Hand/Pulse Measurement; Adjusting The Crosswalker; Contra-Indications; Absolute Contra-Indications - Enraf Nonius Crosswalker Operating Instructions Manual

4.5.3

Hand/pulse measurement

During training on the Crosswalker, a Polar® hand/pulse monitoring system can also be used (optional).
First disconnect the ear sensor from the control panel. Grasp the two hand/pulse sensors that are
attached to the steering column firmly in both hands. When a pulse value is measured this will appear in
the top right-hand corner of the control panel. It can take some time (about 20 seconds) before the
measured pulse value appears on the screen. Throughout the training session keep your hands on the
two hand/pulse sensors.
4.6

Adjusting the Crosswalker

The Crosswalker is optimally suited to every patient on delivery. No further adjustments are required.

5 Contra-indications

5.1

Absolute contra-indications:

•
Myocardial problems in an unstable phase
•
HNP in the (sub-)acute stage (with radiation and neurological abnormalities)
•
Severe osteoporosis
•
Spontaneous fractures
•
Severe mechanical instability
•
Early postoperative joint modifications
5.2

Relative contra-indications:

•
Myocardial problems in a stable phase
•
HNP in the subacute stage (without radiation and neurological abnormalities)
•
Mild osteoporosis
•
Postoperative joint modifications
•
Tumours
•
Inflammations in the area to be activated
•
Undesirable articular load in the area to be activated (e.g. in M. Osgood-Schlatter, bursites, etc.)
•
Undesirable ligamentous load in the area to be activated (e.g. overstretching with swelling)
•
Undesirable soft tissue loading in the area to be activated (e.g. in very severe atrophy)
•
Cardiovascular limitations
•
Pulmonary limitations
•
Psychogenic limitations
•
Pain of such a nature that movement does not promote recovery

6 Intended use

The Crosswalker is an ergometer for medical training purposes.
As thus the Crosswalker can be used for:
•
Prevention: regular use should prevent cardio-respiratory and locomotor impairments.
•
Rehabilitation: musclar dysbalance can be adjusted / equalized by means of regular use
•
Diagnostic aid: by means of assessment of the changes in heartrate during exercise and
evaluation can be made with respect to the power producing capability of the patient.
33