Neurogymtech SIT-TO-STAND TRAINER User manual

SI T-TO-ST AND TRAINE R
PRODUCT MANUAL
SIT-TO-STAND TRAINER
PRODUCT MANUAL
NEUROGYM TECHNOLOGIES INC. 2015

TABLE OF CONTENTS
Product Overview..................................................................................................4
Specications.........................................................................................................4
Bents....................................................................................................................4
4
List of Precautions for the Bungee Mobility Trainer.............................................5
Identifying the Parts of the Bungee Mobility Trainer...........................................6
Instructions for Use:
Using the Positioning Pin Assemblies..........................................................7
Extreme Height Adjustment Posts...............................................................8
Client Transfer into the Bungee Mobility Trainer..........................................9
Adjusting the Bungee Mobility Trainer Seat Height..................................10
Widening the Bungee Mobility Trainer Legs............................................10
Using the Bungee Mobility Trainer.............................................................11
SampleActivities.........................................................................................11
Client Transfer Out of the Bungee Mobility Trainer...................................11
12
12
12
13
13
14
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Specications..........................................................................................15
Bents...............................................................................................................16
17
TABLE OF CONTENTS
Unpacking Instructions..........................................................................................
Product Overview..................................................................................................
Specications ........................................................................................................
Benets ................................................................................................................
List of Precautions for the Sit-to-Stand................................................................
Identifying the Parts of theSit-to-Stand...............................................................
Instructions for Use:
Figure #1 – Sit-to-Stand Trainer...................................................................
Sling Positioning..........................................................................................
Figure #2 – Sling and Bariatric Extender......................................................
Using the Positioning Pin Assemblies.........................................................
Figure #3 – Positioning Pin Assembly..........................................................
Positioning the Kneepad.............................................................................
Positioning the Handlebar...........................................................................
Selecting and Engaging the Counterweight..............................................
Figure #4 – Correct Body Mechanics for Operating the
Sit-to-Stand Trainer.....................................................................................
Correct Body Mechanics.............................................................................
Beginning the Sit-to-Stand Practice..........................................................
Adjusting the Counterweight.....................................................................
Standing Practice Activities.......................................................................
Completing a Training Session....................................................................
Maintenance..........................................................................................................
Sample Evaluation Form.......................................................................................
CE Certicate of Compliance...............................................................................
Other NeuroGym®Technologies Products..........................................................

4
UNPACKING INSTRUCTIONS
The Sit-to-Stand Trainer is shipped fully assembled on a 4’x4’ skid. Remove the protective
wrapping. The sling(s) and bariatric extender will be included inside this wrapping.
PRODUCT OVERVIEW
The NeuroGym®Sit-to-Stand Trainer uses a counterweight mechanism to provide a safe
and effective way to strengthen weight-bearing muscles and increase standing stability and
endurance. Unlike other tools that lift people to, or maintain them in, a standing position, The
Sit-to-Stand Trainer enables a patient to successfully initiate the motion of standing-up, even with
weakened or seemingly unsuccessful efforts. Through continued training and gradually reducing
the counterweight, a client can relearn the standing-up skill. Equipped with a weight-stack and
a locking pulley system, the counterweight can be easily applied to the Sit-to-Stand Trainer.
Because it is mounted on wheels, early steps can be attempted in all directions.
SPECIFICATIONS
- 28” x 36” x 74”
- Weighs 260 lbs
- Slings are constructed from antimicrobial Recovery 5 healthcare fabric and Meshtex Sliver
to prevent the formation of bacteria, fungi, dust mites and mould.
BENEFITS
- Encourages early weight bearing and active mobilization at the hips and knees
- Improves standing balance and stability signicantly improves transfers
- Improves client rehabilitation without physical strain to the therapist
- Actively assist the standing motion with support at the knee, trunk and arms to
promote early mobility.

