Procomp 5, Infiniti and Flexcomp Rehab Suite User Manual
Contents
1. Qt 31 Skin Conductance and Temperature Biofeedback OA OVERVIEW c 34 CEINIC AL GUIDE RB Ee ING iat ees tee ne ge wees ee ARY SUD M MEDIUM Uu MN NESANA 34 dia tzibil e 34 Static Range of Motion Assessment cccccscsesesesesesescscscscccsccccccccccccccccccccscscss OD OVERVIEW tege 37 CLINICAL GUIDE REENEN 37 GENERAL PR ecc 37 Preparing the nde ln Ne e E 37 PNAS lee SE 39 Generating a report FFF YF AR RF FF FA EU FF CE HF DN FFF EA FERF AU FFF FFF FN NF FEN FFF 40 Dynamic Range of Motion Assessment cccccccccscsesescscscccccccccsccscscscscccccccscecs AT OVERVIEW 41 CLINICAL GUIDE REFERENCE EFE HD HD A FFF AFF FFA aE N ENEE Ei 41 GENERAL PROCEBURE 2 prO acs scissor eee 41 ale Ts EE 41 WIGS UNINC PREND 42 Reviewing the Session MT T 42 PROCEDURE FOR LUMBAR SPINE ASSESSMENT ssssssssssnnsnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnn nnne nnn nnn 42 PROCEDURE FOR CERVICAL SPINE ASSESSMENT aaa 42 PROCEDURE FOR ANTERIOR KNEE ASSESSMENT ss2. Quick Start Fehob _pDroComp amp FlexComp Infiniti Rehab Suite Overview MAR933 41 2 From Categories select Pro Flex Rehab Suite Dynamic ROM Assessment 3 From Clients select a name 4 From Favorites select the desired General Dynamic ROM Assessment Protocol 5 Click OK Measuring e Click the Start button al Press the zero button of the inclinometer once to mark the neutral position Categories Pro Rehab Suite Dynamic ROM Assessment Clients FulName Number Clinic ID Wood Chuck Favorites Description D ROM General Dynamic ROM Assessment with 2 D ROM General Dynamic ROM Assessment with 4 D ROMO1 Cervical Spine Flexion Re extension D ROMO2 Cervical Spine L R Lateral Flexion D ROMO3 Cervical Spine Left Right Rotation D ROMO4 Lumbar Spine Flexion Re extension D ROMO5 Lumbar Spine L R Lateral Flexion D ROMO6 knee Assessment Mark the different stages of the movement with event makers events can be marked by hitting the space bar or a keyboard key that was previously assigned the name of the event Reviewing the session When the session ends a series of message prompts guides you through the process of saving data adding notes to the session file and switching to reviewing mode so that you can generate a session report PROCEDURE FOR LUMBAR SPINE ASSESSMENT PROCEDURE FOR CERVICAL SPINE ASSESSMENT PROCEDURE FOR ANTERIOR KNEE ASSESSMENT
3. PROCEDURE e Connect the sensors to the encoder as follows o Respiration sensor to channel D o MyoScan MyoScan to channel A and B optional e Turn the encoder on 1 _ Click Quick Start 2 From Categories select Pro Flex Rehab Categories Suite Respiration Training Pro Rehab Suite Respiration Training Feho gt ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 28 3 From Clients select a name i Wood Chuck 4 From Favorites select the training protocol 5 Click OK Respiration Training e Click the Start button A You can view each screen by clicking on the numerical buttons on the toolbar at the top 1 el J 4 J e Tostop the session click the Stop button D Training Abdominal Respiration Training ayy Ee HR L nr T 1 2 3 4 5 This screen was designed to train abdominal breathing The line graph at the bottom displays the respiration amplitude The two line graphs on the right display the EMG of the associated muscles If the EMG of one channel is above its threshold music will be heard Training Abdominal Respiration Training Windmill 1 2 3 4 5 This screen was designed to train abdominal breathing The greater is the abdominal respiration amplitude the faster the windmill turns The line graph at the bottom displays the respiration amplitude The two line graphs on the right display the EMG of the associated muscle
4. 7 Thought Technology Ltd 2180 Belgrave Avenue Montreal OC H4A 2L8 Canada Tel 1 800 361 3651 1 514 489 8251 Fax 1 514 489 8255 E mail mail thoughttechnology com Webpage http www thoughttechnology com For use with Bora y version 5 0 or later Feho gt _MPS9roComp amp FlexComp Infiniti Rehab Suite Overview MAR933 TABLE OF CONTENTS Introduction o00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 Installation and System Requirements e eee eee ee ee ee eee eese eese ee ue General SEMG Assessment cccccccccccccccccccccccccccccccccccccccccccccccccccccccscccccescese S OVERVIEW p AF FFF AFF AF IA 3 CLINICAL GUIDE REFERENCE eege 3 GENERAL PROCEDURE EE 3 elle ihe OS SION EE 3 Men elle E 4 Reviewing the SESSION E 4 Generating d Tepo EE 4 G SEMG01 E ITT NR 4 G SEMG02 MAXIMAL FORCE ASSESSMENT ccccccccceeceeeeeeesessceeeeeeeeeeeeeeeeneasesessaaeaeeeesseeeeeeeeagaseessssaaaeeeeeeeeeeeeennaneees 4 G SEMG03 ENDURANCE ASSESSMENT WE 5 G SEMG04 FAST FLICK ASSESSMENT snaa Oaa 5 G SEMG05 GLOBAL SEMG ASSESSMENT 1 MUSCLE ccccccsceeeeeeeeeeeeeeeeeeesesssaaeeeeeeeeeeeeeesaaeessssssaaaeeeeeeeeeeeennnnenees 5 SEMG ASSESSMENT GENERAL PURPOSE G SEMGO06 and up ccccccceeeeeeeeeesseseeeeeeeeeeeeeeeeeeseessssseaaeeeeee
5. Rehob ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 42 Range of Motion Training OVERVIEW Range of motion therapy usually consists of simple exercises to increase the range of motion flexibility strength endurance and control over the movement The following biofeedback training screens were designed for this purpose This logo on a screen in a protocol indicates that you can use an optional webcam with the screen to record video of the session You need only connect your webcam to a USB port of your computer and turn it on before you start the session Note Your computer system must be connected to a video capture device such as a webcam and the proper software installed in order to use this function CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations for the use of biofeedback for ROM therapy It also explains how to prepare the examinee and the procedure to follow Chapter ROM THERAPY WITH BIOFEEDBACK CHnical Guide Tapir ki Feall iE m a KS tata 2 h i AE PROCEDURE e Connect the sensors to the encoder as follows o A single inclinometer unit InclinoTrac to channel C o Optionally the second InclinoTrac unit can be used as a single inclinometer and connected to channel E pA B c p E Fe jeg JH y INC INC optional e Turn the encoder on 1 Click Quick Start 2 From Categories
6. STRNO3 Uptrain A Downtrain B with 2 EMG The four next screens are more challenging involving two muscles Channel A is used for the muscle that must be activated while channel B is used for the muscle that must not be activated mm mm O i Uc Em i Strengthening 2Ch Tomato Puzzle 1 2 3 4 O Scale dependent vi Threshold dependent O Other The signal displayed on channel A must exceed the threshold and channel B must be below the threshold for 5 seconds in order for the puzzle to be revealed Basic statistics are also displayed to give a more detailed picture ES BE rib m Strengthening 2Ch Hero Morph Slow 1 2 3 4 O Scale dependent vi Threshold dependent O Other The animation is controlled by both channels A and B and is threshold dependent The signal A goes above its threshold and the signal B stays below its threshold the boy slowly morphs into a superman The complete animation cycle is about 14 seconds An audio tone is heard when the signal A is above the threshold If one of the conditions is not satisfied the animation resets to the beginning The animation can also be reset manually Strengthening 2Ch Car Race 1 2 3 4 Ll Scale dependent vi Threshold dependent Other The aim is to make the blue car channel A pass the finish line the white bar on the far right of each track before the yellow car channel B To meet this goal A must stay above its thresh
7. The clinical guide gives general guidelines and recommendations for the accurate use of computerized instruments along with traditional muscle testing It also explains how to prepare the examinee and the procedure to follow Chapter MANUAL MUSCLE TESTING Also recommended INTRODUCTION TO SURFACE ELECTROMYOGRAPHY PROCEDURE Starting the Session e Connect the sensors to the encoder as follows o ForceTrac to channel D o Foot pedal to channel C o MyoScan MyoScan to channel A and B optional yo E E FTrac A Optional e Turn the encoder on 1 Click Quick Start 2 From Categories select Pro Flex Rehab Categories Suite Manual Muscle Testing Pro Rehab Suite Manual Muscle Testing Rehno ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 47 3 From Clients select a name Wood Chu ck 4 From Favorites select the desired Favorites Muscle Testing Protocol Description 9 Click OK MMTO1 Manual Muscle Testing Training MMTO2 Manual Muscle Testing Training with EMG MMTO3 Unilateral Muscle Testing MMT04 Bilateral Muscle Testing MMTO5 Unilateral Muscle Testing with EMG MMT06 Bilateral Muscle Testing with EMG Muscle Testing Training MMTO1 amp MMTO2 These screens were designed for training purposes and for becoming familiar with the procedure and the instrumentation They allow the recording of vi
8. The protocols are based on AMA guides e edition 2007 Protocols use the world standard Neutral Zero Reference method This method defines the 0 angle as referring to the neutral position of the joint The measurement is repeated 6 times as a validity check The measures are compared to AMA normative data CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations for the accurate use of the instrumentation It also explains how to prepare the examinee and the procedure to follow Chapter RANGE OF MOTION ASSESSMENT section STATIC RANGE OF MOTION ASSESSMENT nical Gute Fairy ind eae dd i Bu m S Segen mco mmm e SR MR Y NU rm CERDOS pm D i GENERAL PROCEDURE Preparing the instrumentation e Connect the sensors to the encoder as follows o Dual single inclinometer to channel E o Foot pedal to channel C PA Bo c p E F c y eget me j j e Turn the encoder on 1 Click Quick Start rt Quick Start Categories 2 From Categories select Pro Flex Static ROM Assessment Pro Rehab Suite Static ROM Assessment 3 From Clients select a name Clients Wood Chuck Rebn5 ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 37 Favorites 4 From Favorites select the desired Static ROM Protocol Description 5 Click OK S ROM 01 Cervical Spi
