General Clinical Considerations - biodex BALANCE SYSTEM SD Operation & Service Manual

4. CLINICAL CONSIDERATIONS
Prior to allowing any patient to use this device, make certain to read and comprehend this entire
manual. Ensure that you are completely familiar with all aspects of adjustment, training and
testing, as well as patient history. Be sure to adhere to the following clinical guidelines at all
times when using this system.
NOte: Never allow a patient to use the Balance System while unsupervised.
CONSIDERaTIONS CLINIQuES
Avant d'appliquer le systäme de stabilité à un patient, lire avec soin la présente notice. Il faut se
familiariser avec tous les aspects de réglage, d'entraâneemnt et d'examen ainsi qu'avec le
dossier du patient. Respecter les consigues indiquées ci-dessous lors de l'utilisation du systéme.
NOtA: Ne jamais laisser un patient sans surveillance sur le systéme de stabilité.

GENERaL CLINICaL CONSIDERaTIONS

1. All users should have a verbal understanding of the Balance System prior to stepping on the
device.
2. To ensure patient safety, begin each session with the balance platform in the "locked" or stat-
ic position.
NOte: The Balance System automatically places the platform in the locked position when the unit is
turned ON, or after a time period of three minutes when the system is not in use.
3. Adjust support rail and biofeedback display for patient comfort and safety.
4. When dealing with post-operative patients, ensure they possess adequate muscular control
to stabilize the joint prior to placing them on the foot platform. Inadequate muscular control
could lead to increased joint translation.
5. When patients are working with their eyes closed, ensure that a clinician is ready to assist in
case of loss of balance or use the optional patient support stand.
6. Since the entire lower extremity is required to work to stabilize the balance device, ensure
that supporting structures above and below the joint are adequately strengthened prior to
beginning rehabilitation on this device.
7. For optimal operation, ensure the patient is standing in the center of the platform.
8. Patients should progress from "hands-on" to "hands-off" the support handle. This will
ensure that new or unstable patients have an adequate understanding of the Balance System
and will help protect the patient against sudden or unexpected movement of the platform.
9. Position the display so that the patient can look straight at it. This will help ensure good
posture during the test or exercise session.
10. There is a learning curve that must be considered when testing with this device. Clinical
research suggests three trials be performed prior to testing. For dynamic balance testing, the
"default settings" are preselected with three trials per side. This should assist with the learn-
ing curve and better average the data.
— 4-1 — CLINICAL CONSIDERATIONS