Shuttle MiniPress User manual

Take the leg press to the patient
OWNER’S MANUAL
4201 Guide Meridian Suite 101A Bellingham, WA 98226
TOLL-FREE: [phone] | PHONE: [phone] | FAX:
[phone] [e-mail] |
WWW.SHUTTLESYSTEMS.COM
MADE IN U.S.A. | PATENT NO. 6,042,523 | MANUAL VERSION 2.0
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TABLE OF CONTENTS
I. SHUTTLE MINIPRESS INTRO
II. UNDERSTANDING YOUR SHUTTLE MINIPRESS
III. USING THE SHUTTLE MINIPRESS
IV. EXERCISE PROTOCOLS
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I. SHUTTLE MINIPRESS INTRO
The Shuttle MiniPress was designed to serve the patient in the period between surgery and
her/his ability to bear partial weight. It was developed to provide simple, quality movement shortly
after surgery and then expand into a low-level exercise program. A patient may use the
MiniPress in bed, on the floor, sitting in a chair or wheelchair, or on a treatment table.
In response to the need for a method of restoring and maintaining the range of motion for
postoperative patients, CDC Shuttle Systems has developed the Shuttle MiniPress. This highly
portable device can be easily transported to the patients home as well as be used in a
professional setting with a patient in need of early range of motion movement or exercise. The
MiniPress utilizes the same general technology employed on all models of Shuttle machines and
is poised to bring the benefits of early closed chain rehabilitation to an even wider range of
patients than was previously possible.
Users and professionals working in clinical, institutional, athletic, and specialized settings have
created a wide variety of exercises for Shuttles that were not imagined when the original CMC
Shuttle 2000 was first conceived. We expect a similar expansion of applications to occur with
the MiniPress. Please connect with us if you have a specific protocol to share with other Shuttle
MiniPress users.
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WARRANTY REGISTRATION
Scan the QR code to be directed to the warranty registration form on our website. You can find
more information about your warranty at www.shuttlesystems.com/support
LIMITED ORIGINAL EQUIPMENT WARRANTY
CDC Shuttle Systems makes every effort to assure that its’ products meet high quality and
durability standards and warrants to the original retail consumer/purchaser of our products that
each product be free from defects in workmanship and materials under normal and reasonable
use and correct assembly (if assembled by consumer/purchaser), as follows. Warranty does
not apply to defects due directly or indirectly to misuse, abuse, negligence or accidents, repairs
or alterations outside our facilities or to a lack of maintenance.
1. For a period of FIVE YEARS: Bolted metal frames, Carriage, Footplate, frame, and
wheels.
2. For a period of TWO YEARS: Footplate face
3. For a period of ONE YEAR: Elasticords, Lockdown ropes, foam handle, and all other
parts.
If the shipping carton appears damaged upon delivery, or the MiniPress Carriage does
not slide as it should, please contact us immediately at 800-334-5633 or email a
description, including a photo if possible to [e-mail]
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II. UNDERSTANDING YOUR SHUTTLE
MINIPRESS
The heart of the Shuttle MiniPress is the method employed to add resistance to the Carriage.
The components of this system are the Elasticord Hook-Up Plate, a set of pulleys, and six
Elasticords. Each Elasticord fits in a slot in the Carriage. The user grasps the Elasticord knob
protruding from the Carriage, pulls it out and inserts the knob in the corresponding slot in the
frame. The user also selects the number of Elasticords to reach the desired load. When
engaged, these Elasticords provide the desired resistance. The five black Elasticords provide
about 7 lbs of starting load each. The red Elasticord has a beginning resistance of about 2 lbs. At
full stroke, the black Elasticords provide about 20 lbs of resistance each and the red, about 5 lbs.
Thus, the load capacity of the MiniPress Elasticord Resistance System ranges from 2 lbs to
approximately 100 lbs at full extension.
The Shuttle MiniPress has a wide range of possibilities. Because the unit is lightweight and
portable, desired degrees of flexion and extension are easily established by varying the position
of the patient and the distance between the unit and the patient.
For example, a patient will have greater flexion at the knee if they use the MiniPress while seated
in a chair, or lying in a supine position in bed or sitting flexed at the hip on a treatment table. Use
of a goniometer will ensure an accurate flexion angle measurement and documentation of
improvement.
Increasing the number of Elasticords allows the practitioner to add small incremental loads to
enable low to moderate levels of muscle and joint strengthening. In addition, the Elasticords
allow for both concentric and eccentric muscle loading.
