) and remove
tipper tube (2) up into the column adjustment
3
1
2
the ball lock pin (2).
2.
Slide the rear column (3) into the column adjustment tube.
3. Replace the ball lock pin and tighten the levers to lock the column assembly in place. Keep reading for further
Figure 5
7
ADJUSTMENT OVERVIEW
Proper adjustment of the WalkaboutTM will significantly improve the child s success. The therapist is encouraged to try various adjustment combinations. If the child demonstrates primarily reflexive movements and postures, adjustments should be made to increase the amount of assistance that the stander provides. As the child s skill improves, adjustments should be made to decrease the amount of assistance.
Adjustments:
1.
Column Tilt (Pitch):
space and can affect posture and tone.
2.
Column Height:
the stander provides (in addition to spring tension)
3.
Pelvic and Trunk Supports:
stability. These components also provide some of the fine tuning for trunk alignment and control.
4.
Spring Tension:
more or less assistance can be provided to bring the child into standing.
Affects the child s orientation in
Affects the degree of assistance that
Provide precise proximal
By changing the angle of spring tilt,
Note: See the following pages for assembly and fitting instructions.
8
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