Chattanooga Group Stabilizer Manual de usuario

STABILIZER™

Pressure Bio-Feedback

Operating Instructions

ENGLISH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

DEUTSCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

FRANÇAIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

ESPAÑOL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

ITALIANO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

PORTUGUÊS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

NEDERLANDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

DANSK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

SVENSKA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115

NORSK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129

SUOMI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143

ΕΛΛΗΝΙΚΆ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157

TÜRKÇE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171

TABLE OF CONTENTS

of editorial, pictorial or layout composition of this publication without express

written consent from the Chattanooga Group of Encore Medical, L.P. is strictly

prohibited. This publication was written, illustrated and prepared for print by

the Chattanooga Group of Encore Medical, L.P.

The STABILIZER™, designed by physical therapists, is a simple

device which registers changing pressure in an air filled

pressure cell. This allows body movement, especially spinal

movement, to be detected during exercise. The unit consists

of a combined gauge/inflation bulb connected to a pressure

cell.

Core Stabilization training involves the re-learning of co-

activation of co-contraction patterns of the transverse

abdominis and the lumbar multifidus to provide local spinal

segmental support. Published research has shown that when

functioning normally, the transverse abdominis and the

lumbar multifidus act in concert, increasing tension on the

thoracolumbar fascia acting like a corset, providing stability to

the lumbar spine.

Research has shown these types of exercise are especially

important for the prevention and treatment of low back and

neck pain (of various pathologies). The exercise techniques

discussed in this instruction manual involve slow and

controlled body movement. The STABILIZER is used to

monitor and provide feedback on body movement during

exercise. This promotes effective exercise to improve back and

neck pain.

The concepts put forth in this literature were in effect at the

time of publication. However, due to Chattanooga Group's

policy of continuous improvement, changes may be made

at any time without obligation on the part of the designing

physical therapists or the Chattanooga Group.

CAUTION: This product contains natural

rubber latex which may cause

allergic reactions.

WARNING

STABILIZER™

Pressure Bio-Feedback

A simple device that provides feedback

to ensure quality and precision in

exercise performance and testing.

The STABILIZER is useful in an infinite number of exercises

for all parts of the body. This instruction manual contains

information on its use for exercises aimed at enhancing

the stability of the lumbo-pelvic and cervical region.

Considerable research has been completed on the specific

stabilization exercises related to these areas.

• The three-chamber pressure cell of the STABILIZER

is placed between the part of the body requiring

monitoring and a firm surface (e.g., floor, back of chair,

plinth, bed, wall).

• Tighten the screw (gently) at the base of the pressure

gauge. Pump to inflate the three chambers of pressure cell

until it molds between the body part and the supporting

surface. A pressure of 40 mmHg (orange band) is suitable

for the resting pressure of the inflated cell.

• The initial baseline pressure may decrease initially

as the air backflows into the tube. Reinflate before

commencing exercise.

• Changes in body weight on the cell on any of the three

compartments will register a pressure change on the

gauge.

• Pressure on the cell can be increased, decreased or

maintained depending on the exercise/movement

required.

• After exercise, air is released by loosening the screw.

GENERAL INSTRUCTIONS

The deep muscle system in the lumbar spine and

pelvic region is directly responsible for stabilizing

the vertebral segments and

sacro-iliac joints. The larger, more superficial

muscles are involved in moving the trunk. The deep

muscles are underactive in low back pain and the

more superficial muscles are often overactive. In

order to retrain the deep muscles, specific exercise

and testing with the STABILIZER is required.

PRECISION IN SPECIFIC

MUSCLE TESTING

Lying on abdomen

1. The Prone Test for Transversus Abdominis

and Internal Oblique

• Place the three-chamber pressure cell under the abdomen

and inflate to baseline of 70 mmHg. (brown band)

• Draw abdominal wall up and in without moving the spine

or pelvis.

• Pressure should decrease 6-10 mmHg.

• Hold 10-15 seconds, breathe normally.

• Perform 10 repetitions.

2. Training the Corset Action of Transversus

Abdominis in Supine

• Place the three-chamber pressure cell under the lumbar

spine and inflate to a baseline of 40 mmHg (orange band).

• Draw in the abdominal wall without moving the spine or

pelvis.

• Pressure should remain at 40 mmHg (i.e. no movement of

the spine).

• Hold for 10-15 seconds; breathe normally.

• Perform 10 repetitions.

Lying on back

3. Training the Corset Action of Transversus

Abdominis with Leg Loading

• Place the three-chamber pressure cell behind the lumbar

spine and inflate to baseline of 40 mmHg (orange band).

• Draw in the abdominal wall without moving the spine or

pelvis.

• Pressure should remain at 40 mmHg (i.e. no movement of

the spine) while leg lifts.

• Hold for 10-15 seconds; breathe normally.

• Repeat 10 times with each leg.

Standing

Lying (controlled leg

movement)

4. Lumbar Stabilization During Stretching

Techniques

The STABILIZER helps to stabilize the spine while

adjacent body segments are moved in order to

stretch the appropriate muscles.

To Test/Stretch:

• Hip Flexors (Thomas Test)

• Rectus Femoris

• Latissimus Dorsi and Pectoralis Major.

Follow stabilization procedure and maintain pressure

during the stretch.

Test/stretch for tight hip flexors

(Thomas Test)

Test/stretch for tight

Rectus Femoris

Test/stretch for tight

Latissimus Dorsi and

Pectoralis Major

To Test/Stretch: Tensor Fascia lata

• Have patient lying on their side.

• Place pressure cell between lateral trunk (lumbar spine

level) and supporting surface.

• Inflate pressure cell to 40 mmHg. (orange band)

• Maintain lumbo-pelvic stability by maintaining pressure at

40 mmHg during the stretching maneuvers.

