User`s Manual
Contents
1. the trace is visualised allowing comparisons with tests of the same type that were conducted without the pace maker function With holding visual feedback of the real time inclination of the board forced the subject to use signals deriving from peripheral proprioceptors The two functions can be activated separately by selecting hare or pace maker displayed on the side bar command panel 2 MOBILE AXIS DPE excluded Other than trying to maintain the balance board in the horizontal position more complex tasks can be conducted via movable axis which can be changed from the controls on the side bar below the chronometer Fin Fran urea 5 IT kee aub sei Gees See a Seen ub jepatun O mi ES mn Pr X Fry Teei 3 MOBILE TARGET for DPPS and DPE E Jum as es emi Gees rebe dsi SAE AUE CE E a dl In the static posturometry trials in single stance on the ground it is possible to propose dynamic MOBILE AXIS 6 repositioning tasks target pursuit To insert the coordinates Target DVCx Target DVCy click on the target button of the control side MOBILE pak TARGET E x Position Cancel y Position 10 4 GUIDELINES DPE excluded ey qe Er_ee eset STi Ai eaput ayuj eed tia ore iz They can be activated and aaa me adjusted both for position and width of the two lines with the side controls They allow a more precise execution of the task as they provide a m2. DEBOD420 Expected DVC number DVCOO0225 eso aeea A O Expected DVC number DYC00302 Tel 39 011 7770341 Fax 39 011 7778907 Expected DWC number DWCO0000 Web site ww delos international com Email info delos international com support delos international com Delos Equilibrium Board is 4 patented instrument Patent n 862930 Delos Vertical Controller Patent Pending 5 DVC CALIBRATION for the systems with Delos Vertical Controller Before carrying out Protocols or static and or dynamic Posturometry tests it is always necessary to calibrate the Delos Vertical Controller attach the DVC in the desired position sternal or dorsal lombo sacral 7 position the user upright and on two feet check the correct alignment of the trunk in a vertical position press DVC Calibration from the lateral command board and confirm the operation by clicking OK The instrument will maintain the calibration parameters as long as it is not repositioned during the execution of the tests otherwise it will have to be re calibrated 6 CHANGING OF ACTIVATION CODE To change the activation code select Help Activation Code of the toolbar Follow the guide procedure then close the program and restart it with the new activation code Delos Postural Proprioceptive System User s Manual 9 iim i Last revised 19 07 2006 CLIENTS FILE 1 NEW SUBJECT Click on Tools Subjects Management from menu SunameName S
3. 1 7 12 2004 dd mm yyyy Sholl Jhon Hep 1 NEW TRIAL When you wish to carry out a new trial choose New present in menu Trials or use the relative key on the tools bar A dialog window is opened choose the archive desired the name and type of trial Hour 11 13 10 hh mm m Select a new name E m Type of trial Selected Archives General folder SX DYNAMIC TEST C DEB C DEB DWC STATIC TEST C DVC 2 DYNAMIC POSTUROMETRY TRIALS DPE excluded Selecting DEB or DEB DVC only for DPPS a new window is opened automatically from which it is possible to choose type of stance left foot right foot both feet or seated on DEB the positioning of the board latero lateral etc the type of constraint and in the DEB DVC choice also the positioning of the Vertical piss pe x Controller Sternal Dorsal below the seventh cervical i DVC Positioning i Type of stance Board orientation Type of constraint 3 vertebra Back The positioning of the board in Left single stance iatero lateral Unconstrained Iv DYE relation to the monitor is shown Right single stance Front back sagittal C Total constrained Dye in the figures below and in the C Bipodalic C Diagonal 45 C Arms constrained EK E Wm j entra orsa dialogue box that appears upon C Seated on DEB C Diagonal 45 C Leg constrained opening a new test DYE c p C Seated Press OK t
4. Rehab session n3 27min per a WHA1 THP Rehe a WAO4 Ankle Rehab session n4 33min per a WHA2 THP Rehe a WAOS Ankle Rehab session n5 38min per ss WHA3 THP Rehe Descrip 1WA06 Ankle Rehab session n6 32min per al WHA4 THP Rehe I Delos Postural Proprioceptive System User s Manual Click to open the folder Select the protocol you want and than click OK al WCO1 ACL Rehab session n1 17min per al WCO2 ACL Rehab session n2 28min per a WCO3 ACL Rehab session n3 41min per a vCO04 ACL Rehab session n4 37min per Nome file a Tipo file Protocollo personalizzato per T Annulla a WBO1 Back pain Rehab session n1 22min per a WBO02 Back pain Rehab session n2 22min per a WBO3 Back pain Rehab session n3 26min per a V BO4 Back pain Rehab session n4 26min per ia WHAS THP Rehe ia WKA1 TKA Rehe ss WKA2 TKA Rehe is WKA3 TKA Reha sa WKA4 TKA Rehe al WROL rachis Rel a WRO2 rachis Ret a WRO3 rachis ReF To open a personalised protocol choose New on menu Protocols or relevant key on the instrument bar or the rapid choice key of Easy Access and click on Open Personalized work session Choose a protocol and press Open Cancel Abbreviations Open personalized word session 15 6 TEST MONITORING for DPPS and DPE The function allows to analyze the assessment test performed by the user Last revised 19 07 2006 Selec
5. above exclusion and limitations may not apply to you 7 LIMITATION OF LIABILITY To the extent not prohibited by law in no event shall Delos be liable for personal injury or any incidental special indirect or consequential damages whatsoever including without limitation damages for loss of profits loss of data business interruption or any other commercial damages or losses arising out of or related to your use or inability to use the Delos software however caused regardless of the theory of liability contract tort or otherwise and even if Delos has been advised of the possibility of such damages some jurisdictions do not allow the limitation of liability for personal injury or of incidental or consequential damages so this limitation may not apply to you In no event shall Delos total liability to you for all damages other than as may be required by applicable law in cases involving personal injury exceed an amount equivalent of five dollars 5 00 in local currency The foregoing limitations will apply even if the above stated remedy fails of its essential purpose 8 Export Law Assurances You may not use or otherwise export or re export the Delos Software except as authorized by Italian law and the laws of the jurisdiction in which the Delos Software was obtained Delos Postural Proprioceptive System User s Manual 17 Last revised 19 07 2006 9 Complete Agreement Governing Language This License constitutes the e
