MEASURING FOR CUSTOM-MADE PRESSURE GARMENTS. Revised January 2013 Copyright 2013, Bio-Concepts, Inc., All Rights Reserved

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1 MSURING OR USTOM-M PRSSUR GRMNTS TH TORSO Revise January 213 opyright 213, io-onepts, In., ll Rights Reserve 2424 ast University rive, Phoenix, rizona 8534 voie: toll-free: fax: _

2 #31 Sleeve Vest Requeste features: 1. olor: Royal lue 2. ilateral reast inserts for omfort 3. ilateral expansion panels 4. front zipper with hook & loop ta to keep the zipper from opening at the top 5. the nek will e soope 1.5" elow the sternal noth 6. hook & loop tas to allow the upper torso garment to e attahe to the lower torso garment ( an k are provie to overlap the garments) 7. Silon-T with velfoam paing, illustrate with etaile measurements on the Sketh Pa 8. lose-knit fari, lighter an more open than the efault Regular material, see page 1. or ault female patients, irumferene is taken immeiately elow the reasts (on't forget to also measure the torso irumferene over the reasts). or male patients an for hilren, irumferene is taken aout halfway etween the axillae an the (irumferenes an ). TORSO MSURMNT HRT io-onepts ustom Pressure Garments are availale only uner Physiian s Orer Patient ate Garment olor Insert Lining ipper: Turtle nek: oe, Jane Last Name 6/7/213 ront or 7 reast - ilater al ak ¾" 1" 1½" 2" 2½" xpansion panel: Left sie Right sie (efault expansion panel loation is lateral) Soft armpit panels (N/) Mesh armpit panels (N/) irst Name Silon-T see sketh pa Hook & loop zipper stop ta Regular nek Soop nek: istane elow sternal noth 1 4 Waist hook & loop tas to attah to pants (N/) Refer to the io-onepts Measuring Manual for etaile proeures, aitional instrutions, an example measuring harts. itional instrutions or omments: lose-knit Material a velfoam paing to ak Silon see sketh pa io-onepts Use Only: PLS O NOT WRIT IN MRGINS = or a Vest (Items 3, 31) require:,,,, G, H,,, for ault female: rassiere up size torso irumferene over reasts optional:, k (see illustrations elow) or a oy rief or Suit (Items 24, 25, 26, 27, 28, 29) require: ll, exept an k for ault female: rassiere up size torso irumferene over reasts optional: None or other torso garments refer to the Measuring Manual IRUMRNS ult emale Torso H or ault females is iretly elow the reasts. on't forget to take an aitional irumferene of the torso over the reasts.,,, an k are measure from to,,, an own the front of the torso. ISTNS ult emale Torso G k IRUMRNS Male & hil Torso or ault males an hilren, is halfway etween an. an k are OPTIONL. They are to exten Vests elow line, not for oy riefs an oy Suits. PLS O NOT WRIT IN MRGINS H 2424 ast University rive, Phoenix, rizona, U.S VOI: / : / io-on@io-on.om worl wie we: ISTNS Male & hil Torso G 24. oy rief sleeveless 29. Suit Sleeve to toe or ankle 25. oy rief sleeve 3. Vest sleeveless or ult emales: rassiere up size: hest irumferene (over nipples): k HOW TO MSUR IRUMRNS G & H romial Proess Measure H & G with arm own an plae the measuring tape istal (away) from the aromion. H 26. Suit Sleeveless to aove knee an are evenly spae etween the an the gluteal fol. 3. Sternal Strap 27. Suit Sleeve to aove knee 28. Suit Sleeveless to toe or ankle See page 16 for an explanation of the shorthan measurement notation system. 31. Vest sleeve ITIONL ISTNS & IRUMRNS oy riefs & oy Suits Only e f g G I & J G L H R I L J R e f g k elly an ug. 213 IO-ONPTS, IN., PHONI, RION Torso hart -- MPL

3 MSURING TH TORSO or a Vest (Items 3, 31) require:,,,, G, H,,, for ault female: rassiere up size torso irumferene over reasts optional:, k or a oy rief or Suit (Items 24, 25, 26, 27, 28, 29) require: ll, exept an k for ault female: rassiere up size torso irumferene over reasts optional: None Proeure for a Vest Measure the irumferenes,,, G, an H. Inlue only if you want the ottom of the garment to exten elow the. Otherwise is not neee. Using a allpoint pen, make a mark on the front of the patient at the loation of eah irumferene. ollow the instrutions on page 34 to take measurements -. If you inlue, then also measure the istane from own to the irumferene. This is k. Use the Upper xtremity hart for vests an oy suits with attahe arms. irumferene Measurements irumferene of nek at mi-point. irumferene of the torso at the axillae. Torso irumferene: ULT MLS - iretly elow reasts. MLS & HILRN - Halfway etween irumferenes an. irumferene at (the is efine as the level at whih the patient wears pants, panties, riefs, or skirts). If the garment will inlue the lower torso, make a mark on the patient where this measurement is taken just aove one of the uttoks. This is neee in orer to ontinue measuring irumferenes of the lower torso, see page 35. G-H xilla irumferene taken istal to aromion. Measure with arms own. Tape shoul e positione so that it almost is falling off. irumferene elow (only if it is neessary to exten the vest to elow the ). H ULT ML TORSO MSURMNTS irumferene iretly elow reasts ML & HIL TORSO MSURMNTS irumferene is halfway etween an the reasts romial Proess G Vieo tutorial & Self-ertifiation Online 2424 ast University rive, Phoenix, rizona 8534, U.S. all to speak with a esigner

