MEDICAL INFORMATION “It is easier to achieve the intended aim after getting acquainted with the subject-matter of the undertaking – it enables to predict possible consequences adequately and unifies the language of communication between the partners of the dialogue reducing unnecessary, unpleasant experiences”. Introduction, Key Words, Kinesitherapy Paraplegia and paraparesis can be of traumatic or pathologic origin and it most frequently occurs in the following diseases:...
• increased level of stress associated with everyday activities, • disturbances of sensory perception, • social interaction and self-acceptation more difficult (depression), • increased stigmatisation, stereotypy, discrimination and lack of acceptation among the active members of the society, • reduced effectiveness and possibility of rehabilitation, which leads to secondary aggravation of the above disorders.
Efficiency of the locomotor system. Frequent dysfunction of the locomotor system accompanying the underlying disease prompt to analyse thoroughly the possible need of passive or dynamic correction, compensation, alleviation or stabilisation of the particular elements of the system by means of appropriate orthoses (collars, etc.), e.g. the cranio- cervical or thoracic segment of the vertebral column in the cases of subluxation symptoms or instability by means of corsets or belts applied for the cases of scoliosis or muscular insufficiency, orthoses for the upper extremities in the cases of contractures or special shoes or insoles –...
fatigue) the exercise can be prolonged by one minute. In case of any adverse effects associated with upright position, the exercise should be discontinued immediately. When the symptoms subside, the training should be resumed, starting the stage from the beginning. Leaving the parapodium and changing position to sitting on a chair, bed or wheelchair (the presence of an accompanying person mandatory during this exercise).
ATTENTION. This symbol is used to signal that particular attention to the content of the paragraph marked in this way is needed. WARNING. This symbol is used for the description of functions (activities), which performed incorrectly, i.e. according to the Manual, may lead to the damage of the device. DANGER.
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The parapodium consists of the following elements: Diagram 1 Principles of Function of Dynamic Parapodium Model PD150, PD180, PD200. Many years of experiments and observation of disabled people with paraplegia have proven, how difficult it is to design a simple, easy to operate device for a large group of users characterised by a large diversity of physical condition of the organism and complications involving the internal organs.
Alterations of the centre of gravity in the parallel to the intended direction of movement are obtained by slight bending of the patient’s trunk forth and back, possible owing to the special design of the lower joint and the corset hanger joint.
Table 1. PD 150 PD 180 PD 200 No. Parameter (cm) MIN. MAX. MIN. MAX. MIN. MAX. Hip width (S) Hip depth (G) Height to the knees (D) Height to the trochanter (K) Weight Contracture of the knee (°) 30° 30°...
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ATTENTION Dynamic Parapodium is to be used only on a flat, horizontal and hardened surface. ATTENTION Any attempt to overturn the parapodium on purpose more than the maximum lateral tilt (10’) is contrary to the instructions for use of the device and may cause a threat to the patient’s life. While using the parapodium the patient must not be loaded more than 5 kg over his normal weight.
Standing in the parapodium. The parapodium makes it possible for a disabled person to stand self-dependently and comfortably without the aid of the hands for the period of many hours. Even if the patient faints, upright position is maintained owing to continuous control of the child’s gravity centre. Walking in the parapodium.
In order to reassembly the parapodium follow these instructions: Put the corset assembly back (pos.1, pict.4) on the basis assembly (pos.2, pict.4), Adjust the previous height of the mounting of the corset assembly (1), Screw the screws with two pads again (pos.3, pict.4), Check the condition of equal dimensions X and Y (X=Y).
• The users of the device must not be under the influence of alcohol or drugs. • The predicted time of using the device is 4 years. After this period it can be used only after a positive control performed by the manufacturer. •...
2.10 Warranty The Warranty Chart is a separate document attached to every new product. 2.11 Warranty instructions Failure to comply with the procedures presented below will result in the loss of warranty. • In case of any damage, the use of the device should be discontinued until the moment of repair. •...
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MANUFACTURER mdh Sp. z o.o 90-349 Łódź 22/24 Tymienieckiego Street tel.: (+48 42) 674 83 96 tel.: (+48 42) 676 32 54 fax.: (+48 42) 299 69 24 www.viteacare.com „Dynamic Parapodium Model PD150, PD180, PD200. User’s Manual“ is a property of mdh Sp. z o.o. All rights reserved.
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