GripAble Pro Manuel utilisateur
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
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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
log in, assess their ability in grip/release and movement to set a baseline,
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?
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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.
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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
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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:
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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
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GRIPABLE
REHABILITATION
GOAL SETTING
AND TRACKING
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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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