9. amp FlexComp Infiniti Rehab Suite Overview MAR933 44 ROM Training Tube Game 1 2 3 4 5 This screen is similar to the Dial Animation This time the examinee has to move the ball up and down ROM Training Animal Game 123 4 5 Here the examinee has to align the character with the animal appearing in the left box by moving his limb Review screen ROM Training Review The screen was designed for reviewing the session It shows the ROM amplitude along with the video All these screens are accessible from Start Open Display Session in the channel set ROM Training with 1 inclinometer ROMT02 ROM Training with 2 inclinometers The second unit of the dual InclinoTrac can also be used as a single unit You can use both units together either for working on the three dimensions or bilateral training ROM Training Balance Animation 12345 For this screen the inclinometers are positioned at the back and the left of the head or the trunk The examinee can train to keep his head trunk straight line in the center of the lissajous graph the balls in the middle of the balance and the green lights turned on He can also roll his head around his neck and see where his ROM is limited Fehob ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 45 ROM Training Motor Copy 1 2 3 4 5 Here the inclinometers are attached to the arms or legs The examinee has to elevate both
10. and for the lumbar spine e Flexion Extension e Left Right Lateral Flexion e Left Right Rotation It also provides one assessment protocol for the anterior knee VMO and VL This logo on a screen in a protocol indicates that you can use an optional webcam with the screen to record video of the session You need only connect your webcam to a USB port of your computer and turn it on before you start the session Note Your computer system must be connected to a video capture device such as a webcam and the proper software installed in order to use this function CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations for the accurate use of the instrumentation It also explains how to prepare the examinee and the procedure to follow Chapter SEMG ASSESSMENT section DYNAMIC SEMG ASSESSMENT Clinical Guide mn rii Peal i Eu m S Also recommended e INTRODUCTION TO SURFACE ELECTROMYOGRAPHY e SKELETAL MUSCLE PROPERTIES GENERAL PROCEDURE Starting the Session If you are going use a webcam to make a video recording of this session connect your webcam to a USB port of your computer and turn it on e Connect the sensors to the encoder as follows o MyoScan MyoScan sensors to channels A and B left in A right in B o Optional MyoScan MyoScan Z sensors to channels C and D left in C right in D pA B c p EJ FF fe fT Myo Myo Myo optional optional e
11. Material Curved Tester Attachment Dimensions Weight Material 32mm x 18mm x 71mm 26g 180 lt 1 0 standalone mode 4 44mV degree inclination 2 200 0 8V 7 26V 9 5 mA standalone mode 19 0 mA dual mode RJ 11 2 pairs reversed this is not a standard telephone cable 93mm x 63mm x 25mm 94g 0 100 Ibf 250 Ibf 0 1lbf 5 of reading 2 048V 1V at 100 Ibs load 7 26V 69mm x 11mm diameter 14g Aluminum 9mm x 42mm diameter 39g Neoprene 19mm x 42mm diameter 52g Neoprene ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 53 Placing Orders Outside USA Tel 1 514 489 8251 Fax 1 514 489 8255 In USA Toll Free Tel 1 800 361 3651 E Mail mail thoughttechnology com Or contact your local authorized distributor Technical Support Outside USA Tel 1 514 489 8251 Fax 1 514 489 8255 In USA Toll Free Tel 1 800 361 3651 E Mail techsupport thoughttechnology com Or contact your local authorized distributor Warranty The hardware encoder and sensors is guaranteed to be free from defects in material and workmanship for 1 year from the date of purchase In the unlikely event that repair is necessary contact Thought Technology Ltd to receive a Return Authorization number Then send the unit back by a traceable method Thought Technology will not be responsible for items not received We will repair or replace your unit s that are still under
12. Turn the encoder on Kehn5 ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 8 1 Click Quick Start la Quick Start 2 From Categories select Pro Flex Rehab Categories Suite Dynamic SEMG Assessment Pro Rehab Suite Dynamic SEMG Assessment 3 From Clients select a name Clients FulName o ID Number Wood Chuck 4 From Favorites select the desired oT General Dynamic Assessment Protocol Description D SEMG General Dynamic Assessment with 2 EMG o Click OK D SEMG General Dynamic Assessment with 4 EMG D SEMGO1 Cervical Spine Flexion Re extension D SEMGO2 Cervical Spine L R Lateral Flexion D SEMGO3 Cervical Spine Left Right Rotation D SEMGO4 Lumbar Spine Flexion Re extension D SEMGU S Lumbar Spine L R Lateral Flexion D SEMGO6 Lumbar Spine Left Right Rotation D SEMGU7 Knee Assessment Measuring e Click the Start button Di Mark the different stages of the movement with event makers events can be marked by hitting the space bar or a key of the keyboard that you would have preliminarily labeled with the name of the event Reviewing the session When the session ends a series of message prompts guides you through the process of saving data adding notes to the session file and switching to reviewing mode so that you can generate a session report In review mode a screen similar to this will appear If you used a webcam to make a video record
13. a ie sc um uml di P Eguilibration 10Ch Postural Training Thoracic amp Lumbar Spine 1 2 3 4 O Scale dependent Ll Threshold dependent M Other The 10 muscle sites are as indicated Thoracic and lumbar The difference between each pair of muscles at the site should be less than 359e The red light will be on to indicate that the difference is greater than 3590 CATEGORY PRO FLEX SUITE SEMG BIOFEEDBACK TRAINING These screens are for general training involving more complex or various exercises TRNG01 Training with 2 EMG Training 2Ch Line Graph Grow Box Lu I HE E EE 12345 M Scale dependent M Threshold dependent Other A proportional sound is played when the square expands past the limit red line The left square is for channel A and the right square for channel B The signals are also displayed on a line graph Training 2Ch Bar Graphs e 1 2 3 4 5 O Scale dependent M Threshold dependent Other A simple and easy to understand display for two channels of EMG A song is played in two parts If both channels are below the threshold then the music stops If one or both channels are above the threshold then progressively more layers of music are added Training 2Ch Filled Line Graphs GAU a EE C E 12 3445 Scale dependent M Threshold dependent Other Two filled line graphs display the two channels with a color change at the threshold Each channe
14. a second muscle while activating the first one The threshold of channel B should be set at a small value above the resting baseline CTRL01 Control with 1 EMG Control 1Ch Tubes ED 2 qiii el D 1 2 3 4 5 V Scale dependent Ll Threshold dependent O Other The animation represents channel A and is dependent on the scale on the left The ball climbs the tubes when the signal goes up Instruct your patient to move the ball to a given tube color Rehnb ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 19 pt HQ lS EEGEUON GEDR He SCH yn KR LL LE Ll Control 1Ch Tension Discrimination Training Level 1 1 2 3 4 Control 1Ch Tension Discrimination Training Level 2 1 2 3 4 Control 1Ch Tension Discrimination Training Level 3 1 2 3 4 M Scale dependent Ll Threshold dependent Other Each screen contains a template to follow Three levels of difficulty are available You can also adjust the level of difficulty by adjusting the graph scale These screens are designed for tension discrimination training and for muscle contraction control CTRLO2 Control with 2 EMG Control 2Ch Hero Morph Fast ks ae im mer mma m OU 1 2 3 4 M Scale dependent Ll Threshold dependent Other The animation represents channel A and is dependent on the scale on the left The boy morphs into a superman when the channel A signal is toward the upper range of the scale As the signal comes down the
15. communicates the interplay of four muscles When the muscles are in eguilibrium the ball is balanced on the gorilla s shoulders When the ball is off to one end or the other the muscles are progressively more out of balance The bar graphs will be connected to channels A B C D Eguilibration 4Ch Bi Lateral Bar Video wee ee EL HUN E hare tp 1 2 3 4 Scale dependent L Threshold dependent M Other The light turns red when the difference is greater than 3596 Both signals are also displayed in the same line graph and mirrored bars for comparison Li Equilibration 4Ch Bi Lateral Bar Video 2 par oum bam ma ama an a PREDA e n 1 2 3 4 O Scale dependent Threshold dependent M Other The light turns red when the difference is greater than 35 Both signals are also displayed in the same line graph and bars for comparison kEehuo _ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 22 EQULOS Postural Training with 4 EMG The next three screens are specified for postural training They will reinforce good posture with visual assistance Equilibration 4Ch Postural Training Cervical amp Thoracic Spine 1 2 3 4 5 O Scale dependent Ll Threshold dependent V Other The light will turn red when the difference between the two muscles Can pii eet EE MEM DIDI at the site is greater than 3596 The mirrored bar graphs assist the er ilgi ia ep F rbtly grrp Garean compari
