Page 2
12 weeks, including stretches, strengthening exercises and cardiovascular training. All exercises have The important bit for you to remember is that the Navii been carefully chosen by our expert Physiotherapists to reacts very quickly switching between resistances as you help you master the basics of Navii, as well as progress move your weight on and off.
Table of contents Useful information about Navii ................................... - Connecting to Össur Logic .................................... - Charging Navii ......................................... - Warnings ............................................- Using the mechanical lock ..................................... - Using extension hold ......................................- Caring for Navii ........................................Ramp training ..........................................
Useful information about Navii Össur Logic-app In the app store, you can download Össur Logic App. With this app you can see the status of the knee and access different exercises to build confidence and trust with Navii.
Download Össur Logic App and create a user account, if you don't already have one. Sign in, and click add device. Once the correct serial number for the Navii is selected, Össur logic will ask for a PIN code, which can be found on the back of the knee.
At this point the device should be recharged. Waterproof Navii is waterproof and can be submerged in up to 2m depth for 30 minutes. It can tolerate contact with fresh water, salt water, chlorinated water, perspiration, urine and mild soaps.
Scan the QR code to see how to activate ‘Extension hold’. Caring for Navii Clean Navii and the protective cover regularly with a damp cloth and mild soap. Cleaning after exposure to sand, salt water or chlorinated water: • Turn off the device •...
Ramp training Ramp ascent is hard work and for many This training guide will provide you with amputees, ramp descent can be an a stepbystep approach for ramp ascent intimidating task. Ramps come in all sizes and descent. By training regularly and in and require proper training with a a safe manner, walking up and down therapist.
Ramp ascent Navii is a default swing knee which means that If you do not have a Navii ask your CPO/therapist the knee feels “free” when you lift your prosthesis how to ascend the ramp with your prosthetic up. If you gently swing your prosthesis forwards knee.
Page 13
Forwards backwards shift Stand upright, with feet comfortably apart (5-10 cm). Distribute your weight evenly between prosthetic and sound sides, using a wall, counter top or parallel bars to balance. Shift your weight slowly forward, maintaining balance and feeling your prosthetic forefoot and slowly backwards to feel your prosthetic heel.
Page 14
Ramp ascent Scan the QR code for training video. Begin with two hands on the handrail for symmetry. Once your technique has improved, you can practice holding on with one hand. We suggest to use the rail on your sound side if possible. If you feel unstable, insecure or if this is your first time, discuss and always practice with your CPO/therapist first! Start walking by leading with either side.
(buttocks). All these exercises belly button to help you stand tall. Repeat all are advised with a Navii. Check with your CPO/ steps 10 times and reduce hand support when therapist which exercises are possible with your ready to advance to a higher level of difficulty.
Page 16
Ramp descent Master your knee control Standing with your prosthetic foot flat on the ground and the knee fully straightened. Move the other foot slightly Repeat with the sound side forwards and your prosthesis behind your prosthesis while keeping a gap between your behind.
Page 17
Scan the QR code for training video. Tip for the CPO/therapist: Hold onto the prosthetic knee with one hand, use the other hand to facilitate the pelvis on the sound side. With the hand on the prosthetic knee you are able to control the knee flexion in a safe manner. On the sound side you can, by guiding the pelvis towards the prosthetic side, facilitate the loading onto the prosthesis.
Learning how to use the stairs Stairs are a hurdle for many users. This training guide will provide you with a stepbystep approach. By training regularly and in a safe manner, using the stairs will feel more natural. Everyone has their own pace and speed of learning, so do not compare yourself with others.
Navii is a default swing knee which If you do not have a Navii ask your CPO/therapist means that the knee feels “free” when there is how to ascend the stairs with your prosthetic knee.
Page 21
Pelvic Tilts in lying/sitting/standing Put your hands on top of your pelvic bones and using your lower abdomen muscles, tilt the front of your pelvis downwards. Then squeeze your belly button in and use your gluteal muscles to tilt your pelvis backwards.
Page 22
Step-by-step stair ascent Scan the QR code for training video. Begin with two hands on the handrails for symmetry. Once your technique has improved, you can practice holding on with one hand; we suggest to use the rail on your sound side if possible. If you feel unstable, insecure or if this is your first time, discuss and always practice with your CPO/therapist first! Move your weight over the prosthetic leg, then push your residual limb into the socket and in a controlled manner, gently place the sound side foot...
