Breg S.T.K. Shoulder Therapy Kit User manual

Shoulder
Therapy Kit
Instruction
Booklet

WARNINGS:
Federal law restricts this device to sale by or on the order of
a licensed health care practitioner and should only be used
under the supervision of a licensed health care
practitioner.
CAREFULLY READ ALL INSTRUCTIONS PRIOR TO USE.
The S.T.K. is a tool provided to the health care practitioner
to be used as appropriate in the treatment of patients. While
certain features are incorporated in the design of the device
to provide for its safe use, it is strongly suggested that its
use be directly controlled and monitored by the health care
practitioner.
PRIOR TO EACH USE, CAREFULLY INSPECT FOR ANY
WORN OR BROKEN COMPONENTS. Parts will deteriorate
with age and use.
S.T.K.
Shoulder Therapy Kit
CONTENTS:
Warnings and Notes.................. 1
Shoulder Exercises.................... 3
Rope & Pulley Exercises............ 6
Bar Exercises............................. 8
Strengthening Exercises.......... 12
Exercise Schedule.................... 18
Warranty.................................. 20
1
E/U authorized representative
MDSS GmbH
Schiffgraben 41
D-30175 Hannover
Germany
AW-1.00110 REV L 0113

PLEASE NOTE:
Do exercises only as instructed by your licensed health care
professional.
Use pain as an exercise guideline. If a specific exercise
increases pain, discontinue that exercise and notify your
therapist.
Do exercises slowly and carefully.
PRIOR TO EACH USE, CAREFULLY INSPECT FOR ANY WORN
OR BROKEN COMPONENTS. Parts will deteriorate with age
and use.
Not all exercises shown are appropriate to every patient.
Some may be contra indicated for shoulder problems.
A licensed health care practitioner must specifically
assign both the appropriate exercises to perform as well as
the frequency and number of repetitions for each patient.
Hold all stretches for 15-20 seconds. Please do not bounce.
Exercises illustrated are for the right shoulder.
S.T.K.
Shoulder Therapy Kit
2
Collapsible Bar
Rubber Tubings
Rope & Pulley
Carrying Bag
Instruction Booklet
S.T.K. Complete................ #00500
S.T.K. Rope & Pulley Set.. #00600
S.T.K. Callapsible Bar........ #00700
S.T.K. Shoulder
Resistance Set............
#00800

Pendulum Exercise: While leaning forward as shown,
with arm hanging relaxed, do clockwise and counter
clockwise circles.
Shoulder Shrug: Shrug shoulders up toward neck.
S.T.K.
Shoulder Exercises
3
1
2

Bat Wave: Start from an erect posture with elbows bent
and palms facing forward at shoulder height. Squeeze
shoulder blades together while bringing hands back as
shown.
Shoulder Exercises Continued
4
3
4
Shoulder Depression: Place two thick blocks or books on
table. Position yourself between blocks with palms rest-
ing on them. Raise body off table by pushing down.

Posterior Capsule Stretch: With unaffected arm, grasp
affected arm just above elbow and slowly pull it across
chest until you feel a good stretch in shoulder. Affected
arm should be completely relaxed during this stretch.
Shoulder Exercises Continued
5
5

Abduction: Begin with affected arm bent and 45° from
the side of the body. Using opposing arm, raise affected
arm as high as you can while keeping arm as relaxed as
possible. Lower affected shoulder to prevent shoulder
raising toward ear.
The following exercise requires
the Rope and Pulley Set with
Door Strap. Position the door
strap at the top of the door jamb
so that the pulley is on the non-
opening side of door. To adjust
rope length, simply move knot at
rope ends.
6
S.T.K.
Rope & Pulley Exercises
6
45°
45°
7

7
NOTES:

8S.T.K.
Bar Exercises
The following exercises require an
assembled S.T.K. Bar.
Remember, use pain as an exer-
cise guideline.
8
Forward Flexion: Lying on your back, grasp bar with both
hands, shoulder width apart. Start with bar resting across
hips. Lift bar with arms straight as high as you can, hold
15 seconds, then return to starting position.
9
Internal/External Rotation: Lying on your back with
arms positioned as shown, grasp bar shoulder width
apart. Keeping elbows in, rock bar as far as you can from
side to side and hold for 15 seconds at each side.