16. for the accurate use of Clinical Guide the instrumentation It also explains how to prepare the examinee and the procedure to Dennen follow Pr j Chapter SEMG ASSESSMENT section SEMG SIGNAL ANALYSIS GENERAL d CONCEPTS e Also recommended A r e INTRODUCTION TO SURFACE ELECTROMYOGRAPHY e SKELETAL MUSCLE PROPERTIES GENERAL PROCEDURE Starting the Session If you are going use a webcam to make a video recording of this session connect your webcam to a USB port of your computer and turn it on e Connect the sensors to the encoder as follows o MyoScan MyoScan sensor to channel A o Optional MyoScan MyoScan Z sensors to channel B and channels C to J for FlexComp Infiniti E NN yo MM Myo Myo Myo Myo Myo Myo Myo de optional for optional for optional for optional for optional for optional for optional for optional for FlexComp FlexComp FlexComp FlexComp FlexComp FlexComp FlexComp FlexComp e Turn the encoder on 1 Click Quick Start 2 From Categories select Pro Flex Rehab Categories Suite General SEMG Assessment Pro Rehab Suite General SEMG Assessment Rehno ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 3 3 From Clients select a name Clients W a a ek 4 From Favorites select the desired Favorites Assessment Protocol m Description 5b Click OK G SEMGO1 Baseline G SEMG02 Maximal Force G SEMG03 Endurance G SEMGU A F
17. hard surface until it reaches at least 100 Lbs inch PSI If you are unable to reach this value it means the Force unit is not properly set Note 1 Lbs inch 1 PSI e f you can t reach Lbs inch PSI change the force unit to Pounds 1 To do this first end the session and return to the Main Menu screen of BioGraph Infiniti 2 Open the Options menu and select Force Units The active force unit is the one with the check mark beside it 3 To change to Pounds select it 4 Then start a new session If you use metric units press the ForceTrac algometer against a hard surface If you are able to reach at least 14 Kg cm it means the Force unit is not properly set and the red light will turn on e f the red light turns on change the force unit to Kilograms 1 Todo this first end the session and return to the Main Menu screen of BioGraph Infiniti 2 _Open the Options menu and select Force Units The active force unit is the one with the check mark beside it 3 To change to Kilograms select it 4 Then start a new session e If the red light does NOT turn on press the pedal to continue Note pressing the pedal allows you to go to the next screen only if the maximum applied pressure is greater than 3 Kg cm and less than 14 Kg cmf kehuo _ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 50 e Position yourself next to the examinee with the encoder attached to your belt the
18. i E Wie e B 26 he fer Dmr Bee TS PO bese Training 4Ch Line Bar Graphs 1 2 3 4 5 Ll Scale dependent M Threshold dependent Ll Other The four channels are displayed on a line graph and a bar graph UNSTABLE SHOULDER MOTOR FUNCTION RESTORATION io _ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 27 Respiration Training OVERVIEW Respiration training should be considered as part of the rehabilitation program e Proper breathing during effort enhances the efficiency of the contraction and therefore the efficiency of the training e Proper breathing is necessary for overall health and speeds up healing e Respiration training may also help the examinee to relax before therapy reduces anxiety The following biofeedback training screens were designed for this purpose This logo on a screen in a protocol indicates that you can use an optional webcam with the screen to record video of the session You need only connect your webcam to a USB port of your computer and turn it on before you start the session Note Your computer system must be connected to a video capture device such as a webcam and the proper software installed in order to use this function CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations Clinical Guide Prin Feal i m Chapter RESPIRATION TRAINING WITH BIOFEEDBACK mp KS TE e pn mm pm rm mn N P A Ze
19. iii Feho gt ProComp amp FlexComp Infiniti Rehab Suite Overview Introduction Welcome to the user manual for Rehab Suite This manual provides information intended to help you get the most out of your system The manual is organized into chapters as follows e Installation and System Requirements lists the computer requirements recommended for running the software e First Time Run explains how to start the software and verify its settings prior to using it for the first time e Hardware Set up provides general information about the encoder sensors and accessories included in the system It also shows how to connect the hardware elements e Software Overview introduces the main functions of the BioGraph Infiniti software recording replaying and reviewing sessions It discusses the analytical processes of artifact rejection statistics calculation and report generation In addition this section explains how to use a web camera with the software how to calibrate and zero sensors and how to run an impedance check The next chapters explain the protocols run by the system These are General SEMG Assessment Static SEMG Assessment Dynamic SEMG Assessment Muscle Fatigue Monitoring SEMG Biofeedback Respiration Training Heart Rate Monitoring and HRV Skin Conductance amp Temperature Biofeedback Static Range of Motion Assessment Dynamic Range of Motion Assessment Range of Motion Training Manual Muscle Testing Algom
20. it click anywhere on the screen e If the feedback is threshold dependent The threshold line on a bar graph line graph and animation can be adjusted in the same way as the vertical scale The text box labeled Thr1 is for single threshold graphs while Thr2 is for double threshold graphs like the multi line graph that can have up to two guidelines Ba Max100 Thri10___ Th mouse cursor on the threshold line pressing and holding the 20 You can also directly move the threshold by placing the mouse left button and moving the cursor up and down 0 e To stop the session click the Stop button D CATEGORY PRO FLEX SUITE SEMG BIOFEEDBACK RELAXATION These screens are designed for muscle deactivation training and ultimately total relaxation RELAX01 Relaxation with 1 EMG Relaxation 1Ch Line Graph WM aM 12345 Scale dependent M Threshold dependent Other Music is played when the channel A signal stays below the threshold Rehno ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 13 Relaxation 1Ch Relaxation Bar Graph Tammy uu UAN 1 2 3 4 5 O Scale dependent V Threshold dependent Other Music is played when the channel A signal stays below the threshold Relaxation 1Ch Smiley FT SA inh Et i 7 ET r zs d m TT T mm s E i E Kee ea BAL RI COEE Ee E 1 2 3 4 5 O Scale dependent vi Threshold dependent Other The face will smile when the channel A sign
21. or EKG respiration and EMG 2 sites This logo on a screen in a protocol indicates that you can use an optional webcam with the screen to record video of the session You need only connect your webcam to a USB port of your computer and turn it on before you start the session Note Your computer system must be connected to a video capture device such as a webcam and the proper software installed in order to use this function CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations Chapter HEART RATE MONITORING amp HRV CHnical Guide Py nee Feal iE m j Also recommended Th d e INTRODUCTION TO SURFACE ELECTROMYOGRAPHY ED e RESPIRATION TRAINING WITH BIOFEEDBACK cram ee PROCEDURE e Connect the sensors to the encoder as follows o BVP or EKG sensor to channel C o Respiration sensor to channel D o MyoScan MyoScan to channel A and B optional Taye 1 9 13 D 9 8 3 ys M M EKG ee l l l 1 e Turn the encoder on 1 Click Quick Start 2 From Categories select Pro Flex Rehab Categories Suite Heart Rate Monitoring 3 From Clients select a name Clients Wood C Te Fehob _pDroComp amp FlexComp Infiniti Rehab Suite Overview MAR933 31 4 From Favorites select the training Favorites protocol with EKG or BVP Description 9 Click OK Heart Rate Monitoring wit
22. pedal near your foot and the ForceTrac in the palm of your hand Measuring 1 Repeat the following sequence three times once for each pressure threshold measure When the session ends a series of message prompts guides you through the process of saving data adding notes to the session file and switching to reviewing mode so that you can generate a session report Generating a report FehoS _ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 51 Hardware Specifications MyoScan MyoScan Z EMG Sensors SA9503M SA9503Z Size approx Weight Input impedance Input range Sensitivity CMRR Channel bandwidth Signal output range Input output gain Supply voltage Current consumption Accuracy 37mm x 37mm x 12mm 1 45 x 1 45 x 0 45 15g 0 5 oz gt 10GO in parallel with 10pF 0 2000uVRMS lt 0 1uVRMS gt 130dB 10Hz 1kHz 0 1 0VRMS 500 7 26V 0 02V 0 7mA 0 25mA 0 3uVRMS 4 of reading 25 C to 30 C MyoScan Pro EMG Sensor SA9401M 60 or SA9401M 50 Size Approx Weight Input Impedance Input Range Sensitivity Bandwidth Accuracy EKG Sensor SA9306M Length approx Weight Temperature range Accuracy HR BVP Flex Pro Sensor SA9308M Length approx Weight Input range Accuracy Respiration Sensor SA9311M Size approx Weight Range 37mm x 37mm x 15mm 1 45 x 1 45 x 0 60 25g 1 oz 10GO in parallel with 10pF 0 400u
23. EW EE 10 CLINIC AL GUIDE REFERENCE ciii O a a eee 10 GENERAL PROCEDURE uu RR ene eee DL eee ee ae eee ie ee 10 Starting the SESSION MEE 10 ET le EE 11 Feho gt ProComp amp FlexComp Infiniti Rehab Suite Overview i SEMOG BiGte Gen iei eegene E OVER VIEW Eege 12 CLINICAL GUIDE REENEN eege 12 GENERAL PROCEBURE ee eee ee eee FR CIC HF A INI HF FFR FF ae eee 12 SUF IMU SS e BRENT 12 CATEGORY PRO FLEX SUITE SEMG BIOFEEDBACK REI ASATION n sssnnssssnnssnrnssrrnrsrrrnsrrrrsrrresrrresrrrene 13 CATEGORY PRO FLEX SUITE SEMG BIOFEEDBACK STRENGTHENING i ceeeeeeeeeeeeeeeeeeeeaees 16 CATEGORY PRO FLEX SUITE SEMG BIOFEEDBACK CONTROL sees 19 CATEGORY PRO FLEX SUITE SEMG BIOFEEDBACK EQUILIBRATION eee 21 CATEGORY PRO FLEX SUITE SEMG BIOFEEDBACK TRAINING 25 UNSTABLE SHOULDER qe 27 MOTOR FUNCTION RESTORATION EE 27 Respiration Training csse eoe O HYO IFOR Eeer ZO OVERVIEW een 29 CLINIC AL GUIDE REFERENCE eege 29 PROCEDURE ee 28 Heart Rate Monitoring and HRV ccce eee eee ee ee ee eese eese sese sesesesesesesececes OT OVERVIEW 31 em pe NclisI iiiudi2 ecle O EEA 31 ui Mlle
