Biotronix Tilt Table Motorized ( Electrical ) Remote Controlled Premium Model used in Physiotherapy and Rehabilitation Make in India with 3 Year Motor Warranty
Biotronix Tilt Table Motorized ( Electrical ) Remote Controlled Premium Model used in Physiotherapy and Rehabilitation Make in India
|Range of Tilt||from 0 to 90 degree|
|Table Top||195cm long x 61cm wide x 80cm high|
|Mounted||Four Breakable Premium Wheels ( imported made )|
|Utility Tray||Yes wooden Utility Tray Laminated|
- Tilt System: Electrical operated Heavy duty system .
- Range of Tilt: Adjustable from 0 to 90 degree.
- Table Top: 195cm long x 61cm wide x 80cm high made from premium Rexine cloth
- : Tilts on Two heavy duty Ball bearings
- : Fitted with Premium magnetic Tilt angle indicator.
- : Fitted with thick foam padded upholstery.
- : Fitted with Three, wide premium quality straps to hold patient.
- Base Frame: Welded frame for more stability.
- : Made of Rectangular & 30mm square steel Tubes.
- : Legs fitted with 10cm dia. Lockable Castors wheel premium imported for mobility.
- Foot-Board: Foam Padded removable Footboard for easy Entry & Exit.
- Utility Tray: Laminated surface for ADL activity.
- Arm Supports: Tubular frame to grip for support.
- Finish: Powder coated finish
- Power: Maximum patient weight 150kg.
- Power: 220V. AC.
Warranty 3 Year Motor Warranty
Biotronix Tilt Table is motorized heavy duty . The device will patient lift weight 140 kg with 90 degree angle.
· Heavy duty electrical tilt Table motorized.
· Remote hand control operable from either side of table.
· Fixed padded footboard.
· Tilts from horizontal 90 degrees at fixed rate .
· Hospital grade plug.
Operating voltage 220V, 50 Hz, 3 Amps.
· High- Density foam top with premium Rexene .
· Tilt angle indicator from 0 degrees to 90 degrees.
· Heavy duty imported Premium motor with hand remote ( Wired Hand Remote Control )
· Three extra premium – wide safety straps.
· Foot board is included.
· Set of (4) locking casters ( Premium Imported Made )
· Heavy duty steel frame is powder coated in neutral cream finish.
· 3.5” clearance under frame.
· Maximum Patient Weight : 150kgs
Three Support Premium Belts - for Leg support , Chest support, Abdomen support.
|Electrical Control Equipment||1 Linear Actuator, 1 Control Box (24 V dc output) & 1 Hand Set(Remote)|
- 1 pc Biotronix Tilt Table Motorized ( Electrical ) Remote Controlled Premium ( Deluxe ) Model used in Physiotherapy and Rehabilitation Make in India
- Three Support Belts - 1 for Leg support ,1for Chest support, 1 for Abdomen support.
- 1 Activity Tray Wooden
- 1 Complementary Physio chart Set ( 6 wall pasted physio charts )
- 1 Hand Remote Control
Primary Use of the Tilt Table:
Tilting Tables support a patient from a horizontal plane (flat bed-like position). From the horizontal position, a manual crank or electric motor is then activated to slowly initiate the process of transitioning the table from a horizontal plane toward an increasingly vertical standing position, while the patient is properly secured to the table with safety positioning straps. The tilt table relies upon the use of gravity to do it's work. Gravity is known to benefit and support the functioning of our internal organs and physiological systems. Research has proven that extremity weight bearing will improve bone density and joint development. When standing occurs, even from within a partial vertical plane position, our muscles are elongated and physiological respiration and endurance can be improved upon.
What additional features should I consider?
Tilt Tables feature a footplate to support the patient’s weight and offer positioning for the feet while standing in a tilted position. Some Tilt Tables are designed to tilt a few degrees below horizontal, while others go from a 90 degree angle to a completely flat 180 degree horizontal position. Powered table versions with electric motors are available to make the process smoother and less taxing on the caregiver. Most electric motors offer a soft start-up and landing which may be less disturbing for the patient as compared to sudden stopping or bumping. Choose from a wide variety of widths and from a range of durable vinyl upholstery to suit your needs. Metal walk off plates may also feature safety tread. Safety straps should always be used to ensure optimal safety and security for the patient.
