RECK MOTOmed viva2 User manual

Instruction Manual
MOTOmed viva2,
MOTOmed letto2
– valid for device class II – status May 2012

2
Please use the MOTOmed only after you have read the instruction manual.
If you should not understand the language of the present version, please
request the instruction manual in your native language.
Benutzen Sie das MOTOmed erst, nachdem Sie die Gebrauchsanweisung
gelesen haben. Sollten Sie die vorliegende Sprachversion nicht verstehen,
fordern Sie bitte eine Anleitung in Ihrer Landessprache an.
Avant de commencer votre entraînement MOTOmed, veuillez lire les
instructions d'utilisation. Si ces instructions d'utilisation ne correspondent
pas à votre langue, n‘hésitez pas à nous demander une autre traduction.
Utilice el MOTOmed sólo después de haber leído las instrucciones de uso.
Si no entiende el idioma de la presente versión, por favor exija un manual en
su lengua nacional.
Use o MOTOmed somente, depois de ter lido as instruções de operação.
Em caso que você não compreenda a língua desta instrução, peça por favor
uma orientação em sua língua nacional.
Per un ottimo funzionamento del MOTOmed leggere le istruzioni per l‘uso.
Se riscontrate qualche difficoltà riguardo la vostra lingua madre consultate il
vostro servizio assistenza.
Neem uw MOTOmed pas in gebruik nadat u de gebruiksaanwijzing hebt
gelezen. Indien de gebruiksaanwijzing niet overeenstemt met uw moedertaal,
aarzel dan niet ons te contacteren en een andere taalversie aan te vragen.
Använd MOTOmeden endast, efter du har läst fungerande anvisningen.
Om dig bör inte förstå den tillgängliga språkversionen, förfrågan var god a
vägledning i ditt nationella språk.
MOTOmed må først anvendes, når brugsanvisningen er gennemlæst.
Forstår du ikke vedlagte brugsanvisning, rekvirer en dansk vejledning hos
ProTerapi.
Przed skorzystaniem z urządzenia MOTOmed prosimy zapoznać się z
instrukcją obsługi. Jeśli instrukcja obsługi jest napisana w języku obcym
ządajcie Państwo instrukcji w języku przez Państwa znanym.
GB
DE
FR
ES
PT
IT
NL
SV
DK
PL
RU

3
MOTOmed viva2
mains cable
transport bracket
for mains supply
external mains
supply
mains plug
height
adjustment arm/
upper body trainer
/ handlebar
supporting module
arm trainer
(accessory)
handle
large tube
operating panel
handlebar
big screw knobs
leg guides with
calf shells
(accessory)
velcro straps
safety foot
shell
small front stand
transport castors
fig. 1
1 2
3 4 5 6
Operating panel
screen
handlebar
foot insertion
aid button 7
start/stop button 8
(red)
function buttons 6
-
1
(6 buttons)
fig. 2

4
MOTOmed gracile12
transport bracket
for mains supply
external mains supply
mains cable
operating panel
handlebar
big screw knobs
pediatric
leg guides with
calf shells
velcro straps
pediatric safety
foot shell
small front stand
transport castors
height adjustment
arm/upper body
trainer / handlebar
supporting module
height adjustment
leg trainer
arm trainer
(accessory)
handle
large tube
fig. 3
1 2
3 4 5 6
operating panel
screen
handlebar
foot insertion aid
button 7
start/stop button 8
(red)
function buttons 6
-
1
(6 buttons)
fig. 4

5
MOTOmed letto2
leg guides
»TrainCare
comfort«
(accessory)
transport castors
knee bending
adjustment
(incl. thumb wheel)
(accessory)
operator
remote stop
lever
for expandable
chassis (accessory)
operating
panel
expandable chassis
(accessory)
ground fixation
(4-Brake-Stop)
(accessory)
foot pedal
for ground fixation
height adjustment
extended pivot
arm for operating
panel (accessory)
handlebar
external
mains supply
mains plug
mains cable
fig. 5
1 2
3 4 5 6
foot insertion aid
button 7
operator remote
stop
operating panel
screen
function buttons
6
-
1(6 buttons)
start/stop button 8
(red)
fig. 6

