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HUMAC NORM Program Guide

1. Display Torque j Speed 1 a EXTS gp A 4 Vv Start Pause FLXS 40 WI 4 OK Help Figure 35 Feedback Display Interactive Path The goal is for the patient to keep the balls inside the blue path In Isotonic mode the ball position corresponds to the patient s limb position The X Axis displays the percent of the patient s total ROM In Isometric mode the ball position corresponds to the patient s torque production The X Axis display the percent of the patient s Maximum Voluntary Contraction MVC A green ball color indicates the patient is on target a red ball color indicates they are not on target The Score dials indicate the percent of time the patient was on target during the Concentric and Eccentric phases of the exercise The displayed time is shown in the MM SS format 1 20 1 Options The following options can be set from the Feedback Options screen Protocol The path for the patient to follow Speed The speed at which the display scrolls down the screen 1 20 2 Actions Start Start the display moving at the first repetition Page 1 40 Pause Speed Torque Help OK HUMAC2009 NORM Application Program User Manual Pause the display timer The Patient effort will continue to be updated Note Pressing Pause again will re start the display from the current position Clicking Start will re start the display at the first repetition Pause allows the therapist to pause the disp
2. Nbr Balls Single Velocity Bar Proprioception Test 1 Trial 3 Test Per Rep Velocity Bars Target on g Ball Rest Single Work Bar Computer Skill Per Rep Work Bars Paddle Size Power vs Time Curves Power ys Position Curves Single Power Bar Rep Power Bars Figure 8 Feedback Options Display Mode Torque vs Time Curves Torque vs Position Curves Single Torque Bar Per Repetition Torque Bars Single Work Bar Per Repetition Work Bars Power vs Time Curves Power vs Position Curves Single Power Bar Per Repetition Power Bars Speed vs Time Curves Speed vs Position Curves Single Speed Bar Per Repetition Speed Bars Roadway Interactive Line Interactive Path Response Time Test Proprioception Test Pong Breakout Pacing Bar Isotonic Isometric Page 1 15 HUMAC2009 NORM Application Program User Manual 1 9 Dynamometer Settings The Dynamometer Settings form displays a picture of the patient setup for the selected test pattern along a list of the required adapters and fields for you to record the dynamometer settings To assure repeatable set up between patient tests you should record your dynamometer settings The first time a patient is tested for a given pattern the dynamometer settings will be blank The next time you test or exercise the patient on the same pattern the HUMAC will display the previous dynamometer settings Patient Setup 1 Position
3. 1 Set the ROM as described above 2 Move the input adapter to the desired starting Isotonic angle 3 Click the Set Setpoint button 8 6 3 2 Isotonic Return Speed The lsotonic Return Speed is the speed the input adapter returns to isotonic start point after patient releases all force 1 Inthe Return Speed area set the Isotonic value to the desired speed in d s Page 8 4 HUMAC2009 NORM Application Program User Manual 8 7 lIsokinetic Mode isok Teo Isom CPM Setup Aux Con Cw Con CCW Set Mode Velocity Con Torque Limit Ecc Torque Limit I Low Range Low Range I Low Range M Datt jv CweCCw I CW CCW cw cew cw ccw cow Threshold 500 500 500 500 500 500 500 400 400 400 400 400 400 400 gt 300 gt 300 300 gt 300 gt 300 gt 300 gt 300 200 200 200 200 200 gt 200 gt 200 100 gt 100 gt 100 gt 100 100 100 100 E E Ss Zi Ss Sa SH 60 a 500 1 50 10 10 D Figure 99 Toolkit lsokinetic Mode 8 7 1 Starting Isokinetic Mode 1 Set the ROM limits Click the ISOK tab Select the Action Con CW Con CCW in this example 2 3 4 Set the Velocity Concentric Torque Limit and Eccentric Torque Limits 5 Click the Set Mode button The HUMAC will switch to Isokinetic mode Action Set the Dynamometer Action Con Con Con Ecc Ecc Con Ecc Ecc Set Mode Switch dynamometer mode to Isokinetic Mode Velocity Set the C
4. 1 28 Figure 27 ROM Limits EXPAN ege EN ESSEERSNEREERENEREEERENEE EEN EE ENEE EES 1 28 Figure 28 ROM Limits Override AA 1 28 Figure 29 Feedback Display Hoachway 1 30 Figure 30 Feedback Display Pacing Bar 1 32 Figure 31 Feedback Display Response Time 1 34 Figure 32 Feedback Display Interactive Line eseeeeesessssereeeerreeesrrirrrrtssssrrirrnrsssssrrrrrnn 1 36 Figure 33 Feedback Display Proprioception 1 38 Figure 34 Proprioception Target ccececeeeeeeeee eee eeeeceeeee eee eee eeeccaaeeeeeeeeeeeeeeeecaaeeeeeeeeeeeeeaaaes 1 38 Figure 35 Feedback Display Interactive Paib 1 40 Figure 36 Feedback Display Interactive Pong 1 42 Figure 37 Feedback Display Interactive Breakout cccccccceccceeeeeeeeeeeeeeeeeeccaeeeeeeeeeeeeesaaaes 1 44 Figure 38 Single Test Heport A 2 1 Figure 39 Report Actions iiine init aie nine 2 2 Figure 40 Report Options eet E E eee 2 2 Figure 41 Report Exercises ug haan da AA eee 2 4 Figure 42 Report Short Torque VS Time 2 5 Figure 43 Report Short Torque vs Position 0 ceeeeeeeeeeee eee ee eeeeceeee etter ee teecaaaeeeeeeeetteeeteeeaaaes 2 6 Figure 44 Report Long Torque VS Time 2 7 Figure 45 Report Long Torque vs Position 2 8 Figure 46 Report Graphic SUMMALY ccceeeeeeeeeecttee eee e eee eeeeaaaeeeeeeeeetecaaaaaaaaaeeeeeeeeeeenaaaes 2 9 Figure 47 Report Curve Overlay 0 cceccceeceeee eee eeecce acne eee e ett aa
5. Figure 82 Edit Background Information Update 6 5 1 Edit Background Information 1 Select the Patient who s data you want to edit On the Database menu click Edit Background Click the Test Exercise record you want to edit Click Update to open the patient background information form af to N Edit the patient information and click OK to save your changes Page 6 14 HUMAC2009 NORM Application Program User Manual 6 6 Deleting Stored Tests The Database Delete Record command allows you to delete stored test and exercise records from the database Date Pattern Description Test Right Left 4 27 2008 11 16 594M Knee Extension Flexion 3 Speed Protocol 60 180 240 A elete 3 4 2008 10 09 39 4M 3 4 2008 9 59 53 AM Knee Extension Flexion Isometric 90 60 30 degrees 3 4 2008 9 51 17 AM Knee Extension Flexion Isometric 90 60 30 degrees EI EI EI 8 9 2007 2 19 40 PM Knee Extension Flexion 60 180 Degrees Per Second 8 7 2007 8 27 12 AM 60 180 Degrees Per Second wv wv e 8 4 2007 3 17 27 PM Ankle Plantar Dorsiflexion Prone 2 Speed Protocol 30 120 W M cs Figure 83 Delete Stored Test 6 6 1 Deleting a Stored Test 1 On the Database menu click Delete Record 2 Click the Test Exercise record you want to delete 3 Click Delete to delete the record e Deleted records cannot be restored e Use the delete function in the patient selection form to quick
6. From the Windows Task Bar select Start HUMAC2009 Screening Select the Pattern Select the Protocol bk oOo Ny Select the Patient Note The patients must be entered using the standard HUMAC program This is typically done in advance of the screening date Click the Right and Left side buttons to test each side 6 Select the Report and click the Print or Preview buttons Gel Page 9 1
7. The Endurance Capacity Report provides a report showing the Torque vs Position plots with measures of Torque Work Power and Range of Motion 2 15 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Endurance Capacity Test as the report type SL de ON Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Endurance Capacity Test Report Knee Extension Flexion Sample Name Moone mp id Right Left 7 3 2008 7 3 2008 Patient XXXXXXXXXXXXXXXX Zeene sees M Extensors Con Extensors Ecc mm 40 36 35 30 0 d 3 a punk 8 t ounds 8 Ps orque orque a D Ge D 20 40 60 a0 o 40 60 80 Angle Degrees Angle Degrees Involved Last Rep Red Involved Second Rep Magenta Un Involved Last Rep Green _Un Involved Second Rep Blue Isotonic ConfEcc Extensors Con Extensors Ecc Torque 10 10 ft lbs Reps 10 Value Cof Var ABW Value Cof Var D DW Ratio Peak Torque Foot Pounds Average Value Zoom Right 2 0 04 15 20 0 18 12 80 Left 27 0 10 16 23 0 22 14 85 Deficit 7 13 Total Work Done Foot Pounds Zoom Right 190 0 00 115 160 0 00 97 84 Left 149 0 00 90 120 0 00 73 81 Deficit 22 2 Average Power per Repetit
8. cceccceeceeeeeeeeeeecaaeee eee eetteeeaaaeeeeeee ett gegaaaaaaeeeeeeeeeeegaaaes 2 10 2 9 Torque Repeatability Report A 2 11 2 10 Interactive Feedback Scrolling Line Hepnort 2 12 2 11 Interactive Feedback Scrolling Path Henort 2 13 2 12 Interactive Feedback Roadway amp Pacing Bar Henorts 2 14 2 13 Interactive Feedback Response Time Heport 2 15 2 14 Interactive Feedback Proprioception Heport 2 16 2 15 Endurance Capacity Report A 2 17 2 16 Single Parameter Per Set Hepnort 2 18 2 17 Single Parameter Per Rep Hepnort 2 19 2 18 lsomethicsROPOM EE 2 20 2 19 lsometric Progress Report ns en ee eee 2 21 2 20 Multi Session Report ccccccccceeeeeeececeeeeeeeeeeeeeeaaeeeeeeeeeeeeaaaaaaaaaeeeeeeeeseesecaaaeeeeees 2 22 2 21 Narrative R ponse cea Ld el nei in ieee 2 23 2 22 Reps Torque vs Position Heport 2 25 2 23 Reps Torque vs Time Reno 2 26 2 24 Short Progress Reported rr rr ae a a a aaa a aa aaa Da a aaa ar aa a Aaaa aa aa Aaa Raas 2 27 2 25 Long lte 2 28 2 26 Involved Side Re Test Report ssssssesssssrnssssssssnrnsssssersnernntsssetnnnnnnnssnnnssernnennnnn 2 29 22i Dee ee EE 2 30 2 28 Measured Parameters ee duet desen vias toned an rarna rnae aa raa aaa a Aaa aaa Aaaa taas 2 31 HUMAC2009 NORM Application Program User Manual 3 DASHBOARD EE 3 1 3 1 ACCESSING the Rule le BEE 3 1 3 2 SIE 3 1 3 3 Mod and A ClO NM EE 3 1 3 4 Sale 3 2 3 5 e TE 3 2 3 6 Anatomical Zelo EE
9. then position the arm as shown Start During the test the input arm will move Figure 2 Dynamometer Power On Test 3 The HUMAC will Download the code and initialize the controller After the initialization is completed the Start button will be enabled When the start button is enabled you should position the adapter at 6 00 pointed straight down IMPORTANT The input adapter must be positioned straight down before you click the start button 4 After you click the start button HUMAC runs the dynamometer power on test IMPORTANT During the Power On Test the input adapter will move slightly It is very important that you not touch or be near the input arm during the Power On Test procedure 5 After the Power On Test completes the OK button will be enabled Click OK to continue Page 1 3 HUMAC2009 NORM Application Program User Manual 1 3 Selecting a Patient The Patient Selection screen allows you to select a patient for testing exercise and report generation Patients Test Exercise Stin a j a oe E New Edit Delete Last Test Last Exercise Complete al Name ID gt Harrison Steve Z Potash Robert 12434 Reynolds Mary 34847 Sample Patient A ID OK Cancel Help Search Length 0 Number of Records 4 Figure 3 Patient Selection 1 3 1 Actions OK Select the highlighted patient You can also double click a patient s name to select them Cancel Cancel the patient selection and return
10. In this case the input adapter will move from 85 degrees of flexion to 9 degrees of extension Patient The ROM the patient was able to reach when the software stops were set Figure 26 Expand The Expand ROM values set by the therapist Figure 27 Override The ROM override limits set by the therapist in the protocol Figure 28 Page 1 27 HUMAC2009 NORM Application Program User Manual Software Stops l Track Patient ROM 9 S j ez FLX 90 Clear ROM ROM 81 Figure 26 ROM Limits Patient Expand ROM EXT FLX co O2 4 0 O2 100 e5 O 10 Ob 10 Figure 27 ROM Limits Expand Maximum ROM limits EXT FLX lo ol e ol Figure 28 ROM Limits Override Inc Increase the ROM limit Note The Inc button expands the ROM limits so the patient moves though a larger ROM For the EXT stop the displayed value would decrease e g to 3 or 4 For the FLX stop the value would increase e g 87 or 88 Note When increasing the ROM the limits are checked in the following order Override Expand Patient If an Override value exists the ROM is limited to that value If no Override is specified but an Expand exists the ROM is limited to that value If no Override or Expand is specified the ROM is limited to the Patient value Dec Decrease the ROM limit Note The Dec button reduces the ROM limits so the patient moves though a smaller ROM For the EXT stop the displayed value would increase e g to 1 or 0 For the FLX
11. Joint Motion Specifier Hip Abduction Adduction Hip Abduction Adduction Standing Hip Extension Flexion Hip Flexion Extension Standing Hip Internal Rotation External Rotation Hip Internal Rotation External Rotation Modified Knee Extension Flexion Knee Extension Flexion Prone Knee Internal Rotation External Rotation Leg Extension Flexion Bilateral Leg Extension Flexion Unilateral Shoulder Abduction Adduction Shoulder Abduction Adduction Horizontal Shoulder Fytencian iFlavian OK Cancel Help Figure 5 Pattern Selection Actions Select the highlighted pattern You can also double click a pattern to select it Cancel the pattern selection and return to the main HUMAC screen Page 1 7 HUMAC2009 NORM Application Program User Manual 1 6 Protocol Selection Protocols are collections of one or more sets which describe the dynamometer operating mode termination rest period and other parameters A protocol can contain up to 25 sets Protocol ges 3 Speed Protocol 60 120 180 E Rename 3 Speed Protocol 60 120 180 Set yw yM Add Edit Delete Duplicate Up Down Mode Setting Termination Set Rest J isokinetic ConfCon 60 60 deg sec 5 Repetitions 120 120 deg sec Isokinetic ConfCon 180 180 deg sec 15 Repetitions 10 sec Isokinetic Con Con 5 Repetitions OK Cancel Figure 6 Protocol Selection 1 6 1 Actions Select The pull down control displays a list of the protocols the