5
IMPORTANT: Read all instructions and precautions prior to using the Sit-to-Stand Trainer
LIST OF PRECAUTIONS FOR THE SIT-TO-STAND TRAINER:
1. It is not advisable to use the Sit-to-Stand Trainer with individuals who have extreme full
body weakness (quadriparesis) unless supervised by a clinician.
2. Use special caution with individuals who have severe osteoporosis, especially if they have
not attempted to stand for a long period of time.
3. Use caution with individuals who have weak ankles. Extra support may be necessary at the
ankle joint to prevent injury.
4. Use caution with individuals who have exor or extensor tone in the upper extremity.
Closely supervise to ensure that the hands do not let go of the handle bar.
5. Use caution with individuals who have exor tone in the lower extremity (e.g. place your
foot behind the user’s heel). Closely supervise to ensure that the legs do not lift upwards
from the ground.
6. Ensure that the individual has the ability to sit down when fatigued, especially when
performing mobility exercises.
7. Lock the wheels of the Sit-to-Stand Trainer for all stationary movements and/or during any
standing attempt prior to performing mobility exercises.
8. Adjust the knee support pad height to a level that is at, or slightly below the knee joint.
9. Ensure that the knee support pad is set at a distance close enough to allow the individual
to grasp the handle bar.
10. Check frequently that the knees do not slip laterally off the knee support pad.
11.Ensure that the counterweight support strap is attached around and/or below the bulk of
the buttocks region to prevent the strap from slipping upwards.
12.Properly supervise the individual at all times that he/she is in the Sit-to-Stand Trainer.
13. Always provide a safe training environment. The oor should be at, even and free from debris.
For Service or Part information Call:
NeuroGym®Technologies Inc.
1-877-523-4148
©NeuroGym®Technologies Inc.
103-1644 Bank Street, Ottawa, Ontario, Canada K1V 7Y6

6
IDENTIFYING THE PARTS OF THE BUNGEE MOBILITY TRAINER:
See Figure #1
Positioning Pin Assemblies – 3
1 Handlebar Adjustment
1 Knee Pad Height Adjustment
1 Knee Pad Relative Anterior-Posterior Adjustment
Petzl
Rope
Pulley
Weight Stack Cable
Weight Stack
Weight Adjust Pin
Carabeeners – 2
- 1 To attach Rope to Sling
- 1 To attach Petzl to Weight Stack Cable
Sling (Washable)
Sling Rings – 2
- One on each end of the sling
Bariatric Extender
- Bariatric Center Ring
- Bariatric Extender Adjustment
Knee Pad
Handlebars
Wheels
Wheel Locks
INSTRUCTIONS FOR USE
Client should be positioned in a wheelchair (with wheels locked) or in a stable sitting
chair in front of the Sit to-Stand Trainer with feet at on the oor and knees slightly
apart and in contact with the knee pad. If possible, heels should be positioned
slightly back such that there is some dorsiexion at the ankles and such that the toes
are approximately in line with the knees.

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FIGURE #1: BUNGEE MOBILITY TRAINER
Pulley Carabineer to Attach Petzl
to Weight Stack Cable
Petzl
Rope
Handlebars
Knee Pad
Wheel Locks
Weight
Adjust Pin
Weight Stack
Weight Stack
Cable
Sling (washable)
Carabineer
to Attach to
Sling Rings
Positioning Pin
Assemblies - 3

8
Stand behind the client and prepare the sling so that
the nished side is to the outside, away from the
clients back.
Ask client to lean forward slightly to enable sling to
be slid down client’s back and under buttocks such
that inguinal strap edge of sling rests along the
clients gluteal fold.
Encouraging client to shift their weight to one side
will enable the sling to be slid under the elevated
hip. Repeat on the other side to facilitate sling
positioning. (This will quickly become easier as
clients understand the objective and improve their
ability to assist.)
Wheelchair arms can be removed or tilted upward
for easier access.
Inguinal straps should be visible between clients’
legs and freely accessible for fastening to Velcro
attachments once the client is standing.
Ensure clients’ buttocks are centered on sling such
that there is an equal amount of sling visible on either
side of the pelvis and metal rings when brought
together in front of client are centered.
Sling Positioning
Inner thigh straps