6. following USB specification STOCKAGE AND TRANSPORT from 10 to 40 C from 45 to 75 C Relative dampness Functioning from 10 to 80 without damp Functioning a Transportand storage Transport and storage from 5 to 95 PRODUCTS LABELS PRODUCT LABEL SERIAL NUMBER POSITIONING DEB Delos Equilibrium Board DEL Delos Equilibrium Board Light DVC Delos Vertical Controller DAD Delos Assistant Desk accessory DPA Delos Postural Assistant accessory DPB Delos Postural Bench accessory DSK Delos Sensor Kit accessory DELOS EQUILIBRIUM BOARD SN DEB00001 N c so Lecce 15 10145 TORINO Italy ELOS EQUILIBRIUM LIGH LA SN DEL00001 A DELOS s r l c 50 Lecce 15 Ii DELOS if RTICAL CONTROLLER M m A DELOS i css Lecce 15 N10145 TORING Italy DELOS ASSISTANT DESK DAD00001 Made in Italy DELOS s r l c so Lecce 15 10145 TORINO Italy DELOS POSTURAL ASSISTANT SN DPA00001 Made in Italy DELOS s r l c so Lecce 15 10145 TORINO Italy DELOS POSTURAL BENCH SN DPB00001 Madeinitay DELOS s r l c so Lecce 15 10145 TORINO Italy MT SN DSK00001 Made initay DELOS s r l c so Lecce 15 10145 TORINO Italy Delos Postural Proprioceptive System User s Manual From DEBO00001 to DEB00100 From DEL00001 to DEL00100 From DVCO00001 to DVC00100 From DADO00001 to DAD00100 From DPA00001 to DPA00100 From DPB00001 to DPB00100 From DSK00
7. function allows to program to save protocol sequences to propose to the user Select New Personal Protocols from Protocols menu or use the Easy Access Click on Add protocol in the dialogue box choose one or more protocols the interval between them the aim and save the list in Work Sessions directory with per extension It is also possible to modify the order in which each protocol is proposed using the Up Down key available in the window Create work sessions Select Protocol List B01_x Training Static Posturometry pro Latero lateral MONO Axis 0 DEB pro Latero lateral MONO Axis 0 DEB pro Latero lateral MONO Axis 0 DEB pro NOTE selected protocols must be in the Protocols Folder or in the Personal Protocols Folder Add protocol from the protocol list Remove protocol Pause between 120 in seconds Protocols Aim of selected Protocol 1 Static Posturometry in single stance The first session includes the following rehabilitation protc 2 Dynamic Posturometry in single stance lat lat axis 0 FE Choose protocol or work session Assessment Rehabilitation Sport E Static posturometry Fitness E Prevention Apri x l Task typology Protocols List Cerca in a International ef Ely a WAO1 Ankle Rehab session ni 17min per a WCOS ACL Rehat al WA02 Ankle Rehab session n2 28min per ss WCO6 ACL Rehal a WAO3 Ankle
8. or using the Easy Access a list of all tests will appears Delos Postural Proprioceptive System User s Manual Description of selected protocol Instruments required DEB DAD or DPA DVC Steps 1 2 Y02a and 3 4 02b assessment of the postural strategies that are used in disequilibrium management with the possible intervention of the upper limbs as stabilizing or destabilizing factor Single stance no constraints Steps 5 6 V02c for the assessment of the dynamic postural control without upper limbs counterbalancen arms constrained assessment of the lower limbs functional stability The functional level that the subject can achieve for each limb y Five main Posturometry Cancel tr Abbreviations areas are proposed Rehabilitation Static Prevention Fitness Sport and it is possible to select different protocols within each area Once the choice has been made a dialogue box appears displaying the description of the selected protocol groups of each selected Open personalized word session Test and work sessions description i xj typology of tasks Sessions of Easy Access Delos Protocols Summary Choose archive General folder z Choose subject Shol Jhon m Selected protocol m Select saving options V02 Dynamic Riva Test Aim of the selected protocol protocol and of all the different execution modes related to the work groups shown 3 PR
9. 001 to DSK00100 Lower surface rocking part Lower surface rocking part Posterior surface Posterior surface vertical post Posterior surface sensor bar Posterior surface vertical post Inferior side of the box Last revised 19 07 2006 TIDELOS LADEN 1 PRSTPHIOLEFTIDOS ACCESSORIES ASSEMBLY DAD Delos Assistant Desk ASSEMBLY The box contains 1 One central body A 2 Two bases of support B 3 One sensor bar C 4 One keyboard support D 5 A box with e 1 assembling key set 4 fixing screws M10x25 with washers bases of support fixing 4 fixing keys TF M8x30 moving controller 4 washers D20xD8 moving controller 2 bolts TE M6x15 sensor bar fixing 4 screws cross TC M4x10 monitor fixing INSTRUCTIONS 1 Lean the central body on a side and fix the base of support 2 Putthe DAD in plain 3 Fix the washers moving controller as in fig 1 4 Unblock the handle with caution WARNING the springs are in tens 5 Set and hook the sensor bar C on the respective stirrups 6 Set and hook the keyboard support D in the special lodging vertical pipe with handle grip of locking 7 In order to set the monitor support with the desired inclination unblock the handle fig 2 with an anticlockwise sense rotation When you find the right position block the handle with a rotation in the opposite direction Delos Postural Proprioceptive System User s Manu
10. 04 gad gad062 V 03b Test di Riva Bolta 3 4 prova vincolo totale 03 prt 02 04 2004 gad s gad 70 V3a Test di Riva Bolta 1 2 prova senza vincoli V3 prt 14 04 2004 gad gad071 V03b Test di Riva Botta 3 4 prova vincolo totale 03 prt 14 04 2004 a cm ORIO ee ee ee Is VOI Parts of Test ITE Test Comparison Trend Test Cancel 7 PRINT It is possible to print each window in black and white or in colour The program will automatically use Windows default printer The program prints the content of a test as displayed on the monitor thus it is possible to print the test either in part or in its entirety Remember to set white characters and signs to a different colour from the Format Menu when printing in colour To personalise printout headings change the contents of the three lines in Tools Options Heading of print The program also allows printing graph and text from the Reports WARNING For a complete guide of REPORTS ANALYSIS OF THE ASSESSMENT TESTS PRINT REPORTS TEST MONITORING consult the sections Methodology and Reports clicking on the button Help of the Easy Access or choosing the function Help on the tools bar Delos Postural Proprioceptive System User s Manual 16 tim a Last revised 19 07 2006 LICENSING AGREEMENT PLEASE READ CAREFULLY THE TERMS OF THIS SOFTWARE LICENSE AGREEMENT LICENSE BEFORE INSTALLING THE DELOS POSTURAL SYSTEM MANAGER BY CL
