U S Patent 6 945945 B 2 September
*U. S. Patent #6, 945945 B 2 September 20, 2005 Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Introduction & Background Ø Slings are bad? Ø Designed in collaboration between Victoria Givler OT and Paul Mohr PT Ø Patent awarded in September, 2005 Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Therapeutic Reasoning Ø The job of the human brain is to learn Ø After a stroke, the brain still learns Ø Every modality applied should support this learning Ø “Prescription” for a sling Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Anatomy of the Giv. Mohr Sling Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Attributes of the Giv. Mohr Sling Reduces shoulder subluxation Ø Reduces shoulder pain Ø Facilitates erect posture Ø Increases balance Ø Improves gait Ø Increases sensory input Ø Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Attributes of the Giv. Mohr Sling Supports the arm in a functional position Ø Protects the involved arm Ø Allows controlled arm swing Ø Improves activities of daily living Ø Easy application by user Ø Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Common Diagnoses The Giv. Mohr Sling is suitable for individuals with diagnoses including: Stroke Ø ALS Ø Brain Injury Ø Brachial Plexus Injury Ø Rotator Cuff Injury Ø Post Polio Syndrome Ø Transverse Myelitis Ø Central Cord Syndrome Ø Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Proper Fit To insure proper fit, initial fitting is done by PT or OT. Once sling has been donned, check the following: Ø Ø Ø Locking 4 -Tab centered over spine, low on back Elbow strap 1” below elbow and horizontal Elbow less than 30 degrees of flexion Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Proper Fit To insure proper fit, initial fitting is done by PT or OT. Once sling has been donned, check the following: Ø Ø Ø Wrist cross centered over wrist joint Wrist in neutral (10 degrees or less) Shoulder approximates neutral rotation Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Sizing Size Height Range Pediatric Weight Range 45 -70 lbs. Extra Small Less than 5’ 80 -100 lbs. Small 5’ – 5’ 4” 100 -140 lbs. Medium 5’ 3” – 5’ 10” 135 -185 lbs. Large 5’ 10” – 6’ 4” 180 -235 lbs. Extra Large Over 6’ 4” Over 235 lbs. Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Donning Instructions 1. 2. 3. 4. 5. Place uninvolved arm through shoulder loop. Lay sling across back and drape anterior strap over involved shoulder. Center 4 -Tab buckle over spine and near inferior angle of scapulae (T 6). Place hand piece in hand Pull elbow strap into place 1” below elbow. Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Donning Instructions Adjust both straps at buckles to reduce subluxation. 7. Slide Axillary Pad to a comfortable position. 8. Reposition 4 -Tab buckle over spine and near inferior angle of scapulae (T 6). 9. Lock the 4 -Tab to maintain adjusted position. 10. Adjust posterior strap at buckle to bring shoulder into neutral rotation. 6. Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Donning Demonstrations Ø Donning and Fitting Sling to Client Ø Self-donning Ø Questions and Discussion Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Locking the 4 -Tab for Optimal Fit Correctly position sling on user 2. With 4 -Tab UNLOCKED, slide down as low as possible over spine 3. LOCK the 4 -Tab in place by snapping the webbing under the locking tabs on ALL 4 SIDES 4. Recheck the overall fit of the sling 1. Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Common Modifications Ø Ø Ø Add splint(s) to facilitate proper wrist and hand positioning Use with compression glove for edema control. Modify handle to minimize CMC joint pain Decrease handle volume to accommodate distal motor return Mix sling sizes for different body types and arm lengths Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Research Comparative Effectiveness of the Giv. Mohr Sling in Subjects With Flaccid Upper Limbs on Subluxation Through Radiologic Analysis Ø l Archives of Physical Medicine and Rehabilitation: Vol 86, December 2005 l l l Kathy Dieruf, PT, Ph. D, NCS Janet L. Poole, Ph. D, OTR/L Cindy Gregory, Ph. D Erin Joerg Rodriguez, PT Carol Spizman, MOT Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Research Uninvolved Subluxed Other Giv. Mohr Conclusion: “These results show that a properly fitted Giv. Mohr sling reduces subluxation without overcorrecting. This new sling provides an alternative treatment option for persons with flaccid ULs that may prevent secondary complications and improve outcomes. ” Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Research Ø The Effect of the Giv. Mohr Sling on Gait Parameters Post Stroke (March 2012) l l l Kathy Dieruf, PR, Ph. D, NCS Jerimiah Mac. Donald, SPT Luke Myers, SPT Discussion : “The velocity of gait is one primary predictor of functional ambulation…In addition, velocity is related to discharge location, falling, and quality of life. ” Clinical Relevance “The Giv. Mohr Sling is a simple and inexpensive treatment that not only supports and protects the UE, but properly positions it during upright postures. ” Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
Other Giv. Mohr Slings Giv. Mohr Pediatric Sling Giv. Mohr Bilateral Sling Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
*U. S. Patent #6, 945945 B 2 September 20, 2005 Giv. Mohr® Corporation • 3600 Osuna Road NE, Suite 316 • Albuquerque NM 87109 Phone: 505 -292 -1144 • Fax: 505 -323 -9526 • Web: www. Giv. Mohr. Sling. com
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