12. Test Status The Test Status form displays the protocol and the status of each set Tested Not Tested Error 1 10 1 Not Tested Tested Error 1 10 2 OK Side Single Set All Sets Set AZ Preview Edit Set Unlock Gravity Correct Display Targets Freeze Display Run Test Utilities Right g g a Sy I Gravity correct torque data j C Left M Display Targets Single Set All Sets SetAZ Preview Edit Set Unlock I Freeze display if outside target Mode Setting Termination Right Left D sokinetic Con Con 5 Repetitions Not Tested Not Tested Isokinetic Con Con 120 120 dis 5 Repetitions Not Tested Not Tested Isokinetic Con Con 180 180 d s 15 Repetitions Not Tested Not Tested Figure 10 Test Status Status The set as not been run yet The set was completed successfully An error occurred while running the set for example the patient did not go through a full range of motion or the clinician aborted the set Actions Leave the Test Status screen and move to the Report screen Once you leave the Test Status screen you cannot run additional sets from the protocol Select the Side which will be tested Run the currently highlighted set Run all sets in the protocol starting with the selected set Note When you select All Sets the HUMAC deletes all data from any sets which are run For example if you completed all sets in a 3 set protocol select the second set and Cli
13. Text Files 6 26 Users The HUMAC program allows you to setup user accounts which include passwords and administrative privileges Page 6 31 HUMAC2009 NORM Application Program User Manual Setup Users W Users Must Login KR Track Patient Access DisplayName UserName AdminPriv gt Rob Potash potash EI Add Paul Rudzitis prudzitis bo K ZJ Edit ZS Delete Ir OK Cancel Help Figure 94 Setup Users 6 26 1 Setting Up Users 1 From the File menu select Setup Users Setup Users Must When the HUMAC starts the user must enter their username and password Login Track Patient Record the therapist name patient name and date time when a patient is Access selected Add Add a new user Edit Edit the selected user s record Delete Delete the selected user Note Deleting the selected user removes them from the Login options All recorded database access is retained after the user is deleted 6 26 2 Adding a New User 1 Click the Add button Display Name The therapist s name recorded in the access log Username The therapist s login name Password The therapist s login password Note Passwords are case sensitive Administrator Only administrators can access the File Setup Users function 6 26 3 Editing an Existing User 1 Select the user 2 Click the Edit button 6 26 4 Deleting an Existing User 1 Select the user 2 Click the Delete button The selected user is deleted from the databa
14. click Calibration From the Calibration Menu click Verify Torque Setup the dynamometer for the verification Only the Knee Hip Adapter should be installed on the dynamometer input arm Click the box when the dynamometer is positioned correctly Place the arm at 6 00 Set the arm to number 45 Pin should click in place Set ROM stops to gray D and gray U Set dynamometer tiltto position 0 4 Raise the input adapter toward 12 00 straight up until the arm locks into isometric mode Click the box after the arm locks at 12 00 Move the arm to 12 00 5 Carefully load 100 pounds of weight onto the Knee Hip adapter After the weights are loaded make sure the monitor and keyboard are clear of the falling weight stand clear of the dynamometer input arm and check the box The arm will begin to fall Place 100 pounds on the arm Page 6 3 10 8 11 HUMAC2009 NORM Application Program User Manual After the arm reaches 6 00 straight down the following box will be highlighted Remove the weights and then check the box Remove all weight from the input arm assembly The HUMAC will then repeat the weight drop with 25 pounds Remove all weights from the dynamometer Click the box when the dynamometer is positioned correctly Place the arm at 6 00 Set the arm to number 45 Pin should click in place Set ROM stops to gray D and gray U Set dynamometer tiltto position 0 Raise the input adapter toward 12
15. complete numeric results for each set in the protocol 2 5 1 Printing the Report 1 From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Long Trq vs Time as the report type af oN Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Note Use the Notes button to add text notes which appear on the first page of the long report Use Fike Preferences command to set report heading Long Form Torque va Tame Report Knee Extension Pheaion seer 1735 Mp OOT CEET ee Potash D moane Cocor Erten Spera E capse teps ve Ce TORQUE PARAMETERS Teen Togos Toot ovn reng Repertori DR a ta x G A e H 29 4 RI d Work per Repentos Foot Pounds Highest Repettos Ngee H n D e 12 u D t x 013 x wot Aways Powe per Rigetban Wars Tse Repetition age ei ats EI a el 4 stor Bi PORTION PARAMETERS Anga a Peat Torque Degrees e Mange of Matzen Deprem b s A Pani PARAMETERS argae Seconda ng v nm e ei On Tame Peau Tongue Heid Seconds nye H A Tore Gage Tune eceos n Rgt Pi Reoprocel Oey Secondy not Figure 44 Report Long Torque vs Time Page 2 7 2 6 2 6 1 1 af oO N HUMAC2009 NORM Application Program User Manual Long Torque vs Position Report The Long Trq vs Pos Report is a multi page rep
16. 2 55 02PM Shoulder Internal External Rotation 2 Speed Protocol 60 180 Yes 8 4 2007 3 04 36PM Ankle Plantar Dorsiflexion Prone 2 Speed Protocol 30 120 Yes OfFiINNT 144 NF 1ARA Innan Cwtancianillawian Doanantohilit AN ANIRN Var Figure 84 Usage Report Page 6 16 HUMAC2009 NORM Application Program User Manual 6 8 Backup We suggest you perform periodic backups to assure your data can be restored in the event of a computer failure You can do a backup via an External File Copy or with the HUMAC Backup Command Destination Files to Backup g 8 E HUMAC Database Start Brow se M Calibration Data SHUMAC Backup ZIP M Error Log M Real Time Data Files 6 8 1 You can 0 Figure 85 Backup Database OK Help External File Copy create a backup of your HUMAC data by copying the HUMAC data files to your backup media e g CD R or tape drive 6 8 2 Set Bac HUMAC Backup Command kup During a backup the HUMAC compresses your data into a file called HUM AC Destination Backup ZIP This file can be on floppy disk a ZIP drive a local hard drive Files to Backup Backup Abort 6 8 3 1 2 3 4 which should be different than the drive holding the HUMAC database or a network The Set Backup Destination option allows you to specify where the backup file will be created The Files to Backup area allows you to select which files will be added to your backup Typically you would select all of
17. 3 2 3 7 Range of Moto iss ccececcsessdvccs cers ce fesse vans sees pavessvssaceseenreneasvaav aada a aaa a deeg 3 3 3 8 Torque Target Isometric Mode 0 eeeeeeeeceeeee cece ee eeeeceeeeeeeeeeeeeecaaaeeeeeeeeeeeeeneeenaaaes 3 4 3 9 Begin the EXerciSe in sena ege ead die 3 4 4 PROPREOCEPTION TESTING niisiis aina aina niena ntaa V VaV NaN aaia dYa 4 1 4 1 Running a Position Based Test 4 1 4 2 Running a Velocity Based Test 4 1 5 GROUPE SUMMARY isoon a an He AAA A ene NNN 5 1 5 1 Computing a Group Gummanm cee eeeceteee eee eee eeeeeaaaee sees eeeteeaaaeeeeeeeeeeeeeeecssaeeeeeees 5 1 5 2 Adding a New Group Summary to the Database seessseeeeeeeeessereererreesessrrerne 5 1 5 3 Computing the Summary c ccccceeeeeeeecceeee eee eeeeeeeaaaeeeeeeeeeeecaaaeeeaeeeeeeeeeeeecsaaeeeeees 5 1 5 4 Summarizing the Data ncn nena ie he ee Anns 5 3 5 5 Exporting a Summary to Microsoft Access seesseeeeeeeeeeseererirrrteessrrinrrrssssrrrrrene 5 3 5 6 Printing a Summary Heport cece eee ee ee entree eee eet aa ease terete eeneeaaaeeeeeeeenneee 5 4 5 7 Comparing a Patient to a Group Gummanm cece ee eeeeeeeeaaeeeeeeeeeeeentaeeeeeees 5 4 5 8 Deleting a Group SUMMAL cc cece e eee eeecenee teeter ete aae eset eee tte eteeeaaaeeeeeeeettee 5 4 6s OTETI ESEE ait Aes BAA e EE e 6 1 6 1 eltren Eege 6 1 6 2 Sensor LES ik Ok ON EE BE Oe fe eee eames 6 10 6 3 Auxiliary ere CEET 6 11 6 4 Error OG ET 6 13 6 5 Ed
18. Application Program User Manual 8 RESEARCH TOOLKIT The HUMAC includes a Research s Toolkit which allows the user to utilize the system beyond the standard HUMAC parameters This includes e Tune the dynamometer performance acceleration cushion e Adjust the sampling rate up to 2 500 samples second e Adjust the ROM up to 8 revolutions e Acquire data at full system resolution e Adjust the system parameters at full resolution Position 1 16deg Velocity 1 16d s Torque 0 1 ft lbs 8 1 Toolkit Displays The Research Toolkit has two main displays e Controller Adjust dynamometer modes actions and settings e Feedback Plot store real time data 8 2 Toolkit Status The HUMAC Research s Toolkit displays the dynamometer status HUMAC Status Position Is System State SETUP Mode ROM Internal Mode ROM Servo Status READY Fault Condition NONE EZ USB Flags OFF Command 0x64 50 returned status OK values 50 Figure 96 Toolkit Status Position The absolute input adapter position This value should be approximately a multiple of 5760 e g 5760 0 5760 when the input adapter is positioned at 6 00 If not repeat the Reset procedure System State RESET The Reset button was just pressed SETUP The system is in Setup mode allowing you to set the ROM limits NORMAL The system is in Isokinetic CPM Isometric or lsotonic mode Mode Mode requested by the user Internal Mode Mode the dynamometer is current
19. FLX 88 Clear ROM ROM 77 Figure 13 Software Stops 1 12 2 Actions EXT Set the Extension ROM limit to the current limb position The EXT setting 11 is displayed after the EXT button FLX Set the Flexion ROM limit to the current limb position The FLX setting 88 is displayed after the FLX button Total ROM The Total Range of Motion 77 is displayed directly below the EXT and FLX values Track Patient Instead of using the EXT and FLX buttons to set the ROM you can ROM have the HUMAC track the limb position and automatically set the EXT and FLX values Check the Track Patient ROM option and move the Page 1 20 HUMAC2009 NORM Application Program User Manual limb through the desired ROM The HUMAC will automatically update the ROM limits to match the greatest excursion of the patient s limb Set ROM Enable the software stops to the current EXT and FLX values Clear ROM Clear the software stops This is typically used if you decide to change the stop locations after selecting Set ROM Mirror ROM Copy the stop locations from the patient s other side to the current side For example if you have set the stops for the right side and now you are testing the left side Mirror ROM will copy the EXT and FLX stops used on the right side to the left side After the ROM locations are copied the Software Stop indicators will be red The patient must move their limb to the stop locations to confirm they can reach the stops
20. Group 1 Qroupt XXxXxxxxxxxxxx0 Height 65 Inches Preferred Side Left Group 2 QrOup2 XXXXXXXXXXXX0 Weight 165 Pounds Doctor doctor XXXXXXXXXXXXO e tester Gender Male Tester NKKXKXKNKXKO Diagnosis 2 2 1982 diagnosis xxxxxxxxxO Surgery 3 3 1983 surgery xxxxxxxxxxx0 Extensors Con Flexors Con a a Peak Torque N w o S Peak Torque No v o a ER 55 50 50 45 45 40 40 _ 5 20 20 15 15 10 10 5 5 o o 2 3 1 2 extensors Con Flexors Con a E D E E E E eed 60 60 deg sec 5 Reps ES ES a E a E eed 120 120 deg sec 5 Reps La a 23 SS eed 180 180 degisec 15 Reps EECH lt HUMAC 2009 Version 9 1 48 Copyright Computer Sports Medicine Inc 1982 2009 www csmisolutions com Figure 55 Report Single Parameter Per Set Page 2 18 HUMAC2009 NORM Application Program User Manual 2 17 Single Parameter Per Rep Report The Single Parameter Per Rep Report provides a multi page report showing the values of a selected parameter over all repetitions in a protocol Note Use the Single Parameter Per Set Report for a single page report of the Best Repetition or Average Value for a parameter over each set 2 17 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Single Parameter Per Rep as the report type SL Ge AS e Fro
21. H r 8 D K n 12 H m 15 Peak Tra d H a mu 330 Werk Wi 10 oa Power u Ki 6 m a E rom e m 6 lt m CH uf pi T es mm ms mem es mes e es es e ee Kkoacoenltcaceearba Sea 200 Jl 200 ESOT M e fees verson 13 Copyng Conouler Soois Megane ine 18D 2008 wae EE com Figure 59 Report Multi session Page 2 22 HUMAC2009 NORM Application Program User Manual 2 21 Narrative Report The Narrative Report allows you to merge data from a patient test with a Word Document 2 21 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the Test Protocol to be included in the report Click the Narrative button to add Modalities and Goals for the report From the Print Preview area select Narrative Report as the report type OOM e OO Nea Click the Preview button to preview the report on the screen or the Print button to send the report to the printer 2 21 2 Editing the Word Document The Word merge documents are called Letter Doc isokinetic tests and Letter lsoM doc isometric tests is stored in the HUMAC User Data folder The following data fields can be merged with the Word Document Patient Information FullName Patient Full Name IFirstName Patient First Name LastName Patient Last Name Doctor Doctor Injury Injury Test Information IMGI Muscle Group Initial Motion IMGR Muscle Group Reciprocal Motion ANGLE Isometric Angle
22. HUMAC Export File location O IO OTRO ie Page 6 25 HUMAC2009 NORM Application Program User Manual 6 17 System Protocols The HUMAC allows you to define System Protocols System Protocols can be selected for use by any patient Test Pattern Knee Extension Flexion ci Print Protocol Name 2 Speed Protocol 60 180 Testina 3 Speed Protocol 60 180 240 Interactive Path Mid Range Isometric 90 60 30 degrees C Exercise j J K K Add Edit Delete Mode Setting Set Rest Termination Isokinetic Con Con 60 60 deg sec 10 sec 5 Repetitions lsokinetic Con Con 180 180 deg sec 10 sec 5 Repetitions Isokinetic Con Con 240 240 deg sec 10 sec 15 Repetitions eje Figure 87 System Protocol Editor 6 17 1 Editing a System Protocol From the Utilities menu select Protocol Editor 2 Inthe Test Pattern area select the pattern you want to add edit a protocol for The HUMAC will display all available system protocols for the selected Pattern in the Protocol Name area Select Testing or Exercise to edit the appropriate protocol 4 Single click the protocol name The HUMAC will display all sets in the selected protocol Select Edit to edit the selected protocol 6 17 2 Adding a System Protocol 1 From the Utilities menu select Protocol Editor 2 Inthe Test Pattern area select the pattern you want to add edit a protocol for The HUMAC will display all available system protocols fo