9
If clients’ girth prevents metal rings on either end of the sling
from meeting in front of client, the bariatric extender can be
applied. Connect hooks on either end of the bariatric extender
to opposite metal rings on the sling. (Figure #2)
Connect the Bariatric Center Ring on the Bariatric Extender to
carabineer on rope.
If the Bariatric Extender is not required, connect the carabineer
on the rope to the rings on either end of the sling.
After the client is in a standing or partial standing position, x inguinal straps to Velcro fasteners,
right strap to right Velcro attachment and left strap to left Velcro attachment, to prevent sling
from sliding up and off client’s buttocks.
FIGURE #2: SLING AND BARIATRIC EXTENDER
Sling Sling Rings
Bariatric Extender Bariatric Center Ring Bariatric Extender
Adjustment

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FIGURE #3: POSITIONING PIN ASSEMBLY
Positioning Pin
Locker Ring
Using the Positioning Pin Assemblies
The three Positioning Pin Assemblies are used to adjust the handlebar height, and the height
and relative anterior-posterior position of the kneepad to allow adjustments for particular
clients. The Positioning Pin Assemblies are composed of two parts, the Positioning Pin and
the Locker Ring. (See Figure #3). The Locker Ring is only required to be rotated ½ turn
counterclockwise to loosen the Assembly. The Positioning Pin can only be pulled out when
the Locker Ring is loosened. After the Locker Ring is loosened, pull the Positioning Pin out
and move the desired component up or down. While you are moving the desired component,
let go of the Locking Pin to allow it to drop into the next setting. Once the desired position is
achieved, turn the Locker Ring ½ turn clockwise to secure the assembly.

11
Positioning the Kneepad
Ensure all four wheel brakes on the Sit-to-Stand Trainer are locked.
Ensure client wheelchair brakes are locked.
Client is typically positioned such that knees are in contact with the knee support pad.
Position knee support pad such that pad is at or slightly below knee joint and client can still
reach handlebar when leaning forward. The knee support pad height and distance from the
weight stack are both adjustable by using the Positioning Pin Assembly and moving the pad
up/down or in/out to the desired location. The Positioning Pin will snap into the pre-drilled
holes, locking the position.
Positioning the Handlebar
Position handlebar such that when grasped by client, client’s arms angle slightly upwards (not
parallel to oor), enabling client to engage their arms and their core with each standing attempt.
If shoulder range of motion or exor tone limits the client’s ability to grasp the handlebar, slight
assistance can be provided by pulling on the side of the sling to assist with the standing effort.
Adjusting the Bungee Mobility Trainer Seat Height
Selection of seat height is dependent upon how much support is required by the client. Consult
a physiotherapist for the optimum body weight support, however, if the client can support his/
her weight comfortably, minimal body weight support is a good rule of thumb.
To adjust the seat height, the client must be standing. Use the Positioning Pin Assembly on the
Bungee Slider Assembly to make the adjustment. (See Using the Positioning Pin Assemblies).
When the Bungee Slider Assembly is moved down, the seat moves up, providing more support.
When the slide assembly is moved up, the seat moves down, such that that client will be
supporting more of their weight.
See “Extreme Height Adjustment Post” section if the client requires large seat height adjustments.
Selecting and Engaging the Counterweight
Ask the client to sit back in their chair and begin by positioning the Weight Selection
Pin at 40 pounds, a good intermediate counter weight to start with. This counterweight may
need to be adjusted up or down depending upon the ease of standing and the clinical goals.
Increasing the counterweight will aid in the standing motion and likewise decreasing the
counterweight will require more active standing effort from the client.
Grasp the free end of rope and raise the counterweight by leaning backwards, maintaining a
straight torso and using lower extremities and body weight to assist with the pull.
Pull in small increments rather than one long pull to raise counterweight.
Ensure pulling motion is parallel to the rope that connects the client. This is best accomplished
by pulling from behind either the left or right shoulder of the client.
See Figure 4 for an illustration of the above instructions.