Test/stretch for tight

tensor fascia lata

5. Lower Trapezius

• Place the three-chamber pressure cell under abdomen and

inflate to baseline of 70 mmHg. (brown band)

• Draw abdominal wall up and in as described in exercise 1.

(Prone test for Transverse Abdominis and Internal Obliques.)

• Lift one arm and draw the scapula down and in, towards

the spine. The pressure must remain constant.

• Hold for 5 seconds.

• Perform 10 repetitions.

Lying on abdomen

(arm exercise)

The STABILIZER is used to monitor proximal trunk stability

to detect substitution for the tested muscle’s action.

6. Iliopsoas

•Place the three-chamber pressure cell behind the lumbar spine

and inflate to baseline of 40 mmHg. (orange band)

• Draw in abdominal wall without thoracic or pelvic movement.

• Pressure should increase 8-10 mmHg.

• Lift one leg slowly to test position with the other leg

unsupported (i.e., no stool). Pressure should remain constant at

48-50 mmHg.

• Hold for 5 seconds.

• Perform 10 repetitions.

Sitting Upright

7. Gluteus Maximus

• Place the three-chamber pressure cell under the abdomen

and inflate to baseline of 70 mmHg. (brown band)

• Draw abdominal wall up and in as described in Exercise 1.

(Prone test for Transverse Abdominis and Internal Obliques.)

• Extend hip by lifting knee up 5 cm (2 in) off supporting

surface. The pressure must remain constant.

• Hold for 5 seconds.

• Perform 10 repetitions.

Lying on abdomen

8. Training of the Deep Cervical Flexors

• Position the folded cell (secure with pressure studs) under

the neck so that it abuts against the occiput. Do not let it

slide down to the lower cervical area.

• Inflate to a baseline of 20 mmHg. (red band)

NOTE: Do not inflate the Stabilizer before insertion behind the

neck. Because the air has to completely enter all of the

bag’s pressure cells , it is helpful to squeeze the

pressure bag to speed up the air distribution. Reinflate

and repeat the gentle squeeze. This may take two to

three repetitions to complete the process.

• The movement the patient is to perform is a gentle

nodding of the head as if they were saying “yes”.

• Instruct the patient to place the tongue on the roof of

the mouth, lips together but teeth just separated. This will

discourage substitution with the platysma or hyoids.

• Instruct the patient to gently nod to target

22 mmHg, just one mark on the pressure dial. (green

band) See if the patient can hold the position steadily. If

successful, relax and repeat at each target position of 24

mmHg through 30 mmHg. (yellow, blue and gray bands)

• The pressure that the patient can hold steady, with

minimal superficial muscle activity, is the one on which you

will measure endurance capacity. (i.e.

10 repetitions held for 10 seconds each)

Lying on back (neck exercise)

Tabla de contenidos

Idiomas:

Otros manuales de Equipo médico de Chattanooga Group

Chattanooga Group

Chattanooga Group Intelect TRANSPORT Vectra Genisys 2782 Manual de usuario

Chattanooga Group

Chattanooga Group Intelect Transport Combo Manual de usuario

Chattanooga Group

Chattanooga Group INTELECT LEGEND Series Manual de usuario

Chattanooga Group

Chattanooga Group MOVEO XP Manual de usuario

Chattanooga Group

Chattanooga Group Intelect Legend Ultrasound Manual de usuario

Chattanooga Group

Chattanooga Group OPTIFLEX3 2090 Manual de usuario

Chattanooga Group

Chattanooga Group OptiFlex Manual de usuario

Chattanooga Group

Chattanooga Group Intelect IFC Manual de usuario

Chattanooga Group

Chattanooga Group INTELECT LEGEND Series Manual de usuario

Chattanooga Group

Chattanooga Group Vectra Genisys Manual de usuario

Chattanooga Group

Chattanooga Group TX 4759 Manual de usuario

Chattanooga Group

Chattanooga Group FLUIDC DHT 1480 Manual de usuario

Chattanooga Group

Chattanooga Group TRITON 200 Manual de usuario

Chattanooga Group

Chattanooga Group Optiflex S Manual de usuario

Chattanooga Group

Chattanooga Group Intelect Transport Combo Manual de usuario

Chattanooga Group

Chattanooga Group TRITON 4749 Manual de usuario

Chattanooga Group

Chattanooga Group Intelect Legend XT 2760 Manual de usuario

Chattanooga Group

Chattanooga Group OptiFlex 2030 Manual de usuario

Chattanooga Group

Chattanooga Group Vectra Genisys 2758 Manual de usuario

Manuales populares de Equipo médico de otras marcas

TekTone

TekTone Tek-CARE160 Manual de usuario

NeuroMetrix

NeuroMetrix Quell 2.0 Manual de usuario

AMT

AMT XLR8 Manual de usuario

Medipost-Nutristoma

Medipost-Nutristoma MD300K2 Manual de usuario

EDAN

EDAN SONOTRAX Pro Manual de usuario

Restorative Therapies

Restorative Therapies RT300 Manual de usuario

Gendex

Gendex Expert DC Manual de usuario

Dexcowin

Dexcowin ADX4000W Manual de usuario

Libelium

Libelium MySignals Manual de usuario

Acelity

Acelity V.A.C.ULTA 4 Manual de usuario

Caputron

Caputron ActivaDose II tDCS Manual de usuario

FujiFilm

FujiFilm Sonart Manual del propietario

Plinth 2000

Plinth 2000 93CDT Manual de usuario

GE SENOGRAPHE 800T Manual de usuario

GE Definium 5000 Manual de usuario

Kanmed

Kanmed GE-1380 Manual de usuario

Huntleigh

Huntleigh FD1 Manual de usuario

Stryker

Stryker SPR Plus Manual de usuario