GripAble Pro Manuale utente

GripAble. User Manual Pro

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PRO

USER

MANUAL

GripAble. User Manual Pro

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GripAble is an assessment and treatment instrument for people with upper

limb needs. It is intended for use by people with a wide variety of clinical

presentations and aims to:

• provide assessment of grip and release

• provide assessment of wrist and forearm movements

• optimise dose and intensity of upper limb training

• provide real time feedback during use

• track and monitor all training

GripAble is an adjunct to other instruments and rehabilitation modalities and

can be used in many different clinical and community settings. The therapist

will need to use clinical reasoning for each user and apply the instrument

appropriately. The therapist is responsible for the assessments and treatment

prescription selected.

For home use, it is recommended that the user consults an occupational

therapist or physiotherapist, who can assess the suitability of GripAble as part

of their home rehabilitation programme, set goals and advise on the appropriate

activities for the individual.

THERAPEUTIC

GUIDE TO THE

DEVICE

GripAble. User Manual Home

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• Assessment

•Training

Updating software

Positioning during use

Strapping

Locked and unlocked mode

GripAble rehabilitation goal setting and tracking

• Repetition calculations

• Time calculations

• Tracking and monitoring training

• Cleaning the device

Main menu – app navigation

Initial set up instructions for user

New user set up

GripAble activities

Grip test menu

Extra help

FAQs and troubleshooting

CONTENTS

Therapeutic guide to the device

Contents

What does GripAble do?

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GripAble enables the therapist to set up users (patients/clients) with a unique

set treatment goals and review progress. GripAble is also able to assess

various aspects of grip strength in a separate part of the App. See later in this

document for more details on how to set up a new user, use the grip tests and

other functionalities.

ASSESSMENT

GripAble assesses:

• Grip strength

• Release of grip

• Wrist extension and flexion

• Wrist radial and ulnar deviation

• Pronation and supination

The assessment of strength is sensitive to 0.1 Kg and is therefore able to detect

flickers of movement. The minimum and maximum strengths recordable are 0.3

Kg to 90 Kg.

Assessment of ability to release is valuable for neurological disorders. GripAble gives

an objective assessment of the ability to actively release, even at low strength levels.

This is represented as a percentage of total release.

TRAINING

The therapist can use GripAble to address training goals as appropriate

including to:

• gain control of grip and release

• strengthen forearm and hand muscles

• improve concentration

• improve coordination

• improve intentional release of grip

• strengthen pinch grips

• encourage movements of the wrist and forearm

• encourage grip and pinch strength endurance

• provide motivating and engaging activities

GripAble is developing fast and therefore software upgrades

will be regularly applied to the GripAble App. Awareness

of the updates and training will be provided for therapists

both online on the GripAble website and via newsletters.

Should you need any further help, please contact the

customer team.

WHAT DOES

GRIPABLE DO?

GripAble. User Manual Pro

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U PDATI N G

SO F T WA RE

Occasionally your tablet will tell you it needs an update. Follow the

instructions to update at the time or schedule an update at a later time.

The GripAble software will also be updated regularly providing further

functionality. When you click into the GripAble app, the following screen will

appear:

Now when you enter the activity carousel, all those activities which need to

be installed or updated will be indicated. Click on each one and follow the

instructions as follows:

Follow the instructions. By

pressing “OK” you will be taken

automatically to the Play Store.

Install activity.

Click “Update”

When the update has completed:

Click “Open”

Activity being updated. If you already have the

activity but there is an update you will see

“update required”. The update will need to be

applied before play can commence.

GripAble. User Manual Pro

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For all use, the recommended

user position is seated in

an upright posture with the

shoulder adducted, elbow at

90 degrees, forearm

horizontal to the ground and

unsupported as shown here.

In some clinical situations this will not be possible. The therapist will need to

adapt to the physical capacity of the user. For example, in the presence of

altered tone, the arm may need to be supported and/or resting in the lap. For

users with specific movement disorders, GripAble may need to be placed on

a table. It is for the therapist to design and advise advantageous treatment

positions. Place the black wrist lanyard around the wrist to prevent accidental

dropping of GripAble.

Grip and release activities are designed with

the GripAble placed in the hand with the

forearm in mid pro/supination (with the thumb

uppermost).

Wrist flexion/extension activities are designed

with the GripAble placed in the hand with the

forearm in full pronation (palm down). Where

possible, the starting position is in neutral.