4 Surfae Measurements Point is loate at the ase of the nek at the top of the ulge of the trapezius. Make a mark to loate Point. The surfae measurements isusse elow,,, an must e taken from Point. Measurements a through (an the optional k) are ritial for proper fit of garment. Surfae measurements are taken from Point at the ase of nek at top of shouler, to the orresponing irumferene marks ( through, an the optional ). istane from Point to irumferene. istane from Point to irumferene. istane from Point to irumferene (). k Optional -- istane from irumferene to. xtening a vest to elow the woul only e esire if it is intene to overlap with a leotar or rief, otherwise it will roll up to the. ULT ML TORSO MSURMNTS irumferene iretly elow reasts ult emales rassiere up size. Torso irumferene over nipples. Mastetomy Patient If the patient presents with no reasts or one reast ue to mastetomy, etermine whether a prostheti evie will e worn. If the garment will e worn uner or without a prostheti reast, measure the patient aoring to the male/hil proeure esrie aove an iniate on the Torso Measuring hart that the reasts are missing ue to mastetomy in the "itional Instrutions." If only one reast is asent, measure aoring to the ault female measurement proeure esrie aove an e sure to iniate whih reast is missing in the "itional Instrutions" on the Torso Measuring hart. ML & HIL TORSO MSURMNTS irumferene is halfway etween an the Vieo tutorial & Self-ertifiation Online 2424 ast University rive, Phoenix, rizona 8534, U.S. all to speak with a esigner

5 Proeure for a oy rief or oy Suit Take all of the upper torso measurements isusse on pages (exept measurements an k whih are only neee for Sleeve an Sleeveless Vests that are intene to exten to elow the ). NOT: The measurements esrie elow are only neee if the garment will inorporate the lower torso. or Sleeve an Sleeveless Vests, these measurements are not neee. irumferene Measurements Lower torso irumferenes, an, are evenly spae etween the an Point, the fol of the uttoks. Measure the istane etween the an Point an ivie that y three. or example, if the istane etween the an Point is 9 inhes, then make a mark on the uttok 3 inhes elow the an measure irumferene. Then measure 6 inhes elow the, make a mark on the uttok an measure irumferene. The spaing etween an oes not have to e exat, for example, if the istane from the 1 to Point is 1 inhes, then take irumferene, 3 / 2 inhes elow the an irumferene, 7 inhes elow the. I-J irumferene of the lower torso approximately one-thir of the istane etween the an Point. Make a mark on one of the uttoks where the measurement was taken. irumferene of the lower torso approximately two-thirs of the istane etween the an Point. Make a mark on one of the uttoks where the measurement was taken. irumferenes of the tops of the legs. 9" 6" 3" xample measurements only Point I J Vieo tutorial & Self-ertifiation Online 2424 ast University rive, Phoenix, rizona 8534, U.S. all to speak with a esigner

6 Surfae Measurements You alreay loate Point (p. 33). The measurements isusse elow, e, f, an g must e taken from Point. Measurements e, f, an g are ritial for proper fit of garment. e istane from Point to irumferene. f istane from Point to irumferene. g istane from Point to Point (fol of the uttoks). Infants If the patient will e wearing the garment over a iaper, take the lower torso measurements over the iaper. The Oese Patient an Small hilren The oese patient an very young hilren from infany to approximately three years of age may present with a large elly. Unless some ompensation is mae for this feature in the measurements, the vest may e too long in the ak an too short in the front. s shown to the right, simply take two measurements, one in the front an one in the ak an write oth measurements on the Torso Measurement hart in the ox provie for. It is not neessary to lael or explain the two measurements, the ifferene etween the two lengths will e use to make the vest longer in the front than in the ak. xample measurements for a vest showing the proeure for reoring a longer front than ak. e /18 - ak w ai st - front e f g J Vieo tutorial & Self-ertifiation Online 2424 ast University rive, Phoenix, rizona 8534, U.S. all to speak with a esigner

