1. Training & Certification Program
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2. Training and Certification For
Bio-Back Lumbar Orthosis
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3. Objectives
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Comprehend the Purpose of the Bio-Back
Demonstrate Proficiency in the Application of
the Bio-Back
Understand the Features and Functions
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4. The Bio-Back Lumbar Orthosis
Front Panel
Packaging includes:
Double Zipper
Polyethylene Bag
Instructions for Use
DVD
Velcro
Straps
Back Panel
with Lumbar Dome
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5. What is it and How does it work
The 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 clinically
proven 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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6. What is it and How does it work
Needle Electromyelography (EMG) studies were
performed 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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7. 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
www.painezee.com
Instructions are available at www.medolutions.com
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8. Fitting, Adjustment and Wearing
There 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
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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
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The Bio-Back can be worn at night during sleep
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The Bio-Back can be worn sitting, standing, bending or for any activity
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The Bio-Back should be worn as tight as possible but not
uncomfortable.
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9. Fitting, Adjustment and Wearing
For 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 small
of your back.
Step 2: Center the front panel over your stomach and
thread the end of the forward through the inner slot.
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10. Fitting, Adjustment and Wearing, cont’d
Step 3: Then thread the strap back through the outermost
slot 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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11. 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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12. Adjustment Instructions
THE 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 when
using 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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13. Features
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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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14. Features
Appropriate for these conditions (and many
more):
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Lumbar Muscle Strain
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Ruptured Disc
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Disc Back Pain
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Spinal Stenosis
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Lumbar Spine Arthritis
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Spondylolisthesis
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Osteoporosis
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15. Contraindications
Patients with the following conditions should consult the
physician:
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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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16. Care Instructions
Polyethylene Carry Case Care Instructions
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Most stains can be readily removed by spotting with lukewarm water and detergent.
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Bleaches can be used if needed.
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If fabric is laundered, it should be line dried or tumble dried with gentle heat or no heat. Polyethylene
dries very rapidly.
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Do not iron.
Polypropylene Panel Care Instructions
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Avoid contact with boiling water, high heat, flame such as cigarettes, and abrasives.
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Wash in warm sudsy water.
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Never use scouring powder.
Nylon Strap Care Instructions
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Machine wash on cold water setting.
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Wash nylon separately from other types of fabric.
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An all-purpose laundry detergent should be sufficient for nylon.
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Use only non-chlorine bleach on nylon.
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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.
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Iron when necessary, using a cool setting.
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17. Summary & Review
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What is the characteristic of the back panel of the BioBack that makes it different than the front panel?
What are the two patented features of the Bio-Back?
Can the Bio-Back be worn while sleeping?
Does the Bio-Back help maintain a healthy posture?
Should the Bio-Back be worn loosely?
Does the Bio-Back relax back muscles?
Should the Bio-Back be worn if the patient has a spinal
fracture?
Can the Bio-Back be effectively worn underneath
clothing?
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