Ottobock 28P30 Instrucciones De Uso página 20

2) Cut the interior plastic tube to length with scissors (see fig. 11), taking the patient's hand
width into account as the measurement.
3) Optional: Trim the shorter padded hook-and-loop closure with scissors (see fig. 12).
4) Slide the padded strap over the hand support bar and fasten the hook-and-loop closure (see
fig. 13, see fig. 14).
Adapting the padded strap for the hand support bar
Prerequisite: The orthosis is attached to the forearm straps.
>
1) Lay the hand onto the padded hand support bar (see fig. 15).
2) Pull the strap over the hand between the thumb and fingers, and fasten it with the hook-and-
loop closure under the padded strap (see fig. 16). INFORMATION: Close the strap at the
bottom or top, depending on the patient.
3) Optional: Shorten the hook-and-loop with scissors.
Adapting the 28P31 hand positioning splint
1) Position the patient's hand on the hand support (see fig. 18, item 5).
2) Mark the thumb side and the finger sizes on the hand support (see fig. 19).
3) Trim the hand support to the correct size along the slots using scissors (see fig. 20).
4) Sand the cut edges smooth.
5) Starting on the bottom, thread the thumb-metacarpus closure strap (see fig. 21), positioning
the strap guide loop on the thumb side. Slide the strap opening over the safety closure for the
hand support.
6) Attach the self-adhesive hook-and-loop patch to the bar in the area of the centre of the thumb
and use it to secure the strap (see fig. 22).
7) Shorten the closure strap so that there is sufficient material for attaching the Y-hook-and-loop
closure. Attach the Y hook-and-loop closure. Optional: Sew the Y-hook-and-loop closure to
the strap.
8) Starting on the bottom, thread the finger closure strap into the bar (see fig. 23, see fig. 24,
see fig. 25).
9) Connect the hand support to the hand support bar (see fig. 26).
10) Fasten the safety closure (see fig. 27).
11) Position the patient's hand on the hand support.
12) Fasten the split closure strap on the thumb (see fig. 28).
13) Fasten the split closure strap on the metacarpus.
14) Fasten the finger closure strap (see fig. 29).
Applying the hand support pad
1) Attach the self-adhesive hook-and-loop patches evenly distributed to the top of the hand sup­
port.
2) Put the pad onto the hand support.
3) Use scissors to cut the pad to size.
5.3 Application
Application of the 28P30 Manu Neurexa plus
Prerequisite: All hook-and-loop closures are open.
>
Prerequisite: Place the orthosis on a table in front of the patient, opened to the top.
>
1) Insert the forearm into the orthosis until the hand is lying fully on the hand support.
2) Fasten the straps.
3) Make sure that the straps fit closely without constriction.
Application of the 28P30 Manu Neurexa plus with 28P31 hand positioning splint
Prerequisite: All hook-and-loop closures are open.
>
Prerequisite: Place the orthosis on a table in front of the patient, opened to the top.
>
1) Insert the forearm into the orthosis until the hand is lying fully on the hand positioning splint.
20