7 Sternal Strap 3 Sternal Strap is intene to apply pressure to the sternal region of the hest. It is espeially useful in applying Silon-T to troulesome post-sternotomy sars. It is not intene to apply pressure to the any other part of the torso inluing the shoulers or lateral torso. Silon-T lining along the sternum may e onfigure as a poket for the insertion of foam or orthoplasty. Require Measurements Same as for a 3 Sleeveless Vest (p ). 3 Sternal Strap elly an 34 elly an is useful for applying pressure to the aomen elow the ri age. The efault losure is an anterior zipper. Hook & loop losure may e requeste as an alternative. Require Measurements Measure the irumferene at the esire ottom of the garment an write it in the lank provie for, in the Torso Measurement hart. Measure the irumferene at the esire top of the garment an write it in the lank for. Write the esire height of the garment in "itional Instrutions". elly an may e higher in the front than the ak. ommon Options for Torso Garments Nekline Regular Nekline shoul e at the sternal noth. 1 Soop Nekline is roppe to elow the sternal noth, from / 2 to 3 or more inhes. You speify the epth. Turtlenek an is attahe to the nekline in orer to raise a 3 1 ollar from / 4 inh to 2 / 2 inhes high. You speify height. NOT: Pressure on the torso is ahieve y strething the garment aross the oy. eep nekline may result in less pressure aross the upper torso. 34 elly an height Regular Nek 1. inh Soop Nek 1½ inh Turtlenek Vieo tutorial & Self-ertifiation Online 2424 ast University rive, Phoenix, rizona 8534, U.S. all to speak with a esigner

8 ippers Torso garments, suh as vests, oy riefs, an suits ome with a zipper as a stanar feature. ippers are anterior y efault for all torso garments. Many torso garment orers for tolers an infants request a posterior zipper. ippers for upper an lower extremities attahe to torso garments woul e onsiere optional features an shoul e speifie on the Upper xtremity hart or the Lower xtremity hart, as appropriate. ippers on the torso, whether anterior or posterior, may e offset several inhes in orer to avoi a sensitive area. In itional Instrutions speify whih sie to move the zipper to an how muh. or example, Offset zipper three inhes left. Hook & Loop ipper Stop Ta Torso garment zippers may oasionally ome open on some patients. To prevent this we an install a hook an loop ta aross the zipper to hol it together. Hook & ye Torso garment zippers may e very iffiult to lose for those with little or no han or finger strength. You may onsier requesting two or three hook & eye lathes (the same hook & eye use to lose a rassiere), for example, one at the ottom, one at the mile, an one at the top of a vest zipper to assist these patients. The hook & eye lathes are installe insie the zipper ans so the patient an lose the ottom hook & eye, then negotiate the zipper, then lose the mile hook & eye, an then zip up to that level, an so on. lthough most ommonly requeste for torso garment zippers, hook & eye losures are tehnially feasile for any zipper. Waist Hook & Loop Tas Patients wearing a vest together with a rief or leotar may experiene isomfort when they en an the two garments separate. We an esign the garments to overlap an we woul inorporate hook & loop pathes to allow the two garments to e joine. The efault onfiguration is to plae the loop piee on the insie of the vest, an the hook piee on the outsie of the rief or leotar. xpansion Panels panel of Insert Material (page 1), 1-3 inhes wie, may e installe along the lateral sie of a torso garment, from the ottom of the garment to the axilla. If the garment has sleeves, the expansion panel oul e mae ontinuous from the ottom of the garment to the en of the sleeve. xpansion panels may e use to allow for growth in the peiatri patient an minor flutuations in patient measurements Inserts The efault reast style is to onstrut a reast up out of the regular material of the garment using the hest irumferenes an rassiere up size provie, however, reast panels may alternatively e onstrute out of our strethy soft Insert Material (page 1). reast inserts are frequently requeste for ault female patients. Sleeves that ome with Sleeve Vests, Sleeve oy riefs, an Sleeve oy Suits may have inserts in the anterior elow rease to prevent unhing of the garment material. Torso zipper offset to left 3 inhes Vieo tutorial & Self-ertifiation Online 2424 ast University rive, Phoenix, rizona 8534, U.S. all to speak with a esigner

9 Unerarm Gussets Some patients may experiene isomfort an skin reakown from the material ruing in the axillae. gusset is a wege of Insert Material inorporate into the axilla. If an expansion panel has een requeste, the gusset may e inorporate into the expansion panel. Linings Some patients fin the nek an of a torso garment irritating. This may e alleviate y lining the nek an with Lining Material (page 1). We all this, rapelining, eause the lining material is rape aroun the an. Similarly, zipper ans an arm holes of sleeveless torso garments may e rapeline to reue ruing. Linings may e inorporate in torso garments in orer to reue the isomfort from ruing. or a sleeve garment, axilla linings may e ae. Vieo tutorial & Self-ertifiation Online 2424 ast University rive, Phoenix, rizona 8534, U.S. all to speak with a esigner

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