24. FEEDBACK STRENGTHENING Li These screens are designed for muscle activation training and ultimately strengthening The scale should be adjusted according to the maximal force and the threshold to the training goal STRNO1 Strengthening with 1 EMG The three screens show a classic view of the signal with bar graphs and line graphs Strengthening 1Ch Bar Graph rers 1 2 3 4 Scale dependent M Threshold dependent Other This screen graphs the channel A signal on a bar graph and also displays statistics A sound plays when the signal goes above the threshold Strengthening 1Ch Filled Line Graph 1 2 3 4 Scale dependent M Threshold dependent Other The signal changes color and bolero music plays when channel A goes above the threshold Rebnb ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 pen zeg Dwn Deae pes ee ee pe Bee 1 16 Strengthening 1Ch Filled Line Bar Graphs SE ee m EM E 1 2 3 4 Scale dependent vi Threshold dependent Other The signal changes color and music plays when channel A goes above the line graph threshold The bar graph also displays the EMG levels in real time STRNO2 Contract and Hold with 1 EMG The four next screens provide the patient with more interesting feedback Each screen requires the patient to hold the contraction for a longer period of time d KA RI Strengthening 1Ch Smiley 1 2 3 4 O Scale depe
25. FlexComp Infiniti Rehab Suite Overview MAR933 99 Repair Return Form Be sure to call for authorization before returning any equipment Copy and complete this form and include it with the unit s Include a copy of original invoice and return to the address in the Returning Equipment section Name Company Address Phone No Fax No Date Purchased From Whom Model Name Serial No Problem Feho gt ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 96
26. Vnus O 1600uVnus lt O0 1uVRMs 20Hz 500Hz 590 0 31 VRMs 152cm 60 10g 0 330z 10 C 45 C 50 F 1159F 1 0 C 1 8 F 20 C 40 C 68 F 104 F 20mm x 34mm x 10mm 0 72 x 1 33 x 0 41 20g 0 66 oz Unit less quantity displayed as 0 100 5 132cm 52 long 30g 1 0 oz 30 65 ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 52 Erhnub Skin Conductance Flex Pro Sensor SA9309M Size without electrode leads approx Size with electrode leads approx Cable length approx Weight approx Signal input range Accuracy Skin Temperature Sensor SA9310M Length approx Weight Temperature range Accuracy 3 5 cm 1 4 15 cm 6 0 127 cm 50 25 g 1 oz 0 30 0 uS 5 and 10 2 uS 152cm 60 10g 0 330z 10 C 45 C 50 F 1159F 1 0 C 1 8 F 20 C 40 C 68 F 104 F InclinoTrac Dual InclinoTrac SA7650 SA7655 Dimensions Weight Range Accuracy operated in vertically oriented plane lt 2 0 dual mode angle difference Output gain Output voltage span Power supply Current consumption maximum Link cable ForceTrac SA7600 Dimensions Weight Input range force Safe overload Accuracy Zero level output Full scale output swing Power supply Algometer Attachment Dimensions Weight Material Flat Tester Attachment Dimensions Weight
27. al is below the threshold Relaxation 1Ch Knee Flexion mn Me RE pan e a 12 3 4 5 Scale dependent Mi Threshold dependent Other When the signal is below the threshold the leg relaxes when above it straightens Relaxation 1Ch Wrist Flexion Ae en 123 4 5 O Scale dependent v Threshold dependent Other When the signal is below the threshold the wrist relaxes when above it straightens RELAX02 Relaxation with 1 EMG Relaxation 1Ch Filled Line Bar Graphs EE ae ech 12345 Scale dependent vi Threshold dependent Other Music is played when the channel A signal stays below the line graph threshold The signal is displayed in two different views filled line graph and bar graph Fehob ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 14 Relaxation 1 Ch Parrot Puzzle ee 1 2 3 4 5 O Scale dependent M Threshold dependent Ll Other If the EMG reading is below the threshold for 10 seconds then the puzzle starts to fill in If the signal goes above pieces will disappear Relaxation 1Ch Growing Fractal 1 2 3 4 5 Scale dependent vi Threshold dependent Other This display assists a patient to differentiate between contracting and relaxing their muscles Set the animation scale to a maximum value that is appropriate for a low sub maximal contraction Set the animation threshold in the middle of this scale As the patient sustains a sub maximal contracti
28. als are displayed on 10 line graphs The digital displays show RMS EMG These screens are also used for review Fehob _pDroComp amp FlexComp Infiniti Rehab Suite Overview MAR933 9 Static SEMG Assessment OVERVIEW Static SEMG Scanning assesses the resting level of the muscles surrounding the spine in static position The protocol scans 12 sites x 2 left right from C2 to L5 CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations for the accurate use of Clinical Guide the instrumentation It also explains how to prepare the examinee and the procedure to re Mer ge follow T7 ES Chapter SEMG ASSESSMENT section STATIC SEMG ASSESSMENT Also recommended 2 E e INTRODUCTION TO SURFACE ELECTROMYOGRAPHY F egen eem PROCEDURE Starting the Session e Connect the sensors to the encoder as follows o MyoScan or MyoScan Z sensors to channels A and B left in A right in B o Foot pedal to channel C Pedal left right e Turn the encoder on 1 Click Quick Start 2 From Categories select Pro Flex Rehab Categories Suite Static SEMG Assessment Pro Rehab Suite Static SEMG Assessment 3 From Clients select a name Wood Chuck 4 From Favorites select S EMG01 Para Favorites Spinal Scanning Ee Description 9 Click OK S EMGO1 Para Spinal Scanning e Click the Start button D and read the ins
29. amp FlexComp Infiniti Rehab Suite Overview MAR933 4 G SEMG03 ENDURANCE ASSESSMENT This protocol assesses a sustained contraction The patient contracts as strongly as they can during an extended period about 20 seconds This monitors the recruitment of the slow twitch fibers muscle endurance The contraction should be performed against static resistance isometric contraction G SEMG04 FAST FLICK ASSESSMENT This protocol measures the maximal force of the muscle The maximal force is the highest level of voluntary contraction that a person can achieve without inducing unacceptable pain G SEMG05 GLOBAL SEMG ASSESSMENT 1 MUSCLE This is a complete assessment of the muscle with 5 activities pre baseline fast flicks rapid contractions work rest maximal force endurance and post baseline SEMG ASSESSMENT GENERAL PURPOSE G SEMG06 and up This section regroups generic display screens designed for SEMG Assessment As opposed to the protocols above here there is no sequence of actions and limitation of time G SEMG06 SEMG Assessment with 2 EMG G SEMG07 SEMG Assessment with 4 EMG FlexComp Infiniti only G SEMG08 SEMG Assessment with 6 EMG FlexComp Infiniti only G SEMG09 SEMG Assessment with 10 EMG FlexComp Infiniti only General Purpose 10 EMG RMS with video 1 2 3 4 10 RMS EMG signals are displayed on 5 line graphs General Purpose 10 raw EMG with video 1 2 3 4 10 raw EMG sign
30. ast Flick G SEMGO5 Global SEMG Assessment 1 Muscle G SFMGf amp General SFMG Assessment with 2 FMG Measuring e Click the Start button Di Reviewing the session When the session ends a series of message prompts guides you through the process of saving data adding notes to the session file and switching to reviewing mode so that you can generate a session report In review mode a screen similar to this will appear iL Born 1 If you used a webcam to make a video recording of the session during review the video playback is synchronized to the EMG signal as you move the Time Mark back and forth along the EMG signal line graph Generating a report e After the review screen opens you can generate a Dynamic SEMG Assessment report This is a Text report 1 Click the Session Report icon ES in the tool bar 2 Select Generate Text Report select report components in the Session Report window and click Generate Report Microsoft WORD opens and displays your report You can print or save the report using WORD Ss Print and Save functions G SEMGO1 BASELINE ASSESSMENT This protocol measures the resting level of the muscle The patient must be asked to totally relax the muscle G SEMGO2 MAXIMAL FORCE ASSESSMENT This protocol measures the maximal force of the muscle The maximal force is the highest level of voluntary contraction that a person can achieve without inducing unacceptable pain Fehob ProComp
31. deo so the session can be replayed e f you use EMG sensors MMTO2 position them on the muscles of interest Note Make sure your ForceTrac is properly calibrated before starting e Click the Start button DI e Ask the examinee to complete the range of motion and stabilize their position e Position the ForceTrac on the examinee e When ready press the pedal and perform the test at full load e Resistance should always be applied gradually not suddenly and in the direction of the motion line of pull of the muscle The break usually happens within 2 or 3 seconds A shorter break time may lead to re injury A longer break time may lead to fatigue e The trace of the applied force should appear after few seconds e You can repeat the exercise Wn A pE Sn thal aaa ZB TTL ren SN Er ZB aj E3 Wr eae mm Ten C ER Mu b a Te S T mhiin EI BH jd a hi p Fax Training Screen without SEMG Training Screen with SEMG Unilateral Bilateral Muscle Testing MMT03 amp MMT04 Note Make sure your ForceTrac is properly calibrated before starting Rebnb ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 48 Algometry OVERVIEW Algometry measures Pressure Threshold PTM It quantifies the sensitivity of para spinal tissues and their tenderness CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations for the accurate use of the instrument It also explains how t