11. 5 5 seconds reduction for all 14 TIDELOS LradDrWg 1 PEP ROL 4 PROTOCOLS TARGETING for DPPS Last revised 19 07 2006 In Protocols Targeting area you ll find different protocols able to develop specific targets as 1 Precaution strategy reduction 2 Visuo proprioceptive strategy increase 3 Entropy reduction 4 Range table management 5 Strength development 6 Proprioceptive system development without visual When you wish to open a Protocol Targeting select Test and Work Sessions of Easy then press the Protocols Choose the folder for the specific target select the protocol and press OK than follow the same instruction you can find in Protocols Choose protocol or work session x Click to open the folder Select the protocol you want and than click OK OK Assessment E Rehabilitation Cancel Access and E Sport i Targeting button Static posturometry Abbreviations l Fitness EE Freeney Protocols targeting Task typol a Protocol MAN ME m Cercain E English Be Edy l Use page 14 Open personalized L1 Precaution strategy reduction word session 2 Visuo proprioceptive strategy increase L13 Entropy reduction Test and work L34 Range table management AO Description 5 Strength development ted protocol 36 Proprioceptive system development without visual Nome file 7 Tipo file Annulla A ET 5 CREATE WORK SESSIONS for DPPS and DPE The
12. 50 x 27 mm Weight 340 g DVC is equipped with a dedicated software DPE ACCESSORIES DESCRIPTION DAD Delos Assistant Desk work station that optimizes the use of the Delos devices The monitor the keyboard supports and the hand support bar are adjustable in height The sensor shows the DEB trace change from yellow to red when the subject touched the DPA leaning on hands precaution strategy in order to restore the equilibrium DPA Delos Postural Assistant the portable version of DAD It retains its hand support bar adaptability thanks to a telescopic system of vertical positioning DPB Delos Postural Bench work station that allows tests and training in seated on DEB The support surface vertically adjustable allows board adjustment to keep the subject s feet off the ground according to protocol DSK Delos Sensor Kit direct link adaptor usb of the DAD or DPA sensor bar to the computer DESTINATION OF USE Delos Postural Proprioceptive System DPPS devices are used by the man with the goal of functional diagnosis prevention control therapy or attenuation of an illness of diagnosis control therapy attenuation or compensation of a handicap of survey a physiological process The device doesn t allow to make a pathological diagnosis nor to provide data that can contribute to formulate a diagnosis The product is conceived for performance assessments of systems involved on movement and in conditions of gravity inter
13. 930 Delos Vertical Controller amp Patent Pending The reference language in legal seat is the Italian language Delos Postural Proprioceptive System User s Manual tim 5 Last revised 19 07 2006 INDEX INFORMATIONS COMPUTER SYSTEM REQUIREMENTS siniiosaicd ida a pag 4 D Qt Tree pag 4 INFORMATION FOR THE SAFETY WARNING ccociomsncisaararrionra ai pag 4 INSTRUMENTS DESCRIPTION avenida taa A AAA AAA ceca cia EU AGE pag 4 ACCESSORIES DESCRIPTION s arreir s innar ta coincrerci sahara lose ida anade RUN AEEA ER AERE ORRIAN AARNEN pag 4 DESTINA TON O FUSE asadas isc pag 4 CONTRAINDICATION POR USE iniciada arica ia pag 4 USE AND MAMENANG E cosa Arce pag 4 ENE EN parra pag 5 A ET EE T E E A E T E E O GE E pag 5 STOCKAGE AND TISANSPOFST iatis MK ASRR ENER EAA AAEE AEEA E NEEE Ru RERI ENSET pag 5 PRODUCTS LABEES cusco does IERE E E TRTE AEREE ORS pag 5 ACCEGSORIES ASSEMB rinitis aM P ULM MD in edad pag 6 INS TISUMENTSTOSITIONIN 03 cspntasheseltkonendidesnuD aM rad tmiodias ibd a pbdad POR o pag 7 PRODUCTS ON LINE REGISTRATION 32 3 E Poe IPXE LE quib AAA ER EVE ES niin P aerate pag 7 DELOS SYSTEMS SETUP RSS ui sisxeDznpt Qc rcc pag 8 2 GON MEG TION p EE UO pag 8 OA II E II pag 9 A VERIFY SERIAL NUMBERS ERI UU UU a Um pag 9 BT are NNe caUaaeShd st cunEMET pag 9 5 CHANGING OF THE ACTIVATION CODE ipsa cea s bk u
14. H WINDOWS XP To verify if Windows XP has recognized all the Delos Instruments it is necessary to select Start Settings Control Panel System Hardware Device Manager Delos Devices folder has to be present and inside you have to find as many Delos USB items as connected instruments Otherwise it s necessary to install the drivers that you ll find on the CD Delos 4 0 Delos Postural Proprioceptive System User s Manual 8 Last revised 19 07 2006 iffi DELOS LETAL 1 PREPRESS 3 PASSWORD The menu Tools Password allows to set a personal MDPPS 4 0e Delos Postural Proprioceptive System 4 0 protection code that will be required at the start of the Trials Protocols Statistics Tools Format View Window program dcm e T To disable the Password just select Password from the Li Ei El 2 Er subjects Management menu Tools and digit the code that was previously given Easy BEES xxm Archives Management thus revoking the current password aad TT e Options Password Change subject and stance Choose the DYC 4 VERIFY SERIAL NUMBER The menu Help About Delos allows to verify when the instruments are connected the serial numbers of the instruments and the version of the program About Delos PSM DPPS 4 0 Delos Postural Proprioceptive System 4 0 II Copyright 1997 2004 Delos s r l All rights reserved Program serial number 4 02 28 DELOS s r l Expected DEB number
15. HOLLJHON DK bar or use Archives and Subjects Management from Easy Access and press New Subject Save trials in Delos User Trials General folder SHOLL JHON Insert the data The three letter code and the Diis directory in which the tests are recorded will be Pathologic district ind of sport basket knee y automatica ly p FO pose d i Both th e p ro posa Is are You can choose from the Sport or Pathologic district list or insert a district or sport not included modifiable by the user Sex M M F Born 12 124 973 dd mm yyyy Height as cm Weight 85 kg Code used in the trial filname SHJ 3 letters Cancel dii Dther data The routine allows to create for each user a Users file who can be recalled while clicking on the button to Personal data view on the tools bar Case history Instrumental examination CTRL Enter to begin a new paragraph Hi ee A eor Tah Protocolos wi Formal Wes W nwom hej zi aeu ait aj mmi ajaj niei i a oo e VA TERT DERTVA DIPSA TIDU 8 7 PRA SENIA VIMI Add clinical data a Text file containing all subject s information that is created while inserting a new name and it appears automatically in preview while opening a test If we don t want to visualize the file it will be sufficient to blunt the option Do not show To reach again the data of the user s file press the Clinical data on the tools bar PAT
