biodex 830-450 Instructions For Use Manual

Dual position back ex/flex attachment

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DUAL POSITION BACK EX/FLEX ATTACHMENT
INSTRUCTIONS FOR USE
830-450
FN: 08-261-CLR Rev B 8/19

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Summary of Contents for biodex 830-450

  • Page 1 DUAL POSITION BACK EX/FLEX ATTACHMENT INSTRUCTIONS FOR USE 830-450 FN: 08-261-CLR Rev B 8/19...
  • Page 2 Attachment for the Multi-Joint System – 830-450. Additional information and resources are available upon request or directly from the Biodex website, http://www.biodex.com. If the desired information is not found, contact a local distributor or Biodex directly at supportservices@biodex.com Thank you, Biodex Medical Systems, Inc.
  • Page 3: Table Of Contents

      Setup and Installation ......................8   Attaching the Ex/Flex Mounting Bars ................8   Connecting the Back Attachment to the Biodex Multi-Joint System ......... 9   Releasing the Back Attachment from the Dynamometer ..........12     Patient Positioning and Stabilization .................. 13  ...
  • Page 4: Definition Of Symbols

    Definition of Symbols The following symbols and their associated definitions are used and implied throughout this manual.
  • Page 5: Introduction

    1. Introduction Figure 1.1. The Multi-Joint System with Dual Position Back Ex/Flex Attachment. The Patient is Exercising in the semi-standing (functional) position. For exercise or testing in the seated compressed position, remove the lumbar pad, raise the seat to the inclined position, and insert both the Sacral Pad and the Lower Extremity Compression Device.
  • Page 6 Contraindications Below are the contraindications to isokinetic testing or exercising. Absolute Contraindications Acute strain (musculotendinous unit) or sprain (non-contractile tissue) • Soft-tissue healing constraints (such as immediately after surgery) • Severe pain • Extremely limited range of motion (ROM) • Severe effusion •...
  • Page 7: Parts And Adjustments

    2. Parts and Adjustments Figure 2.1. The Biodex Dual Position Back Ex/Flex Attachment Major Components and Adjustment Mechanisms 1. Headrest Adjust Lock Knob 2. Cervical Headrest 3. Scapula Roll 4. Back Attachment Support 5. Scapula Roll Adjustment Knob 6. Torso Straps with Clavicle Pads 7.
  • Page 8: Setup And Installation

    3. Setup and Installation Attaching the Ex/Flex Mounting Bars Figure 3.1. The Ex/Flex Mounting Bars Installed on the Dynamometer Base. 1. Using a 5/16" Allen wrench, remove the three bolts each on the left and right side of the dynamometer pedestal base that secure the base to the dynamometer travel. Discard the bolts.
  • Page 9: Connecting The Back Attachment To The Biodex Multi-Joint System

    Connecting the Back Attachment to the Biodex Multi-Joint System Figure 3.2. The Dual Position Back Ex/Flex Attachment Secured to the Multi-Joint System. 1. Position the dynamometer facing out from the chair at the center of the top of the T-base (0-degrees rotation).
  • Page 10 Figure 3.3. Align the Connecting Hub Red Dot with the Dynamometer Shaft Red Dot. Figure 3.4. Tighten the Connecting Hub Lock Knob to Draw the Back Attachment Securely to the Dynamometer.
  • Page 11 Figure 3.5. Secure the Docking Clamp at the Base of the Back Attachment to the Bars at the Base of the Dynamometer. Push the Bracket Down as the knob is Being Tightened. Figure 3.6. The Docking Clamp Fully Secured to the Dynamometer Base.
  • Page 12: Releasing The Back Attachment From The Dynamometer

    Releasing the Back Attachment from the Dynamometer 1. Loosen the back attachment docking clamp knob until the bracket pops out of the grooves in the dynamometer bars. 2. Unlock all four back attachment locking casters. 3. Loosen dynamometer height, tilt and rotation locking knobs. 4.
  • Page 13: Patient Positioning And Stabilization

    4. Patient Positioning and Stabilization Semi-Standing (Functional Position) Figure 4.1. The Dual Position Back Ex/Flex Attachment and Multi-Joint System with a Patient in the Semi-Standing (Functional) Position. NOTE: It is recommended that patients remove their glasses during testing or exercise with this attachment.
  • Page 14 attachment in the vertical position. Move the support attachment to 50 degrees on attachment goniometer. Press <Stop> on controller or dynamometer to lock the support attachment in place. 3. Ensure seat is in down position (front of seat tilted down approximately 15°. If not, lift up on seat, flip up seat adjustment lever and lower seat appropriately.
  • Page 15: Seated Compressed (Isolated Lumbar Position)

    Begin the test/exercise with the patient in the flexed position. The initial movement is extension (away). Seated Compressed (Isolated Lumbar Position) Figure 4.2. The Biodex Dual Position Back Ex/Flex Attachment and Biodex Multi-Joint System with the Patient Seated in the Compressed (Isolated Lumbar) Position.
  • Page 16 NOTE: It is recommended that patients remove their glasses during testing or exercise with this attachment. 1. Place controller in Setup mode and press <Standby>. 2. Holding back attachment support attachment firmly with one hand, press <ON>, press <Start> to allow rotation of the dynamometer shaft. Use the dynamometer Balance Adjustment Dial to balance the attachment in the vertical position.
  • Page 17 the base of the back attachment frame and doubled back to be secured via the Velcro® patches. Slide the shoulder pads up or down the strap to position for patient comfort. NOTE: Because different body types require different torso strap angles for maximal patient comfort, the straps may be positioned above or below the strap peg located where the straps are secured to the back attachment frame.
  • Page 18: Clinical Applications

    In early stages of rehab, this may be attractive to the clinician and patient. 3. Mark Rowinski, PhD, PT, (Biodex Clinical Protocol Manual, 1988) states, "The therapist must focus on the motor control mechanism, and since bending is assisted by gravity, the eccentric activity of the trunk extensors should be the prime focus early in the rehabilitation process.
  • Page 19: Isometric Mode

    Isometric Mode 1. Since no movement is involved, patients can safely exercise muscle flexors or extensors at specific angles while placing only minimal stress on the trunk and back. 2. In the acute stages of rehab, submaximal exercise can be utilized to maintain or increase strength at specific ranges in the ROM.
  • Page 20: Maintenance

    6. Maintenance Cleaning Instructions With the system turned OFF, wipe down all surfaces with a damp cloth. Mild soap and water can be used to remove stains and scuff marks. Pay particular attention to the upholstery that can be damaged by exposure to perspiration and other body fluids. NOTE: DO NOT use cleaning solutions containing ammonia or alcohol to clean upholstery.

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