32. e a video recording of this session connect your webcam to a USB port of your computer and turn it on e Connect the sensors to the encoder as follows o MyoScan MyoScan sensor to channel A o Optional MyoScan MyoScan Z sensors to channel B to D and channels E to J for FlexComp Infiniti J Fe yo Nm yo NN x Myo Myo Myo Myo Myo SE See optional optional for optional for optional for optional for optional for optional for FlexComp FlexComp FlexComp FlexComp FlexComp FlexComp e Turn the encoder on 1 _ Click Quick Start 2 From Categories select one of the Categories categories starting with Pro Flex Rehab Suite SEMG Biofeedback Pro Rehab Suite SEMG Biofeedback R Fehob ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 12 3 From Clients select a name Clients Wood Chuck E 4 From Favorites select the desired Favorites SEMG Biofeedback Protocol mimm 5 Click OK RELAXO1 Relaxation DEI AX 12 Relaxation 1 e Click the Start button Di You can view each screen by clicking on the numerical buttons on the toolbar at the top mI Blas e If the feedback is scale dependent you can adjust the sensitivity of the animation or graph as follow 150 100 LES e Min Max180 A MH FYW 0 4 Y Select the animation by clicking on it A thin red Type the desired EMG scale in Min and Max Then frame will appear around
33. eedback OVERVIEW Skin conductance and peripheral temperature biofeedback is useful when training of overall physiology is desired as it incorporates two modalities with simple correlations to relaxation skin conductance lower and temperature raise When these physiological measures meet the biofeedback conditions the subject is in a general state of relaxation These physiological measures can also be used to assess the level of stress of the examinee during the examination The following biofeedback screens were designed for that purpose This logo on a screen in a protocol indicates that you can use an optional webcam with the screen to record video of the session You need only connect your webcam to a USB port of your computer and turn it on before you start the session Note Your computer system must be connected to a video capture device such as a webcam and the proper software installed in order to use this function CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations pensioner Chapter SKIN CONDUCTANCE AND PERIPHERAL TEMPERATURE BIOFEEDBACK 3 Also recommended WW E e RESPIRATION TRAINING WITH BIOFEEDBACK X r e HEART RATE MONITORING amp HRV d PROCEDURE e Connect the sensors to the encoder as follows o Temperature sensor to channel C o Skin Conductance sensor to channel E pA B c p rg F e fe III p te temp se e Tur
34. eeeeeeennnnneees 5 G SEMG06 SEMG Assessment with 2 EMG nennen nnne nennen nnne nnne nnne nnne nnn nnns 5 G SEMGO7 SEMG Assessment with 4 EMG FlexComp Infiniti onhv 5 G SEMG08 SEMG Assessment with 6 EMG FlexComp Infiniti onhv 5 G SEMGO09 SEMG Assessment with 10 EMG FlexComp Infiniti oni 5 Static SEMG Assessment ek KKK KENNEN KEE KEEN KEEN EE ERR E EEN KEN KEE E EEN E KEE KEE KEE Ke vunn D OVERVIEW S 6 CLINIC AL GUIDE REFERENC See ee 6 Wiele ef 6 Staring e SOS SION EE 6 WL D gl o BEE T Dynamic SEMG Assessment ccccccsosesssccccccscccscsccccccscscsccccscccscscsccsssccccoscsesess O giudice 8 CLINICAL GUIDE REFERENCE tee 8 ezdgudcMided ictem ASE 8 Staring the Sessa EE 8 OI E Lu EE 9 Reviewing the session EE 9 Generating A 1c 016 EE 9 PROCEDURE FOR LUMBAR SPINE ASSESSMENT c esee eene nnn nnn n nnn nn nnn nitri nn nn tenen nnne nennt nennt nnn nnne nnn nnn 9 PROCEDURE FOR CERVICAL SPINE ASSESSMENT c eeeeeeeeeee eese nnn n ninh nint nnn nnn nnn innen nnn nnne n nnn nnn nnn nennt nnn 9 PROCEDURE FOR ANTERIOR KNEE ASSESSMENT 4 eese nnne nnn nnn nn nnn nn nnn nnn nnn nennt nn nn nennen nnne nnn nn nnn nnn 9 Muscle Fatigue MONON D 10 OVERVI
35. es that you can use an optional webcam with the screen to record video of the session You need only connect your webcam to a USB port of your computer and turn it on before you start the session Note Your computer system must be connected to a video capture device such as a webcam and the proper software installed in order to use this function CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations for the accurate use of the instrumentation It also explains how to prepare the examinee and the procedure to follow Chapter RANGE OF MOTION ASSESSMENT section DYNAMIC RANGE OF MOTION ASSESSMENT Also recommended e INTRODUCTION TO SURFACE ELECTROMYOGRAPHY e SKELETAL MUSCLE PROPERTIES e SEMG ASSESSMENT section DYNAMIC SEMG ASSESSMENT Clinical Gude Peed Pea hE m mm Lm ep rr rs pm pm men Nr ei A Z GENERAL PROCEDURE Starting the Session If you are going use a webcam to make a video recording of this session connect your webcam to a USB port of your computer and turn it on e Connect the sensors to the encoder as follows o MyoScan MyoScan Z sensors to channels A and B left in A right in B o Optional MyoScan MyoScan Z sensors to channels C and D left in C right in D o Dual single inclinometer to channel E PA B c p E F c Myo Myo Myo Myo INC optional optional e Turn the encoder on 1 Click Quick Start
36. etry Each protocol chapter presents the general principles of one specific protocol It lists relevant references in the clinical guide It provides step by step instructions for running the protocol Finally it describes how to generate a report This document is a brief overview of the exciting features in Rehab Suite Detailed information is provided in the suite manual upon purchase of the product Rehno ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 1 Installation and System Requirements If BioGraph Infiniti is not already set up on your computer please follow the Installation Instructions provided to install the program Make sure that your computer meets the following requirements before you install the BioGraph Infiniti software Intel Pentium 4 Intel Centrino or Intel Core Duo or compatible processor AMD Athlon XP AMD Turion 64 X2 Dual Core Mobile Technology AMD Turion 64 Mobile Technology AMD Athlon 64 FX AMD Athlon 64 or compatible processor Microsoft Windows XP Professional or Home Edition with Service Pack 2 or Windows Vista Home Basic Home Premium Business Ultimate or Enterprise certified for 32 bit editions 50 60 gigabytes hard disk space for video recording and processing The software needs 2 5 gigabytes available hard drive space to install and run Minimum RAM 1 GB Windows XP or 2 GB Windows Vista CD ROM or DVD drive Video Card mi
37. g e Click the Start button DI You can view each screen by clicking on the numerical buttons on the toolbar at the top el 4 i e To stop the session click the Stop button D Review screen The same screens are used for review All these screens are accessible from Start Open Display Session in the channel set SEMG Assessment with 2 EMG Rebn5 ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 11 SEMG Biofeedback OVERVIEW This section suggests several training screens that will enhance and speed up rehabilitation thanks to SEMG biofeedback This logo on a screen in a protocol indicates that you can use an optional webcam with the screen to record video of the session You need only connect your webcam to a USB port of your computer and turn it on before you start the session Note Your computer system must be connected to a video capture device such as a webcam and the proper software installed in order to use this function CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations for the accurate use of Clinical Guide the instrumentation It also explains several biofeedback training techniques Fam es Peed m sent Chapter SEMG BIOFEEDBACK TRAINING Also recommended e INTRODUCTION TO SURFACE ELECTROMYOGRAPHY 2 E e SKELETAL MUSCLE PROPERTIES H mum Serna I ES GENERAL PROCEDURE Starting the Session If you are going use a webcam to mak
38. h BVP Heart Rate Monitoring with EKG e Click the Start button Di You can view each screen by clicking on the numerical buttons on the toolbar at the top el 4 5 e To stop the session click the Stop button D Heart Rate amp EMG Monitoring with webcam 1 2 3 4 This screen displays the respiration amplitude and the heart rate on the same line graph It plots the 2 channels of EMG The HRV measure HR Max HR Min is also displayed Video can be recorded Heart Rate amp EMG Monitoring 1 2 3 4 This screen is similar to the one above but without webcam Heart Rate amp Monitoring 1 2 3 4 This screen is similar to the ones above but shows only the heart rate and respiration Verification Screen 1 2 3 4 This is a signal verification screen It shows raw BVP or EKG with heart rate as well as raw EMG Linz _ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 32 Review screen The screen was designed for the review of the session It shows the respiration amplitude and rate the raw BVP or EKG heart rate and Heart Rate Variability HRV and the EMG activity along with the video All these screens are accessible from Start Open Display Session in the channel set Heart Rate Monitoring with BVP and EMG or Heart Rate Monitoring with EKG and EMG Rebn5 ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 33 Skin Conductance and Temperature Biof
