I. Electrical Variable Speed (EVS)
The EVS provides an easy to use speed control for the flexion motor. You’ll find the EVS control panel on the left side of the table under the caudal cushion. Simply turn the knob to change flexion speed. Rate adjustment is infinite between 30 cycles per minute (standard) and 0 cycles per minute.
Variable speed control is necessary in acute disc management. It may also be beneficial for geriatric patients and ostoeporotic patients.
2. Variable Height
The variable height (uplift) incorporates an electric actuator to adjust the table precisely to any height between 21 and 29 inches or 18-1/2 to 24 inches, depending on which version is built into the table. The uplift allows easy on/off for patients and greater comfort for the practitioner. Because the torso and leg sections adjust independently; the uplift also allows the doctor to choose the exact range of flexion OR extension.
The front and caudal sections of the table are left independent of each other, allowing the front section of the table to elevate while the caudal section remains down (see figure 5). Also, the caudal section may be raised while the front section remains down (see figure 6). To raise or lower the front section of the table simply step on first one, and then the other side of the uplift pedal (see page 20, Foot Switches). To raise or lower the caudal section, support the weight of it with one hand and, with the other hand, squeeze the control loc ted under the rear of the pelvic ( caudal) cushion (similar to the adjustable ankle support). Position the section as desired and release the control to lock it in place.
Important: Figures 5 & 6 demonstrate the positioning combination extremes available. Improper positioning could cause the patient’s spine to be placed into extreme flexion or extension. Use caution when taking advantage of these features. Also, DO NOT put the table in the (figure 5) position at any time while operating the flexion motor. The table is not designed to use these two positioning extremes in conjunction with the flexion motor and it is possible to injure your patient’s back or spine. It is recommended that if you wish to increase the amount of flexion that you raise front section 2-3 inches relative to the caudal section. It is further recommended that the caudal section never be lowered more than 50% of the distance that the front section is raised when operating the flexion motor.
Figure 5 Uplift – front section high, caudal section low.
Figure 6 Uplift – front section low, caudal section high.
3. Pelvic, Thoracic, and Cervical Drops
The drops on Leander tables all operate the same way. Each incorporates one or two cocking handles (A), and a tension adjust knob (B). The pelvic and thoracic drops each have a cocking handle on either side of the table (see figure 7). The cocking handle for the Pierce-type, forward motion cervical drop is located at the front of the head section, making it accessible from either side and moving it away from the patient’s arm (see figure 8). To set a drop, lift the cocking handle until the drop sets. To increase drop tension for heavier patients or thrusts, turn the tension knob clockwise; counterclockwise to decrease tension.
Figure 7 Thoracic and pelvic drops.
Figure 8 Cervical drop.
4. Scoliosis Package
The scoliosis package option has proven effective in reducing idiopathic scoliosis curvatures when used in conjunction with continuous passive motion (CPM).
To use the scoliosis package option, refer to the seperate instructions for patient set-up and technique.
5. Genuine Leather Upholstery
For leather care see page 29, Upholstery.
6. Cloth/Vinyl Upholstery
Cloth covering tends to hold the patient more securely during side posture adjusting, helps reduce slipping during flex.ion distraction and resists wear from belt buckles and other sharp objects better than vinyl alone. A combination of vinyl and cloth is used to cover the table. With the exception of the face cushions, cloth is used on all horizontal surfaces and vinyl on the vertical surfaces. Vinyl is used on the horizontal surfaces of the face cushions because it is more comfortable. See page 29, Uphostery.
7. Color Coordinated Base
See page 29, Paint.
8. Multiple On/Off Switches
Multiple flex.ion motor ( on/off) switches provide the opportunity to have an on/off switch at two locations at the same time. In addition to the standard switch, an additional switch is provided on the control panel located at the rear underside of the pelvic ( caudal) cushion. Either switch will start or stop the flexion motor.
9. Multiple Uplift Switches
Multiple control pedals further enhance the optional uplift. In addition to the switches located at the front of the table on the base, additional switches are provided on the right and left rear of the table under the pelvic (caudal) cushion.
IO. Flexion Timer
The flexion timer allows pre-setting the flexion distraction motor run-time from 1 to 30 minutes. You’ll find the timer control panel on the left side of the table on the control panel located at therearunderside of the pelvic ( caudal) cushion. It allows the practitioner to pre-determine exact treatment times for each client and easily repeat that treatment at each visit. A manual override is built in to allow operation with or without automatic stopping.
To use the flexion timer:
1) Turn the timer knob to the desired setting. Remember to turn past 4 minutes and back to set for 1 to 3 minutes.
2) Begin flexion by pressing the On switch (red button).
3) The flexion motor will stop when the timer reaches “OFF”. Also, the flexion motor may still be stopped by pressing the On/Off switch or by squeezing the Patient Flexion-Off Switch. Also, pressing the red On/Off button will stop the table.
To override the flexion timer turn the knob to the MANUAL area of the dial. The flexion motor may now be started by pressing the On/Off switch and will run until manually stopped by pressing the On/Off switch.
Note: When a table is equipped with a flexion timer, the timer must either be engaged or set to “manual” for the flexion motor to be operated.
Also: The timer stops the flexion motor at a random position. This not an accident. Side posture adjusting with the 900 series is facilitated by stopping the flexion motor when the caudal cushion is below horizontal. This would not be possible were the table designed to always stop in the horizontal position.
Proper Patient Positioning section 5
This part of the manual is presented only as an introduction to the basic set-up and proper patient positioning for your Leander table. The intent is not to present technique, nor should this text ever replace the professional’s training and knowledge. These instructions are only fur positioning the patient and properly energizing the table.
- Place the patient in a prone position with their face on the head-roll paper.
- Position the patient so that the top of the iliac crest is even with the front edge of the caudal (pelvic)cushion.Do not position the patient higher on the table; slightly lower is acceptable.
- Extremely Important! Release the abdominal cushion to allow the patient’s spine to attain its normal lordosis. In most cases, this must be done prior to energizing the table. In some cases, failure to lower the abdominal section could injure your patient.
- Adjust the ankle cushion so that it just touches the top of the instep of the foot. Patients may then increase the amount of distraction force applied to their spine by pulling against the ankle cushion with their toes. The ankle straps may be used to secure the patient’s legs and in certain cases may increase patient traction.
- Extend the T-bar until the patient’s arms to have a slight bend at the elbow. In elderly or acute cases this may be uncomfortable; if so, retract the T-bar or use the armrests.
- Place your hand on the apex of the sacrum and gently roll the patient from side-to-side as you energize the table. This will comfort the patient and let them know that treatment will begin.
While the Leander table may be used by an unattended patient, be sure to show the patient the location and operation of the Patient Flexion-Off Switch (see page 15, Patient Flexion-Off Switch). DO NOT modify the table to use in-line timers which may bypass the shut-off switches. Also, we do not recommend unattended use of the Leander table; a doctor or other trained operator should be in attendance at all times.