23. IMUSCLE Isometric Muscle Group Narrative Report button on Report screen Modalities Selected Modalities Goals Selected Goals Torque Values from First Set in Protocol IPTRI Peak Torque Right Side Initial Motion IPTLI Peak Torque Left Side Initial Motion IPTDI Peak Torque Initial Motion R L Deficit IPTRR Peak Torque Right Side Reciprocal Motion IPTLR Peak Torque Left Side Reciprocal Motion IPTDR Peak Torque Reciprocal Motion R L Deficit Plots from First Set in Protocol IPTGraphinit Trq vs Pos Graph for Initial Motion IPTGraphRecip Trq vs Pos Graph for Reciprocal Motion Page 2 23 HUMAC2009 NORM Application Program User Manual 10 Tosce Dre Sogan MA 007 USA l Prone 70 207 2064 rt FAX 78t 297 2009 De wwa amadora com Saturday March 01 2008 Repon on Potash Roten l Ooa Oe Jones Thank you for referring Robert Potash for HUJMACNORM mcinetc testing The Patent ras a Gagnows of ACL Tear The tofowing grants show the force curves of he Right vs the Lef superposed showing a Comparsive De of Te individual s atdity to produce force Prop oa Ine ROM Py i ok ee m om mm normal pech reen of 10 oF leas can be cormicered normal wile Gilerences of 10 to 20 Geert abnormal and those 20 acd above probably Mare The patent produced he torques p Eegen 4200 4005 J Eesen 00 8400 7 The padent ei beneit bom ptrysical therapy to increase ROM My treatment pian wil inciuge ROM Exerc T
24. On Target Zoom Right DO Left 99 HUMAC 2009 Version 9 1 3 Copyright Computer Sports Medicine Inc 1982 2008 www csmisolutions com Figure 50 Report Interactive Feedback Path Page 2 13 HUMAC2009 NORM Application Program User Manual 2 12 Interactive Feedback Roadway amp Pacing Bar Reports The Interactive Feedback Roadway Report provides a report showing the target path and the patient position for isotonic mode or torque for isometric mode during the test The Percent on Target Coefficient of Variation and Maximum Deviation are reported 2 12 1 Printing the Report 1 2 Click the Report button 3 Select the desired test protocol 4 5 the report to the printer Name Birth date Height Weight Gender Diagnosis Surgery Minimum Blue Isotonic Con Ecc Torque 10 10 ft lbs Reps 10 Percent On Target Zoom Right Left Coefficent of Vari Right Left Maximum Deviati Right Left From the main HUMAC Screen click the Patient button to select the patient From the Print Preview area select Coordination Test as the report type Click the Preview button to preview the report on the screen or the Print button to send Use File Preferences command to set report heading Coordination Test Report Knee Extension Flexion Sample XXXXXXXXXXXX ID Patient S Ze ss M 11981 Involved Side 65 Inches Preferred Side 165 Pounds Doctor Male Tester 2 2 1982 diagnosis xxxx
25. Pause the data acquisition 8 11 3 Scales 1 Set the Real Time Torque Position and Velocity plot scales 2 Set the Sampling Rate from 10 to 2 500 Hz 8 11 4 Real Time Plots 1 The Real Time Torque Position and Velocity data is plotted 2 A vertical cursor shows the current data point Page 8 8 HUMAC2009 NORM Application Program User Manual 8 12 Auxiliary Outputs 8 12 1 Setting the Aux Outputs Sp Teo som CPM Setup Aux Position Torque Speed M Enabled M Enabled M Enabled Gain 1024 i Gain 1024 Si Gain 1024 H Offset Offset 0 S Offset 0 s I Rectity I Rectity I Rectity Figure 104 Toolkit Auxiliary Outputs 1 Click the Aux tab 2 Set the Position Torque and Velocity values 3 Click the Set Mode button Page 8 9 HUMAC2009 NORM Application Program User Manual 9 GROUP SCREENING Mode isokinetic Left Torque gt EXTS Jodi Con Position FLAS en d s Con Speed Pattern Knee Extension Flexion Protocol 3 Speed Protocol 60 120 180 Patient Potash Robert L 12345 8 8 SE PORE Right TESTED NOT TESTED Short Trq vs Pos Knee Extension Flexion Figure 105 Group Screening The HUMAC Group Screening program allows you to quickly test large groups of subjects by retaining many settings across the group and eliminating options which are typically not used in group screening situations 9 1 Testing Patients
26. Program User Manual 1 11 Anatomical Zero The Anatomical Zero allows the HUMAC to convert position data from the dynamometer to the patient s anatomical position Set Anatomical Zero Move Limb to Anatomical Zero Enter offset if needed 0 0 3 deg Cancel Help Figure 11 Anatomical Zero 1 11 1 Actions OK Set the Anatomical Zero to the patient s current limb position Cancel Cancel setting the Anatomical Zero The AZ will need to be re set before performing any test or exercise sessions Offset If the patient cannot reach Anatomical Zero enter the offset to the current limb position For example if the patient is at 30 degrees of extension enter 30 as the offset and then click OK Page 1 19 HUMAC2009 NORM Application Program User Manual 1 12 Range of Motion Limits IMPORTANT The HUMAC uses computer controlled software and mechanical stops to control the patient range of motion while on the NORM It is the clinician s responsibility to ensure that the computer range of motion stops are always used on the NORM and that the mechanical range limiting stops are securely set to the position indicated by the software Range of Motion Range of Motion Figure 12 Range of Motion The HUMAC displays the current limb position red line and numeric value 12 Software Stop limits green area and Expanded ROM limits blue area 1 12 1 Software Stops Software Stops T Track Patient ROM 11 S Ey
27. The HUMAC limits the expanded ROM settings to the maximum ROM allowable for the selected pattern For example Knee Flexion is limited to 135 If the patient s current FLX stop is at 120 and you set the FLX value to 30 the HUMAC will display 135 as the maximum expanded ROM 1 12 4 Mechanical Stops Mechanical Stops EXT Y FLX J Figure 15 Mechanical Stops Page 1 21 HUMAC2009 NORM Application Program User Manual When a software stop location is set the HUMAC updates the required mechanical stop location IMPORTANT The mechanical stops must be securely set to the required location Page 1 22 HUMAC2009 NORM Application Program User Manual 1 13 Gravity Correction The HUMAC allows you to gravity correct your torque data Weigh Limb and Weigh Limb Figure 16 Weigh Limb During testing and exercise the patient s limb may be assisted or resisted by gravity When you enable gravity correction the HUMAC asks you to weigh the patient s limb From this the HUMAC computes the MaxGET Maximum Gravity Effected Torque The MaxGET limb position and direction of motion are used to adjust the torque values for the effects of gravity using the following equation e Limb is assisted by gravity Reported Torque Measured Torque MaxGET Cosine Angle e Limb is resisted by gravity Reported Torque Measured Torque MaxGET Cosine Angle The Angle is the position of the limb relative to vertical not the limb s anat
28. during the Concentric and Eccentric phases of the exercise The displayed time is shown in the MM SS format Note The above display has a Target of 75 of the patient s ROM Proprioception Test 1 Trial 3 Test z Target 75 Figure 34 Proprioception Target Page 1 38 1 19 1 HUMAC2009 NORM Application Program User Manual Options The following options can be set from the Feedback Options screen Protocol Level Speed 1 19 2 Start Pause Level Speed Torque OK The path for the patient to follow The spacing 1 Easiest to 10 Hardest of the balls The speed at which the display scrolls down the screen Actions Start the display moving at the first repetition Pause the display timer The Patient effort will continue to be updated Note Pressing Pause again will re start the display from the current position Clicking Start will re start the display at the first repetition Pause allows the therapist to pause the display and give the patient further instructions before continuing The spacing 1 Easiest to 10 Hardest of the balls The speed at which the display scrolls down the screen The dynamometer torque settings in Isotonic mode Exit the display Page 1 39 HUMAC2009 NORM Application Program User Manual 1 20 Feedback Display Interactive Scrolling Path The Interactive Line Feedback Display allows the user to create custom paths for the patient to trace Con N 97
29. dynamometer response when the patient exceeds the Eccentric Torque Mode limit Set Mode Switch dynamometer mode to CPM Velocity Set the CW and CCW speed in deg sec Con Torque Set the CW and CCW Concentric Torque Limit in ft lbs Limit Ecc Torque Set the CW and CCW Eccentric Torque Limit in ft lbs Limit Accel Set the CPM Acceleration This is the rate at which the input adapter accelerates when leaving a ROM stop Ramp Set the CPM Ramping parameters 8 9 Isotonic Mode Sp Tor som CPM Setup Aum Set Mode Torque Limit Low Range I Cw CCw Cw cow z 500 z 500 400 400 300 300 gt 200 gt 200 i 100 100 Sa En 100 100 Figure 101 Toolkit lsotonic Mode 8 9 1 Starting Isotonic Mode 1 Set the ROM limits 2 Click the ISOT tab 3 Set the Torque Limits 4 Click the Set Mode button The HUMAC will switch to Isotonic mode Set Mode Switch dynamometer mode to Isotonic Mode Page 8 6 HUMAC2009 NORM Application Program User Manual Torque Limit Set the CW and CCW Torque Limit in ft lbs 8 10 Isometric Mode Sp Teo f Isom om Setup Aux Set Mode Iw Computer moves patient to angle Torque Limit Setpoint Low Range iv CW CCW cw cew z 500 z 500 z0 400 400 18 gt 300 gt 300 gt 35 gt 200 gt 200 gt 53 100 100 n 0 0 89 J 500 500 T 50 Figure 102 Toolkit Isometric Mode 8 10 1 Starting Isometric Mode 1 Set the ROM li
30. dynamometer settings HUMAC2009 MDB protocols and pointers to the real time data files User Dynamometer calibration and verification data Calibration2009 MDB User Error Log of Errors reported by the HUMAC System Log2009 MDB Results2009 MDB Exported Group Summary data HO9 Real time data files containing the torque and position data collected during each test and exercise set Letter Doc Narrative Report merge document Letter lsoM Doc Isometric Narrative Report merge document 6 25 2 File Locations 6 25 2 1 Vista MDB Files C Users Public Public Documents CSMi HUMAC2009 HO9 files C Users Public Public Documents CSMi HUMAC2009 Data and all sub folders Letter Doc C Users Public Public Documents CSMi HUMAC2009 Letter Exported C Users Public Public Documents CSMi HUMAC2009 Export Text Files 6 25 2 2 WindowsXP MDB Files C Documents and Settings All Users Shared Documents CSMi HUMAC2009 HO9 files C Documents and Settings All Users Shared Documents CSMi HUMAC2009 Data and all sub folders Letter Doc C Documents and Settings All Users Shared Documents CSMi HUMAC2009 Letter Exported C Documents and Settings All Users Shared Text Files Documents CSMi HUMAC2009 Export 6 25 2 3 Windows98 MDB Files C Program Files CSMi HUMACG2009 HO9 files C Program Files CSMi HUMAC2009 Data and all sub folders Letter Doc C Program Files CSMi HUMAC2009 Letter Exported C Program Files CSMi CSMi HUMAC2009 Export
31. generate uni polar plots Page 7 8 HUMAC2009 NORM Application Program User Manual 7 22 Display Zoom Values When previewing reports the HUMAC can add a hyperlink to Zoom values for example Peak Torque Foot Pounds Best Repetition Zoom Clicking the Zoom link displays the per repetition values for the parameter Setting the Zoom Values option 1 On the File menu click Preferences 2 Click the Reporting tab 3 Select the Display Zoom Values option a Selected Hyperlinks to Zoom values are added to the reports b Cleared Hyperlinks to Zoom values are not added to the reports Note Displaying Zoom Values will increase the time required to generate a report when the Preview option is selected Zoom values has no effect on the time required to Print a report The HUMAC can display Uni Polar absolute value of torque or Bi Polar positive and negative torque plots on the reports 7 23 Report Heading The HUMAC allows you to specify a heading typically your clinic name and address to be printed at the top of each report 1 On the File menu click Preferences 2 Click the Reporting tab 3 Enter the Report Heading 7 24 Units The HUMAC supports US and Metric units US Metric Torque Limit Foot pounds Foot pounds Foot pounds 7 24 1 Set the Units 1 On the File menu click Preferences 2 Click the Reporting tab 3 Inthe Units section select US Units or Metric Units Page 7 9 HUMAC2009 NORM
32. horizontal and 90 when the limb is vertical The Reported Torque values are used to compute the Peak Torque Work and Power values 7 13 1 Set the Gravity Correction Option 1 On the File menu click Preferences 2 Click the Data Analysis tab 3 Select Gravity Correct Torque Data to enable gravity correction 7 14 Adjust Calibration for Input Adapter Torque The original CSMI NORM software used 150 ft lbs for the torque calibration However 150 ft lbs does not take into account the weight of the input adapter The actual calibration torque is 154 5 ft lbs Using 150 ft lbs leads to a 3 error in measured torque work and power values on the NORM When this option is enabled the HUMAC uses the correct calibration values When this option is disabled the HUMAC uses 150 ft lbs for compatibility with the original CSMI software 1 On the File menu click Preferences 2 Click the Data Analysis tab 3 Select Adjust calibration for input adapter torque to use the corrected torque values during calibration Clear the Adjust calibration for input adapter torque to use 150 ft lbs as the calibration value 7 15 Zero Torque at ROM stop As the patient s limb enters a software ROM limit the dynamometer must decelerate the limb to 0 deg sec As a result of the deceleration you may observe an increase in the measured torque Page 7 5 HUMAC2009 NORM Application Program User Manual The Zero Torque at ROM Stop option causes the HUMAC to
