SureStep DCO User manual

CONTRA-
INDICATIONS
INDICATIONS
• Poor Head Control
• Neck Weakness
• Head Drop (Ptosis)
• Parkinson’s Disease
• Multiple Sclerosis
• Myopathy
• Amyotrophic Lateral
Sclerosis
• Poor Head Control Due
to Hypotonic Cerebral
Palsy
KEY FEATURES
• Adjustable tension
resistance bands can
accommodate any
degree of head drop
• Resistance bands can
be “loaded” to combat
asymmetries in tightness
of neck musculature
• Low Prole: Can be worn
under normal clothing
• Easily contoured to t any
body shape
• Adjustable for dierent
heights and head shapes
For information or support, please contact Surestep: 877.462.0711
The exclusive distributor
of the DCO
DYNAMIC CERVICAL ORTHOSIS
AN ACTIVE SYSTEMS PRODUCT
The DCO is the most advanced system available for the
treatment of head drop. This truly dynamic device is the
only system available that supports a neutral, midline
position, while still allowing
normal movement. Through the
use of the dynamic resistance
bands, the DCO oers a
resistance to movement helping
to facilitate strengthening of the
musculature of the neck, while
assisting with re-centering in
midline.
• Rigidity of the Neck
Musculature
• Fusion of the Cervical
Vertebrae
• Fixed Neck Position

CUSTOM DCO
FOR TECHNICAL SUPPORT CONTACT SURESTEP
THE EXCLUSIVE DISTRIBUTOR OF THE DCO
Defective Merchandise
If the product is not functioning properly due to a manufacturer’s defect, we will repair the
product for you at no charge within 30 days from the date of purchase.
17530 Dugdale Dr.
South Bend, IN 46635
877.462.0711 | surestep.net
INSTRUCTIONS
B
C
D
A
E
F
1
2
3
4
5
6
7
Apply headband with the foam side against the skin and hair, so that the
wide section is centered posteriorly. Figure A
• Tighten to a comfortable snug t, taking care to tighten both the left and right sides
evenly.
Position the upright so that the occipital support rests comfortably over
the apex of the occiput. This should locate the ROM hinge at the height of
the lower cervical spine. Figure B
Check the location of the thoracic pad and conrm that the superior trim
line is located just below the inferior angle of the scapula. Figure C
• If relocation of the thoracic pad is necessary, removed the two Chicago screws attaching
the thoracic pad and relocate the pad to the proper height.
• If the metal upright extends below the inferior trim line of the thoracic pad, it may be
necessary to cut the excess material away using a hacksaw.
• Reattach thoracic pad to metal upright using two Chicago screws.
• It will likely be required that you contour the upright to match the natural curve of the
thoracic and cervical spine to achieve the proper angle for the cranial rest pad.
• Contouring of the upright can be done over a chair-back or using contouring irons.
Attach the encircling strap around the torso (at lower rib level) and adjust
tension to a snug level, adequate to hold the DCO in place while adjusting
the shoulder straps. Figure D
Attach shoulder straps, one at a time. Tension the straps
to a snug tightness when the arm is fully extended and
abducted. Once shoulder straps are tensioned to a
proper t, the quick connect buckle can be used going
forward for ease of donning and dong. Figure E
• Check tension with arm down at the side to ensure that the straps
are not over-tightened.
Check the tension of the encircling strap around the torso and make any
adjustments necessary.
Attach the remaining loose side of the elastic bands to the spring hooks
attached to the headband. Figure F
• If any minor adjustment is needed to the tension of the elastic bands, adjustment can
be made by releasing the cam buckles on the back of the posterior cranial rest pad and
sliding the strap to increase or decrease tension.
The DCO should always be worn over a light T-shirt or undergarment and not
directly against the skin.
QUICK DISCONNECT
If any serious injury occurs in relation to this device,
please report the incident to Surestep as well as to
the competent authority of your Member State.
SURESTEP
17530 Dugdale Dr.
South Bend, IN 46635
USA
[phone]
MEDENVOY GLOBAL B.V.
Prinses Margrietplantsoen 33
Suite 123
2595 AM The Hague
The Netherlands