Wrist radial/ulnar deviation activities are

designed with the GripAble placed in the hand

with the forearm in mid pro/supination (thumb

uppermost). Where possible, the starting

position is in neutral.

Supination/pronation activities are designed

to have the GripAble in the hand with the

forearm starting in mid pro/supination (thumb

uppermost) and move into further pronation

and supination range from this position.

POSITIONING

DURING USE

GripAble. User Manual Pro

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The straps have a small element of stretch in them to aid fixation but it is

important that the straps are not fixed too tight. Consider the route of the

superficial branch of the radial nerve and be sure not to compress in this area.

Wherever possible, use the hooks that are on the main body of GripAble rather

than the two on the moveable fingerplate. If the latter hooks are needed, GripAble

should be used in the isometric mode (see below).

STRAPPING

GripAble is supplied with one black lanyard strap which

fixes to the base of the device. This should be placed around

the wrist during use to prevent accidental dropping.

GripAble is also supplied with several white silicone straps.

These are intended for use with users who need extra help to

retain a hold of GripAble. They have multiple holes along their

length and three hooks / attachment points each end of

GripAble to enable the therapist to design the best position

for the straps for each individual user. Some examples are

shown below:

GripAble. User Manual Pro

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UNLOCK MODE:

The fingerplate moves as GripAble is squeezed and provides a small amount of

resistance.

LOCK MODE:

The fingerplate does not move when GripAble is squeezed. Locked mode is to

allow GripAble to be used isometrically (similar to a hand dynamometer).

• To lock: Squeeze GripAble and press the locking button completely in.

• To unlock: Squeeze GripAble and press the locking button completely in,

let go, and the button will pop back out to be flush with the top of the device.

Should you be in locked mode at a time when it is not usually used, the GripAble

software will give you a warning that it is in locked mode.

LOCKED AND

UNLOCKED MODE

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The therapist can select grip and release repetitions and/or wrist and forearm

movements and set daily targets for each. The target can be number of

repetitions of the desired action or number of minutes spent training a specific action.

After each level on each activity, a summary of the repetitions performed, and

minutes trained that day will be displayed with the number that were added

during that level of that activity as a “+”. See below.

On the Level menu you will see one, two or three stars. This represents how well

the user has performed at the activity.

Advise your user which activities are the best to meet their goals.

Grip/release added during the

level just completed

Daily repetitions of grip/release

Minutes added during the level just

completed

Daily minutes of grip/release

2 4

GRIPABLE

REHABILITATION

GOAL SETTING

AND TRACKING

GripAble. User Manual Pro

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REPETITION CALCULATIONS:

TIME CALCULATIONS:

TRACKING AND MONITORING TRAINING:

CLEANING THE DEVICE:

Grip and release:

All squeezes and releases performed during the day will be recorded by the

software and a cumulative score achieved. Each squeeze and release sequence is

one repetition. This can be benchmarked against a daily goal set by the therapist.

Wrist flexion/extension:

Each cycle of movement from neutral to wrist flexion through to wrist extension and

back to neutral (or vice versa) will count as one. Each full cycle performed during

the day will be recorded by the software and a cumulative score achieved. This can

be benchmarked against a daily goal set by the therapist for movement of the wrist

in this plane.

Wrist radial/ulnar deviation:

Each cycle of movement from neutral to wrist radial deviation through to wrist

ulnar deviation and back to neutral (or vice versa) will count as one. Each full cycle

performed during the day will be recorded by the software and a cumulative score

achieved. This can be benchmarked against a daily goal set by the therapist for

movement of the wrist in this plane.

Pronation/supination:

Each cycle of movement from neutral to pronation through to supination and back

to neutral (vice versa) will count as one. Each full revolution performed during the

day will be recorded by the software and a cumulative score achieved. This can be

benchmarked against a daily goal set by the therapist for movement of the wrist

in this plane. Neutral (mid pro- supination) is the starting position. Neutral is the

starting position.

The GripAble software will record all time spent on each specific movement each

day in minutes. Total time spent will be shown between each level of each activity.

Detail can be tracked in “Achievements” (see below).

Considerable data is available for review of training by looking under

“Achievements” on the menu bar as listed below.

Any alcohol-based wipe can be used to clean the device. The antiseptic products

in the wipe will not affect the device. Alternatively, use soap on a damp piece

of dressing gauze / J-cloth or equivalent. The device is splash proof but not

waterproof. Do not immerse in water.

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