How does a Tilt Table function?
A Hi-Low Tilt Table provides an add-on feature of vertically raising and lowering the entire table from the horizontal "bed-like" starting position, which is useful for transfers and for preparing the patient for treatment. With pneumatic hand controls or foot controls, the therapist may adjust both the vertical height and the angle of tilt accordingly during the procedure, facilitating a smooth and efficient treatment session without physical strain to the healthcare professional. The upholstery is designed to be easy to clean and hygienic. Locking casters prevent any migration of the table during a procedure. Electric tables are designed to operate efficiently with quiet motors. Additional features are described on each individual table.
What are other common uses for a Tilt Table?
Your doctor or therapist may recommend a Tilt Table test if he/she suspects that neurocardiogenic syncope is responsible for fainting and needs additional testing to confirm the diagnosis. This test allows doctors to evaluate your body's cardiovascular response to the change in position in space. Not all Tilt Tables are designed for these procedures and those specific tables will be labeled to indicate their intended use. Tilt Tables are often used to acclimate a bed-ridden patient to standing. They are great treatment choices to use for patients who may not be ready to begin standing in a standing frame.
What Is Tilt Table Testing?
A tilt table test is used to evaluate the cause of unexplained syncope (fainting, loss of consciousness). It is a non-invasive procedure that involves moving you from a lying to a standing position while your symptoms and vital signs are monitored. You might also receive a medication, Isuprel (isoproterenol), that can trigger a response to help in the assessment of your fainting spells.
Purpose of the Test
The main utility of the tilt table study is to help your healthcare provider diagnose the cause of unexplained dizziness, lightheadedness, fainting spells, and falls.1 It does this by replicating your symptoms so your physician can get a better sense of the circumstances under which you have these experiences.
However, a tilt test is not considered a highly reliable test, and it is normally done only when common causes of syncope, such as heart disease and cerebrovascular disease, are ruled out. Often, a tilt table test is only done after your healthcare provider has excluded these serious causes of syncope with tests such as brain magnetic resonance imaging (MRI), brain magnetic resonance angiography (MRA), electrocardiogram (EKG), or echocardiogram.
What the Test Looks For
When you normally stand, your cardiovascular system has to adjust itself in order to prevent too much of your blood from pooling into your legs. These adjustments consist of a mild increase in heart rate and a constriction (narrowing) of the blood vessels in your legs. Normally, these cardiovascular adjustments occur very quickly, and you shouldn't have a significant drop in your blood pressure.
This, however, is not the case if you have orthostatic hypotension or vasovagal syncope—the primary conditions the tilt table test can help identify. Orthostatic hypotension is an excessive drop in blood pressure that occurs when you stand up. Vasovagal syncope is caused by a dramatic fall in blood pressure due to a reflex that causes sudden dilation of the blood vessels in the legs and a slowing of the heart rate. Numerous triggering events can initiate this vasomotor reflex, including physical stress, sudden anxiety, or fatigue.
Because your body does not adjust to the standing position normally if you have either one of these conditions, you will likely experience loss of consciousness or substantial changes in physical measures when you are moved from a lying down to an upright position during a tilt test. Any major response to the tilt table test is considered suggestive of orthostatic hypotension or a vasovagal episode.
The tilt table test can also be useful in distinguishing epilepsy from syncope, as seizures are not always associated with physical movements, and sometimes syncope is associated with jerking movements.
Many people confuse a tilt table test with a stress test because both monitor heart function under modified conditions. However, a stress test is normally done for evaluation of chest pain, while a tilt table test is done for evaluation of fainting or dizziness.
The main limitation of the test is that it does not provide a diagnosis, but rather information that is used along with your medical history to help your healthcare providers determine that a diagnosis is more likely or less likely. Even for people who have definite vasovagal syncope based on symptoms, the tilt table study reproduces the symptoms only about 70% to 75% of the time.1 In other words, 25% to 30% of people with vasovagal syncope have false-negative studies.