Unlike many closed chain devices, the Shuttle MiniPress has the advantage of being used as a
progressive form or "active CPM”. For example, with minimal friction provided by the wheels as
they roll on the aluminum track, the recovering leg can be propelled on the Footplate by the
active leg. Gradually, the healthy limb exerts less pressure and the affected limb is called upon to
do more work, thus requiring increased active muscle firing and recruitment patterns to improve
the neurological feedback from the injured limb.
LATEX WARNING!
Elasticords are made of natural latex. Some people have an allergic reaction to latex.
The MiniPress is constructed so that the Elasticords can be moved and adjusted without
direct contact with the latex. We recommend using glov es when maintaining the
MiniPress.
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Distance Indicator Label
Assists the user in measuring the stroke distance traveled. Distance is measured from the
leading edge of the Carriage. The numbers indicate the distance of carriage movement in
inches.
Footplate Adjustment
The Footplate is adjustable from 0 to 75 degrees from a horizontal line with the Carriage.
Adjustment is accomplished by lifting the support bar on the back side of the Footplate frame
and placing the bar into the appropriate slot. The rubber sleeve helps secure the bar.
Foot Position Label
The label on the Footplate shows correct positioning of the patient’s foot.
Security Strap
There is a black strap attached to the Footplate, which secures the extremity against the
Footplate.
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WARNING!
Keep fingers and foreign objects outside the Frame at all times. Do not place hands
inside the Frame or on the Carriage while the machine is in use.
Stabilizing the MiniPress
Two black ropes with hooks are attached to each side of the MiniPress. When secured properly,
these ropes keep the machine in place when the patient pushes the Footplate.
Stability from a chair - The Stabilization Ropes may be attached to chair legs or wheelchair
frame to maintain the desired range of motion for the patient. Place the chair up against a wall in
order to keep it from tipping over when resistance is applied.
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Stability from a treatment table or bed - The Stabilization Ropes may be held in the hand of
the practitioner if they are not able to wrap around the legs of the table or bed.
Stability from a tabletop (for Upper Body Exercise) - The rubber feet at the ends of the frame
are placed against the edge of a tabletop. This helps stabilize the machine and prevents it from
sliding on the table when the patient pushes against the Footplate.
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Maintenance and Cleaning
The MiniPress is easy to keep clean and requires only a limited amount of maintenance. Mild
soap and water, or antibacterial wipes are safe cleaning products.
Removing the Carriage - To remove the Carriage from the rails remove the two clips from one
side of the carriage using a phillips head screwdriver. Then lift one side of the Carriage up over
the side of the rail. The carriage will slip off easily. To install the Carriage, reverse the process.
During normal use, the carriage will be held on the rails by the two clips extending under each
rail.
Cleaning the Carriage and Frame - Once the Carriage is removed, both the Frame and
Carriage may be washed with mild soap and water. Prolonged exposure to water can rust the
bearings in the wheels attached to the Carriage, so do not immerse the Carriage or Frame in
water. Lubrication of the wheels and track can be done using Tri-Flow® or WD-40® for smooth
operation.
Cleaning the Footplate - The surface of the Footplate can be washed with disinfecting wipes
or mild soap and damp cloth.
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Elasticord Lubrication - Lubrication of your Elasticords (using only Shuttle Systems Silicone
Gel) is recommended every 2 years. Without lubrication, your cords will eventually become
brittle and weak and can result in decreased resistance.
To Lubricate Elasticords:
1. Engage one cord at a time and press carriage 10-12 inches exposing the Elasticord.
2. Apply a pea size portion of Shuttle Systems Silicone Gel to each Elasticord using latex
gloves.
Part #4011 - SILICONE GEL - 5.3 oz tube
Part #4407A - COMPLETE SET MINIPRESS ELASTICORDS (SET OF 6)
An example of a poorly maintained Elasticord
WARNING!
Do not use oil, or any petroleum products on the elasticords. Silicone gel may be
purchased from your Shuttle Dealer, www.shuttlesystems.com, or give us a call at
800-334-5633.
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III. USING THE SHUTTLE MINIPRESS
PRECAUTIONS
The MiniPress is very safe and user-friendly. Moving parts are kept to a minimum and safely
covered by the aluminum frame and carriage. However, there are a few procedures to follow for
safe operation.
1. When using the MiniPress for upper and lower extremities, the Security Strap should
always be used to bind the extremity to the Footplate.
