Clinical setup for postural management
The clinical setup of the product should be completed by a technically and clinically competent person who has been trained in the use of the product. Leckey recommend a written record is maintained of all clinical setups for this product.
Adjusting the chest pad
For prone standing you should firstly measure the distance from the users feet to just under their arms and for supine you should measure to the top of the shoulder. This is best done were practical in a lying position on a mat. The height between the top of the chest pad or top and the sandals should be set to the equivalent of this distance. To position the pad loosen the knob at the back of the spine and slide the pad to the required position and retighten securely. Always support the pad before loosening the knob to prevent the pad slipping unexpectedly. The height of the chest pad should not be adjusted when the stander is in an upright position and in use. Maximum adjustment of the chest pad is 40 cm/16 inches as displayed on the calibration strip at the side of the spine.
Never adjust the height of the chest pad when the user is in the product as the users weight may collapse the height of the frame causing injury to the user or carer.
Adjusting the Hip Pad
The hip pad can be height, depth and angle adjusted for optimum pelvic position. The height of the pad is set to the equivalent distance between the user’s pelvis and their feet. To adjust the hip pad loosen the four knobs on either side of the central spine at the back of the pad and slide the pad into the required position. Once the required position is obtained the knobs should be re-tightened securely.
Always check the pads are secure before placing the user in the product.
Adjusting the Knee Supports
The height and depth of the knee supports can be positioned independently by adjusting the mounting plate. To adjust the plate loosen the two knobs (a) and slide the plate and knee support to the required position and then retighten the knobs securely. Repeat the process for the other plate. Always use caution when making this adjustment, as fingers could become trapped in the slot while positioning. To alter the width of the knee supports and also if required achieve some rotation loosen the knobs (b) and slide the pad to the required position, then retighten the knobs.
Adjusting the Front Knee Supports
The Leckey Prone/Supine Stander footplates are split to allow independent height and angle adjustment for exact positioning of both feet. To adjust the footplate height first loosen the allen bolts and then slide the footplate to the required position and retighten securely. To alter the angle of the footplate to accommodate plantarflexion or dorsiflexion simply rotate the coupling cylinder clockwise or anti clockwise respectively.
Adjusting the Footplates
The footplate is hinged at the front which allows the sandals to be adjusted more easily and can facilitate transfer from a seating position to prone standing. To avoid any possible finger nip issues lift the footplate at the notched area (a).
Positioning the sandals
Each sandal is attached to the individual footplate with a single fixing bolt. The footplate is covered with a rubber pad to ensure the sandals do not slide when secured. If you wish to rotate the sandal laterally, simply loosen the knob, place in the required position and then re-tighten the knob securely.
Use caution when lifting and lowering the footplate as fingers could become trapped.
Flexible Lateral Support Adjustment
The flexible lateral supports can be adjusted in height and width. To adjust the width, loosen the knob on the back of the chest pad. Then adjust the lateral support to the required position and finally re-tighten the knob. To change the height, loosen as before, slide the bracket out fully and insert in an alternative slot, replace the knob and tighten securely. As the lateral brackets are staggered in height, additional height range can be achieved by swapping the lateral from the left to the right side. For finer height positioning loosen the allen bolts (a), position the lateral as required and then re-tighten the bolt securely. The flexible lateral supports are secured around the user by tightening the safety strap (b) into position. Fasten the safety strap immediately. Check the laterals are secure before placing the user in the product. As if they are loose the user may be at risk of slipping into a position they cannot recover from and could restrict their breathing.
Positioning & attaching the Pelvic Band
There is a different pelvic band for prone and supine standing. The pelvic band should be attached to the user fi rst, if practical on a mat. The pelvic straps are attached around the user’s pelvis and then when the user is secured into the frame (by their feet and chest) the longer straps are slipped through the belt bars on the back of the hip pad and secured fi rmly around the user. The additional strap with the plastic buckle and clip should be secured to ensure the straps are not accidentally unfastened. To ensure that you can easily identify the strap that goes around the user and the one
that attaches to the hip pad, a Leckey label is sewn onto the one that attaches to the hip pad.
Always make sure the safety buckle is engaged so the Velcro straps are not accidentally undone which could allow the user to slide out of the product and cause serious injury.
Positioning Flexible Hip Pads
The Flexible hip pads can be used as an alternative to the pelvic band. The pads can be individually adjusted in width as well as in height. To adjust the width loosen the knob on the back of the hip pad, then adjust the flexible supports to the required position and finally re-tighten the knobs. For the height positioning of the pads loosen the allen bolt (a), position the pad as required and then re-tighten the bolts securely. The fl exible supports are secured around the user by tightening the safety strap (b) into position. Fasten the safety strap immediately.
Check the laterals are secure before placing the user in the product. As if they are loose the user may be at risk of slipping out of the product and could cause them serious injury.
Activity Tray Adjustment – Supine
The Tray is attached to and removed from the frame by the metal brackets located below the chest pad. To attach the tray slide the metal bars into the receiving tubes to the required depth and secure by tightening the knobs (a) on rather side. There are limit poppers in the end of the tray tubes to show the maximum depth adjustment allowed. These may need to be depressed to remove the tray. To adjust the height loosen the four knobs (b), set the tray to the required position and then retighten the knobs securely. The tray angle can be adjusted by loosening the plastic handle (c) on either side of the tray, set the tray to the required angle and tighten the plastic handles again securely.
Activity Tray Adjustment – Prone
To lock the tray and set its height push the over centre lever (a) down until it touches the metal spine. After use this may need to be fine tuned to ensure secure locking. To do this lift up the lever and turn the nut (b) while holding the lever in a fixed position. Push the lever back down to check if it locks the tube securely. Repeat the process as necessary. The tray angle can be adjusted by loosening the ratchet handle (c) on either side of the tray, set the tray to the required angle and tighten the plastic handles again securely.
Head Support Adjustment - Supine
The head support can be adjusted in depth, height and angle. To height adjust, unlock the lever (a) at the top of the central spine, position to the desired height and then re-lock. of the central spine on the backrest. For fine height, depth and angle adjustment loosen the two knobs (b), one on either side of the square tube, position the head support and then re-tighten securely.
Always use caution when making this adjustment, as fingers could become trapped in the slot while positioning.
Always use caution when inserting the tray to make sure the Childs hands or arms do not become trapped.
Do not place hot objects on the tray, not greater than 40 degrees Celsius.
Please note that the tray is for the use of the user only. Do not lean or place heavy objects on the tray, not greater than 8kgs (17.6lbs).
Never use the tray to steer or push the stander.
Do not height adjust th headsupport beyond the hazard strip at the end of the tube. Always use caution when making this adjustment, as fingers could become trapped in the recieving tube while positioning.