The tilt test, therefore, is not considered a gold standard in the diagnosis of vasovagal syncope; results need to be interpreted along with your medical history and your physician's examination.
Risks and Contraindications
A tilt table test can induce dizziness, nausea, vomiting, or loss of consciousness. It is done under monitored conditions and therefore, these risks, while not uncommon outcomes of the test, can be managed safely.
If you have a serious heart condition or severely low blood pressure, you should not have a tilt table test. Not only will these conditions predispose you to a high chance of fainting, there is little chance that the test could provide your healthcare providers with additional useful information if you already know that you have these conditions.
Before the Test
If you are scheduled for a tilt table test, you should ask your healthcare provider if you need to stop taking any of your usual medications. Your practitioner might ask you to stop taking those that alter your heart rate or blood pressure for a day or so before the test, but, because the evaluation of unexplained syncope is so complex and individualized, there is no hard and fast rule about this.
You should expect that the test and recovery time should take about half a day.3 There will be a check-in and wait time, which can range from half an hour to several hours. The test itself should take about an hour.
After the test, some people may feel dizzy or lightheaded, while others may recover right away. It is almost impossible to predict how long the positional changes or medications will affect you, so it is best to anticipate a two- to three-hour recovery time when the test is done.
You won't receive your results the day of the test and may need to wait several days for them.
Your tilt table test will most likely be done in an outpatient suite, although some healthcare providers have this capability in their offices.
What to Wear
You can wear whatever is comfortable for your test, and you will likely be asked to change into an examination gown.
Food and Drink
You should not eat or drink for three to four hours before your test, mainly because the test can induce nausea.
Cost and Health Insurance
As with many diagnostic tests, you may need insurance pre-authorization. The facility where your test is scheduled should be able to tell you if your health insurance requires this and how long the process should take. You may also need to pay a co-pay, and the facility can provide you with this information as well.
If you are going to pay for the test yourself, you should expect the test to cost several hundred dollars, but you should ask about the total cost, because the price can be highly variable.
What to Bring
You should bring your test order form, your insurance information, a form of identification, and a form of payment. You should also be sure to have someone with you who can drive you home in case you become dizzy during the test.
During the Test
Your own healthcare provider may be performing your test, or it may be performed by another physician. You will also have one or more technicians assisting the practitioner with the test.
Before the test, you will have to check in and sign a consent form, as well as patient privacy forms. Right before your test, you may be asked to change into an examination gown.
You will then lie down on a table and be secured to it so that you can maintain your position when it is moved. You will have a blood pressure cuff placed on your arm, as well as EKG leads placed on your chest. Your pulse and oxygen saturation will be monitored by a pulse oximeter, which is a small clip that is placed on the tip of your finger.
Throughout the Test
Initially, the team will assess your vital signs while you are lying down, and then the table will be mechanically tilted to an upright position. Because you are secured, this requires no effort from you. Your team will monitor your symptoms and physiological signs, such as blood pressure, heart rate, and possibly oxygen levels, while you are in a motionless standing position for 10 to 60 minutes.
In some instances, you may receive a medication such as nitroglycerin or Isuprel (isoproterenol), which speeds the heart rate, making symptoms more noticeable. During this test, you may experience dizziness, lightheadedness, or syncope, but not pain.
If this occurs, tell the team, who will then likely move the table so that you can lie down. They may administer treatment to reverse your symptoms and physiological changes if necessary. Resolution of symptoms can take seconds or hours.
After the test is completed, all monitoring and straps will be removed.
After the test, your team will make sure that you have recovered from any dizziness or nausea and will provide you with instructions regarding eating, drinking, and resting based on your symptoms, clinical signs, and how well you are recovering. You will then be permitted to be driven home.
After the Test
You should expect to recover within a few hours, even if you experience dizziness or loss of consciousness during the test.
Managing Side Effects
If you experience mild dizziness within the first 24 hours after your test, it is fine to lie down.
If you experience persistent symptoms that last longer than one day after the test, you should call your healthcare provider. If you feel more lightheaded than usual, or have vision changes, chest pain, or seizures, these are not expected outcomes of a tilt table test, and you should seek urgent medical attention.