16. HOLOGIC DISTRIC knee Do not show 2 PERSONAL ARCHIVES Click on Tools from the menu bar or on Archives and Subjects Management from Easy Access and select Archives Management View modify archives Click on Dir button A window will open a Directory Choice that allows to select the position of the Archive chosen Press OK Click on the specific Name Archives of your choice give it a name and the corresponding Archive Position path will appear Archives Management Archives Mame Archives Position Gl T cADelos User Trals General tolder Dir General folder MS ervervwork 5uism CR Triale cL Di LE Dir Folder 2 Folder 3 ip Cancel EET zm EX ir Folder 5 3 MOVING OF A FILE FROM ONE ARCHIVE TO ANOTHER To move the file containing the tests of a Folder 7 Folder E Folder 9 Folder 10 Folder 11 Dir Folder 12 Bir Folder 13 I Dir Folder 14 Dir Foldes 15 WARNING itis always necessary to specify an existing path The program iz able to create only the last branch i i Delos Postural Proprioceptive System User s Manual subject from one archive to another just open My Computer from the keyboard and drag the file to a new position The program will automatically up date the archives 10 o a Last revised 19 07 2006 SINGLE TRIAL Selected Name Cancel Date
17. ICKING THE AGREE ACCEPT YES BUTTON YOU ARE AGREEING TO BE BOUND BY THE TERMS OF THIS LICENSE IF YOU DO NOT AGREE TO THE TERMS OF THIS LICENSE CLICK DISAGREE DECLINE NO AND IF APPLICABLE RETURN THE DELOS SOFTWARE TO THE PLACE WHERE YOU OBTAINED IT FOR A REFUND 1 General The software documentation and any fonts accompanying this License whether on disk in read only memory on any other media or in any other form collectively the Delos Software are licensed not sold to you by Delos s r l Delos for use only under the terms of this License and Delos reserves all rights not expressly granted to you The rights granted herein are limited to Delos and its licensors intellectual property rights in the Delos Software and do not include any other patents or intellectual property rights You own the media on which the Delos Software is recorded but Delos retains ownership of the Delos Software itself The rights granted under the terms of this License include any software upgrades that replace and or supplement the original Delos Software product unless such upgrade contains a separate license 2 Permitted License Uses and Restrictions This License allows you to install and use one copy of the Delos Software on a single computer at a time This License does not allow the Delos Software to exist on more than one computer at a time and you may not make the Delos Software available over a network where it could be used by multiple computers
18. O have to be maintained in vertical position along the trunk the hands are maintained around 10 centimetres above the sensor bar bringing the forearms forward The m elbow angle has to be equal or superior to 135 Figure B Seated position The support surface vertically adjustable of Delos Postural Bench allows board adjustment to keep the subject s feet off the ground the toes at 10 cm from the ground The sensor bar is positioned in order to maintain the forearms and the hands at some centimetres of distance in a horizontal plan ON LINE REGISTRATION OF PRODUCTS The registration of products on www delos international com site is activated by clicking on www from the toolbar and it allows to download the software updating the available new protocols and new courses The registration to the mailing list is automatic for Delos Users and it allows to receive technical scientific and commercial information Delos Postural Proprioceptive System User s Manual 7 tim E Last revised 19 07 2006 DELOS SYSTEMS SETUP 1 SOFTWARE SETUP Warning do not plug the instruments without installing the program 1 Software installation and running must be carried out with Administrator privileges 2 Check that Delos or other devices are not connected to the PC 3 Real Time Antivirus Control must be disabled while Delos devices are working 4 Check that the operating system is Windows XP Professional the recommended o
19. OTOCOLS USE for usage areas and When you wish to open a protocol it is possible to choose New present in menu Protocols using the relevant key on the instrument bar or clicking Test and Work Cancel A deret C do not save the trials Instruments required DEB DAD or DPA DVC Steps 1 2 402a and 3 4 V 2b assessment of the postural strategies that are used in disequilibrium management with the possible intervention of the upper limbs as stabilizing or C Yes Do you want to calibrate DYC C No destabilizing factor Single stance no constraints Steps 5 6 V 2c for the assessment of the dynamic postural control without upper limbs counterbalancen arms constrained y Tempo totale 12 05 Tempo lavoro 06 00 DWC Advanced Options Trials list pause length type of stance board direction course other informations Asse 0 Left Latero lateral Unconstrained 2 20 30 Right Latero lateral Asse D Unconstrained 3 20 30 Left Latero lateral Asse D Unconstrained 4 20 30 Right Latero lateral Asse 0 Unconstrained 5 90 30 Left Latero lateral Asse 0 Unconstrained 5 20 30 Right Latero lateral Asse D Unconstrained 7 20 30 Left Latero lateral Asse D Unconstrained 8 20 30 Right Latero lateral Asse 0 Unconstrained Madify the pause between the trials o seconds example
20. User s Manual DELOS POSTURAL EXPLORER DELOS POSTURAL PROPRIOCEPTIVE SYSTEM DELOS PPS 4 0 Postural Proprioceptive DPE is the new Delos program he only program that activates the V proprioception HF and reprograms the postural control hat allows an easy and fast assessment and a reprogramming of static postural strategies in monopodalic and bipodalic stance www delos international com www delos international com RIVA METHOD RIVA METHOD itt DE LOS Activate V proprioception HF Ignite the movement ifi DE LOS Activate V proprioception HF Ignite the movement CE Products comply with the European Directive 93 42 for Medical Devices gt N Ill DELOS b amp t0Ssr C so Lecce 15 10145 Torino Italy Tel 39 0117770341 Fax 39 0117778907 Web www delos international com o a LEADER IN PROPRIOCEPTION Last revised 19 07 2006 The information contained in this manual is liable to changes without prior notice If not otherwise specified any reference to a society names data and addresses used in the reproduction of the screening and examples is purely casual and has the only scope of illustrating the use of Delos No reproduction may be made of any kind electrical or mechanical for any use without written permission by Delos s r l Copyright 1997 2006 Delos s r l All rights reserved Delos Equilibrium Board is a patented instrument European patent n 0862
