Bench Alignment - PROTEOR RUSH Foot Instrucciones De Uso

3—Indications for Use and Maximum Weight
The HiPro, RAMPAGE, and RAMPAGE LP feet are designed exclusively
for lower limb prostheses.
They are appropriate for patients with low, moderate, or high impact
activity levels whose weight (carried load included) complies with the
table below.
Advice: Patients of similar weight and size often require different
category selections due to the activities they perform in their day to
day life. Patients who perform high impact activities such as sprinting
and basketball benefit from a slightly stiffer and more responsive
foot compared to a patient who only performs low activities such as
walking and playing golf. Proteor USA has created four different
activity levels with examples to aid Prosthetists in selecting the
correct activity level for their patient.
The four activity levels and their examples are the following:
•
Low: Walking, Golfing
•
Moderate: Hiking, Skiing
•
High: Baseball, Wakeboarding
•
High Impact: Sprinting, Basketball
The authorized maximum load is 365 lbs / 166 kg.
®
Each RUSH foot is resistant to fresh, sea, and chlorinated water provided that the
recommendations of Sections 8 and 9 are respected.
The HiPro, RAMPAGE, and RAMPAGE LP feet are designed for a 10mm heel height.
They include a male pyramid that allows the use of adult pyramid receivers.
To select the correct category for the patient, the Prosthetist must know the patient's activity
level and weight. Using this information, the patient's category number can be found at the
intersection of the patient's weight (vertical column) and the patient's activity level (horizontal
column).
HiPro, & RAMPAGE / Rampage LP (x)
lbs 0 to 105 106 to 140 141 to 175 176 to 210 211 to 245 246 to 280 281 to 315 316 to 350
Patient
Weight
kg 0 to 48 49 to 64 65 to 79 80 to 95
Low 1 2 3
Moderate 1 2 3
High 1 (2) 2 (3) 3 (4) 4 (5)
High Impact 2 (3) 3 (4) 4 (5) 5 (6)
NOTE: Increasing category numbers indicate increased keel response.
FOR BILATERAL PATIENTS: Increase by one category for added stability
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365lbs/166kg
96 to 111 112 to 127 128 to 143 144 to 159
4 5 6 7 8
4 5 6 7 8
5 (6) 6 (7) 7 (8) 8 (9)
6 (7) 7 (8) 8 (9) 9 (-)
4—Bench Alignment
Sagittal Plane:
After determining the appropriate socket flexion and heel
height, position the weight line so that it falls through the
center of the foot adapter. As the unique glass composite
material provides substantially more flexibility than the
other prosthetic feet, this represents a good starting point for a

bench alignment.

Coronal Plane:
After determining the appropriate socket adduction/abduction, position the weight line so that it
falls through the midline of the foot in a neutral M-L position.
5—Alignment (With the Patient)
Static Alignment:
Due to the shape of the rocker sole (bottom blade), patients may experience a new sensation
when seeking the midpoint of the foot. The rocker sole allows patients to find their own
comfortable static or standing position. The rocker bottom shape of the sole serves 2 primary
functions :
a. Provide a continuous and progressive point of contact throughout the entire step.
b. Eliminate any "flat" or "dead" spot.
The Prosthetist is highly discouraged from introducing wedges at this stage of alignment.
Adjustment of the A/P set screws at the proximal adapter is the more appropriate place to make
changes regarding plantar flexion or dorsiflexion, rather than the introduction of a wedge.
Dynamic Alignment:
The use of a slide adapter with the RUSH Foot
purposes, as it provides the best solution to troubleshooting the most common alignment issues
listed below:
a. Hard or soft heel
b. Hard or soft toe
c. Varus or Valgus movements during Stance Phase.
351 to 365
Once the optimal relative socket/foot alignment is determined, RUSH Foot
plantar flexion / dorsiflexion at the proximal foot adapter to optimize heel-to-toe comfort and
160 to 166
energy return.
9
The patient should wear the RUSH Foot
9
responsiveness of a non-carbon fiber device.
9 (-)
If the patient still requests additional heel stiffness, it is appropriate to introduce and utilize the
- (-)
wedge provided in the original RUSH Foot
This wedge uses a double-sided sticker so the lower face of the blade should be degreased before
using. See figures on the next page for correct wedge placement.
5 6
Weight Line
10mm
®
is highly encouraged for dynamic alignment
®
encourages the use of
®
for at least one week to fully experience the
®
package.
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