The test itself does not provide a definitive diagnosis of any medical condition. It provides information that your healthcare providers can use along with your medical history. In fact, it is important to know that the results are not based in any clear positive or negatives.
For example, almost everyone has a minor drop in blood pressure and a slight increase in heart rate when moving from sitting to standing, but the rate at which these changes occur, as well as the degree to which they occur and their association with symptoms, are all evaluated together to come to a conclusion.
The healthcare provider who does your tilt table test will probably need some time to evaluate the outcomes of your test to compile a report. If your healthcare provider is not the same person who did your tilt table test, then your practitioner will need to review that report and assess it in combination with your symptoms and medical history to be able to discuss a diagnosis and plan with you. It may take several days for the team to be able to combine all of this information to determine the next steps.
To give you a sense of what certain observations during the test can indicate:
- If you have orthostatic hypotension, your pulse would have increased markedly and your blood pressure would have dropped precipitously during the shift to the upright position.
- If you have vasovagal syncope and are among those who experience symptoms during the test, you would have adjusted normally to an upright tilt, but possibly experienced a sudden and marked change in your vital signs (with a dramatic drop in blood pressure and pulse) within 20 to 30 minutes after the position change. You might have even passed out. Recovery would have been observed within seconds after the table was brought back down.
With the ever-increasing problems of arthritis and many other disorders and diseases that render a person unable to stand or move around, the need for devices that can supplement this movement has increased. Wheelchairs or scooters have done their part by covering the mobility part, helping millions around the world with disabilities to move, travel through almost all terrains whether at home or outdoors.
But there are some disabilities that make it difficult for the person to even stand up. How does one treat a person while facing such a big difficulty? The answer lies in the advent of the simple but highly effective device called a tilt table. Using basic mechanical principles, technology, in the form of tilt tables, helped us overcome this major hurdle in treatment and rehabilitation.
When does one need a Tilt Table?
Tilt tables are a basic need for bedridden patients who cannot stand upright on their own and human support might cause problems as well. This is why tilt tables are used, as they eliminate all possibilities of falling down or tripping and help the patient stand upright.
A number of diseases and disorders can result in a patient being bedridden. These include both physiological and neurological problems.
- Physiological Disorders: Arthritis, Spina Bifida, Muscular Dystrophy, Generalized Weakness, Prolonged Recumbence, Tachycardia, Syncope, etc.
- Neurological Disorders: Dysautonomia, Parkinson’s disease, Stroke, Hypertension, Hypotension, etc.
Types of Tilt Tables available at Solution Forever
There are two major types of tilt tables Health Products For You offers:
1. Manual Tilt Tables
Based on the simple idea of pulleys, manual tilt tables were the first to have been made. They are larger as compared to their counterparts but are cheaper as well. Earlier it was a basic mechanical system, but nowadays, safety concerns have made the manufacturers add a lot of different parts and accessories that guarantee your safety on the table. A lever system initiates the movement of the patient and gradually brings the patient to an upright position.
2. Electric Tilt Tables
The increasing use of technology has affected the tilt tables also as the manual operation has disappeared and now, one could simply stand up with the push of a button. Every day advances in science helped tilt tables as well, as many new hi-tech specifications were added to them.
Few Tips before and while using Tilt Tables for the first time
- The first step before transferring the patient to the tilt table is to measure the BP rate and the Pulse rate
- The patient should be placed in a supine position on the table with the foot flat on the footboard
- The safety straps should be carefully secured over the patient
- Secure other accessories that have been prescribed by the doctor or medical professional
- Gradually begin elevating the table, elevate to 20°
- Note down the blood pressure and the pulse rate (these are vital tasks)
- Now gradually increase the inclination to 45° and repeat the vital tasks
- Increase inclination to 85° and repeat vital tasks
- Once at a complete 90° angle, check the vital signs
Precautions while using a Tilt Table
- Always allow the patient to determine which angle is the best and most comfortable for them
- Avoid staying in the upright position for a long time as it might lead to venous stasis
- The caretaker or medical professional should never leave the patient alone on the table
- The chest strap should be secured comfortably in a way that the patient can easily breathe
- If dizziness or any other kind of problems occur, the first step is to bring the patient back to the horizontal position
- The posture must always be taken care of as the smallest mistake can cost the patient
- All straps and safety measures should be secure so that there are no mishaps.