21. action DEB DEBLight DAD DPA and DPB devices can be used by subjects until the maximum body weight of 130 kg CONTRAINDICATION FOR USE Delos devices don t present contraindications for use USE AND MAINTENANCE Before cleaning the devices stop the connection with the computer For every user it s important to clean with cloth and alcohol the wooden cover that is dealt with painting at high non slip resistance In order to guarantee an optimal working of the mechanical parts that composes the DEB we suggest to make cyclically and when necessary the cleaning of the metallic basis with a cloth and some alcohol To reduce to the minimum the wear of the rolling parts it Delos Postural Proprioceptive System User s Manual 4 Last revised 19 07 2006 is necessary that the projection of the subject s barycentre falls on the centre of the board On the other hand exercises done with the load on the heel rather than on the forefoot can cause extra rubbings of the lateral guides of slip The DVC can be cleaned with a humid cloth The accessories can be cleaned with water and plastic detergents ELIMINATION The devices are comparable to the electronic products of common use and must be eliminated according to regulation SUPPLY Delos Equilibrium Board and Delos Vertical Controller are fed through the USB door of the PC the PC must be marked CE and answer to the characteristics of security provided for by the regulation Voltage 5 V
22. aires T EADE E E EE AE E E pag 16 LICENSING AOREEMENT econ EEEN E EENE val Far amp Mure eE pag 17 Delos Postural Proprioceptive System User s Manual 2 2 Last revised 19 07 2006 iffi DELOS LEANER 18 PRAPHIOSEFTIDS Delos Postural Proprioceptive System User s Manual 3 tim a Last revised 19 07 2006 INFORMATIONS COMPUTER SYSTEM REQUIREMENTS Pentium IV Intel Processor 1 4 GHz or superior 256 Mb RAM 3Gb free on Hard disk C CD ROM 32x or faster Colour Monitor 1024x768 pixel WindowsXP Professional The recommended operating system is WindowsXP Professional because it s optimized for the simultaneous use of several usb port One free usb port for DEB and DEB light One free usb port for each DVC The number of USB ports can be increased with a supplied usb HUB device NOT provided which guarantees 500 mA for each port In order to guarantee the good working of the USB doors gt for tower PC install one USB Card D LINK DU 520 www dlink com gt for lap top use a supplied usb HUB which guarantees 500 mA for each port WARNINGS At the first running of the program a warnings window is opened read carefully the indications It will be possible to choose the option Do not show in future marking the check box To call again the window click on Help from menu bar and press Starting warnings INFORMATION FOR THE SAFETY WARNING WARNING For the special characteristic
23. al 6 Last revised 19 07 2006 iffi DELOS 1v PREGA TPHIDOCEFTIDS CE Label x O DPA Delos Postural Assistant ASSEMBLY 1 Insert the A structure in the B1 B2 structures 2 Connect firmly B1 B2 and C with their screws 3 Insert the D sensor in the lodging of the A structure with their screws 4 In order to regulate in height the sensor bar see the following instructions From a side press the spring button and lift the vertical component of A structure in up and down position Repeat the operation on the opposite side Take the A bar in both hands Lift or lower it maintaining the horizontal position the click of the buttons will signal the new position DPB Delos Postural Bench P n The box contains the Delos Postural Bench ready to use Set the plan of support on the right vertically position using the special handle INSTRUMENTS POSITIONING Place the instruments on a level and anti slide surface with enough free space from any obstacles Set the monitor so that the higher part of the screen is slightly below the level of the eyes Looking at the centre of the screen the eyes have to be downward slightly turned Figure A Monopodalic stance The body has to be relaxed particularly the trunk the arms and the free leg In order to reduce to the minimum the wear of the rolling parts it is necessary that the projection of the subjects barycentre falls on the centre of the board The arms a
24. alvx an MR des chit casa ata ocu eo ine hes A Rd tanc fb CR eit pag 9 CLIENTS FILE iM UBI M pag 10 2 PERSONAL ARCHIVE Sta cie E a O pag 10 3 MOVING OF A FILE FROM ONE ARCHIVE TO ANOTHER 0occcccoccccocconcccnncnconnconncrnccnn cnn r cnn rra rra pag 10 SINGLE TRIAL A A O O PA NI A A pag 11 2 DYNAMIC TPOSTORONITRY TRIAL Siosiasaiadacinasna na dd d Ru M d d da pag 11 S STAICTPOSTURONETIESY TRIALS soria ridad ide PERMET pag 12 4 SAVING OPENING AND COMPARISON OF ONE OR MORE TRIALG 0 ccccccee eee eee nett emen pag 12 5 COMMENT Ol E Wp q e c Odia pag 12 OPTIONS FOR SINGLE TRIALS 1 HARE AND PFPACE MABR EIR pag 12 2A MOBILE AA tai E a E meats tdgtanonnandnoneea pag 13 om MOBILE TARGE Farerai r e E raid rado pad pag 13 A GUIDELINES iaa id A Ed A A A A pag 13 om E M cs mo AAA A e PE POr m Tm pag 13 PROTOCOLS 1 TASK TYPOLOGY PROTOCOLS sstsasiustadutibdaidasddds rrei EEES aio pag 14 2 PROTOCOLS FOR USAGE AREA Sonata ca dd based ues aede atado pag 14 Ao A AMA EEE EEE O CO OE PP pag 14 A PROTOCOLS TARGETING asioina rnei sarsi AEAII AARE AAE E amis dd CU aan ses boina pag 15 O CRATE WORK SESSIONS aei E EER E EAE EEEE AAPEEE PARA ESEESE pag 15 Ces e INEO ING corser iare a E AE E NG pag 16 A A
25. any term s of this License Upon the termination of this License you shall cease all use of the Delos Software and destroy all copies full or partial of the Delos Software 5 LIMITED WARRANTY ON MEDIA Delos warrants the media on which the Delos Software is recorded and delivered by Delos to e free from defects in materials and workmanship under normal use for a period of ninety 90 days from the date of original retail purchase Your exclusive remedy under this Section shall be at Delos option a refund of the purchase price of the product containing the Delos Software or replacement of the Delos Software which is returned to Delos or a Delos authorized representative with a copy of the receipt This limited warranty and any implied warranties on the media including but not limited to the implied warranties of merchantability of satisfactory quality and of fitness for a particular purpose are limited in duration to ninety 90 days from the date of original retail purchase Some jurisdictions do not allow limitations on how long an implied warranty lasts so the above limitation may not apply to you the limited warranty set forth herein is the only warranty made to you and is provided in lieu of any other warranties if any created by any documentation or packaging This limited warranty gives you specific legal rights and you may also have other rights which vary by jurisdiction 6 DISCLAIMER OF WARRANTIES You expressly acknowledge and agre