6
MOTOmed letto2 leg/arm
leg guides
»TrainCare
comfort«
(accessory)
transport castors
knee bending
adjustment
(incl. thumb wheel)
lever for
expandable
chassis (accessory)
operating panel
expandable chassis
ground fixation
(4-Brake-Stop)
foot pedal
for ground fixation
extended pivot
arm for operating
panel (accessory)
height adjustment
(hydraulic)
storage console
for foot shells
storage
console for
handles
operator
remote stop
handlebar
external
mains supply
mains
cable
mains plug
joint for lateral
pivot movement
fig. 7
1 2
3 4 5 6
operator remote
stop
operating panel
screen
foot insertion aid
button 7
function buttons
6
-
1(6 buttons)
start/stop button 8
(red)
fig. 8

7INTRODUCTION
Gentle, modern and sophisticated…
Congratulations! You have made an excellent choice by purchasing
your MOTOmed. This movement therapy device provides out-standing
performance. An innovative quality product »made in Germany« by
RECK Company, supported by the latest computer technology.
The MOTOmed is an intelligent, motor-assisted movement therapy
device. Enjoy the daily benefits of this therapy.
This instruction manual will help you to get to know the MOTOmed.
It guides you through the functions and offers suggestions and hints
on how to use your new movement therapy system to gain optimal
benefit from the training. Before starting the training, please follow
the safety precautions indicated in chapter 11.
If you have furtherquestions or comments, please do not hesitate to
call your MOTOmed representative or the RECK customer service team.
We are happy to assist you.
Enjoy the training with your MOTOmed!
see page 77
see page 76

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4
5
6
7
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9
10
11
12
13
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CONTENTS
Introduction
Therapy Suggestions
Setup, Transport
Training Prearrangements
Accessories
Troubleshooting
Cleaning, Care, Recycling
Technical Specifications, Symbols
Warranty
Service
Safety Precautions
Visual Inspection
EMC Directive
Index
page 11
17
23
31
43
63
67
69
73
75
77
85
91
97

10

11
1
INTRODUCTION
Introduction
Application
Conventional Use
Liability restrictions
Therapy goals
Indications (diseases)
Contraindications
Negative side effects
page
12
12
13
14
14
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15

12 INTRODUCTION
Application
The MOTOmed is suitable only for the active, motor-assisted and
passive movement of lower and upper extremities while seated or in
supine position. During the training the MOTOmed can be operated via
operating panel. The MOTOmed is mobile and therefore can be used at
various locations.
Conventional use
MOTOmed viva2 / MOTOmed gracile12
During the training the user is seated in front of the device in a safe
wheelchair or in a stable chair (without castors), with a sufficiently
high back support.
Make sure to sit up straight and that the wheelchair (or chair) is
secured properly in order to prevent tilting over.
It is not allowed to use the MOTOmed in a standing position. The
MOTOmed must be placed on a firm, non-slippery surface. The position
of the MOTOmed must not be changed during the training.
Not applicable are some specific power wheelchairs, standing chairs
and sport wheelchairs with a large stem or with foot rests that cannot
be folded or removed.
Under special circumstances the MOTOmed viva2/gracile12 can also be
used in supine position.
MOTOmed letto2/letto2 leg/arm
Training in supine position from a bed unit using the MOTOmed letto2.
Please make sure the MOTOmed letto2 is secured by using its bed
fixation or ground fixation (accessory, item no. 159) and that the
legs of the user are fastened securely inside the foot shells. Brakes
have to be applied to the bed and it has to be fixed.
Once the MOTOmed letto2 is positioned to the bed, no additional
adjustments shall be made to the bed (height, position,...).