Progressing stair climbing Step-over-step stair descent Progressing stair descent to stepover step requires familiarity and trust with Navii. There are some handy top tips for developing the correct technique that saves you time and energy! Step-over-step stair ascent Progressing to stepoverstep stair ascent requires practice, as well as adequate strength, flexibility and technique.
For stepoverstep stair and with less resistance. Navii will adapt to extra descent, you need optimal suspension and weight automatically by increasing the amount...
Page 27
Master your knee control Standing with your prosthetic foot flat on the ground and the knee fully straightened. Move the other foot slightly behind your prosthesis while keeping a gap between your feet and holding onto the parallel bars for support. Using your gluteal and residual limb muscles to control the movement, keep most of your weight over your prosthesis and try to bend the knee.
The above foot placement guidance is recommended for continue to practice. Navii users. For most mechanical yielding knees picture 3 is realistic to start with. Always practice the first time If there is a situation when you need to go down the together with your CPO and/or therapist.
Page 29
Step-over-step stair descent Scan the QR code for training video. Before you continue, ensure you have practiced for the first time with your CPO/therapist, and you are aware of the possibilities of your prosthetic knee. Stand on the staircase with both feet comfortably apart (5-10 cm). While holding the handrail(s) and keeping your upper body upright, place the rear half of the prosthetic foot on the step below.
Page 30
Step-over-step stair descent Feel the prosthetic knee bending and continue to squeeze your residual limb and gluteal muscles. Feel the resistance of the prosthetic knee and in the meantime, unload your sound side and swing it out in front. Maintain a controlled squeeze of your residual limb muscles and keep a slight push through the ground;...
Step-over-step stair ascent Preparation exercises: Begin all exercises using hand support and focus on gently pulling in your belly button to help you stay up tall. Repeat all x10, make them harder by adding a theraband around your feet or reducing hand support.
Sound side first on step Practice this first in the parallel bars before moving to a staircase, where it is best to have a dynamic start (walking up to Össur Logic application users: the step and continue with out stopping). This allows initiation You will receive real-time feedback of hip extension so it is easier to accelerate into hip flexion.
Prosthetic limb first on step Practice this first in the parallel bars with an exercise step, before moving to a staircase, where you should begin from Össur Logic application users: static (standing still). You will receive real-time feedback based on your load. Using your residual limb Shift your weight forwards to muscles, raise your prosthetic...
Cycling with Navii This guide provides you with some key points that are important to remember when riding a bicycle with a prosthesis, such as getting on and off a bicycle, important considerations about bicycle components, training advice, and addins for the more experienced user.
Cycling with Navii Whether you choose an everyday bicycle, are unsure or have never ridden a bicycle before, mountain bike, recumbent bicycle or racing do the first exercises on a stationary bicycle, bicycle, choose a bicycle which fits your needs.
Lift the leg over the bicycle In this step there are two options to consider: Option A: Stand on your sound side and activate the extension hold in Navii and lift the prosthesis over the saddle to the other side of the bicycle.
Slowly activate the brakes and place your sound leg on the ground first. Once you come to a complete stop, take the prosthetic foot off the pedal. Once Navii extends past 15 degrees the knee will automatically go out of the cycling recognition, and is ready for normal walking.
Page 39
For the more experienced user When riding “downhill” with Navii, you can stand up and remain in a standing position. Once Navii extends past 15 degrees the knee will automatically go out of the cycling recognition. To sit down again, the knee will give you support as you lower yourself back to the saddle.
Keep the saddle as low as possible at the beginning so you can place one leg on the ground to maintain stability. When choosing saddle height and cycling with Navii: make sure the knee will not fully extend during cycling as this will prevent the knee from recognizing cycling function.
Page 41
Clipless pedals Clipless pedals work by mounting a small plastic or metal cleat on the sole of your shoe that typically snaps into a set of spring-loaded “clips” on the face of the pedal. These offer a more secure connection between the shoe and the pedal, but it is important, when choosing this option, to be able to release the prosthetic foot easily from the pedals.
Foot positioning Experiment with different foot positions to keep the heel of the prosthetic foot away from the frame. This is important to prevent the heel sticking/catching in the frame when pedaling, as this increases the risk of falling.
Training plan Accompanied by your physiotherapist This training plan is for users who have never ridden a As soon as you manage to pedal for a full 15 minutes, it’s bicycle before or who are still a little uncertain about how time to swap your stationary bicycle for a bicycle! to begin to ride or begin to train on a bicycle.
Need help?
Do you have a question about the Navii and is the answer not in the manual?
Questions and answers