Basko MultiMotion Series Instructions Manual page 39

As long as motion continues to be gained (Fig. E), spring tension is not increased. Only if motion is
no longer gained, spring tension is increased (Fig. F) provided a wearing time of 7-8 hours a day
continues to be respected; this is normally done every 3-4 weeks. This phase is repeated until the
patient's rehabilitation objective is achieved. With each change of force, prevention to trigger spasm
should be a specific caution.
4th phase
Follow-up: this is the phase where the achieved objective (Fig. G) is retained. It is recommended to
wear the orthosis daily for one hour in order to avoid recurrence of contractures (Fig. H).
A
E
Documenting Spring Tension
1st Step
The course of the LLPS therapy can best be observed by measuring of the Range of Motion. After
sub-maximum spring tension is set (Fig. C and D), the next step is to determine the Active Range
of Motion (A-ROM) while wearing the orthosis. This can be measured using a goniometer (Fig. I).
The obtained result is to be documented in the appropriate chart (Fig. J).
2nd Step
Remove the orthosis from the patient. Documenting spring tension always has to be done with the
joint locked and the orthosis in full extension (0°-position). If extension or flexion stops are used and
prevent full extension just extend the orthosis up to the stop and lock the joint. The value shown on
the indicator disc (Fig. K) is recorded in the chart (Fig. L).
At the next adjustment of the spring tension, the orthosis is again locked in full extension, and the
set value recorded in the chart.
CAUTION
WHEN THE ORTHOSIS IS WORN BY THE PATIENT, THE INDICATOR DISC ROTATES ALONG WITH THE ORTHOSIS AND THUS,
AT THAT MOMENT DOES NOT INDICATE ANY VALUE OF SPRING TENSION SETTINGS.
While the patient is wearing the orthosis the indicator disc in the joint turns along with the orthosis.
Consequently, at that time it gives no indication of the set spring tension.
3rd Step
Measure the Passive Range of Motion (P-ROM) (Fig. M), again using a goniometer, without the
patient wearing the orthosis and record the result in the appropriate chart (Fig. N).
Spring tension will be increased, as described in the 3rd stage - the rehabili tation phase - on several
occasions. To keep track of the progress of the treatment, the results are measured and listed.
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B
F
C
G
D
H