Rotation with Arms at 90°: Lying on your back, grasp
bar near ends with both hands. With arms positioned as
shown and bar resting on stomach, rotate bar over your
head and back.
Side to Side: Lying on your back, grasp bar with both
hands, shoulder width apart. Bring bar to eye level and
move it from side to side.
9
Bar Exercises Continued
10
11

Diagonal Side to Side: Lying on your back, grasp bar
with both hands, shoulder width apart. Move bar from hip
to opposite shoulder and back.
Bar Exercises Continued
10
12
13
Internal Rotation Behind Back: Hold bar behind your
back as shown with unaffected arm at top of bar. Use un-
affected arm to pull up affected arm as far as you can.

External Rotation: Lying on your back next to the edge
of table, grasp bar as shown. Hold bar in palm of hand on
affected arm. Push down with unaffected hand to rotate
affected arm as far as you can below the table surface.
Hold stretch for 15 seconds.
Bar Exercises Continued
11
14

12 S.T.K.
Strengthening Exercises Phase 1
The following exercise requires
the Rubber Cord Set with Door
Strap. For each exercise, posi-
tion the door strap at appropriate
location between door and door
jamb on hinge side so that Rub-
ber Cord is on the non-opening
side of door.
15
Internal Rotation: Stand sideways with affected shoulder
closest to the door and elbow against pillow or rolled tow-
el at your side as shown. Pull handle toward unaffected
arm while keeping elbow position. Return slowly.
16
External Rotation: Stand sideways with affected shoulder
farthest from the door and elbow against pillow or rolled
towel at your side as shown. Pull handle away from unaf-
fected arm while keeping elbow position. Return slowly.

Shoulder Extension: Stand facing door with affected arm
extended and straight as shown. Pull handle back as far
as you can while keeping arm straight. Return slowly.
13
17
Strengthening Exercises Phase 1 Continued

14 S.T.K.
Strengthening Exercises Phase 2
The exercises 18 and 19 loop
Door Strap around your foot as
shown; however, shorter people
may eliminate Door Strap and
loop Rubber Cord directly under
foot.
45° Raise: Grasp handle with arm at side and thumb
pointed forward as shown. Keeping arm straight and
thumb pointing down, lift handle at 45 degrees from front
to shoulder height. Return slowly.
Forward Flexion: Grasp handle with arm at side and palm
down as shown. Keeping arm straight, lift handle forward
to shoulder height. Return slowly.
18
19

Strengthening Exercises Phase 2 Continued
15
Scapula Strengthening: Stand facing door with affected
arm as shown. Without rotating upper body, pull arm
back as far as you can. Maintain arm position as shown.
Return slowly.
20
21
Forward Press: Stand facing away from door with
arm positioned as shown. Push handle out until arm is
straight. Return slowly.

16 S.T.K.
Strengthening Exercises Phase 3
For exercises 22 and 23, secure
Door Strap near top of door
jamb.
Diagonal Patterns: Stand sideways with affected shoul-
der closest to the door and arm out straight with palm
facing forward as shown. Pull handle down and across
body toward opposite hip. Return slowly.
Diagonal Patterns: Stand sideways with affected shoul-
der farthest away from door. Position arm across face
with palm facing backwards as shown. Pull handle down
and across body toward opposite hip. Return slowly.
22
23

17
Strengthening Exercises Phase 3 Continued
Diagonal Patterns: Stand sideways with affected shoul-
der farthest away from door. Position arm across body
with palm facing backwards as shown. Pull handle up and
across body as shown. Return slowly.
Diagonal Patterns: Stand sideways with affected shoul-
der closest to the door and arm out straight with palm
facing forward as shown. Pull handle up and across body
as shown. Return slowly.
24
25
CAUTION: For exercises 24 and 25,
secure Door Strap to bottom of door
by first inserting an object such as
one of the S.T.K. Bar pieces through
the loop in the Door Strap. This will
prevent the Door Strap from slipping
out from the door.

18 S.T.K.
Exercise Schedule
Shoulder Exercises Repetitions and Notes
Rope & Pulley Exercise
Pendulum Exercise
1
Shoulder Shrug
2
Bat Wave
3
Shoulder Depression
4
Posterior Capsule Stretch
5
Abduction
Bar Exercises
6 & 7
Forward Flexion
8
Internal/External Rotation
9
Rotation with Arms @ 90°
10
Side to Side
11
Diagonal Side to Side
12
Internal Rotation Behind Back
13