bwst lecture
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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 A nterior S uperior I liac S pine. Palpate ASIS - PowerPoint PPT PresentationTRANSCRIPT
BWST LectureKIN 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
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