33. menu bar Each menu item has an underlined character Holding the Alt key while pressing the underlined character selects the menu item For example ALE selects the file menu File Run Report Database Group Summary Utilities Help Page 1 1 HUMAC2009 NORM Application Program User Manual The Button Bar contains shortcuts to the most commonly used HUMAC functions When the HUMAC program begins only the Patient Home Exercise Speed and Help options are available Selecting a patient enables the Test Exercise and Report options mo 1G Patient Test Exercise Report Neutral Help To the right of the button bar is a real time display of the Dynamometer Status This includes the current ROM limits the input adapter position the dynamometer settings and the real time torque position and speed Mode isokinetic Right Torque ES EXTS 60 d s Con 300 bel Angle 56 FLXS 60 d s Con 300 ft lbs Speed 59 The bottom of the screen contains the Status Bar which displays the current test pattern and system units The system units are displayed for the Torque Position and Velocity measures Knee Extension Flexion Units ft lbs deg deg sec Page 1 2 HUMAC2009 NORM Application Program User Manual 1 2 Starting the NORM 1 From the Windows desktop double click the HUMAC icon to start the HUMAC program 2 The HUMAC Warm up dialog box is displayed Power On Test Downloading Altera code 100 100 100 Move the arm post T
34. patient has been tested with The patient s most recent protocol at the top of the list Following the patient s individual protocols the HUMAC displays the system protocols Rename A text description which is displayed in the Protocol control after the protocol is saved OK Continue with the displayed protocol Cancel Cancel the test exercise session and return to the main HUMAC menu Add Add a new set to the protocol Edit Edit the selected set Delete Delete the selected set from the protocol Insert Insert a copy of the selected set into the protocol Up Move the selected set up one row in the protocol Down Move the selected set down one row in the protocol Note D you are using the HUMAC on a network of CSMI machines it is possible to test a patient on one type of CSMI machine e g the 300 and later test the same patient on another type of CSMI machine e g the NORM When recalling a stored protocol the HUMAC automatically adjusts the protocol for the current machine NORM e All modes are set to powered 6000 e _lsokinetic mode can be powered or non powered e All other modes are powered CSMI II 300 and Back Systems e All modes are set to non powered es Isotonic and CPM sets are removed from the protocol Page 1 8 HUMAC2009 NORM Application Program User Manual Isokinetic speeds are limited to 300 deg sec on the Extremity Systems and 150 deg sec on the TEF Initial and reciprocal speeds are set to the s
35. patient populations Summaries are stored in a Group Summary database allowing the clinic to build a library of summary data results Reports can be printed for a stored group or comparing a patient to the group 5 1 Computing a Group Summary 1 From the Group Summary menu select My Data 5 2 Adding a New Group Summary to the Database Selection Options Patter Knee Extension Flexion ech Protocol 3 Speed Protocol 60 120 180 D Add Figure 72 Group Summary Add 1 Select the Pattern e g Knee Ex FI 2 Select the Protocol 3 Click the Add button 4 Enter the Summary name e g Three Speed Knee Protocol and click the OK button 5 The HUMAC will add the new summary to the Group Summary Database Note The HUMAC has added a blank group summary record for the selected pattern and protocol When you click the Summarize button the HUMAC reads through the database of tests and populates the group summary record 5 3 Computing the Summary 5 3 1 Setting the Group Criteria The Group Summary filter allows you to select which patients will be included in the summary The following example includes patents from 25 to 40 years old when the test was performed with an ACL Tear Only tests which were performed within 31 days of the injury will be included You can independently specify the From and To values Page 5 1 HUMAC2009 NORM Application Program User Manual Group Summary Filter Age Height Weight G
36. push the input arm in the direction of motion faster than the speed setting When the torque drops below the limit the HUMAC automatically switches back to isokinetic CPM mode Note Patients sometimes report it felt like the dynamometer slipped as the speed increased If so they may be exceeding the concentric torque limit Isometric If the patient exceeds the concentric torque limit the HUMAC automatically switches to isotonic mode While in isotonic mode the patient may push the input arm away from the isometric angle as the torque exceeds the limit When the patient relaxes the torque input the arm will move back to the isometric angle When the angle is reached the HUMAC will return to isometric mode Note It is possible for the patient to exceed the concentric torque limit at a ROM stop Because ROM stops must be enforced the patient may exceed the concentric torque limit as the limb is being decelerated while approaching a ROM stop 1 7 13 Torque Limits Ecc Isokinetic CPM Mode The HUMAC allows you to set eccentric torque limits e You can specify different extension and flexion limits e Selecting the EXT FLX checkbox causes the HUMAC to automatically copy changes in the EXT limit to the FLX limit This is convenient if you want the limits to be equal e While the patient is exceeding the torque limit the real time dynamometer settings are displayed in red Depending on the dynamometer mode the following actions are
37. stop the value would decrease e g 85 or 84 1 14 7 Speed Isokinetic CPM Speed EXTS 60 10 10 FLXS 60 10 10 10 1 Increase the speed by 10 deg sec for rotary patterns 1 inch sec for Page 1 28 10 1 1 14 8 1 1 1 14 9 1 1 1 14 10 Lock Unlock HUMAC2009 NORM Application Program User Manual linear patterns Decrease the speed by 10 deg sec for rotary patterns 1 inch sec for linear patterns Torque Isotonic Torque EXTS ng aj a FLXS 0 l 1 Increase the torque 1 ft lbs for rotary patterns 1 Ib for linear patterns Decrease the torque 1 ft lbs for rotary patterns 1 Ib for linear patterns Pause CPM Pause EXTS 2 dl a FLXS 2 o l d Increase the pause by 1 sec Decrease the pause by 1 sec Angle Isometric Isotonic Angle B52 Lock Switch the dynamometer to Isometric mode Switch the dynamometer to Isokinetic mode to re position the limb The current position is displayed next to the Lock icon Note In Isotonic mode you can use the Lock Unlock button to re position the input adapter at either end of the ROM This allows you to work the Agonist muscle group click the Unlock button position the adapter at the other end of the patient s ROM click the Lock button and work the Antagonist group Page 1 29 HUMAC2009 NORM Application Program User Manual 1 15 Feedback Display Roadway The Roadway Display allows the user to create custom paths for t
38. the Bureau of Standards e The Calibration T Bar and Locking Knob The T bar is locked onto the TEF Modular Component s input arm assembly during calibration and is used to hold the specific weight 6 1 6 TMC Calibration Setup 1 Position the reclining chair and dynamometer as indicated on the screen 2 Dock the TEF Modular Component as indicated 3 Prepare the TEF Modular Component a Remove the chest pad and hang it on the chest pad storage bracket b Loosen the scapular pad locking lever and move the scapular pad to its lowest position c Tighten the scapular pad but leave its locking lever in a position where it will not interfere with the calibration T bar s locking lever Notice the holes in the base of the T bar The inside of one hole is smooth while the other is threaded Place the T bar over the input arm assembly as close to the scapular pad adjustment channel as possible with the threaded hole toward the front of the TEF Modular Component the push buttons on the top of the T will be facing forward Insert the T bar s locking lever through the first hole in the base of the T bar and screw it into the second Move the sacral seat pad to the position indicated e Move the TEF Modular Component s input arm through its range of motion Make sure there are not obstructions in the path of the input arm assembly as it should not be hindered during the data collection process It should move freely within the range of
39. the ROM stops Chair EXT G FLX M Rotation Scale Back Angle 2 Attach the input adapters Knee Hip Pad Contralateral Limb Stabilizer Seat Pos 2 C Flat Knee Hip Adapter Dynamometer Lumbar Cushion Dyna Tilt Fore Aft Position Back Translation Dyna Height Place the patient on the NORM Dyna Rotation Monorail Adapters Knee Hip Adapter Length I Johnson Anti Shear Inner Outer OK Cancel Help Figure 9 Dynamometer Settings IMPORTANT Before placing the patient on the NORM set mechanical stops to the locations shown in the ROM Stops box Before the software stops are established the controller has no information on how to limit the range of motion in the event of a system failure Placing the hardware stops at the initial locations provides an extra layer of safety until the software stops are established 1 9 1 Actions Support Sets the dynamometer to a 3 ft lbs torque threshold This is convenient Input when setting up the patient limb Adapter Help Under Open the Help System to a description of how to setup the selected picture pattern Help Right Open the Help System to a description of how to use this screen Corner OK Continue with the test exercise protocol Cancel Cancel the test exercise session and return to the status screen Note Double click an adapter name to display a picture of the adapter Page 1 16 HUMAC2009 NORM Application Program User Manual 1 10
40. the files When contacting CSMI to resolve a question we may request you only select one type of file for backup and then send the backup to CSMI Start the backup Abort the backup currently in progress and delete the backup file Backup Your Data On the File menu click Backup Click Set Backup Destination From the Windows File Open dialog box select the destination for the backup Select the Files to Backup Typically you would select all files Page 6 17 HUMAC2009 NORM Application Program User Manual 5 Click the Backup button Note Some sites prefer to use CD R or CD RW media for backup These media require special programs provided with the CD drive to write data to the CD If you will be using the HUMAC Backup Command you must perform the backup to a folder on the computer s hard drive and then use the CD supplied software to copy the HUMAC Backup ZIP file to the CD Page 6 18 HUMAC2009 NORM Application Program User Manual 6 9 Data File Location The HUMAC database can be stored on your local computer or on a network 1 On the File menu click Database Open 2 When the Windows Open File dialog box appears locate and open your HUMAC database User HUMAC2009 MDB 6 10 Compress If you make frequent changes in the HUMAC database sections of the database may become fragmented Therefore it is a good idea to periodically compress the database Schedule the compression depending on how much the data changes
41. the left click the Protocol Name you want to edit Enter the protocol values The HUMAC automatically updates the feedback display bk po NM gt In the area above the display enter a Descriptive Name for the protocol 6 18 3 Deleting a Protocol 1 From the Utilities menu select Interactive Feedback Editor Protocol Type 2 In the table on the left click the Protocol Name you want to delete 3 Click the Delete button 6 19 Protocol Editor Interactive Line Scrolling Line Protocol Editor Description S h Position Time D Mid Range Training 0 na Simple Path W I 75 0 9 W I Slope lt 45 we Slope gt 45 A Delete 735 oa 0 3 25 D W I W I Description Mid Range Training 75 0 9 0 9 25 0 9 D i 2 3 4 5 sous 6 7 8 3 25 0 9 0 9 Wy sos 0 9 75 0 9 D 3 4 3 4 3 7 0 9 40 9 3 4 3 4 3 4 2 oos 0 9 13 0 9 0 9 2 0 9 0 9 E 0 9 0 9 Figure 88 Protocol Editor Interactive Line Page 6 27 HUMAC2009 NORM Application Program User Manual Parameter Definition Position The percent of the full scale Y axis value For Isometric mode 100 represents the patient s full isometric contraction For lsotonic Mode 100 represents the patient s full range of motion Time The time in seconds to reach the new position 6 20 P
42. to the main HUMAC screen Search As you begin typing the patient s last name the HUMAC automatically displays patients matching the search criteria New Add a new patient to the database Edit Edit the highlighted patient s background information Name Height Weight etc Delete Delete the highlighted patient from the HUMAC Database IMPORTANT When you delete a patient from the HUMAC Database all of their test and exercise data is deleted from the system There is no way to recover deleted data Last Test Repeat the last test run on the patient The HUMAC recalls the most recent test run on the patient and begins a new test session using the same pattern and protocol Last Repeat the last exercise run on the patient The HUMAC recalls the most recent Exercise exercise run on the patient and begins a new exercise session using the same pattern and protocol Complete Complete the last test or exercise run on the patient The HUMAC recalls the patient s previous test and goes directly to the test status screen This is typically used if you are unable to complete the test e g the patient stopped or there was a computer problem 1 3 2 Adding a New Patient 1 Click the Patient button to access the Patient Selection screen 2 Click New 1 3 3 Selecting an Existing Patient 1 Click the Patient button to access the Patient Selection screen 2 Begin typing the Patient s last name in the Search box Page 1 4 Note ak On P