13INTRODUCTION
Special bed units (treatment chairs) that are not accessible with the
MOTOmed are unsuitable or require the addition of special accessories.
Please use the MOTOmed letto2 leg/arm on beds that are only
accessible sideways.
In general
MOTOmed use is only permitted in accordance to measures and safety
precautions indicated in this instruction manual, with the consent of
a physician / therapist, and with no contraindications found. Settings
and changes besides the regular operation with the operating panel
may only be done if the arm and leg trainer pedals are not moving and
the arms and legs, respectively, are not fixed to the MOTOmed.
Disclaimer of warranty
The manufacturer does not assume liability for consequences of:
- improper and inappropriate use
- neglect of instruction manual
- willful damage and reckless use
- over intensive training
- use of unsuitable wheelchairs, chairs, or bed units
- use without prior consultation of a responsible physician and
therapist
- attachment of unauthorized accessories
- repair or other interference by any person not authorized by the
manufacturer
1

14 INTRODUCTION
Therapy goals
Prevention, reduction, and improvement of the consequences of loss
or lack of movement, mainly in the following medical conditions
Indications (diseases)
- (spastic) paralysis or neuromuscular conditions with primary loss
of function in the leg(arm)-mobility (e.g. due to stroke, multiple
sclerosis, paraplegia post-polio-syndrome, Parkinson's disease,
traumatic brain injury, infantile cerebral palsy, spina bifida)
- restrictions of orthopedic nature such as rheumatism,
osteoarthritis, knee / hip replacement, condition after a joint injury
- cardiovascular and metabolic illnesses (e.g.. arteriosclerosis,
diabetes mellitus type2,hypertension, pAVK, osteoporosis)
- additions to therapy measures e.g. with dialysis patients,
chronically obstructive bronchitis and patients with minimal overall
physical performance
- circulatory disorders in the legs and organs
- other medical conditions resulting in limitations in movement and
becoming confined to bed
Contraindications
Subject exclusion from intervention due to contraindications was not
reported in any of the correlating medical studies.
Risk analysis and long term experience in the field of movement
therapy show that patients with the following indications are required
to consult their doctor and therapist before starting the training:
Fresh joint injuries, joint replacements/prosthetics, fresh ligament
reconstruction, fresh knee- and hip prosthetics, knee and joint
arthritis, joint stiffness, extreme muscle shortening, extreme limb
deformation, increased danger of hip and shoulder luxation

15INTRODUCTION
(e.g. sub luxation in shoulder), acute thrombosis, decubitus and very
strong osteoporosis.
The therapeutic benefits versus the possible risk for a patient must
be determined by the patient and by the treating doctor or therapist.
Therefore, the MOTOmed therapy shall only be started after consulting
the treating doctor or therapist.
Negative side effects
negative side effects from training with the MOTOmed movement
therapy devices have not been reported and are not known. No
negative side effects caused by MOTOmed Movement Therapy were
reported in any study. There have been studies where patients aborted
the therapy (for organizational, health or other reasons...), still there
was no study that reported either an association between the abortion
and the intervention, or negative effects on the user caused by the
intervention.
Residual risk:
MOTOmed movement therapy device is based on the function of
electric motors that drive leg and arm trainer pedals with defined
forces. The electrical and functional safety is guaranteed by the
manufacturer by means of comprehensive measures, therefore the
residual risk is minimal if all safety measures are followed. However,
it must be considered that in case of careless use, ignoring the safety
measures or general misuse the rotating pedals can cause injuries. If a
user is not able to follow the safety measures or cannot recognize and
prevent hazardous situations, we strongly recommend to allow use
only under supervision.
When using the MOTOmed please follow the prevailing safety
precautions in chapter 11.
see page 77
1

16

17THERAPY SUGGESTIONS
Therapy Suggestions
Overall user instructions and training suggestions
How do I train appropriately?
Instructions in case of cramps (spasticity)
page
18
19
20
2

