User's Manual

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Therapy Activity 3: Sunrise
This activity is based on simple shoulder flexion. The patient holds their arms out straight in front of
them and raises their arms up and over their head in a motion that ideally, is pure shoulder flexion with
a maximum, healthy ROM of 180 degrees. This exercise may be done passively with HCP assistance or
actively by the patient themselves. This exercise encourages postural alignment and symmetrical seated
shoulder flexion.
When this motion is initiated, a Sun character rises up from beyond the horizon in proportion to the
patient’s shoulder flexion ROM. The sun also rotates in the sky and translates side to side, depending on
the patient’s postural symmetry. When the patient’s arms are horizontally and vertically symmetric, and
their torso is in vertical alignment with their pelvis and head, the sun will be smiling broadly and high in
the sky straight ahead of the patient.
If the patient’s posture exhibits asymmetry or other compensating characteristics, the sun’s position and
the expression on its face will alter from the “ideal” state, thereby providing the patient an external
visual cue as to their posture, and allowing them to learn via alternative references, what is proper, non-
compensating posture. Maximum shoulder flexion ROM achieved during this activity will be stored as a
session output for the HCP’s record. HCPs may adjust various activity parameters through the tablet.
Sub-Activity 1: Sunrise
As the patient fully lowers and fully raises their arms to the best of their ability, the lighting in the virtual
world will exhibit night-time or daytime according to the sun’s position, thus greatly accentuating the
activity and feedback of a simple coordinated arm raise.
Sub-Activity 2: Harvest