43. with the same unique code 1 Yes Import the protocol overwriting the existing system protocol with the imported protocol Note No changes are made to tests which were previously run with the protocol 2 No Do not import the protocol 3 From the Windows File Open dialog box select the Protocols2009 MDB file and click the Open button 4 The HUMAC will import the System Protocols to your database Page 6 21 HUMAC2009 NORM Application Program User Manual 6 13 Exporting Data The HUMAC allows you to Export real time data to an Excel Spreadsheet or to a Text File 6 13 1 Exporting a Stored Test 1 Select the Patient woe data you want to export 2 Onthe Database menu click Export Data 3 Click the Test Exercise record you want to export 4 Click Excel to export the data to an Excel Spreadsheet Click Text to export the data to a text file 6 13 2 Excel File Format The HUMAC will create an Excel Workbook containing one sheet for each test exercise set Each sheet will contain the real time time torque and position data along with a plot of the torque and position data vs time 6 13 3 Text File Format The HUMAC will create a text file for each test speed and side run The files are placed in the HUMAC Export folder with the file name identifying the specific patient and test Patient Name Date Time of Test Speed Repetitions Protocol Set Number CSV The Protocol Set Number indicates the set in the protoco
44. 0 PM Knee Extension Flexion 60 180 Degrees Per Second Vv Vv Vv 8 7 2007 8 27 12 AM Knee Extension Flexion 60 180 Degrees Per Second Vv Vv Iv 8 5 2007 11 51 49 AM Shoulder Internal E xtemal Rotation Mod St 2 Speed Protocol 60 180 Vv Vv v E 2 1 1 ee Figure 38 Single Test Report Report Types The HUMAC provides a number of test and exercise reports Short Torque vs Time Short Torque vs Position Long Torque vs Time Long Torque vs Position Graphic Summary Curve Overlay Torque Repeatability Narrative Report Multi Session Report Reps Torque vs Time Single Page report with Torque vs Time plots and most commonly measured parameters Single Page report with Torque vs Position plots and most commonly measured parameters Multi Page report with Torque vs Time plots and all measured parameters Multi Page report with Torque vs Position plots and all measured parameters Multi Page report with Bar Plot of Torque Work and Power value and Fatigue Plots Single page report with Torque vs Position plots and Torque values at user selected angles Single page report with Torque vs Position curve overlay and comparison measured parameters for the initial and final set in a protocol Select the side for the Multi Session report Multi Page report with Torque and Work plots and Torque Work Power and ROM values across multiple test sessions Note The Multi session repo
45. 0 in Non Powered isokinetic Con Con mode When selected the HUMAC enforces the software ROM limits set by the therapist When cleared the HUMAC does not provide any ROM limit checking Note ROM limits must be applied in powered modes 1 7 4 Zero Gravity When selected the HUMAC controller provides active compensation for the limb and input adapter weight providing the effect of a weightless limb adapter Mode Isokinetic Powered CPM Operation The response of the input adapter is based on the Gravity Corrected measured torque so it appears to the patient that their limb is weightless The response of the input adapter at the torque limits is based on the compensated torque data Note Zero Gravity is useful in CPM mode when Page 1 10 HUMAC2009 NORM Application Program User Manual using the Reverse Direction on Overtorque option with a low torque value to provide passive stretching 1 7 5 Action The dynamometer action Con Con Concentric Concentric The patient begins in full Flexion The repetition begins with a concentric extensor action followed by a concentric flexor action Con Ecc Concentric Eccentric The patient begins in full Flexion The repetition begins with a concentric extensor action followed by an eccentric extensor action Ecc Con Eccentric Concentric The patient begins in full Extension The repetition begins with a concentric flexor action followed by an eccentric flexor action Ecc Ecc Ec
46. 00 straight up until the arm locks into isometric mode Click the box after the arm locks at 12 00 IT Move the arm to 12 00 Carefully load 25 pounds of weight onto the Knee Hip adapter After the weights are loaded make sure the monitor and keyboard are clear of the falling weight stand clear of the dynamometer input arm and check the box The arm will begin to fall Place 25 pounds on the arm After the arm reaches 6 00 straight down the following box will be highlighted Remove the weights and then check the box Remove all weight from the input arm assembly The verification calibration will then repeat in the CW direction The HUMAC will display the verification results Calibration Results Success Expected Value Measured Value Percent Error Percent Full Scale Error Figure 78 Calibration Results Page 6 4 HUMAC2009 NORM Application Program User Manual Note If the HUMAC reports Verification Error you should repeat the calibration and verification procedures If the HUMAC reports an error a second time contact CSMI Technical Support Page 6 5 HUMAC2009 NORM Application Program User Manual 6 1 5 TMC Calibration Setup The parts and accessories listed below are needed to perform the torque calibration e The Calibration Weights Weights totaling 100 lbs are needed Four 25 lb weights are included with the NORM System Note The weights which are included with the NORM are certified by
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48. 31 2008 Wresting Group 2 Torque Flexors Con 3 Flexors Con 130 Flexors Con 0 Flexors Con 130 Flexors Con 130 Fierors 130 Torque Flexors Con 120 Flexors Con a Flexors Con 120 Flexors Con 120 Flexors Con 120 Eexcen 120 5496 1105 1105 1105 1105 1105 5525 Page 2 4 2 3 HUMAC2009 NORM Application Program User Manual Short Torque vs Time Report The Short Trq vs Time Report provides a single page report showing the torque vs time plots for the first set and the numeric results for the first three sets in the protocol 2 3 1 1 af oO N Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Short Trq vs Time as the report type Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Note Use the Long Torque vs Time Report for a full report of all measured parameters during every set Use File Preferences command to set report heading Shot Form Torque ep Time Report nee Dvtersant ier A we o D D nane free aes 345 L GTN CWE EH W Toae Curves 7 Peor Corm meane Conton Cap s n Con Tege Cony Speed GED dighet Reps weg Cat ve Now Wuer Cot ve Da t a Pesa argue Fact Pounds reet Fatergen ba D ot 2 v d a ma 7 Work per Repent
49. 6 1 3 Calibrate Torque 1 On the Utilities menu click Calibration 2 From the Calibration Menu click Calibrate Torque 3 Setup the dynamometer for the calibration Only the Knee Hip Adapter should be installed on the dynamometer input arm Click the box when the dynamometer is positioned correctly Page 6 2 HUMAC2009 NORM Application Program User Manual Place the arm at 6 00 Set the arm to number 45 Pin should click in place Set ROM stops to gray D and gray U Set dynamometer tiltto position 0 4 Raise the input adapter toward 12 00 straight up until the arm locks into isometric mode Click the box after the arm locks at 12 00 T Move the arm to 12 00 5 Carefully load 100 pounds of weight onto the Knee Hip adapter After the weights are loaded make sure the monitor and keyboard are clear of the falling weight stand clear of the dynamometer input arm and check the box The arm will begin to fall Place 100 pounds on the arm 6 After the arm reaches 6 00 straight down the following box will be highlighted Remove the weights and then check the box Remove all weight from the input arm assembly 7 The calibration will then repeat in the CW direction Note After performing a calibration you should Verify the Torque 6 1 4 Verify Torque The HUMAC does a two point verification You will be asked to perform a weight drop with 100 pounds followed by a weight drop with 25 pounds On the Utilities menu
50. A OW HUMAC2009 NORM Application Program User Manual Click the Patient s Name in the Patient List area Click OK Editing an Existing Patient s Information Click the Patient button to access the Patient Selection screen Begin typing the Patient s last name in the Search box Click the Patient s Name in the Patient List area Click the Patient s Name Click Edit After a patient has been tested use the Edit Background command to edit the information stored with the test The Patient Selection screen lists the Patient Name and ID By default the list is sorted by patient name To sort by ID click on the ID column heading Page 1 5 1 4 HUMAC2009 NORM Application Program User Manual Entering Patient Information When you recall a stored patient or enter a new patient the HUMAC displays the Patient Background Information screen 1 4 1 OK Cancel 1 4 2 Patient Background Information General ITNT EA Last First MI Potash Robert az D ID 12434 Birth date logn6n965 Height 67 Inches Weight hss Pounds Gender Male C Female Preferred Side r Left KR Right Involved Side M Left M Right Tester Steve C Cancel Help Figure 4 Patient Background Information Actions Save your changes to the patient record Cancel your changes to the patient record Entering Data A Z 0 9 Click the Keypad buttons az or to pop up a keypad for data entry with a touch screen moni
51. C Screen click the Patient button to select the patient Click the Report button Select the desired Exercise protocol From the Print Preview area select Exercise as the report type Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Numeric Exercise Report Knee Extension Fiexton Name Potash Robetl 1 12345 RightLeft Birth date 1 1 1881 kavolved Side Right Left Group 1 Height 65 inches Preferred Side Right amp Leh Weight 165 Pounds Doctor Jones Gender Male Tester Anderson R Diagnosis D21082 ACL Tear Surgery Right Torque Work tsolinetic ConCon Speed G00 Repetbons 10 Extensors Con 15 3073 isokinetic ConCon Speed 120120 Repetiions 10 Extensers Con 15 1073 isokinete ConCon Speed 180 180 Repettions 10 Extensors Con 15 3073 isokinetc ConCon Speed 200 240 Repetiions 10 Extensors Con 15 1073 lsokinetic ConCon Speed 30000 Repettions 10 Extensors Con 115 3073 Extersors Totais 15 5385 Left Torque Work tsohinetic ConCon Speed G Repetbons 10 Extensors Con KI e32 isokinete ConCon Speed 120120 Repettons 10 Extensors Con 88 s32 tsolinetc ConCon Speed 180 180 Repetiions 10 Extensors Con 8s S32 isokinetic Conon Speed 260 240 Repetiions 10 Extensors Con 88 2 isokinete ConCon Speed 300 300 Repetiions 10 Extensors Con 88 832 Ertersons Totais 88 4880 Figure 41 Report Exercise 31 2008
52. CSMi and their actual weights recorded on the side of each plate e The Knee Hip Adapter In the calibration process this accessory will be connected directly to the dynamometer input arm and hold the specified weights Note The original CSMi NORM dynamometer torque calibration procedure assumed a calibration torque of 150 ft lbs which ignores the torque of the input adapter The actual value with the weights and input adapter is 154 5 ft lbs We suggest using the value of 154 5 ft lbs which results in more accurate torque data reporting Use the HUMAC Preferences form to select which calibration value you want to use 6 1 2 Calibration Weights The original NORM weights were manufactured to 25 lbs The original CYBEX weights have the word CYBEX in raised letters on the side of each plate The newer CSMi weights are weighed and their weights recorded directly on the weight The CSMi weights do not have the word CYBEX in raised letters on the side of each plate Entering the Weight Values 1 From the Utilities menu select Calibration 2 From the Calibration form click the Weights button 3 Original CYBEX Weights From the Calibration Weights form enter the 25 for each Weight value and click the OK button 4 CSMi Weights From the Calibration Weights form enter the value written on the side of each weight in the corresponding field and click the OK button Calibration Weights Figure 77 Calibration Weights
53. HUMAC2009 NORM Application Program User Manual Computer Sports Medicine Inc CSMi HUMAC2009 NORM APPLICATION PROGRAM User s Guide Copyright 2009 Computer Sports Medicine Inc Stoughton MA All rights reserved Disclaimer CSMi makes no representations or warranties regarding the contents of this manual We reserve the right to revise this document at any time or to make changes to the product described within it without notice or obligation to notify any person of such revisions or changes Printed in the United States of America Part Nbr 300570 Rev A DRAFT 0413 Page 1 1 HUMAC2009 NORM Application Program User Manual TABLE OF CONTENTS HUMAC APPLICATION ccccceeeeeeecceeee eee e eee eeeccaaeee eee ee eeeeaaaeeaaeeeeeeeeeeeecaeeeeeeeeeeeeenaaaes 1 1 1 1 Main HUMAC Gcreen eset ee eeeeccaeeeeeeeeeeeecaaeeaaeeeeeeeeeneeciaeeeeeeeetnee 1 1 1 2 Starting the NORM 0 00 0 cccccceeeeee eee e ee eeecaeee eee eee eteeeaaaeeeeeee eee eeegecaaaaeeeeeeeeeseecsaeeeeeees 1 3 1 3 Selecting a Patient 1 4 1 4 Entering Patient Information 1 6 1 5 Pattern Selection cceeeeeee cette cece e etter eee e eae ee eee eee ee aaaeeeeeeeeeeneccaaaeeeeeeeetniee 1 7 1 6 Protocol Gelechon EEN 1 8 1 7 Ee 1 10 1 8 FOCOD ACK SER E EE EE E E E TT 1 15 1 9 Dynamometer Settings sessessseeeeeeeeeseiirrrttssstiirntttesstnnrnnntaseaaasnnnnnnnatnnnnnnn nnne 1 16 TAOS a E E 1 17 Tais Anatomical Zero DE 1
