TheraTogs Wunzi Instruction Manual

Wunzi™System Strapping Guidelines
We designed the Wunzi™ System to support the primary goal of achieving trunk control
as a foundation for using the limbs to move and to function. Because infants developing
typically achieve bilateral, symmetrical extension against gravity rst, and exion
second, we listed the following strapping procedures in order of priority, beginning with
those intended to optimize the building of trunk extension strength and control.
–Beverly Cusick, PT, MS, NDT, COF
Trunk Extension
Strap
T
ogRite
Cross Strap
GoldTone
Split Strap
2. ENHANCE THE WTE STRAP EFFECT WITH A GOLDTONE™ SPLIT STRAP OR TOGRITE™ CROSS STRAP
SAFETY PRECAUTION: The elasticized white TogRite material is too strong to wrap completely around any limb.
1. Attach 3 more same-size tabs and turn the
Split Strap (shown in Fig 6) or the Cross Strap
so that the longer length is horizontal to the
body. Try them both to assess for optimum
effect on posture.
2. Lay the strap center over the part of the
spine that needs more support.
3. Attach the top 2 ends of the strap to the
garment on the sides of the upper ribcage
near the nipples.
4. Draw the bottom 2 ends toward the pelvis &
wrap them around the waist (Fig 6).
5. Attach them to the lower front panel on the
garment (Fig 7).
6. Assess the effect; adjust strap selection,
position, length, and tension to optimize
trunk extension.
7. When satised, mark and number the strap
attachments on the garment.
8. To increase attachment space in front, add a
GoldTone straight strap across the lower torso
below the navel (Fig 8A).
9. Attach the lower 2 strap ends to the lower
abdominal straight strap (Fig 8B).
Fig 6. Attach top two ends
of the horizontal Split Strap
over the upper chest. Pull
the bottom 2 ends down &
around the lower torso.
Fig 7. Attach the bottom
2 strap ends to the lower
front panel.
Fig 8. (A) To increase
attachment space in front,
cut & add a GoldTone
Straight
Strap across the torso
below the navel. (B)
Reattach the bottom Split
Strap ends to this strap.
1. SHORTEN & ASSIST THE SPINAL EXTENSORS
The new V-shaped Wunzi Trunk Extension-Assist (WTE) Strap is well-suited to the Wunzi garment design. It is stiff vertically, and pre-tabbed at
the top and bottom ends for ease of use. Here’s how to apply it:
1. Take two folds in the fabric lying over the outer buttocks and tab them down (like a dart) (Figure 1).
2. Lay the WTE lengthwise on the child’s back with the foamed side down and the 2 narrow straps draped over the shoulders.
3. Attach the two shoulder straps to the upper front side of the garment, avoiding the garment shoulder tabs (Figure 2).
4. With the child’s back straight, draw the bottom end of the WTE Strap downward and attach the tab to the garment that runs over
the crotch (Figures 3 & 4).
5. Use 2 “banana”-shaped tabs to attach the WTE to the garment (Figure 5).
6. Place the child in sitting and assess the effect.
7. Adjust the WTE tension and side tab locations to optimize the effect without compromising comfort.
8. When satised, mark all tab attachment sites on the garment.
NOTE: If the spine still bulges in sitting and/or standing, add a Split Strap (see below).
Fig 1. Tab down
2 folds.
Fig 2. Attach shoulder
ap tabs to the garment
front panel.
Fig 3. Draw the bottom
of the WTE downward.
Fig 4. Attach WTE
to garment under
the crotch.
Fig 5. Use 2 banana tabs to secure the WTE
on the garment.
Wunzi Strapping Guidelines ©2017 TheraTogs, Inc.
A. B.

4. SHORTEN & ASSIST THE OBLIQUE ABDOMINAL MUSCLES
1. Attach 3 more same-size tabs to the GoldTone Split Strap and turn the longer length horizontal to the body.
2. Lay the strap center bridge over the garment covering the child’s navel.
3. Attach the top 2 strap ends to the sides of the upper/posterior ribcage. Snapping it onto the WTE strap is optional.
4. Draw the bottom 2 ends toward the back of the pelvis and check the t. Remove excess strap fabric if needed; reapply the tab.
5. Attach the strap and assess the effect (Figs. 9 & 10).
6. Add the Straight Strap lower abdominal assist if needed (Fig. 11).
7. When satised, mark and number strap attachments on the garment.
Fig 9. Apply the Split Strap to assist the oblique
abdominal muscles.
Fig 11. Add lower
abdominal Straight Strap
if needed.
Fig 10. If a more elastic assist is needed, try using the
TogRite Cross Strap instead of the Split Strap.
7. MORE STRAPPING APPLICATIONS USING THE SUPPLEMENTAL WUNZI LIMB KIT
You can purchase a supplemental Wunzi Limb Kit to create additional strapping applications. (Contact TheraTogs Customer Service for details.)
Examples:
Assist the iliotibial band
& stabilize Thigh Cuff
with a small Split Strap
Use the Second Cross Strap to Assist the
Iliotibial Band and Hip Abductors
Assist leg lateral (left) or medial (right)
rotation with a Limb Cuff and
Straight Strap
Assist leg and hip lateral
rotation with a Limb Cuff
& Straight Strap.
Wunzi Strapping Guidelines ©2017 TheraTogs, Inc.
5. FACILITATE KICKING WITH ABDOMINAL
MUSCLE ACTIVITY
1. Wrap the Limb Cuffs around the lower thighs
above the knees.
2. Use a Cross Strap to connect the upper trunk to
the thighs (Fig. 12). Assess the effect.
3. If thighs fall apart, adduct them with a Straight
Strap (not shown here, shown on video).
Fig 12. Connect the shoulders to the thighs with the Cross Strap, wrapping the
lower straps under the thighs and attaching them to the limb cuffs.
Fig 13. Extending the spine, draw the bottom
ends of the Cross Strap forward and attach
them to the inner undersides
of the thigh cuffs.
Fig 14. If the hips are too wide to
allow lateral weight shifts, draw the
thighs together with a Straight Strap.
6. SHORTEN AND ASSIST WEAK
ILIOPSOAS MUSCLES
1. Wrap the Limb Cuffs around lower thighs above knees.
2. Use a horizontal Cross Strap to connect the upper
chest, over the lumbar spine and inner hips, to the
thigh cuffs (Fig. 13).
3. Use a Limb Cuff to adduct the hips if needed (Fig. 14).
3. STABILIZE SCAPULAE AGAINST WINGING.
1. Tab and hold the Cross Strap horizontally across the upper back.
2. Attach the upper straps to the Front Panel under the collar bones.
3. Attach the lower straps to the front panel on the rib cage (Fig. A).
4. Check for optimum tension. Adjust the strap length and attachment sites to
optimize stabilization of the shoulder blades.
5. Use a spare tab to draw the Cross Strap center down on the back
panel to clear contact with the neck (Fig. B).
A. B.