2. When in use, the Stabilization Ropes should be attached to a stable object.
3. Keep fingers and objects outside the frame at all times while the MiniPress is in use.
4. When using the MiniPress with a patient sitting in a chair, the back of the chair must be
up against the wall, or an immovable object, to prevent the chair from being overturned.
Excessive force applied to the Footplate might cause the chair to tip over backwards.
5. Do not stand on the MiniPress, or attempt to use it while standing on it. There are several
exercises in which the MiniPress is used while standing; however, in these, the patient is
always stabilized on the floor, not on the machine. We strongly suggest that the patient is
firmly holding onto a railing, such as parallel bars, or supported by the therapist.
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GENERAL MACHINE FUNCTIONS
Elasticord Resistance
The MiniPress is equipped with five black latex Elasticords, each with a starting load of 7 lbs, and
one red Elasticord, with a starting load of 2 lbs. With all Elasticords engaged, the initial load is
approximately 32 lbs. When stretched to the maximum, the total load is approximately 100 lbs.
Attach Elasticords - Pull one black knob from the Carriage and insert the slotted knob into the
respective slot on the frame to secure it.
Detach Elasticords - Grasp the knob and lift from the frame slot, allowing the cord to retract
gently to its starting position.
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IV. EXERCISE PROTOCOLS
The MiniPress is a closed kinetic chain exercise device designed to initiate early lower extremity
motion in a functional pattern. It allows the practitioner to introduce un-weighted range of motion
or gradual resistance from very light to moderate, applied either unilaterally or bilaterally.
Exercises may be performed from a supine, standing or seated position, as dictated by their
health. Some basic exercises for the MiniPress are shown below.
TREATMENT PROGRESSION
*NOTE THESE ITEMS BEFORE YOU USE THE SHUTTLE MINIPRESS*
1. Use the Stabilization Ropes to steady the machine, if necessary.
2. Set the Footplate to the appropriate angle for the patient's use. The varying angles of the
footplate will allow Plantarflexion and Dorsiflexion.
3. Monitor range of motion, smoothness and alignment of the foot with the knee.
4. Begin with a light load to allow full use of the patient's available range of motion and
gradually increase resistance.
5. To increase hip & knee stability add a ball or proprioceptive disk, this will introduce a
neuromuscular component to the exercise.
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SEATED LOWER EXTREMITY PROTOCOLS
REFER TO SEC. III PRIOR TO PROCEEDING
QUAD STRENGTHENING
1. Orient the machine with the Adjustment Load Knobs facing the patient.
2. Stabilize the machine.
3. Set the Footplate to the appropriate angle for patient’s comfort.
4. Secure the patient's foot/feet to the Footplate using the Security Straps around the heel
and the Velcro strap over the top of the foot.
5. The patient can perform a simple push-pull exercise within the desired range of motion.
6. Engage Elasticords as strength and comfort dictate.
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HAMSTRING STRENGTHENING (Sit to Stand)
1. Orient the machine with the Adjustment Load Knobs facing away from the patient.
2. Stabilize the machine.
3. Set the Footplate to the flat position.
4. Place the black Security Strap behind the heel(s).
5. The patient can start moving the Carriage by pushing their leg(s) away from the body and
drawing them back in a controlled manner.
HEEL SLIDE
(with no resistance—useful for increasing ROM after knee surgery)
1. Orient the machine with the Adjustment Load Knobs facing the patient.
2. Stabilize the machine.
3. Set the Footplate to the appropriate angle for the patient's comfort.
4. Secure the patient's foot/feet to the Footplate using the Security Straps around the heel
and the Velcro strap over the top of the foot.
5. The patient can start moving the Carriage by pushing the leg away from the body and
drawing it back in a controlled manner.
6. Monitor for range of motion, smoothness and alignment of the foot with the knee.
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UNILATERAL LEG PRESS
1. Orient the machine with the Adjustment Load Knobs facing the patient.
2. Stabilize the machine.
3. Set the Footplate to the appropriate angle for the patient's comfort.
4. Secure the patient's foot to the Footplate using the Security Strap.
5. The patient can move the Carriage by pushing one leg away from the body and drawing it
back in a controlled manner, while the other leg maintains stability on the floor.
6. Engage Elasticords based upon weight-bearing ability.
7. Monitor for range of motion, smoothness and alignment of the foot with the knee.
Unilateral Variation I:
Rotating the ankle clockwise or counter-clockwise while pressing on the Footplate will introduce
medialis or lateralis muscle firing.
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