54. If the data does not change that often you do not have to compress that much If there are many and frequent updates inserts and deletes compress more Even though there is no formal rule for how often to compact Microsoft recommends that you compress on a regular basis For a detailed description of the compress function see the Microsoft Knowledge Base article Q209769 ACC2000 Defragment and Compact Database to Improve Performance 6 10 1 Compress the Database 1 On the File menu click Compress 2 Click Yes to compress the database Note During the compress function the mouse pointer will change to an hourglass Because the compress function is a Microsoft internal database function you will not see any progress indicators The HUMAC will display a message when the compression is successfully completed Page 6 19 HUMAC2009 NORM Application Program User Manual 6 11 Import Database The HUMAC Import Database command allows you to combine data from multiple HUMAC databases into a single database for reporting and group summary analysis Each HUMAC Database is a unique GUID Use the Help About command to view the GUID for your database IMPORTANT The Import Database function is used to combine multiple databases into a single HUMAC Database at a central location To upgrade an existing database to the HUMAC2009 format use the File Upgrade command Import to Central Database UrZip Data A ak EI Import Data Impor
55. Mirror ROM is only enabled if the stops have been set for the other side Note The Software Stops include a red green circle indicating the patient has demonstrated they can reach the stop location For example if the patient is being re tested the HUMAC sets the stop locations to the value from their previous test The circles will be red indicating the patient has not confirmed they can reach the stops As the patient moves through the Range of Motion the HUMAC monitors their position and turns the circle to green when the patient has reached the stop The purpose of this is to always verify the patient can reach the software stops before enabling them The HUMAC will not allow you to select Set ROM until both circles are green 1 12 3 Expand ROM Expand ROM EXT FLX oki 10 1 e OU C 10 88 C 20 C 30 C 20 C 30 Figure 14 Expand ROM The HUMAC allows you to increase the range of motion from the Neutral Menu while the patient is in CPM mode In order to correctly set the hardware stops the HUMAC must know the maximum amount you intend to increase the ROM For example to allow an extra 10 degrees of Extension click the 10 option in the Expand ROM EXT area The HUMAC wll display the correct hardware stops to accommodate the extra 10 degrees of extension The CPM exercise will begin with the range displayed in the Software Stops From the Patient Feedback display use the Inc Dec buttons to increase or decrease the range of motion Note
56. Short Progress as the report type SS HL pS fo J cx Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Shon Form Progress Report oare Ertan vow tance Name D i Cap Dar ore CH boei Sade Rpt KM temani get D vares Preferred Ste Group 7 e a e Doctor ence Ve N T wmr amp Sam st ACA Tow Surgery Be Ze gt lt a ees Sege GG Zeng Meee S e S 3 Pe a t Reprod 125120 aega Mops y D pe eh 1 ape a D 7 vener D 3 3 Copr g Compde Sorn Uate ee Figure 63 Report Short Progress Page 2 27 HUMAC2009 NORM Application Program User Manual 2 25 Long Progress Report The Long Progress Report provides a multi page report showing the torque vs position plots and the complete numeric results for each session along with the change which occurred 2 25 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient From the Report menu select Progress Select the initial test protocol and click the Initial button Select the follow up test protocol and click the Follow Up button From the Print Preview area select Long Progress as the report type Os OL end Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Lo
57. W and CCW speed in deg sec Con Torque Set the CW and CCW Concentric Torque Limit in ft lbs Limit Ecc Torque Set the CW and CCW Eccentric Torque Limit in ft lbs Limit Threshold Set the Ecc Torque Threshold 8 8 CPM Mode Int or Son TI CPM TI Seu Ae Continue Pause Reverse Direction Si Set Mode Velocity Con Torque Limit Ecc Torque Limit Pause Accel Ramp I Low Range I Low Range Low Range I Low Range KD KD See E Accel Ramp Ramp Time Cw cow Cw CCW Cw ccw Cw Cw 500 2 2 500 3 3 500 3 60 z S 2000 z 100 z 60 SEN e a gt SEN e z es 7 Ee 300 a Za Z S S gt S 30 1030 50 30 200 200 200 z Zum Za T E si fe Fe 15 Bo w e E E EE aE e Gol Se 15 15 100 1 100 1 100 1 100 2 2 J 120 J 0 Io Figure 100 Toolkit CPM Mode 8 8 1 Starting CPM Mode 1 Set the ROM limits Page 8 5 HUMAC2009 NORM Application Program User Manual Click the CPM tab Select the Eccentric Overtorque Mode Reverse Direction in this example Set the Velocity Concentric Torque Limit Eccentric Torque Limit Pause and Acceleration Ramp Click the Set Mode button Click the Continue button The HUMAC will prepare to switch to CPM mode Move the patient to the starting location and the HUMAC will begin CPM mode Note e To stop the input adapter and enter isometric mode click the Pause button e To re start the adapter in CPM mode click the Continue button Overtorque Set the
58. aeee sees eta teaaaaaeeeeeeeeeeecaaaaes 2 10 Figure 48 Report Repeatability AA 2 11 Figure 49 Report Interactive Feedback Scrolling Line c eccceeeeeeeeeeeeeeceeeeeeeeeeeeeeeaees 2 12 Figure 50 Report Interactive Feedback Path 2 13 Figure 51 Report Interactive Feedback Roadway Report sssssssseeessssssssrrrrirrrrsssssrrrrrrens 2 14 Figure 52 Report Interactive Feedback Response Time Repor seeeeeseeerseeeserrrrrren 2 15 Figure 53 Report Interactive Feedback Response Time Repot eseeeseeeeeeeeserrrerre 2 16 HUMAC2009 NORM Application Program User Manual Figure 54 Report Endurance Capacity eesssesssesrreessesssnernntsssernrnnnnnsssernrnnnnnnnnnnssennnnnnnne 2 17 Figure 55 Report Single Parameter Per Get 2 18 Figure 56 Report Single Parameter Per Get 2 19 Figure 57 Report ISOMO trae zeessen vers cadets eee cacaes savas suesssaedes rays EEEa SATa KAEKA e a a aa iaaa a 2 20 Figure 58 Report Isometric Progress 2 21 Figure 59 Report Multi session ceceeeceeceeee eect eeeeneaeee cette teeeaaaeeeeeeeeteeeteeeaaaaaeeeeeeeeeeeeaaaaes 2 22 Figure 60 Report Narrative AE 2 24 Figure 61 Report Reps Torque vs Position cccceeeeeeeeeeeeeeceeeeeeeeeeeeeeaaeeeeeeeeeeteeteeenaaaes 2 25 Figure 62 Report Reps Torque VS Time 2 26 Figure 63 Report Short Progress cccccccceeeeeeeeceeneeeee eee eeeeeaaaaeeeeeeeetaaaaaaaaaaeeseeeeseeenaaaes 2 27 Fig
59. ame value Software range stops are removed from isokinetic mode Page 1 9 HUMAC2009 NORM Application Program User Manual 1 7 Sets A set specifies the parameters dynamometer operating mode termination parameter and number of repetitions for one row in a protocol For clarity the following example describes a Knee Extension Flexion test Protocol Mode Speed CPM M Powered IT EXT FLX Angle 0 X Isometric KR Use ROM Limits EXT FLX 60 F 60 Time sokinetic Zero Gravity Isotonic Torque Limits Con Rep Rest 0 x rere O EXTS FLXS Torque Threshold 0 z EXTS FLXS 500 500 Se e Con EXTS Con FLXS C Con EXTS Ecc EXTS F Computer moves patient to angle C Con FLXS Ecc FLXS C EXTS FLXS SE Ecc EXTS Ecc FLXS EXTS FLXS 50 E 0s Cushion 5 H Steng 5 Torque Threshold 0 m Enabled Rest 5 E Overtorque mode Abort EM 60 Set Start Speed 0 100 95 Termination C EXT FLX Torque Threshold 3 D EXT FLX 0 0 z Rest 0 Se Maximum ROM limits S EXT FLX SS SS F Feedback OK Cancel Help Done Figure 7 Set Editor 1 7 1 Mode The dynamometer operating mode Isokinetic CPM isometric or isotonic 1 7 2 Powered The powered option is available on the CYBEX 6000 allowing Powered or Non Powered isokinetic Con Con modes 1 7 3 Use ROM Limits Use ROM Limits is available on the CYBEX 600
60. atient is on target a red ball color indicates they are not on target A green target color indicates the patient has successfully moved into the target for the settle time A red target indicates the patient should move into the target If they are in the target and it is still red then they have not reached the Settle Time yet Page 1 34 HUMAC2009 NORM Application Program User Manual The Response Time and Settle Time plots show how quickly the patient responded after the target was moved and how long it to them to reach the target after which they maintained the target position for the Settle Time 1 17 1 Options The following options can be set from the Feedback Options screen Protocol Level 1 17 2 Start Pause Torque OK The path for the patient to follow The diameter 1 Easiest to 10 Hardest of the target circle Actions Start the display moving at the first repetition Pause the display timer The Patient effort will continue to be updated Note Pressing Pause again will re start the display from the current position Clicking Start will re start the display at the first repetition Pause allows the therapist to pause the display and give the patient further instructions before continuing The dynamometer torque settings in Isotonic mode Exit the display Page 1 35 HUMAC2009 NORM Application Program User Manual 1 18 Feedback Display Scrolling Line The Scrolling Line Feedback Displa
61. bebvbvsybetebeletalebvtutetitaguteiitetec dant ease ethaues 6 13 Figure 82 Edit Background Information cccccccceceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeess 6 14 Figure 83 Delete Stored ihestitsvieceisssestieivevsetetvsesutetvseuutetveestetubeleteleheuhelectcecescaehends thceees athaeee 6 15 Figure 84 Usage Report EE 6 16 Figure 85 Backup Database ccisictets ev vesleessenet vee Taara raana a aaa aa aaa aAa 6 17 Figure 86 Import Databases r ra a rr a aa T raaa E eevevevbetebeteleLsceceeetesedd AA Aaaa 6 20 Fig r 87 System Protocol Ed OT ar Ta Taea Taaa aar e aa a aa Eeer 6 26 Figure 88 Protocol Editor Interactive Lime 6 27 Figure 89 Protocol Editor Interactive Path ccc ceneee reer eeeeeneeeetesaeeeeeeeaeaeeeeneaeees 6 28 Figure 90 Protocol Editor Roadway sssssseeesssssssserirssssssriirrrstsssttrrrnnstssstnrenrnrnnnssssstnnnnnn 6 28 Figure 91 Protocol Editor Pacing Bar 6 29 Figure 92 Protocol Editor Pacing Ba a ar aar eE eaa AARE 6 30 Figure 93 Protocol Editor Response Time 6 30 Figure 94 le U ET 6 32 FIQUPe GO e ET 6 33 Figure 96 Took e Steg eet getebet eebe eebe EE REES 8 1 Figure 97 Toolkit e CN 8 3 Figure 98 Toolkit ROM Limite 8 4 Figure 99 Toolkit Isokinetic Mode 0 eee een reese eect eee teaeeeeeeeaaeee tne teaeeesteaeeeesenaeeeeee 8 5 Figure 100 Toolkit CPM Mode eee eennee reer eee eenneeeeteaeeeeeeaaeeeeeeeeaeeestenaeeeetenaeeeene 8 5 Figure 101 Toolkit Isotoni
62. c Mode 8 6 Figure 102 Toolkit Isometric Mode 8 7 Figure 103 Toolkit Feedback Display 8 8 Figure 104 Toolkit Auxiliary Outputs cc ceeeeeee eee eeeeeeee eee e eee eteeaaaee settee tteeaaaaaaaeeeeeeeeeeeeeaaaes 8 9 Figure 105 Group Gcreening sere eeeeecaeeeeeeeeeeeecaaaeeaaeeeeeeeeegeecaaeeeeeeeeeeeeenaaaes 9 1 Page 1 6 HUMAC2009 NORM Application Program User Manual 1 HUMAC APPLICATION The chapter focuses on using the HUMAC Application program Instructions for installing the software are provided as an easy reference for any future software updates The HUMAC Application is Microsoft Windows 98 2000 XP and Vista compatible Familiarizing yourself with Windows will enhance your understanding of the HUMAC s operation 1 1 Main HUMAC Screen The Main HUMAC Screen contains a number of components HUMAC2008 D File Run Report Database Group Summary Utilities Help TS SEER i t D A SA EE Setti Angle D 3 GE Ge Patient Test Exercise Report Dashboard Help ee i Speed Jo HUMAC NORM TESTING amp REHABILITATION SYSTEM Units ft lbs deg de A Figure 1 Main HUMAC Form The Title Bar located at the top of the screen contains the Application Name HUMAC for Windows the current patient Potash Robert L and the current screen Patient Selection tr HUMAC2008 Potash Robert L Just below the title bar is the Menu Bar You can access all of the HUMAC functions from the
63. cent of the screen which the computer uses to track an approaching Skill ball At 100 the computer paddle starts moving toward the ball immediately At 50 the computer paddle starts moving toward the ball when it is 1 2 of the way toward the computer s paddle 1 21 2 Actions Start Start the game OK Exit the display Page 1 43 HUMAC2009 NORM Application Program User Manual 1 22 Feedback Display Breakout The Breakout Feedback Display allows the patient to play interactive challenges with the HUMAC 7 D Breakout X 2 Paddle Size 5 ES Ball Speed Ball Accel Figure 37 Feedback Display Interactive Breakout The goal is for the patient to keep hitting the balls breaking the blocks at the top of the display In Isotonic mode the patients paddle position corresponds to the patient s limb position In Isometric mode the paddle position corresponds to the patient s torque production 1 22 1 Options The following options can be set from the Feedback Options screen Torque In Isometric Mode the torque required to move the paddle fully across the screen Ball Speed The initial speed of each ball as the game begins Ball Accel The ball acceleration each time it strikes a paddle Setting the Accel to 0 keeps the ball at a constant speed during the game Ball Size The ball diameter Nbr Balls The number of balls per game Page 1 44 HUMAC2009 NORM Application Program User Man
