The plinths in the gym all seemed to have their support legs of lifting mechanisms right in the spot you'd want to move the LG to try and lift them up from seated. There was one plinth that the LG could fit under and I needed an extra hand guiding the wheels we could get the LG under and out of the plinth without the wheels turning and getting stuck. This was only a problem on the total locking side as the directional locks made it easy enough to get the wheel in and out.
When we moved the LG under the plinth to help lift the client there was probably less than a centimetre of space either side of the base. Very tight fit.
I did go over this with them to make sure everyone was aware of the technique. Hopefully, it hasn't been a problem.
Thank you for your repot, Gavin. Can you please clarify and give more info on "the one we used during the training was a very tight fit. We needed extra hands to make sure the wheels stayed in the right position."
LiteGait Training Report Training Date: 26 July 2018 Facility: Lacombe Community Health Centre Name and type: Acute inpatient and outpaitent rehabiliation centre.
Presentation: Did they listen to the lecture online? If yes, did they give you feedback? What questions or concerns did they have regarding the information given?
Yes, they listened to the lecture approx. 4 weeks before the on site training. No specific feedback given. Did you mention MoReICE clinical support, LiteGait social media, Presenter Series webinars - especially free TIPS & TRICKS every quarter?
Yes, all mentioned during the presentation. How many attended? Do you have sign in sheet or will facility send it in?
9 attendees, the facility will send it in.
Harness/LiteGait device Training:
Were all of the training elements completed or was something left out? What factors contributed to elements not being covered: i.e. time ran short, no patients or not enough patients.
From what I remember I covered all the training elements. Addt’l Equipment Covered: i.e. Q-pads, GaitSens, Therapy Mouse, Accessories – what questions came up?
They had a Therapy Mouse shipped to them. It wasn't on the list of products given to me so I hadn't prepared for it. I told them LG would send over some information on how to use it.
The patients used for the training were those that were available at the time, so no formal information on their conditions was given.
Female 37yrs, spinal stroke T8. Harness donned in standing and client moved over the treadmill. Ct can walk using 2 canes. Facilitated swing on L leg to help keep the leg straight. Used q-straps to provide encouragement to weight shift to one side. Standing behind the patient, using the harness as a hold helped to encourage further weight shift.
Male 53yrs, MS. Ct had KAFO on L leg. Placed the harness on using the modified sitting technique. Harness wrapped in sitting and the tightened as the patient stood for a short while. The patient had an excessive forward lean, I showed the attendees how to correct for that using the overhead straps. Used q-straps to help keep pelvis forward. Demonstrated facilitated gait training with a KAFO. Sitting beside the treadmill and helping the patient move their leg, had his therapist and therapy assistant try it out.
Male ~65, CVA R side affected. Harness placed on in standing and ct walked over to the treadmill. The patient was apprehensive and nervous about falling, he was reassured that the LG has him supported and he couldn't fall. The patient had high tone on R leg which made it difficult to help facilitate gait. The patient was unable to full stride out on his own. Tried some hip flexion exercises in the harness, and some slight stretching and resumed gait training. Gait training was now easier and patient able to take long steps on the treadmill. Could be partly due to the patient becoming more comfortable with the treadmill.
Male 45yrs, SCI C6. Harness donned in supine. The facility only has 1 or 2 hi/lo tables that the LG can fit under to lift a patient up from standing. The one we used for this patient just barely fit. We needed a couple of helpers to make sure the wheels stayed in line. This could be difficult for them moving forward. The patient was moved over to the treadmill, q-straps were used to secure his hips and I showed how to do fully facilitated gait training. I highlighted the goals of this training (ie, knee extension, hip extension, speed >1.5mph), and then most therapists gave it a go and attempted to find the position that was most comfortable for them.
Problems or Concerns Encountered with patients:
The 3rd patient had his harness ride up slightly during the training. This was due to the groin piece only being tightened to the seat of his pants and not his groin area. So when the harness was loaded it slipped up. The patient reported some discomfort from this, I encouraged the staff not to place towels in the groin piece to make it more comfortable, instead, they should make sure the harness is secure.
It seems that only 1 - 2 hi/lo tables will be suitable for getting people into the LG from supine and the one we used during the training was a very tight fit. We needed extra hands to make sure the wheels stayed in the right position. This might potentially be a barrier for using this on patients who need the harness applied in supine.
What was the BEST question/remark/feedback you got during this training?
There was a general sense of excitement to use it on their patient's. It always great to do a training where there is that level of excitement to both learn about and use the device.
Champions: Who is the best person to f/u regarding clinical support?
Christine Who is the best person to f/u regarding sales needs?
Recommendations: What do we need to do for these customers? Specific follow up, accessory info, Service issues? Please let the customer know all immediate follow-up needs should go through the Education Department.
Additional information on the therapy mouse. I didn't get to cover it during the training
Last edited on Fri Jul 27th, 2018 01:54 pm by GavinT