39. hen the ball is off to one end or the other the muscles are progressively more out of balance The bar graphs are connected to channels A B Eguilibration 2Ch Bi Lateral Bar Video aS E H Um e Eig TT y Td uu B O Scale dependent Ll Threshold dependent M Other The light turns red when the difference is greater than 35 Both signals are also displayed in the same line graph and mirrored bars for comparison Eguilibration 2Ch Bi Lateral Bar Video 2 ee i PIE R oa La Win l Y 1 2 3 4 O Scale dependent Ll Threshold dependent M Other The light turns red when the difference is greater than 35 Both signals are also displayed in the same line graph and bars for comparison kEehuo _ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 bem wie sen Ee Li o Li 21 EQULO2 Equilibration with 4 EMG Equilibration 4Ch Balance Ratio ka mia hm H l mn 1 2 3 4 O Scale dependent Ll Threshold dependent M Other This four channel ratio screen easily communicates the interplay of four muscles When the muscles are in equilibrium the weight is in the middle of the balance When the weight is off to one end or the other the muscles are progressively more out of balance The bar graphs will be connected to channels A B C D Eguilibration 4Ch Gorilla Ratio 1 2 3 4 O Scale dependent O Threshold dependent V Other This four channel ratio screen easily
40. ing of the session during review the video playback is synchronized to the EMG signal as you move the Time Mark back and forth along the EMG signal line graph This allows you to see lateral deviations in the movement and to observe any antalgic position The review allows you to verify that the motion has been properly performed by the examinee at the right time when prompted You can also check the consistency from trial to trial Generating a report e After the review screen opens you can generate a Dynamic SEMG Assessment report This is a Text report 1 Click the Session Report icon mi in the tool bar 2 Select Generate Text Report select report components in the Session Report window and click Generate Report Microsoft WORD opens and displays your report You can print or save the report using WORD Ss Print and Save functions PROCEDURE FOR LUMBAR SPINE ASSESSMENT PROCEDURE FOR CERVICAL SPINE ASSESSMENT PROCEDURE FOR ANTERIOR KNEE ASSESSMENT Rehno ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 9 Muscle Fatigue Monitoring OVERVIEW SEMG can be used as an indicator of muscle fatigue The following screens were designed for this purpose This logo on a screen in a protocol indicates that you can use an optional webcam with the screen to record video of the session You need only connect your webcam to a USB port of your computer and turn it on before you start the session Note Your computer sy
41. l controls a different part of the same song Rebn5 ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 25 Training 2Ch Line Bar Graphs 1 2 3 4 5 O Scale dependent M Threshold dependent Other Both channels are displayed on a line graph and a bar graph Training 1Ch Motor Copy Training 1 2 3 4 5 Ll Scale dependent Ll Threshold dependent M Other This screen is used for the motor copy training technique It can also be used to train the patient to consistently repeat the same contraction without a template Do the first repetition and then wait for the new signal to appear in the top graph below before doing the next repetition The movement detection threshold is set to 20uV If you want to modify this value from the Edit menu select Edit VC Settings select V210 and edit the Input 2 Constant Value TRNGO2 Training with 4 EMG Training 4Ch Bar Graphs 1 2 3 4 O Scale dependent M Threshold dependent Other Four bar graphs representing 4 EMG channels with a color change above threshold Training 4Ch Filled Line Graphs 1 2 3 4 5 Ll Scale dependent M Threshold dependent Ll Other Four filled line graphs display the four channels with a color change at the threshold Fein _ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 Se eer Dee Euri eee Ddi ES RE bre free L D i Exi DEET kk Coos Cee SUE Q gryg mr Dee Ben eee D FEDD He brw T
42. limbs in the same time to keep the ball centered on the balance The line on the rainbow gives the averaged angle between the two sides ROM Training Review 1 2 3 4 5 The screen was designed for reviewing the session but can be used to monitor the motion It shows the ROM amplitudes along with the video Review Screen ROM Training Review The screen was designed for reviewing the session It shows the ROM amplitudes along with the video All these screens are accessible from Start Open Display Session in the channel set ROM Training with 2 inclinometers Rebn5 ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 46 Manual Muscle Testing OVERVIEW Manual muscle testing is the assessment of muscles and tendons and their ability to generate force Computerized manual muscle testing improves and enriches a method that has existed and evolved for almost a century by replacing subjective factors with objective data SEMG allows the monitoring of potential muscle substitution Note that muscle testing with ForceTrac is allowed only for grades 4 and 5 The examinee should be monitored closely and tests should be terminated immediately if there is any evidence of pain The system is intended only to capture an objective record of force applied during testing rather than to reduce the risk of injury Therefore the ultimate responsibility for risk of injury rests with the examiner CLINICAL GUIDE REFERENCE
43. ment The screen shows a line graph of the raw signals of SC and Temp and a trend graph of epoch means It also has a video audio instrument so you can record the examination Events can be marked by hitting the space bar or a key of the keyboard that you would have preliminarily labeled with the name of the event r zeg Rebnb ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 35 Review replay screen cu Cette A ied hee ee The screen was designed for the review of the session ER Tm The screen shows a line graph of the raw signals of SC and Temp and a trend graph of epoch means Drag the time marker vertical red line over the raw signal and see the value for any data point as a number in the center of the screen To see the whole session mean drag the time marker completely to the end of the session All these screens are accessible from Start Open Display Session in the channel set Biofeedback with Skin Conductance and Temperature Rebn5 ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 36 Static Range of Motion Assessment OVERVIEW Range of Motion ROM assessment evaluates the ability of the examinee to achieve the full range of movement for a given part of the body A dual inclinometer is used for measuring the angle between the neutral position and the maximum range of motion position that the examinee can achieve until they feel restriction tightness or discomfort
44. n the encoder on 1 Click Quick Start n J Quick Start i 2 From Categories select Pro Flex Rehab Categories Suite Skin Conductance and Temperature 3 From Clients select a name Wood Chuck Fehob ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 34 4 From Favorites select Biofeedback Favorites with Skin Conductance and Temperature Description 5 Click OK Biofeedback with Skin Conductance and Temperature e Click the Start button mi You can view each screen by clicking on the numerical buttons on the toolbar at the top 2 4 1 e _ To stop the session click the Stop button m Training Biofeedback on Skin Conductance 1234 5 The screen shows a bar graph of the skin conductance and plays a song and an animation when the SC value dips below the threshold The threshold is set to automatically follow the signal to allow for instantaneous feedback of any change of direction Training Biofeedback on Temperature 1 2 3 4 5 The screen shows a bar graph of the temperature signal and plays a song and an animation when the signal value moves over the threshold The threshold is set to automatically follow the signal to allow for instantaneous feedback of any change of direction Assessment amp Review Skin Conductance amp Temperature in Conductance B Temper Bamra ei Pere 1 2 3 4 5 The screen was designed for assess
45. ndent vi Threshold dependent O Other The face will continue smiling as long as the contraction on channel A is being held above threshold Bam kem Kane H ell aw A BH Strengthening 1Ch Rooster Puzzle 1 2 3 4 Ll Scale dependent vi Threshold dependent O Other The puzzle will fill when the contraction on channel A has been held above the threshold for more than 3 seconds If the contraction dips below the threshold then the timer will reset The threshold is also indicated by the Tarantella tune and can be set on the bar graph instrument sa erg mir Der Eer aren ED ECH Bl4 es W nsch 1 EW cH Strengthening 1Ch Flower Puzzle 1 2 3 4 Scale dependent vi Threshold dependent O Other The puzzle will fill when the contraction on channel A has been held above the threshold for more than 5 seconds If the contraction dips below the threshold then the timer will reset The threshold is also indicated by a jazz tune and set on the bar graph Feho ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 17 Strengthening 1Ch Dolphin Puzzle 1 2 3 4 O Scale dependent VI Threshold dependent O Other The puzzle will fill when the contraction on channel A has been held above the threshold for more than 10 seconds If the contraction dips below the threshold then the timer will reset The threshold is also indicated by a harpsichord sound and can be set on the bar graph instrument