26. at the same time You may make one copy of the Delos Software in machine readable form for backup purposes only provided that the backup copy must include all copyright or other proprietary notices contained on the original Except as and only to the extent expressly permitted in this License or by applicable law you may not copy decompile reverse engineer disassemble modify or create derivative works of the Delos Software or any part thereof 3 Transfer You may not rent lease lend or sublicense the Delos Software You may however make a one time permanent transfer of all of your license rights to the Delos Software to another party provided that a the transfer must include all of the Delos Software including all its component parts original media printed materials and this License b you do not retain any copies of the Delos Software full or partial including copies stored on a computer or other storage device and c the party receiving the Delos Software reads and agrees to accept the terms and conditions of this License NFR Copies Not with standing other sections of this License Delos Software labelled or otherwise provided to you on a promotional basis may only be used for demonstration testing and evaluation purposes and may not be resold or transferred 4 Termination This License is effective until terminated Your rights under this License will terminate automatically without notice from Delos if you fail to comply with
27. aximum excursion range which is very useful especially for the seated dynamic posturometry GUIDELINES 5 COURSES It is possible to select several kinds of courses both for the static and dynamic posturometry trials by clicking on the Course button in the lateral control board The Area courses The Area courses are indicated by red areas on the ETE backg rou nd f List of courses The subject s task consists in covering the red areas with yellow traces produced by the balance board Area Big Steps b prc movement while keeping the board horizontal when Area Flags 8 pre __Donot show Area Flags 8 prc the task is represented by a red line corresponding to Area Little Steps 2 pro o Area Little Steps 2 prc the axis 0 Buoys01 Big a prc Buoys01 Big b prc Cod 3 0 The Path courses Buoys01 Little a prc 2 E LINEA The Path courses are limited by two red lines within a e O yen which the trace produced by the rocking of the board Dentate Ine 2 Lille pr Length 30 sec entate line 4 Average prc m has to be kept Dentate line 4 Little pre Zoom J30 fe Dentate line O Average a prc The Giant Slalom and Buoys courses Dus Inr cR rre rs i 7 Dentate line 0 Big a The Giant and Slalom courses consist in a series of ine 0 Big b alternating blue and red flags in the Buoys courses spe ads x e e E the flags are substituted by blue and red circles Dentate l
28. be added to the file name clicking on the proposal buttons inside the dialogue window To visualise and compare the tests it is necessary to choose Open from menu Trials or the key from the instrument bar From the dialogue window choose the tests that you wish to open For multiple selections see below press Ctrl The tests on the screen can be graphically organised by means of commands in Window menu With command Close all trials from menu Trials it is possible to close all the open tests at the same time Salvataggio esteso Salva in 3 General folder a ex Eg Shol Jhon Nome file DYCx Static posturometry Salva come Annulla Click one or more buttons to add the signs to the filename automatically suggested the name is modifiable by the user Total Constrained Arms Constrained Legs Constrained Virtual Constrained Personalized Partial Load Closed Eyes Bandaged eyes Limiters Personalized Personalized Personalized The word of Personalized can be changed in Tools Options It is also possible to save the group of tests shown on the screen by clicking on menu Trials Save Work Area The program will open a dialogue window automatically proposing as mane of file with extension wrk the name of the subject who carried out the test 5 COMMENT OF A TEST With the command Trial Comments of Trials menu it is possible to insert at the end of a test or subsequently
29. e and continue with Next button The folders containing the trials CDeloslUsen Trials and the reports C Delos User Reports previously recorded will automatically be renamed as Trials old and Reports old to allow not to lose the data Once completed the new installation of the program the patients folders in Trials old and Reports old must be copied into the new folders Trials CADeloslUsen Trials and Reports C Delos User Reports 5 Restart the computer and insert the Delos Systems CD 6 Now you can Start the new installation setup To manually REMOVE if necessary Microsoft SQL Server Desktop Engine 1 From Start Settings Control Panel Add or Remove Programs cancel Microsoft SQL Server Desktop Engine 2 CONNECTION Warning before plugging the instruments it s necessary to install the program and to respect the following order Step1 CONNECTION of Delos Assistant Desk or Delos Postural Assistant plug the infrared sensor to the 5 poles DIN connector of DEB Step2 CONNECTION of Delos Equilibrium Board plug the DEB at the PC with the USB cable and follow the driver installation procedure for the new hardware Step3 CONNECTION of Delos Vertical Controller plug the DVC at the PC with the USB cable and follow the driver installation procedure for the new hardware Make the identification procedure of new hardware both DEB and DVC on each USB door of the PC DELOS INSTRUMENTS IDENTIFICATION WIT
30. e that use of the Delos software is at your sole risk and that the entire risk as to satisfactory quality performance accuracy and effort is with you Except for the limited warranty on media set forth above and to the maximum extent permitted by applicable law the Delos software is provided as is with all faults and without warranty of any kind and Delos and Delos licensors collectively referred to as Delos for the purposes of sections 6 and 7 hereby disclaim all warranties and conditions with respect to the Delos software either express implied or statutory including but not limited to the implied warranties and or conditions of merchantability of satisfactory quality of fitness for a particular purpose of accuracy of quiet enjoyment and non infringement of third party rights Delos does not warrant against interference with your enjoyment of the Delos software that the functions contained in the Delos software will meet your requirements that the operation of the Delos software will be uninterrupted or error free or that defects in the Delos software will be corrected No oral or written information or advice given by Delos or a Delos authorized representative shall create a warranty Should the Delos software prove defective you assume the entire cost of all necessary servicing repair or correction Some jurisdictions do not allow the exclusion of implied warranties or limitations on applicable statutory rights of a consumer so the