18 THERAPY SUGGESTIONS
Overall user instructions and training suggestions
Before using the MOTOmed viva2 please consult your doctor and
therapist in order to adjust your training program and the duration of
your training sessions to your individual state of health.
In order to achieve full therapy benefits, regular training with the
MOTOmed is essential. In the beginning, you should not engage in
sessions lasting longer than 10 - 15 minutes. It is rather recommended
to train 2-3 times per day for approximately 5 -10 minutes. After
about one week you can gradually increase the duration of training,
the resistance level, and speed according to individual condition and
well-being.
Always start your training with passive motion (legs or arms are
moved by the motor) to warm-up. If you are able to train actively,
do your first sessions at a low resistance level. Avoid overstraining.
When training actively it is recommended to train with a low
resistance level for a longer time rather than training shorter with a
high resistance level.
MOTOmed viva2 / MOTOmed gracile12
Pay attention to proper seating/laying position during the training,
especially when using the arm/upper body trainer. The wheelchair
or chair should be aligned to the MOTOmed. You should be sitting
upright, back straight, while leaning on the back support of the chair
or wheelchair. In case of slippery grounds a chair fixation (item
no. 513) is recommended, in order to avoid the chair from moving
backwards .
MOTOmed letto2 / MOTOmed letto2 leg/arm
Please assure the user's legs are positioned correctly into foot shells
and into »TrainCare comfort« leg guides (item no. 168). The user has
to lay down on the bed aligned to the MOTOmed letto2 or MOTOmed
letto2 leg/arm.

19THERAPY SUGGESTIONS
The range of motion of the knee and hip joints depends on the
distance between the crank and the user. The chair position to the
MOTOmed should be adjusted according to the flexibility of your
joints. Try to prevent over stretching or locking the knee joints by
starting the training in small intervals.
When using the arm/upper body trainer make sure that the elbow
joints are never fully stretched during the course of the training.
Please also adjust the position of the arm/upper body trainer to the
user's body height.
If you lack support due to the effects of paralysis it is absolutely
essential to use leg guides and if applicable forearm shells (item no.
556 or 556K).
How do I train appropriately?
Do you have any questions about the MOTOmed training?
Are there any difficulties with the MOTOmed ?
Please call your MOTOmed representative or the RECK Company,
phone [phone]. We are pleased to assist you.
see p. 44, 52, 56
see pages 48, 55
see page 76
2

20 THERAPY SUGGESTIONS
Instructions in case of cramps (spasms)
If you are affected by cramps (spasticity), slow and regular movement
with the MOTOmed is essential.
Particularly in the beginning, it is recommended to train at a slow
speed. This setting is especially useful to loosen up the muscles. You
will notice that this form of training helps to reduce spasticity.
If you are inhibited by spasticity or you have sensitive tendons, joints
or ligaments the MovementProtector with SpasmControl should
always be turned on (a green flash symbol is shown on the display).
In case of a cramp (spasticity) or another form of resistance, the
MovementProtector stops the motor automatically.
The pedals move in the reverse direction and the SpasmControl reacts
according to the therapeutic principle (antagonistic inhibition) - it
detects the movement direction where the spasm can be eased. That
way muscles are relaxed and tensions are relieved. This back and forth
motion continues until the spasm has eased.
During the training the integrated MovementProtector automatically
adapts to the stiffness of your muscles (muscle tone) in your legs/
arms. Therefore, the MovementProtector is always optimally sensitive.
For better leg support in case of spasticity, the leg guides with calf
shells or the »TrainCare comfort«leg guides are a required additional
component. These provide secure leg hold, safely support the lower
legs, and enable a physiologically natural leg position during the
course of the training.
In case of strong cramps (spasticity) when using the MOTOmed viva2/
gracile12, the use of a wheelchair stabilizer (item no. 8 or 8K) or a
chair fixation with stabilizer (item no. 511 or 524) is recommended.
see pages 44, 52
see page 56