46. ne Flexion Extension 5 ROM 02 Cervical Spine L R Lateral Flexion 5 ROM 03 Cervical Spine Left Right Rotation 5 ROM 04 Thoracic Spine Flexion Extension S ROM 05 Thoracic Spine Left Right Rotation S ROM 06 Lumbar Spine Flexion Extension S ROM 07 Lumbar Spine L R Lateral Flexion S ROM 08 Shoulder Flexion Extension S ROM 09 Shoulder Abduction Adduction in 5309 S ROM 10 Shoulder External Internal Rotation S ROM 11 Elbow Flexion Extension S ROM 12 Forearm Supination Pronation S ROM 13 Wrist Flexion Extension S ROM 14 Wrist Radial Ulnar Deviation S ROM 15 Hip Flexion Extension S ROM 16 Hip Abduction Adduction S ROM 17 Hip External Internal Rotation S ROM 18 Knee Flexion Hyper Extension S ROM 19 Ankle Flexion Extension e Click the Start button L and read the instructions on the screen Do not press the foot pedal yet e Position yourself next to the examinee with the encoder attached to your belt and the pedal near your foot e Press the foot pedal to go to the next screen e Position and stabilize the examinee in neutral position e f the patient cannot reach the neutral position right click on the purple box on the screen enter the neutral zero reference angle displayed when zero button is pressed and click Apply mM Mar ll a Vali Artie rere PER l e Position the dual inclinometer on the examinee and press the Zero button on the primary or secondary
47. nimum XGA 1 024x768 monitor resolution 32 bit compatible sound card amp speakers 1 USB port Mouse or compatible pointing device Microsoft Office Basic for report generation and printing Webcam 30 frames per second for video purposes only DirectX 9c or later if this is missing it will be installed with BioGraph Infiniti PLEASE NOTE Erhnub When using Windows Vista Home Basic or Business additional codecs must be installed to view camera and DVD Low speed CPUs 1 6 GB or less may be sluggish when running screens with multiple instruments ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 2 General SEMG Assessment OVERVIEW The following protocols are very common SEMG assessment techniques They can be performed at the beginning of each visit They allow you to quickly assess the examinee s muscle condition and determine the training parameters of the day since an examinee s condition can change over time This logo on a screen in a protocol indicates that you can use an optional webcam with the screen to record video of the session You need only connect your webcam to a USB port of your computer and turn it on before you start the session Note Your computer system must be connected to a video capture device such as a webcam and the proper software installed in order to use this function CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations
48. o prepare the examinee and the procedure to follow Chapter ALGOMETRY Clinical Guide Vim imd nda m TER E AE PROCEDURE Starting the Session e Connect the sensors to the encoder as follows o ForceTrac with rod attachment to channel D o Foot pedal to channel C pA B c p EJ F ce ef _ Pea rFme J e Turn the encoder on 1 Click Quick Start Quick Start 2 From Categories select Pro Flex Rehab Categories Suite Algometry g y Pro Rehab Suite Algometry 3 From Clients select a name Clients Wood Chuck 4 From Favorites select the Algometry Favorites Protocol 5 Click OK Algometry Kg cm2 Algometry Lbs inch2 or PSI Note The force unit kgs cm or Ibs in depends on whether you have selected Pounds or Kilogram units in the menu Options gt Force Units Fein ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 49 Note Make sure your ForceTrac is properly calibrated before starting e Click the Start button and read the instructions on the screen Do not press the foot pedal yet d be ID z a wmm HU P ln Dada AO ET E VE ret Be e Press the foot pedal to go to the next screen e Hold the ForceTrac in your hand Force Unit Verification screen Before you can proceed you must verify the Force units If you use imperial units press the ForceTrac algometer against a
49. old while B stays below The points for A increment when both channels are in condition and the points for B increment when B is above threshold kEeho ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 18 Strengthening 2Ch Conditional DVD LR Ae 1 2 3 4 5 O Scale dependent VI Threshold dependent O Other The DVD stays on when the channel A signal is above its threshold and channel B signal stays below If either condition is not met the DVD stops playing STRNO04 Uptrain A Downtrain B Specific with 2 EMG The two next screens are specific to a given joint Strengthening 2Ch Knee Flexion B Lez El pe Be rA H 11234 5 Scale dependent vi Threshold dependent O Other Control over both channels during the movement is required to move the animation The threshold can be set on the bar graphs to make it progressively easier or harder to trigger the animation Strengthening 2Ch Wrist Flexion mE ok EM ER 1 2 3 4 5 O Scale dependent VI Threshold dependent O Other Control over both channels during the movement is reguired to move the animation The threshold can be set on the bar graphs to make it progressively easier or harder to trigger the animation CATEGORY PRO FLEX SUITE SEMG BIOFEEDBACK CONTROL These screens are designed for muscle control training The scale should be adjusted according to the maximal force Channel B is used to train the patient not to activate
50. on and the EMG activity goes above the threshold the fractal will fill in As the patient releases the contraction and the EMG activity falls below its threshold the fractal will slowly open and a relaxing song is heard The complete animation cycle takes approximately 20 seconds 10 on each side of the threshold Relaxation 1Ch Space Hoops ub Dr EE Rod o OO Ke KEES EH riw 12 3 4 5 O Scale dependent M Threshold dependent O Other The animation moves when the channel A signal is below the threshold Relaxation 1Ch DVD 1 2 3 4 5 O Scale dependent M Threshold dependent O Other The channel A signal must stay below the bar graph s threshold to keep the DVD screen size constant kEehuo _ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 15 RELAX03 Relaxation with 2 EMG Relaxation 2Ch Shrinking Heads SEH Cet CREOLE Bad eee Rae 1 2 3 4 O Scale dependent M Threshold dependent Other Music is played when both channels A and B bar graphs on the right are below the threshold The two heads must have the same size which means both signals must be at the same level Channel B could be connected to the healthy site in order to use it as a model for the unhealthy site Relaxation 2Ch Relaxation with DVD 1 2 3 4 Scale dependent M Threshold dependent Other The DVD will resume playing when both channels A and B are below the threshold CATEGORY PRO FLEX SUITE SEMG BIO
51. r eco Pe The difference between each pair of muscles at the site should be less than 35 The red light will be on to indicate that the difference is greater than 35 EQULO5 Postural Training with 10 EMG FlexComp Infiniti only Equilibration 10Ch Bi Lateral Video Rn I yn eat NC L dh 1 2 3 4 5 O Scale dependent Ll Threshold dependent v Other Comparing 10 muscle sites the difference between each two muscle site should be less than 35 The red light will be on to indicate the difference is greater than 3590 Eguilibration 10Ch Postural Training Cervical amp Thoracic amp rr mur Ma ele Lumbar Spine 1 2 3 4 5 O Scale dependent Ll Threshold dependent v Other The 10 muscle sites are as indicated Cerivcal thoracic and lumbar The difference between each pair of muscles at the site should be less than 35 The red light will be on to indicate that the difference is greater than 35 Eguilibration 10Ch Postural Training Cervical amp Thoracic amp Lumbar Spine 2 1 2 3 4 5 Scale dependent Ll Threshold dependent V Other The 10 muscle sites are as indicated Cerivcal thoracic and lumbar The difference between each pair of muscles at the site should be less than 35 The red light will be on to indicate that the difference is greater than 35 Fehob ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 24 1h a Eet i Ee ET Een Tv og Y bk
52. s If the EMG of one channel is above its threshold the windmill will stop turning and music will be heard Training Relaxation Training EE 1 2 3 4 5 L m r Be 1 This screen was designed for relaxation The line graph displays the respiration amplitude The examinee must follow the pink dot This will lead them to a slow breathing rate around 6 breath min Fehob ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 29 Training Respiration During Exercise 1 2 3 4 5 The screen was designed to help the examinee to breath properly during an exercise It has a line graph displaying the respiration amplitude and a video camera A tone proportional to the respiration amplitude can be heard Review screen Report Review Respiration and EMG Review Screen The screen was designed for the review of the session Warupitatizer and EMG Mave Screen It shows the respiration amplitude and the EMG activity along with the video All these screens are accessible from Start Open Display Session in the channel set Respiration Training Fehob ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 30 Heart Rate Monitoring and HRV OVERVIEW The system allows the therapist to monitor rapid changes in the heart rate It gives the choice of gathering the heart rate from EKG electrocardiogram or BVP Blood Volume Pulse The following screens allow the monitoring of heart rate from BVP
53. scale the superman returns to a boy Control 2Ch Animal Game 1 2 3 4 M Scale dependent Threshold dependent Other An exercise to control muscle contraction by lining up the cartoon man with the animal in the blue square while the line up of animals constantly changes Channel A is connected to the animation The stronger the contraction the further the man moves to the right To keep the man moving the signal from channel B should remain below its threshold Rebnb ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 20 CATEGORY PRO FLEX SUITE SEMG BIOFEEDBACK EQUILIBRATION These screens are designed for equilibration training Equilibration refers to bringing muscles into equilibrium EGUL01 Equilibration with 2 EMG Equilibration 2Ch Balance Ratio 1 2 3 4 O Scale dependent Ll Threshold dependent M Other This two channel ratio screen easily communicates the interplay of two muscles When the muscles are in eguilibrium the weight is in the middle of the balance When the weight is off to one end or the other the muscles are progressively more out of balance The bar graphs are connected to channels A B Eguilibration 2Ch Gorilla Ratio LE a cc Y 1 2 3 4 O Scale dependent Ll Threshold dependent Kl Other This two channel ratio screen easily communicates the interplay of two muscles When the muscles are in equilibrium the ball is balanced on the gorilla s shoulders W