31. hether View DVC X to visualise or hide the DEB Trace or View DVC Y DVC Trace selecting from menu View Y View DVC 2D the different choices DVC1 Trace Inactive AxisO Axis Axis DEB Trace Hide DEB Trace Y DEB trace choose the way of visualising and or DEB trace hide memorising the DVC Trace in the case it is hidden Upon re opening the test the trace will be visualised as pre WE Window selected It will however always be E possible to switch visualisations mode x y 2D choosing the options View DYC change all the windows Hare Pacemaker DEB Average Axis Swap DVC2 s DVCx View DVCy View DVC2D or Swap DVC3 clicking on the corresponding buttons DVCx DVCy DVC2D Delos Postural Proprioceptive System User s Manual 11 o 91 Last revised 19 07 2006 3 STATIC POSTUROMETRY TRIALS only for DPPS and DPE By selecting DVC a new window will automatically open and it will be possible to choose the kind of support and visualisation the kind of constraint the Test conditions and the Vertical Controller positioning at sternal level below the jugular at dorsal level below the seventh cervical vertebra Press OK to start the trial Regardless of the type of test chosen a new window appears on the screen with a white Type of stance View Type of constraint background segmented by a grid while the Left single stance x Axis side to side C Unc
32. ine O Little pre between which the trace produced by the rocking of Deniste ine D Lille apre entate line 0 Little b prc the board passes Dentate line 2 Average pre Dentate line 2 Little pre cps Dentate line 4 Average pre The Line courses a ae i Dentate line 4 Little pre The Line course are characterised by the presence Ciano pe t i w of a broken red line on a black background The task consists in following the broken red line visualised on the monitor with the yellow trace produced by the rocking of the board Delos Postural Proprioceptive System User s Manual 13 PROTOCOLS Evaluation and training protocols allow the implementation of test sequences that proceed automatically without any external aid typology of tasks and protocols targeting The examples proposed provide protocols subdivided into usage areas 1 TASK TYPOLOGY PROTOCOLS DPE excluded The tasks typology classification allows to create personalized work sessions It s possible to choose the orientation of the board latero Last revised 19 07 2006 5 1 Choose protocol or work session Click to open the folder Select the protocol you want and than click OK Task typology Latero lateral orientation H Monopodalic lateral diagonal 45 front back Pie ca i H Tracking DEB the stance monopodalic bipodalic i T
33. ntire agreement between the parties with respect to the use of the Delos Software licensed hereunder and supersedes all prior or contemporaneous understandings regarding such subject matter No amendment to or modification of this License will be binding unless in writing and signed by Delos Any translation of this License is done for local requirements and in the event of a dispute between the English and any non English versions the English version of this License shall govern Delos Postural Proprioceptive System User s Manual 18
34. o start test DYC 2 C C i C Regardless of the test selected a new window appears on the screen with a black back ground and grid while the right hand side displays the control board Choose the duration of the test by modifying the time indicated below the chronometer The maximum duration selectable is 300 seconds though a 30 second duration is automatically proposed Apply the DVC to the subject in Sternal or Dorsal position according to the choice carried out previously and click on DVC Calibration Follow the calibrating instructions page 9 remembering correct positioning upright position on both feet the trunk vertically position Position yourself on DEB and press Start Count down will begin duration can be modified in Tools Options The traces area or linear that indicate the moment to moment inclination of the balance board relative to the horizontal position will appear IB DPPS 4 0e Delos Postural Proprioceptive System 4 0 tam005S AsseO DVCx prv TA on the video M Trials Protocols Statistics Tools Format View Window Help At the end of the test the mean axis of the test appears over the trace n rod bar Personal data view jeje aiv amp mlm ajaj Set Additional Clinical Cloze all data data windo Further in the integrated use of DEB and DVC1 Trace DVC it is possible to DYC2 Trace Due pre select i e prior to the test w
35. onstrained right hand side displays the command panel Right single stance C y Axis front back Arms constrained hands on hips Choose the duration of the test modifying the Bipodalic C 2D xy axis time indicated below the chronometer The maximum selectable duration is 300 seconds a duration of 30 seconds is proposed Test condition DVC Positioning Automaucaly i Apply the DVC to the subject in Frontal or C Open eyes WITHOUT feed back Fama conl Dorsal position according to the choice CLOSED EYES Dvel previously carried out and click on DVC Fen eves MATH Kee Bes id do ue 3 z Calibration Follow the calibrating instructions Z ees 2 7 EL page 9 remembering the correct positioning upright position bipodalic stance trunk in vertical position Activate Start Count down will start the duration can be modified in Tools Option On the video the trace linear will appear that indicates instant by instant the inclination of the trunk as regards to the vertical position 4 SAVING OPENING AND COMPARISON OF ONE OR MORE TRIALS Upon completing a test Static or Dynamic it is possible to save it by choosing Save or Save as on the Trials menu or Save as on the lateral command board The program will open a dialogue window automatically proposing a name corresponding to the type of test conducted and the subject who carried out the test Further characteristics can
36. perating system We suggest NOT to REMOVE the previous versions of DELOS programs To INSTALL the Delos Systems 4 0 program 1 Insert Delos Systems CD wait for the auto run window 2 Select the language 3 Install Acrobat Reader 6 0 if a previous version of Acrobat is already present it is necessary to uninstall it before to install the 6 version At the end DO NOT restart the PC but continue with the setup Install MSSQL Server Install Delos System Read and accept the licensing agreement Insert the activation Code and press Next and than Install WARNING the files displacement needs several minutes The installation bar can stay at the same point for a long time Please wait The setup will inform you when the process is finished 8 Restart the PC 9 Ifitis not already present shape a printer to be able to visualize and to print the evaluations reports If it is necessary to install other Delos programs insert the CD Delos Systems and repeat the procedure using the new activation code For the installations that follow the first the procedure is faster py OP To REMOVE the Delos Systems 4 0 program Delos Application Setup 1 From Start Programs DelosDPPS4 0 select Uninstall Delos or from My Computer Disc C Delos System select Uninstaller exe 2 Select the language 3 Follow the removing automatic procedure Cancel all the Delos items if required by the procedure 4 From InstallShield Wizard select Remov