64. centric Eccentric The patient begins in full Extension The repetition begins with an eccentric extensor action followed by an eccentric flexor action Based on the dynamometer Mode the HUMAC allows the following Actions Isokinetic Con Con Con Ecc Ecc Con or Ecc Ecc CPM Not applicable In CPM mode the dynamometer movement occurs regardless of whether the patient is performing a concentric or an eccentric contraction Isometric Con Ecc extensors Ecc Con flexors Isotonic Con Ecc similar to a quadriceps extension machine Ecc Con similar to a hamstring curl machine 1 7 6 Trial Reps The number of repetitions to be performed before the start of the test or exercise Trial Reps are available in Isokinetic Isometric and Isotonic modes Trial Reps are not available in CPM mode Selecting Unlimited causes the HUMAC to remain at the Trial Reps Feedback Display screen until the therapist clicks the Cancel button 1 7 7 Trial Rest The rest time in seconds at the end of the trial reps At the conclusion of the Trial Rest the Test or Exercise is begun 1 7 8 Set Termination The HUMAC allows you to specify the termination at the end of the set For Isokinetic Isometric and Isotonic mode the termination is specified as number of repetitions to be performed For CPM mode the termination can be specified as the number of repetitions to be performed or the length of time in seconds or minutes 1 7 9 Set Rest The rest tim
65. ck All Sets the HUMAC will leave the data from the first set in place and replace the data in the second and third set with the new data as the sets are re run Re set the patients Anatomical Zero If you re set the AZ you should re run the sets Display the short torque vs position report This allows you to quickly check the results of a set before switching sides or leaving the Test Status screen Display the protocol editor allowing changes to the selected set Note When a set is edited any data which was run on the selected set will be lost The HUMAC remains in Isometric mode at the conclusion of an isometric set to provide support to the patient limb The Unlock button returns the system to Isokinetic mode When selected the HUMAC weighs the limb so gravity correctly can be applied Note The checkbox only applies to the current protocol Use the Preferences to set the default gravity correction option for all patients When selected the HUMAC display user adjustable targets on the real time feedback display When selected the HUMAC stops the timer if the patient s torque production is not within the Targets Note This option is only available in Isometric mode Page 1 17 HUMAC2009 NORM Application Program User Manual Note If the patient stops in the middle of a set you may choose to re run the set When you re run a set the HUMAC overwrites the previous data with the new data Page 1 18 HUMAC2009 NORM Application
66. crypted and password protected Page 6 23 HUMAC2009 NORM Application Program User Manual 6 15 Submitting a Test to INRTEK The HUMAC allows you to Export data to Inrtek Testing Services 6 15 1 Submitting a Test Select the Patient who s data you want to export On the Database menu click INRTEK Select the Knee Ex FL Test you want to export and click the Knee button Select the Shoulder Ex FL Test you want to export and click the Shoulder button Select the Trunk FI Ex Test you want to export and click the Trunk button Select the Destination for the export file a A drive You will need to submit the test to Inrtek b C drive When you exit the HUMAC program the Inrtek program is called to automatically submit the tests to Inrtek 7 Click the Export button to create the Inrtek file OY OE NE Page 6 24 HUMAC2009 NORM Application Program User Manual 6 16 Submitting a Test to IPCS The HUMAC allows you to Export data to IPCS Testing Services 6 16 1 Submitting a Test Select the Patient who s data you want to export On the Database menu click IPCS Select the Knee Ex FL Test you want to export and click the Knee button Select the Shoulder Ex FL Test you want to export and click the Shoulder button Select the Trunk FI Ex Test you want to export and click the Trunk button Select the Destination for the export file Click the Export button to create the IPCS Submit2009 ZIP file The exported file is stored in the
67. ction Speed C CPM Con Con 60 Pe C Isometric Con Ecc Mode 60 0 9 sokinetic EcciCon C sotonic O Ecgece EE ele Figure 66 Dashboard Mode amp Action e The most common Mode and Action settings displayed as the quick choices e For more detailed settings click the Mode button Page 3 1 3 4 3 5 3 6 HUMAC2009 NORM Application Program User Manual Feedback Feedback C Torque ys Time Curves E amp Torque vs Position Curves a C Velocity ve Time Curves C Interactive Line Figure 67 Dashboard Feedback The most commonly selected feedback modes are displayed as the first three quick choices To select a mode click the Feedback button The newly selected mode will be displayed as the forth quick choice Side Side C Left Right Figure 68 Dashboard Side Select the side to be exercised Anatomical Zero Anatomical Zero 0 0 3 ba Set AZ Figure 69 Dashboard AZ Set the Anatomical Zero If the patient cannot reach the AZ enter the limb offset the click the SetAZ button Page 3 2 HUMAC2009 NORM Application Program User Manual 3 7 Range of Motion ROM Limits gt Range of Motion Software Stops T Track Patient ROM 3 Ge x ROM FLA z cl ROM ROM Mechanical Stops EXT w FLX J Expand ROM EXT FLX e O C10 3 rz O C10 88 C 20 C 30 20 C 30 L Figure 70 Dashboard ROM Limits e Get the Range of Motion limits for the exercis
68. ctive Feedback Report provides a report showing the path and the patient position for isotonic mode or torque for isometric mode during the test 2 10 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Interactive Feedback as the report type SL de ON Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Interactive Feedback Report Knee Extension Flexion Sample XXXXXXXXXXXXO E id gt Name Patient ID SEENEN Right Left 7 3 2008 7 3 2008 XKXKKKXXXXXO M Birth date 11 1981 Involved Side Right amp Left Group 1 DOUD XXXXXXXXXXXXO Height 65 Inches Preferred Side Right amp Left Group 2 DOUD XXXXXXXXXXXKO Weight 165 Pounds Doctor doctor XXXXXXXXXXXXO Gender Male Tester tentar XXXXXXXXXXXX0 Diagnosis 2 2 1982 diagnosis xxxxxxxxxO Surgery 3 3 1983 surgery XXxxxxxxxxx0 40 35 30 25 ze E ke Z E O a L v Ka Bd Dal Sr 15 10 5 oe D 20 40 60 80 100 Isotonic Con Ecc Extensors Con Extensors Ecc Torque 10 10 ft lbs Reps 1 Value Cof Var Value Cof Var Percent On Target Zoom Right 100 100 Left 100 100 HUMAC 2009 Version 9 1 3 Copyright Computer Sports Medicine Inc 1982 2008 www csmisolution
69. ctor to convert data from the HUMAC Interface to foot pound and degree values This is only displayed for Calibrations The measured torque during the small weight drop This is only displayed for Verifications The measured torque during the large weight drop This is only displayed for Verifications The therapist who performed the Calibration or Verification The HUMAC A D value during the small weight drop The HUMAC A D value during the big weight drop For the LiftTfask and Weight Stack machines this contains the 0 force baseline value For all other CSMi machines this value is blank This is only displayed for Calibrations If true the calibration was performed adjusting for the input adapter weight The dynamometer number The CSMI 1000 utilizes 2 dynamometers 0 and 1 For all other machines the Dyna is 0 The dynamometer side The CSMI 1000 and 1200 utilizes double sided shafts The shaft side next to the speed setting knob is 0 the other shaft side is 1 For all other machines the Side is 0 Page 6 9 HUMAC2009 NORM Application Program User Manual 6 2 Sensor Test The HUMAC Sensor Test command displays the unconverted torque and position data from the HUMAC Interface The sensor test is used to verify the HUMAC is receiving the torque and position signals from the dynamometer Sensor Test Torque 490 Position 721 Figure 79 Sensor Test 6 2 1 Running the Sensor Test 1 On the Utilities menu click Sens
70. dated Note Pressing Pause again will re start the display from the current position Clicking Start will re start the display at the first repetition Pause allows the therapist to pause the display and give the patient further instructions before continuing The spacing 1 Easiest to 10 Hardest of the balls The speed at which the display scrolls across the screen The dynamometer torque settings in Isotonic mode Display the Help topic Exit the display Page 1 37 HUMAC2009 NORM Application Program User Manual 1 19 Feedback Display Proprioception The Proprioception Feedback Display allows the user to create custom proprioception challenges for the patient Con 71 Display Torque Speed 1 EXTS f0 aj a v Start Pause Level ES FLXS 40 A 4 OK Help 5 v Figure 33 Feedback Display Proprioception The goal is for the patient to keep the two balls around the line on target In Isotonic mode the ball position corresponds to the patient s limb position The X Axis displays the percent of the patient s total ROM In Isometric mode the ball position corresponds to the patient s torque production The X Axis display the percent of the patient s Maximum Voluntary Contraction MVC A green ball color indicates the patient is on target a red ball color indicates they are not on target The Score dials indicate the percent of time the patient was on target
71. e Note Refer to Section 1 12 for a complete description of the ROM Limit options Page 3 3 HUMAC2009 NORM Application Program User Manual 3 8 Torque Target Isometric Mode Set Torque Limits Target Scale Upper 100 Lower en 375 250 125 D Cancel Help Figure 71 Dashboard Torque Limits Have the patient perform a maximal isometric contraction The HUMAC will set the Torque Limit to the contraction value times the Upper Click the Delete button to clear the torque limit and re run procedure 3 9 Begin the Exercise e Click the Start button to begin the exercise Note After completing an Isometric exercise the dynamometer remains in isometric mode Use the UnLock button to switch the dynamometer to isokinetic mode Page 3 4 HUMAC2009 NORM Application Program User Manual 4 PROPREOCEPTION TESTING The HUMAC includes a proprioception testing module which can be used in Isometric to test position based proprioception or CPM mode to test velocity based proprioception 4 1 Om OM et dO Ve E Running a Position Based Test From the main HUMAC screen click the Dashboard button Select Isometric mode and the desired joint angle Set the ROM Click the Proprioception button Click the Demonstrate button to show the patient the isometric test angle When you are ready to test the patient click the Test Patient button The HUMAC will enter Isokinetic Con Con mode so the patient is fr
72. e Use all torque data to compute the work and power values TR Do not include the torque data in the first 0 3 seconds when computing the peak torque value Use all torque data to compute the work and power values Lift Task The Lift Task allows the user to enter a starting and a stopping height Only torque data from the starting to the stopping height is used to compute the peak torque work and power values 7 12 1 Issues to consider with Windowing If the motion is smaller than the data window the peak torque will be reported as 0 Example The patient moves less than 54 degrees at 180 deg sec on a TEF then the extension motion will be less than the window of 0 3 seconds If during a follow up test the patient s range of motion increases and their data falls in the range the reported torque would be non zero When reporting the average peak torque on tests where the length of the patient s test is near the window size the displayed value may be incorrect Example The patient s second and third repetitions are just short of the window The reported average will be the sum of all the repetitions including the zero values divided by the total number of repetitions If the peak occurs near the window edge you may see changes in the reported torque based on the peak falling before or after the window Example Assume the patient s peak torque occurs just before the data window In this case the HUMAC will not report that value as the peak O
73. e Long Torque vs Pos Report for a full report of all measured parameters during every set Use File Preferences command to set report heading Spam Form Torqut va Poumen Repert nes umzeeag ean o 1m M EE EE zx cate er meted Side Mpt Grog 3 ere ng Ip ver reien bie Geng 7 Wert EH Cote ie ez e E Casgrows are Suen KR en EE E fa EN Lf f pP e d i y AEN Ai SEN D ENEN mourne Conmtor Expo g en Com Peson Con Spes ato Geyer Rat vaie Corva zew vae Cva ra aan Torgee Foot Pownce ngres Aepetton ten D i EI H ze 4 tet y Work per Repetition Foot Pounds Highest Mmoetition Ryn a 13 v PA ma Range of Monon De reen D ta moerse Conon Zanen Cony Peson Con Soret 122820 degras Reps t D I Ve sow Wuer Cover age saa Zeng Torgue Foot Fee n Highest Rapettion Re Le SCH 2 Wore per Repertos Se Pounds Higres Anpettoni bech EI 1 a D d x a 3 wet Range of Monon Degrees Rye e mounsex Contos Eupen Com Pesona Com Seat 1ETTEEI dr ine Eug 18 vae Cor NW wuer Cave zf sas nes Pasa Torque foot fee n Ngheet Br arger Ei Leien 7 Frege naen Di E Tote Work Done P et Peen n ch os wv X e ma e e van Ae ze Figure 43 Report Short Torque vs Position Page 2 6 HUMAC2009 NORM Application Program User Manual 2 5 Long Torque vs Time Report The Long Trq vs Time Report is a multi page reports providing a torque vs time plot and
74. e Torque target in Isometric mode Hold Time Time during which the patient holds at the ROM target in Isotonic mode or the Torque target in Isometric mode Lower Time Time during which the patient is relaxing and moving toward the starting position in lsotonic mode or not generating torque in Isometric mode 6 22 Protocol Editor Pacing Bar Feedback Display Editor Description Description Road 2 Up 2 Down La Road 2 Up 2 Down Relax Time 2 0 9 Hold Time IT na Raise Time 2 og Lower Time 2 09 Figure 91 Protocol Editor Pacing Bar Parameter Definition in seconds Relax Time Time during which the patient relaxes at the start of a repetition Raise Time Time during which the patient is moving toward the ROM target in Isotonic mode or the Torque target in Isometric mode Hold Time Time during which the patient holds at the ROM target in Isotonic mode or the Torque target in Isometric mode Lower Time Time during which the patient is relaxing and moving toward the starting position in lsotonic mode or not generating torque in Isometric mode Page 6 29 HUMAC2009 NORM Application Program User Manual 6 23 Protocol Editor Proprioception Testing Proprioceptive Feedback Editor Description Description 3 Trail 5 Test gt EMRE Relax Time 2 0 9 Trial Reps Hold Time 3 03 Test Reps Figure 92 Protocol Editor Pacing Bar Parameter Definit