12
If the rope is pulled out to the side and away from the client, it can cause the plasticized
weight cable to get caught in the pulley wheel. This may damage the plastic coating on the
Weight Stack Cable.
To provide client with counterweight support throughout the sit to stand range, pull to position
the petzl just above the knotted portion of the rope.
To provide client with counterweight support at the beginning only, rather than the end of
the sit to stand motion, position the Petzl farther away from the rope knot. As client stands,
support will be available only until counterweight comes into contact with remainder of weight
stack. Note that at this point the Petzl is designed to release.
Correct Body Mechanics
The pulley system of the Sit-to-Stand is designed to ease and assist the act of engaging the
counterweight. The technique shown on the right is the biomechanically correct and easiest
way for the trainer to pull the counterweight. The counterweight should be raised by leaning
backwards, maintaining a straight torso, and using the lower extremities to assist with the pull.
When done this way, even relatively light trainers can use their body weight to easily pull up
the counterweight. It is recommended that the counterweight be pulled up in small increments
rather than one long pull.
Beginning the Sit-to-Stand Practice
Ensure that client’s feet are at on the oor and that arms are extended to grasp the handlebar.
Individuals with weak ankles may require additional support to avoid injury at the ankle joint.
This support can be provided by the Trainer or with the use of a properly tted splint/brace.
FIGURE #4: CORRECT BODY MECHANICS FOR OPERATING
THE SIT-TO-STAND TRAINER
Incorrect Correct

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The ankle can be effectively trained with the NeuroGym Ankle Trainer. (See Other NeuroGym
Technologies Products)
Individuals with lower extremity exor tone must be observed to ensure heels do not elevate
during the standing motion. The Trainer may place a foot behind the client’s heels to ensure
feet stay at on the ground.
Start the training with controlled partial standing; gradually progress to full standing.
Observe the smoothness of the standing motion. If the client is being pulled to standing
and contributing little to the standing effort, reduce the counterweight. If they are unable
to achieve even a slight standing motion, increase the counterweight. The goal is to provide
the client with just enough assistance to be able to successfully perform the standing
motion, but with as much independent effort as possible.
Adjusting the Counterweight
Ensure all four wheel brakes on the Sit-to-Stand Trainer are locked.
Ensure client wheelchair brakes are locked.
Client is typically positioned such that knees are in contact with the knee support pad.
Position knee support pad such that pad is at or slightly below knee joint and client can still
reach handlebar when leaning forward. The knee support pad height and distance from the
weight stack are both adjustable by using the Positioning Pin Assembly and moving the pad
up/down or in/out to the desired location. The Positioning Pin will snap into the pre-drilled
holes, locking the position.
Positioning the Handlebar
Adjust the counterweight when the client is in a seated position. Disengage the weight by
releasing the Petzl while rmly gripping the rope and lowering the weight down onto the
weight stack. As when pulling up a weight, make use of body weight and lower extremities
while maintaining a slight backward lean when lowering the weight.
Standing Practice Activities
When the correct counterweight is selected, the client may perform repeated standing from
a seated position. Alternatively, once standing, a squatting motion (halfway down to a seated
position and back to standing) may be practiced.
Once standing, weight shifting from one foot to the other may also be practiced.
When standing is stable and weight shifting is performed adequately, the Trainer may unlock
the wheels of the Sit-to-Stand Trainer to allow for early rst steps forward, backwards or
sideways to be taken.
For additional training activities, consult accompanying CD and NeuroGym Technologies Inc.
Application Notes available on the web site at: www.neurogymtech.com.