37. racking DEB Feedback DVC seated on DEB inpr mi Mm Change of position the task to assign to maintain a Dynamic Tasks H Bipodalic position to change a position or dynamic tasks the typology of feedback and tracking visualized on the screen only DEB only DVC both DEB DVC E Sitting on DEB Orientation 45 Front back orientation E Protocols List Cancel Abbreviations pen personalized word session Test and work sessions description i All proposed protocols are constituted by homogeneous trials 4 for the sequences in monopodalic and bipodalic stance and 3 for the tests seated on DEB 2 PROTOCOLS FOR USAGE AREAS for DPPS DPE The filing according to such classification allows to have access to each single protocol by problem type Choose protocol or work session Click to open the folder Select the protocol you want and than click OK E Assessment Postural strategies Lower limb stability H Standard YOO_Propaedeutic to the static Riva Test 01 duration 65sec 401 Static Riva Test 402 Dynamic Riva Test Y01 02 Static and Dynamic Riva Test 402F Dynamic Riva Test follow up V3 Riva Botta Test WOSF Riva Botta Test follow up 104 Fukuda Alpini T est YOS Stabilometric Test Special Spine stability Description of selected protocols group Standard assessment Single stance on the gro
38. s of DEB Delos s r l company is not responsible for any direct or indirect damages caused to subjects or things by improper and unwise use of the product The instruments have to be placed on a level and anti slide surface with enough free space from any obstacles The computer must be plugged to the electric network with a loader in accordance with the security rules CEI EN 60601 1 It is recommended to use Delos Equilibrium Board bare foot or with special footwear which allow a good adherence on the instrument Using Delos Equilibrium Board look out your hands Delos devices don t contain any components directly replaceable by the user For any repairs address yourselves to the Delos qualified technicians INSTRUMENTS DESCRIPTION DEB Delos Equilibrium Board electronic rocking board in duralumin and wooden cover with visual tracking of micro translations of the point of support The mono bipodalic stance or the seated position together with the visual tracking of the trace on the monitor that s the board micro translations creates high frequency instability conditions Size 320 x 320 x 60 mm Weight 3 9 kg DEB is equipped with a dedicated software Variant DEB Light Delos Equilibrium Board Light It has a reduced size and a simplified software DVC Delos Vertical Controller postural reader It records and visualizes in real time the movements of the trunk or the body segments it s applied to on the X Y planes Size 74 x
39. t Test Monitoring of the Statistics menu or of the Easy Access and choose the name and the type of test to analyze according to the options Test Comparison and Trend Test amp Choice of Test to Analyze Select Test Type Dynamic Riva Test V02 e YO2F Static Riva Test 01 Riva Botta Test 03 e YO3F Dynamic Seated Riva Test 020 Save Test Selection Test List Code TesName Dates Type of Test_ gad gad 008 03a Test di Riva Bolta 1 2 prova senza vincoli 03 prt 10 12 2003 gad gad009 03b Test di Riva Bolta 3 4 prova vincolo totale V3 prt 10 12 2003 gad gad01 7 V03a Test di Riva Bolta 1 2 prova senza vincoli 03 prt 19 12 2003 gad gad 018 V 03b Test di Riva Botta 3 4 prova vincolo totale 03 prt 19 12 2003 gad gad027 V03a Test di Riva Botta 1 2 prova senza vincoli V03 prt 23 12 2003 gad gad028 03b Test di Riva Botta 3 4 prova vincolo totale 03 prt 23 12 2003 gad gad040 403a Test di Riva Botta 1 2 prova senza vincoli 03 prt 03 02 2004 gad gad041 V03b Test di Riva Botta 3 4 prova vincolo totale V03 prt 03 02 2004 gad gad049 Y03b Test di Riva Botta follow up 3 4 prova vincolo totale 03 prt 25 03 2004 gad gad051 03a Test di Riva Bolta 1 2 prova senza vincoli 03 prt 30 03 2004 gad gadO052 Y03b Test di Riva Bolta 3 4 prova vincolo totale 03 prt 30 03 2004 gad gad b1 V3a Test di Riva Bolta 1 2 prova senza vincoli 03 prt 02 04 20
40. und Static postural control assessment v01 Single stance on the board Postural strategies and lower limb functional stability assessment V02 03 Stepping Fukuda Alpini Test 404 Bipodalic stance Stabilometric T est different sensory conditions V 05 I A dialogue window is opened in which there appears a description of the group of Protocols chosen and a description of each Protocol selected Choose a protocol and press OK Then choose the Archieve the subjects name and select Saving option DVC Calibration see page 9 and DVC Advanced Options The completed tests can be saved with extension prt Alternatively no test will be saved if the option do not save the trials is selected It is possible to modify the duration of the interval between the tests count down by adding or subtracting the desired number of seconds from the proposed duration example of the above figure 5 lessens by 5 seconds all the count downs of the protocol Press OK to continue It is possible to interrupt protocol by pressing Pause The keys Continue Previous Following Stop that appear on the side command panel allow one to continue the test return to the previous pass on to the successive or close Protocol of Evaluation To open tests carried out with a protocol the procedure is the same as that of normal tests Clicking on Open of Toolbar or Open of menu Protocols
41. upon reopening the file a comment text that is however always changeable The space available is about 32000 characters OPTIONS FOR SINGLE TRIALS 1 HARE AND PACE MAKER DPE excluded REPEPIA es Pon The hare is a pace marker or a series of light points which progressively appear a ee ee ee ime along the course of the track to forewarn the user on the direction to be followed Activating the Hare a yellow trace appears in real time serves to minimise the intervention of the conscious Eu component of proprioception PLE etico and to solicit the reflexive and automatic use of afferent proprioceptive signals The pace maker marks elapsed time by way of a series of light points that progressively appear informing the user of his or her running time since the onset of the test When the pace maker is Delos Postural Proprioceptive System User s Manual 12 ili E Last revised 19 07 2006 activated the trace of the subject s spatial position does not appear in real time while the test is running though it is available at the end of the test The absence of such visual information on the spatial position of the board enables the maximum use of proprioceptive signals deriving from the periphery necessary for the subject to conduct the assigned task e g maintaining the horizontal position of the platform or following a specific track course At the end of a test with the pace maker
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