Tilt Test – Tilt Table Test Explained!
What is a Tilt Test?
The tilt test is a test that assesses someone’s response to orthostatic stress. Orthostatic stress is the fancy medical term for standing upright. The tilt test is also known as a tilt table test because it involves being basically strapped to a table that can tilt to different angles. A lot of the interest in tilt table tests originated from the air force. Years ago it was reported that up to 25% of those in the air force would pass out if they were in a straight upright standing position for a prolonged period of time. It was known that the tilt test could induce passing out in a subset of people and so it became a tool with which to assess people at risk for this. Nowadays the tilt test is used widely to diagnose syncope. Syncope is the medical term for passing out.
What Happens in the Tilt Test?
- In the tilt test, patients are strapped to a tilt table. It is basically a table capable of being swiveled to different angles. At 90 degrees a person would be upright and at 0 degrees they would be laying completely flat.
- The patient is awake and alert during the test. The angle of table tilt chosen is usually between 60 to 80 degrees, so upright but not all the way.
- The test involves basically laying there and not moving to see what happens. Heart rate and blood pressure are monitored closely throughout. Sometimes the angles are changed to assess the body’s response.
- Sometimes medicines will be administered during the tilt test to try and recreate stressful situations and provoke a response.
- The test typically last between 20-60 minutes, the patient is monitored throughout, and the test is of course terminated if there is a feeling of passing out, passing out, low blood pressure or too low a heart rate.
What Drugs May Be Given In The Tilt Test And Why?
Nitrates are a class of drug that cause dilation of the blood vessels and my provoke pooling of blood in the lower extremities in some people
Isoproterenol is a drug that speeds up the heart rate and is used to mimic the flight or fright stress response and the body’s reaction to it
Clomipramine is a drug that alters the levels of certain brain hormones such as serotonin thought to be central to the fainting reflex
Is Tilt Testing Safe?
- Tilt testing is generally safe, no deaths have been reported
- Some very long heart pauses have been reported, but the rhythm returns to normal when this happens
- Patient selection is important. The test should be avoided in those with significant heart disease
- Sometimes an irregular heart rhythm such as atrial fibrillation can occur but it usually spontaneously reverts to normal
How Often Are Tilt Tests Positive?
A positive tilt test is one that elicits a response, such as fainting, pre-fainting, low blood pressure, high or low heart rate.
Studies of tilt tests have shown that in those patients that have a history of fainting episodes, around half will have a positive test. If provocative drugs are given during the test then this number increases to two-thirds of patients.
What Information Are We Looking For In A Tilt Test
Two of the major causes of passing out are known as cardiogenic syncope and neurally mediated syncope. Cardiogenic syncope is related to underlying heart disorders such as heart failure and heart rhythm disorders. It’s important to identify those, because the underlying cause can often be treated. Neurally mediated syncope is related to brain causes. Sometimes there can be underlying structural brain disease that will initially be ruled out by the treating physician. Usually though no clear underlying cause is found and the syncope is thought to be due to a reflex within the brain that leads to passing out. The trigger for this is often orthostatic stress, the stress of standing for prolonged periods. Positive tilt tests are felt diagnostic of neurally mediated syncope.
Other information can be provided in the tilt test. In postural orthostatic tachycardia or P.O.T.S syndrome for example and other forms of dysautonomia or orthostatic intolerance, the heart rate response to standing can be important in diagnosis.
Are Tilt Tests Accurate?
The problem with neurally mediated syncope is that there is no clear definition of what it is! We basically label those with positive tilt tests as having neurogenic syncope. The big problem with this is that not all people with neurally mediated syncope will have a positive tilt test. In fact those with and without a positive test typically share the same symptoms. Scientifically speaking the sensitivity and the specificity of the test is not well known. Although having a positive tilt test can give a diagnosis of neurogenic syncope, a negative test doesn’t rule the diagnosis out.
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