14
Completing a Training Session
To remove a client from the Sit-to-Stand Trainer, the client should be comfortably seated.
With one hand, slowly lift the Petzl lever, while the other hand is placing a small amount of
tension on the free end of the rope. The Petzl can then be guided upwards enabling the
counterweights to be disengaged.
Once all the tension is off the rope, the sling rings can be disconnected from the carabineer.
Remove the sling from under the client and spray inside surface with disinfectant
MAINTENANCE
Use disinfectant wipes or spray to clean sling and handlebars after each use.
Sling can be laundered regularly in warm water when soiled.
The metal frame and weight stack should wiped down/dusted regularly.
Inspect brakes regularly to ensure proper function.
Inspect petzl & rope routinely to ensure integrity.
Inspect plasticized wire cable for fraying of plastic coating. If plastic coating is chipped or
frayed, inspect underlying metal cable for integrity.
SAMPLE EVALUATION SHEET
The following sample evaluation sheet (see chart #1) may be used with the guidance of a
health professional to collect relevant objective measurements to record client progress.
Releasing Petzl lever

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SAMPLE EVALUATION SHEET: CHART #1

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CE CERTIFICATE OF COMPLIANCE

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OTHER NEUROGYM®PRODUCTS
BUNGEE MOBILITY TRAINER
The NeuroGym® Bungee Mobility Trainer is a versatile body weight support mechanism
enabling safe, intensive motor retraining. The unique patented design enables the
re-training of gait and natural protective reactions by counteracting loss of stability
as naturally as possible. Comparable to a pool environment in terms of support, the
Bungee Mobility Trainer allows graduated weight bearing while normal protective
reactions such as sidestepping are re-developed. The Bungee Mobility Trainer
provides graduated support from underneath, rather than a harness mechanism
that provides the support from above. Supporting the patient from above does not
allow this ‘natural’ graduated support, particularly upon loss of balance. The Bungee
Mobility Trainerenables more realistic safe practice of gait, and most importantly, the
protective reactions necessary to prevent falls.
PENDULUM STEPPER
The NeuroGym®Pendulum Stepper is a self-assisted trainer of reciprocal stepping
designed to specically target the antigravity muscles that are so important for
maintaining balance and gait. Even in individuals with signicant muscle weakness, it
is designed to make improving the strength and endurance of the stepping motion
simple and convenient.
ANKLE TRAINER
Strengthen paretic, sprained or post-surgical ankles by isolating and training targeted
muscle groups through a complete range of motion. The NeuroGym® Ankle Trainer
is a lightweight, portable device with an axle and foot platform that can be locked
into place. This unique design permits training in dorsiexion, plantar exion, inversion,
eversion, internal and external rotation—motions that are difcult to isolate and
specically strengthen.
EXERCISE WHEELCHAIR
The NeuroGym®Exercise Wheelchair converts from a standard wheelchair into a
variable resistance exion and extension exercise machine for the trunk and lower
extremities. With the ick of a switch, the wheelchair seat, backrest or both can be
enabled to allow for exion and extension exercises of trunk, hips and knees. The
special footrest apparatus, which is stored under the seat, pulls out smoothly for use
in exercise and folds back up easily so that it does not interfere with standard use of
the wheelchair.
NEUROGYM®™ TIMTRAINER
The NeuroGym®TIMTrainer creates an engaging and motivational environment for re-
learning motor abilities using a combination of camera-captured movement technology
and NeuroGym®’s patented computer algorithms for movement training. The location
of coloured sensors held by or attached to the user is recorded by the camera and
interfaced with computer games. Desired movements such as reaching, standing up
from a seated position, weight shifting or stepping can then control a computer game.
The range, speed and general complexity of the game can be changed to allow for
the user’s ability and progress. Three games are included: Ski, Pong and Pinch.

NEUROGYM, NEUROGYMREHAB, NEUROGYMTECH, NEUROGYMFIT, and CLINIQUENEUROGYM
are trademarks or registered trademarks of Neuromuscular Gain Inc.
© NeuroGym®Technologies Inc. 2015
1644 Bank Street, Suite 103
Ottawa, Ontario, Canada K1V 7Y6
Toll free: 1-877-523-4148
www.neurogymtech.com