54. select Pro Flex Rehab Suite ROM Training 3 From Clients select a name Clients Wood Chuck Rehno ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 43 4 From Favorites select the desired Favorites training protocol 9 Click OK Description ROMTO1 ROM Training with 1 inclinometer ROMTO2 ROM Training with 2 inclinometers e Click the Start button DI You can view each screen by clicking on the numerical buttons on the toolbar at the top 2 E 4 1 e To stop the session click the Stop button El ROMTO1 ROM Training with 1 inclinometer Neutral Position Training Gorilla Animation 12345 In this screen the examinee is being trained to keep his joint in neutral position by keeping the ball centered behind the monkey s neck When he is successful the green light turns on Threshold based Training Bowling Animation 1 2 3 4 5 This is a threshold based exercise The examinee must perform the motion until a threshold is crossed When this happens the animation starts and the bowl is thrown The examinee must hold the position during 5 seconds to do a strike and get a point They must then go back to neutral position to restart Neutral Position and ROM Training Dial Animation 1 2 3 4 5 This is a stretching exercise The examinee is told to reach a given color on the rainbow When they return to neutral position the light turns on RehoS ProComp
55. son at the site Gu OTT Go Equilibration 4Ch Postural Training Cervical amp Lumbar Spine 1 2 3 4 5 E L Scale dependent A ee i e LITTLE iM m Threshold dependent ef traen io ky ex Bull M Other sm Esc Eih ymn dt Hemeres LL PLS inal The light will turn red when the difference between the two muscles Cam ME XE fh Rim at the site is greater than 3576 The mirrored bar graphs assist the igi comparison at the site AM iF n Equilibration 4Ch Postural Training Thoracic amp Lumbar Spine Ce I i a Tw b e bu at mye LH ner mi bol li ar 1 2 3j4 5 i A Gn s O Scale dependent Ll Threshold dependent v Other The light turns red when the difference is greater than 35 Both signals are also displayed in the same line graph and bars for comparison EGUL04 Postural Training with 6 EMG FlexComp Infiniti only Equilibration 6Ch Bi Lateral Video 1 2 34 5 Scale dependent Threshold dependent V Other Comparing 6 muscle sites the difference between each two muscle site should be less than 35 The red light will be on to indicate the difference is greater than 35 Fehob ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 23 Eguilibration 6Ch Postural Training Cervical amp Thoracic amp Se en i i as Lumbar Spine 1 2 3 4 5 O Scale dependent Ll Threshold dependent V Other The 6 muscle sites are as indicated Cervical thoracic and lumba
56. ssssssssssssssssssssssssssssessessseseeeesessseeeseeeseeeseeeeeeneeeeeees 42 Range of Motion Training ccccccsescscscscsccscscscscscccccscscscsscscscsccccccccscsescscsces A OVERVIEW eet 43 CLINIC AL GUIDE REFERENC E eege 43 PROCEDURE iore 43 Feho gt ProComp amp FlexComp Infiniti Rehab Suite Overview ii ROMTO1 ROM Training with 1 mdlmomeier nnnm nnn nennen nnns 44 ROMTO2 ROM Training with 2 inclinometers nemen n nnn nnn nennen ns 45 Manual Muscle Testing eee EE ee ee ee eee ee ee ee eere eee oso so oe eoesscseses AD OVERVIEW e a EF A FATH FF TAFF FE EFE AH FYR HEFFER 47 CLINICAL GUIDE REFERENCE siiiaiccccecagacciwiet Acisstied GOL OD ened O Uu iwn CU cients E A EA NE arai ET aiai 47 PROC BD URE ices since 47 SUING SS SION EE 47 Muscle Testing Training MMTO1 amp MMT O2 sssssssessseeeennnnenm mnm nnn nnn nnn nnn nnn nnne rn nnn nnns 48 Unilateral Bilateral Muscle Testing MMTO3 amp MMTIOA mnm 48 ADU e ES OVERVIEW eege 49 CLINICAL GUIDE RKEEEEEENE Eege 49 een RT 49 SPU TINGS 6 SS OM EEF TF REF FT FE EF NF FA FEN FY FR FEN FFF YN 49 WAL AS ln EE 51 Generating a FO DOW E 51 EK OC ET OT TE D 2 Returning Equipment for Repair sek KKK KREE ER ER ER ER ER ER ER EN EN EN E E E E E ven DD Repo ROTULT d ET Feho ProComp amp FlexComp Infiniti Rehab Suite Overview
57. stem must be connected to a video capture device such as a webcam and the proper software installed in order to use this function CLINICAL GUIDE REFERENCE The clinical guide gives general guidelines and recommendations for the accurate use of the instrumentation It also explains how to prepare the examinee and the procedure to Clinical Guide prse uned don follow 3 X Chapter SEMG ASSESSMENT section MUSCLE FATIGUE MONITORING Th Er Also recommended X r e INTRODUCTION TO SURFACE ELECTROMYOGRAPHY 4 e SKELETAL MUSCLE PROPERTIES GENERAL PROCEDURE Starting the Session If you are going use a webcam to make a video recording of this session connect your webcam to a USB port of your computer and turn it on e Connect the sensors to the encoder as follows o MyoScan MyosScan Z sensor to channels A o Optional MyoScan MyoScan Z sensor to channel B A B c D E F c i y3 Il e Turn the encoder on Quick Start 1 _ Click Quick Start 2 From Categories select Pro Flex Rehab Categories Suite Muscle Fatigue Pro Rehab Suite Muscle Fatigue Feho gt ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 10 D 3 From Clients select a name Clients Full Name Wo od Chuck 4 From Favorites select Muscle Fatigue Favorites Monitoring p Description 9 Click OK Muscle Fatigue Monitoring with 2 EMG Measurin
58. tructions on the screen Do not press the foot pedal yet Rebn5 ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 6 o Soa oS pe mes ng ham tal fis n zm EM H Stalic SEM Assesment Para Epinal amp zannieg F A ar penparisg then pluri esch Teco poe phe pres nag l apre zi iia cl ha EG faccre ini sch bes Ta im trach with ther aser 2 mipit Tra misch pins Heran br myu grio Pra 1 Aten prg in erreian nr Ra uch wis apply aie CH CH A Gee peor rte a merus iy the aui morti mig Por doce ert YCHEN Es wlr tothe mantel Press Phe pedal to contenue bii prn eL frt LR HL MEmgums 0 0 080 88 58 N e Put conductive electrode paste or cream on the EMG electrodes grey area only e Position yourself next to the examinee the encoder attached to your belt with the pedal near your foot e Press the foot pedal to go to the next screen Measuring Place the active electrodes positive and negative in alignment with the spine except for trapezius at a distance of 3 cm out from the vertebral ridge and at the site shown on the screen Rebno ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 Dynamic SEMG Assessment OVERVIEW Dynamic SEMG assesses muscle tension through various movements such as flexion extension lateral flexion or rotation In addition to general protocols the system provides three assessment protocols for the cervical spine CP SCM or Traps
59. warranty free of charge This warranty does not apply to damage incurred through accident alteration or abuse This warranty does not cover damage to the Infiniti encoder or the sensors caused by obvious mechanical mistreatment of the system Feho gt ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 54 Returning Equipment for Repair Before returning the equipment please contact first our service department and get an authorization number RA number M Canada and International 1 514 489 8251 bh USA 1 800 361 3651 service thoughttechnology com Then fill in the return form the form can be found at the end of the manual You must provide a detailed description of the problem you are experiencing and your telephone fax number and e mail The unit s must be sent postage prepaid and insured with proof of purchase to one of the addresses below All customs and duties charges will be billed to the customer if incurred by sending the unit to the wrong address In the USA ship insured to Thought Technology Ltd Cimetra LLC 20 Gateway Drive Plattsburgh New York 12901 USA In Canada ship insured to Thought Technology Ltd 2180 Belgrave Avenue Montreal Quebec Canada H4A 2L8 For international e Package must be marked Broker Livingston International 133461 e Ship insured to Thought Technology Ltd 2180 Belgrave Avenue Montreal Quebec Canada H4A 2L8 Fehob _pDroComp amp
60. whichever is more convenient for you RehoS ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 38 Measuring 1 Instruct the examinee to perform the motion slowly until they feel restriction tightness or discomfort Make sure the inclinometer does not move against the body part during the motion 2 When the position is stabilized press the pedal to record the measure Pi oe LLL 3 Instruct the examinee to go back to neutral position Do not press the Zero button again e Repeat the exercise 6 times e Then repeat it another 6 times for the antagonistic movement La uie e When the session ends a series of message prompts guides you through the process of saving data adding notes to the session file and switching to reviewing mode so that you can generate a session report Rehos ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 39 Generating a report Feho gt ProComp amp FlexComp Infiniti Rehab Suite Overview MAR933 40 Dynamic Range of Motion Assessment OVERVIEW Similarly to Dynamic SEMG Dynamic ROM assesses muscle tension through various movements by combining EMG with inclinometry In addition to general protocols the system provides three assessment protocols for the cervical spine CP SCM or Traps and two for the lumbar spine It also provides one assessment protocol for the anterior knee VMO and VL This logo on a screen in a protocol indicat
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