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Training & Certification Program

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Training and Certification For Bio-Back Lumbar Orthosis

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Objectives

Comprehend the Purpose of the Bio-Back

Demonstrate Proficiency in the Application ofthe Bio-Back

Understand the Features and Functions

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The Bio-Back Lumbar Orthosis

Front Panel

Velcro Straps

Back Panelwith Lumbar Dome

Packaging includes:Double Zipper Polyethylene BagInstructions for UseDVD

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What is it and How does it workThe Bio-Back uses a simple, patented design that combines Counter Force pressure with a Lumbar Dome. Together these features reduce the strain on the muscles and other pain sensitive structures in the lower back to relax muscles and relieve pain allowing users to safely resume their daily activities back pain free.

The patented design feature, Bilateral Opposing Forces, is clinicallyproven to reduce the activity and strain on key muscles in the lower back. Simultaneously the redistribution of pressure enhances core stability.

The patented design feature, Lumbar Dome creates an immediate correction in posture promoting proper body mechanics and helping to reduce and prevent back pain.

The Bio Back’s support results in reduction of lower back pain and improved mechanics. The low profile design makes it comfortable to wear while doing everyday activities.

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What is it and How does it work

Needle Electromyelography (EMG) studies wereperformed to evaluate the Bio-Back’s clinical efficacies. Subjects standing in an anatomically

Neutral position, demonstrated that use of the Bio-Back reduced the activity, of the Longissimus at L4 by an average of 52% and the Multifidus at L4 by an average of 37%, when compared to no orthosis. Overall, this would indicate that the employment of the Bio-Back orthosis reduced key endurance muscle activity by approximately 46% overall.

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Fitting, Adjustment and Wearing

The Bio-Back is available in two sizes.

Standard is adjustable to fit waist sizes of 22” to 50”

Large size is adjustable to fit waist sizes of 51” to 78”

Written instructions are included with each Bio-Back

DVD instructions are included with each Bio-Back

Instructions are available at www.medolutions.comwww.painezee.com

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Fitting, Adjustment and WearingThere are no standards for when to wear a back brace and for how long a back brace should be worn. The length of time the Bio-Back is worn should commensurate with the duration of pain and discomfort or for the duration of activities that normally cause back pain. The basic instructions are as follows:

If you are in back pain or discomfort, wear the Bio-Back for pain relief

If you are going to do an activity that normally causes back pain or discomfort, wear the Bio-Back during the activity to help prevent back pain

The Bio-Back can be worn at night during sleep

The Bio-Back can be worn sitting, standing, bending or for any activity

The Bio-Back should be worn as tight as possible but not uncomfortable.

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Fitting, Adjustment and WearingFor your convenience, we have provided your Bio-Back pre-assembled. It may fit properly right out of the package or the straps may need adjusted to ensure a firm, supporting fit. For the best support and most comfortable fit please review these instructions.

Step 1: Center the back panel (Lumbar Dome) in the smallof your back.

Step 2: Center the front panel over your stomach andthread the end of the forward through the inner slot.

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Fitting, Adjustment and Wearing, cont’d

Step 3: Then thread the strap back through the outermostslot of the same panel.

Step 4: Grasp the end of each strap, suck in your stomach and pull the straps towards the back equally and attach for a comfortably tight fit. The tighter you wear it the more benefit will result.

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Adjustment Instructions

THE BIO-BACK DOES NOT REQUIRE PROFESSIONAL FITTING.Please use the strap adjustment chart to determine the proper strap length.

To make the Bio-Back Smaller: The straps attached to the back panel are secured with a Velcro holding piece. This can be removed completely to allow the strap to be cut shorter for smaller waist sizes. (See the enclosed Waist Size to Strap Length Adjustment Chart).Remove the Velcro holding piece and cut each strap equally to the desired length. Replace the Velcro holding piece and reattach the straps.

To make the Bio-Back Larger:Detach the strap where it is connected to the back panel and pull the strap away from the back panel to make it larger. Reattach the strap and repeat this step on the other side.

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Adjustment InstructionsTHE BIO-BACK DOES NOT REQUIRE PROFESSIONAL FITTING.The Bio-Back is available in two sizes, both featuring adjustable straps to fit a range of waist sizes as described below. We recommend that you measure around your belly button for adjusting the strap size whenusing this chart. IMPORTANT: Remember to cut the strap attached to the back panel AND to remove the Velcro Holding piece before cutting the strap.

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Features

Clinically Proven to relax back muscles

Helps maintain proper posture encouraging better body mechanics

Non-Restrictive design makes it comfortable for nearly all activities

Lightweight, compact design allows for near full range of motion

Can be worn discreetly underneath clothing

Simple to use

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FeaturesAppropriate for these conditions (and many more):

Lumbar Muscle Strain

Ruptured Disc

Disc Back Pain

Spinal Stenosis

Lumbar Spine Arthritis

Spondylolisthesis

Osteoporosis

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Contraindications

Patients with the following conditions should consult the physician:

Spinal fractures requiring immobilization

Spinal infections

Spinal Tumors near lumbar region

Cardiovascular disease with uncontrolled hypertension

Major Spinal Surgery

Aortic Aneurysm

Cerebrovascular Disease

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Care Instructions

Polyethylene Carry Case Care Instructions Most stains can be readily removed by spotting with lukewarm water and detergent. Bleaches can be used if needed. If fabric is laundered, it should be line dried or tumble dried with gentle heat or no heat. Polyethylene

dries very rapidly. Do not iron.

Polypropylene Panel Care Instructions Avoid contact with boiling water, high heat, flame such as cigarettes, and abrasives. Wash in warm sudsy water. Never use scouring powder.

Nylon Strap Care Instructions Machine wash on cold water setting. Wash nylon separately from other types of fabric. An all-purpose laundry detergent should be sufficient for nylon. Use only non-chlorine bleach on nylon. If you dry your nylon in the dryer (as opposed to drip-dry), make sure the dryer is set on its lowest

setting, and remove items promptly when cycle is finished. Iron when necessary, using a cool setting.

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Summary & Review

1. What is the characteristic of the back panel of the Bio-Back that makes it different than the front panel?

2. What are the two patented features of the Bio-Back?3. Can the Bio-Back be worn while sleeping?4. Does the Bio-Back help maintain a healthy posture?5. Should the Bio-Back be worn loosely?6. Does the Bio-Back relax back muscles?7. Should the Bio-Back be worn if the patient has a spinal

fracture?8. Can the Bio-Back be effectively worn underneath

clothing?