BWST Lecture

KIN 436B

Spring 2008

Transfer

Place chair at angle to table

Secure Chair

Transfer Client Provide assistance as

necessary

Stretching

Hamstrings Glutes Adductors Calves Foot ROM

Ankle

Locating Anterior Superior Iliac Spine

Palpate ASIS

Adjust harness location as necessary

Strap/Secure harness across ASIS

Leg Straps

Ask client to make any adjustments as necessary (esp. male clients)

Give client privacy Start low then slide up Fasten and adjust

Chest Strap

Secure chest straps Use towel or sweater if

client is between sizes

Tighten accordingly Allow about 1 inch of

play between harness and client

Harness/ Transfer

Ensure harness secure

Sit client up

Place client’s feet off table to allow for breathing

Transfer Client back to chair (2 person)

Preparing for Treadmill

Roll client up ramp and onto treadmill Have person in front to guide front wheels

Secure chair

Have leg trainers remove leg rests/prepare to lock knees

Have front person assist with yolk/karibiners

Connecting BWS Device To Client

Front Trainer brings down yolk

Hip Trainer (Captain) connects karabiners with clip opening to the rear (front to back)

Standing/Sitting Procedure

4 trainers in contact while sitting/standing Hip trainer (captain), 2 leg trainers, front trainer

Leg trainers position feet on ground Front trainer grabs waist loop and guides “Captain” confirms everyone is ready “Captain” signals computer operator to lift Team allows MACHINE to lift client, NOT

hip/front trainers

“Safety FIRST Safety LAST”

Once standing, front trainer confirms 3 other trainers have control prior to attaching/removing safety karabiner

Safety is FIRST thing attached after client initially stands, LAST thing removed prior to sitting.

Safety Attachment

Attach karabiner to closest loop

ATTN: do NOT lock in the event of emergency drop

Bungee Cords

Once chair removed, attach front bungee cords to anterior hip loop on opposing side (cross)

Repeat process for rear bungee cords

Wrap around post if necessary to correct posture

Alignment

Leg trainers position client’s legs directly beneath to support weight

4 landmarks Shoulder Hip Knee Ankle

Leg Trainer Positioning

Leg trainer sits partially on treadmill

Seat/foot rest/back rest adjusted for comfort

Keep limb close to body

Use arms, not back (Don’t row a boat!)

One, Two, Step

Captain calls weight shift to one side Trainer on same side holds stance Opposing leg trainer positions leg in terminal

stance, pre-swing Captain chooses speed (usually 0.8mph) to

start Treadmill controller starts treadmill and

confirms by repeating command

Stance

Hand closest to treadmill applies pressure on patellar tendon

Other hand applies pressure on Achilles Tendon

Swing – Overview

Closest (top) hand applies pressure on middle hamstring

Bottom hand hooks foot to prevent foot drag

Swing – Top Hand

Pulls on middle hamstring throughout swing

NO pressure on patellar tendon

Swing – Bottom Hand

Bottom hand uses thumb to lift foot

Guides ankle placement at terminal swing

Successful Walking Tips

Training team coaches/provides feedback Captain calls out adjustments to be made by

leg trainers (i.e. L-side hold ext. longer) Leg trainers communicate/alternate stepping

One trainer waits for opposing foot to perform prelim. stance prior to initiating swing

Both trainers adjust to each other (i.e. stride length, swing speed, etc.)

Training Complete!!!

Once training completed, turn off treadmill

Have front trainer enter

Reverse process with bungees, chair, safety, and ramp procedure

Additional Safety Precautions

Any part of training team can call a pause at any time during session

Commands by “captain” or leg trainers repeated by responding teammate for verificationex. Captain: Pause! Treadmill Controller: Pausing.

Client always faces uphill on ramp whether entering or leaving treadmill

BWST

THE END