75. e in seconds at the end of the set 1 7 10 Speed Isokinetic CPM Mode The speed in degrees per second for rotary patterns and inches per second for linear patterns The HUMAC allows you to specify different extension and flexion speeds Selecting the EXT FLX checkbox causes the HUMAC to automatically copy changes in the EXT speed to the FLX speed This is convenient if you want the speeds to be equal 1 7 11 Torque Isotonic Mode The torque setting in foot pounds or Newton meters depending on the HUMAC Preferences Page 1 11 HUMAC2009 NORM Application Program User Manual 1 7 12 Torque Limits Con Isokinetic CPM Isometric Mode The HUMAC allows you to set concentric torque limits e You can specify different extension and flexion limits e Selecting the EXT FLX checkbox causes the HUMAC to automatically copy changes in the EXT limit to the FLX limit This is convenient if you want the limits to be equal e While the patient is exceeding the torque limit the real time dynamometer settings are displayed in red Depending on the dynamometer mode the following actions are taken when the concentric torque limit is exceeded Isokinetic If the patient exceeds the concentric torque limit the HUMAC automatically CPM switches to isotonic mode at the torque limit Isotonic mode allows the speed of the dynamometer to increase in order to keep the torque below the concentric limit During this time the patient will be able to
76. e report type 5 Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Isometric Knee Extension Flexion Name Potash RobertL ID 12345 Right Left 11 9 2007 11 9 2007 Birth date 1 1 1981 Involved Side Right Group 1 Wrestling Height 65 Inches Preferred Side Left Group 2 Weight 165 Pounds Doctor Jones Gender Male Tester Anderson R Diagnosis 2 2 1982 ACL Tear Surgery Isometric Extensors Con Angle 0 deg Value Cof Var BW Peak Torque Foot Pounds Zoom Right 60 012 36 Left 59 0 08 36 Deficit 2 Average Torque Foot Pounds Zoom Right 46 0 08 28 Left 42 0 05 2 Deficit 9 Peak Torque Slope Foot Pounds Seconds Zoom Right 20 27 0 11 12 Left 53 76 0 83 33 Deficit 62 Time to Half Peak Torque Seconds Zoom Right 0 42 0 56 Left 0 32 0 22 i P E we kom ore ieee SE geom 0 12 Right Side Curves Left Side Curves Left 3 17 0 76 HUMAC 2008 Version 8 1 3 Copyright Computer Sports Medicine Inc 1982 2008 www csmis Figure 57 Report Isometric Page 2 20 HUMAC2009 NORM Application Program User Manual 2 19 Isometric Progress Report The Isometric Report shows the numeric results and torque vs time plots for the isometric sets in the protocol 2 19 1 Printing the Report 1 From the main HUMAC Screen click the Patient button to select the patient 2 From the Report menu
77. e the PageUp and PageDown keys to change the value by large steps 10 in Full Range 0 25 in Low Range e Click the slider to select it and use the ArrowUp and ArrowDown keys to change the value by small steps 1 in Full Range 1 16 in Low Range Page 8 2 HUMAC2009 NORM Application Program User Manual 8 3 3 Setting the Slider Range Low Range In the Full Range the slider displays the full dynamometer range typically 0 to cleared 500 deg sec or ft lbs Low Range In the Low Range the slider displays the low dynamometer range typically 0 to checked 1 deg sec or ft lbs 8 3 4 Changing the CW CCW Values CW CCW The CW and CCW sliders can be independently set cleared CW CCW Changes to the CW or CCW slider are copied to the opposite slider checked 8 4 Starting the Toolkit 1 From the Windows Task Bar select Start HUMAC2009 Research Toolkit 2 Enter the Password RESEARCHTK The password in not case sensitive 3 Click the Initialize Controller button The HUMAC will download the controller program 4 When the download is complete the Toolkit button will be enabled 5 Click the Toolkit button 8 5 Toolkit Reset Supervisory Commands Self Test Exit Figure 97 Toolkit Reset This procedure should be run when the Controller screen is first displayed or if an Error is reported 8 5 1 1 2 3 4 Resetting the NORM Remove the patient from the NORM Click the Reset button Wait 2 3 seconds Position
78. e want the CPM speed to ramp up to 300 deg sec during the first few repetitions as though we were turning up the CPM the speed Assume Ramping is enabled the Time is set to 60 seconds and the Start Speed is 25 of the target When the patient begins CPM mode the dynamometer will operate as tough the CPM speed is set to 75 deg sec 300 25 and is being increased to 300 deg sec during the next 60 seconds Note The speed increase time does not run during the Pause time 1 7 23 Ramping Isokinetic Non Powered Mode 6000 Only During Non Powered Isokinetic mode the dynamometer allows for free limb acceleration In some cases the therapist may want to limit the acceleration using Ramping When a change of direction is detected the HUMAC reduces the dynamometer to the Start Soeed When the patient exceeds the Torque Threshold the dynamometer accelerates to the final speed at the Acceleration rate Page 1 14 HUMAC2009 NORM Application Program User Manual 1 8 Feedback The HUMAC provides a number of real time feedback displays The feedback options are based on the dynamometer mode and action Patient Feedback Curves Bars Dynamic Tests Games C Roadway 1 Up 2 Down Pong Interactive Line Mid Range Training Breakout Interactive Path MGH Ball Speed Pacing Bar 1 Up 2 Down Ball Accel c 10 St Velocity vs Time Curves Response Time Test SE Sai al ize Level Velocity vs Position Curves
79. eater than or equal to Enter the threshold for deficits to be printed in red Any right left deficits less than this amount will be printed in black Right left deficits greater than or equal to this amount will be printed in red Highlight CV When printing reports the HUMAC can automatically highlight Coefficient of Variation values in red Zei Ta en 7 20 On the File menu click Preferences Click the Reporting tab Select Highlight CV values greater than Enter the threshold for deficits to be printed in red Any CV values less than this amount will be printed in black DV values greater than or equal to this amount will be printed in red Default Torque Scale The HUMAC can auto scale the feedback display during testing and exercise Some clinics prefer to use a fixed torque scale during patient feedback and report generation 7 21 On the File menu click Preferences Click the Reporting tab To use a fixed torque scale during feedback and report generation check the Default Torque Scale box and enter the desired Torque Scale To have the HUMAC auto scale clear the Default Torque Scale box Display Bi Polar Torque Plots The HUMAC can display Uni Polar absolute value of torque or Bi Polar positive and negative torque plots on the reports On the File menu click Preferences Click the Reporting tab Check Display Bi Polar Torque Plots to generate bi polar plots Clear Display Bi Polar Torque Plots to
80. ect Compute best value from all repetitions and re print the report 7 10 Strength Test Work Parameters The HUMAC can report the work per repetition or the total work during strength tests Test with lt 10 repetitions 1 On the File menu click Preferences 2 Click the Data Analysis tab 3 In the Torque Parameters area select Work per Repetition or Total Work Work per Compute the work per repetition Page 7 3 HUMAC2009 NORM Application Program User Manual Repetition Compute the Compute the total work over all repetitions Total Work Note The HUMAC always computes the total work for endurance tests gt 10 repetitions 7 11 Fatigue Parameters The HUMAC can report the Fatigue based on the Torque or the Work 1 On the File menu click Preferences 2 Click the Data Analysis tab 3 In the Torque Parameters area select Fatigue Index based on Torque or Endurance Ratio based on Work Fatigue Index Compute the fatigue as the percent decline in peak torque from the first three based on repetitions in the set to the last three repetitions Torque Endurance Compute the fatigue as the percent decline in work from the first half of the set Ration based to the work in the last half of the set on Work 7 12 Window Back Pattern Torque Data Data windowing is used when analyzing data from back testing patterns TMC TEF Do not include the torque data in the first 0 2 seconds when computing the peak torque valu
81. ed test protocol From the Print Preview area select Repeatability as the report type af oN Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Repeatability Report Knee Extension Fiexion 10 12345 Name Potash Robert L Righttett 925 2007 025 2007 Birth date Val H involved Side Right Group 1 Westing Height 65 inches Preferred Side Loft Group 2 Weegnt 55 Pounds Doctor Jones Gender Male Tester Anderson R Isclenetic ConCon Extensors Con Flexors Con Speed 60 60 deg sec Reps Seti Set Change Sett Set Change Peak Torque Foct Pounds Highest Repettion Right 15 E EA 130 IT 6 Le 8s ei 5 120 90 35 Detot 23 3 EI 19 Vork per Repetoon Foot Pounds Highest Repet on Right 130 110 15 125 106 15 Le 109 Ki 3 ms 100 5 Ostot 38 235 6 4 Average Power per Repetition Watts Highest Repetition Right 104 ss 15 Ka a 4 Le 80 60 SA se 73 3 Oetiot Cl z D 13 Jori Angie at Peak Torque Degrees Roget 71 71 oe 20 2 os Le Ki D of 21 21 os Range of Moton Degrees Right D 0 og Se s6 os Le 5 5 os 100 100 os Furst Set Last See HUMAC 12008 Version 8 1 3 Copyright Computer Sports Medeine Inc 1882 2008 www csmsoiutons cor Figure 48 Report Repeatability Page 2 11 HUMAC2009 NORM Application Program User Manual 2 10 Interactive Feedback Scrolling Line Report The Intera
82. ee to move their limb When the patient feels they are at the test angle click the Read Value button The HUMAC will record the actual position and compute the difference between the test angle and the actual angle Up to three independent trials Read Value can be performed The HUMAC automatically compute the Correlation between the test angle and the patient angle 4 2 Oe SON aon I a Running a Velocity Based Test From the main HUMAC screen click the Dashboard button Select CPM mode and the desired test speed Set the ROM Click the Proprioception button Click the Demonstrate button to show the patient the CPM test speed When you are ready to test the patient click the Test Patient button The HUMAC will enter Isokinetic Con Con mode so the patient is free to move their limb When the patient feels they are at the test speed click the Read Value button The HUMAC will record the actual speed and compute the difference between the test speed and the actual speed Up to three independent trials Read Value can be performed The HUMAC automatically compute the Correlation between the test speed and the patient speed Note At any time you can use the Demonstrate button to show the patient the test angle speed again The Clear button erases the measured trial values Page 4 1 HUMAC2009 NORM Application Program User Manual 5 GROUP SUMMARY The HUMAC Group Summary program computes summary data over various
83. eeeeeeecaaeeeaeeeeeeeeeegecccaeeeeeeeeeeeeenaaaes 1 15 Figure 9 Dynamometer Settings cceeecceeeeee eee eee eeceeeee teeter ee eeeaaeeeeee eter ee eteccaaaeeeeeeeeeeeeaaaes 1 16 Figure 10 Test Status ccc cece eee e eee erence eee eee eee aaeee eee ee eteccaaaeeeeeeeeeeeeneeeaaaes 1 17 Figure Ti Anatomical EE 1 19 Figure 12 Range Of Motion ee EtukSKuKSESEEENKEKAASESEEEENEKAASESEEEE EES 1 20 FIQUIFG 1 SS OMWAG SUC pS axed sete E eee dtd Sede eet 1 20 Figure 14 Expand ROM 4 iviatiertadadtatiadtiadadtavinted a A E a aa ai aaa aa ANA 1 21 Figure 15 Mechanical Stops isisisi aiara aaa AEE E ANE RRRA RARA 1 21 Figure 16 Weigh WMD EE 1 23 Figure 17 Gravity Corrected Toroue 1 24 Figure 18 Feedback Display Computed Data 1 25 Figure 19 Feedback Display Set Rep Counter sssseseeesesessssereeeerresssrerirrrnttssrrnnrnnnsssssrrrenn 1 25 Figure 20 Feedback Display Curves oesssssesssesssesrrrtesssrrerrntsssertrennnnsssertterrrennnnssserrnennnnet 1 25 Figure 21 Real time Feedback Targets ccccccccceecteeeeeeeeeeeeeeccneeeeeeeeeeeeccaeeeeseeeeeeeeteeenaaaes 1 26 Figure 22 Dragging the Target to a New Value aeesseesessessserissssrssssrerirrrssssserrrrnnsssssrrrrrnn 1 26 Figure 23 Isometric In Target nt 1 27 Figure 24 Isometric Out Of Target 0 ccccceeeeeeee eect eeeceeee eee e eee eeecaaeee eee eeetteeeeccaaaeeeeeeeeeeeeaaaes 1 27 Figure 25 Feedback Display ROM Lime 1 27 Figure 26 ROM Limits Patient
84. en the TMC is setup correctly Set the stops at White D and Teal D Slide chair to end of monorail position 75 Set dynamometer tilt to position 0 Rotate chair to position 90 Attach TMC to docking hitch lower dynamometer over TMC input adapter and mate with TMC Input adapter should be flush with TMC adapter Move scapular pad as far down as possible and secure Chest pad should be removed Secure the Calibration T Bar next to the scapular pad adjustment Move the Sacral Seat pad to Position 7 4 Raise the input adapter toward full extension until the arm locks into isometric mode Click the box or press the space key to continue Position the arm against the O stop 5 Verify no weights are on the T bar Stand clear of the dyna input arm and check the box The T bar will begin to fall and will pause near horizontal for a few seconds TT Remove all weight from the input arm assembly Keep clear of the input arm 6 When the first drop is completed the following box will be enabled Raise the input adapter toward full extension until the arm locks into isometric mode Click the box or press the space key to continue Position the arm against the O stop 7 Carefully load 75 pounds onto the T bar Two 25 pound weights should be placed on one side of the T bar One 25 pound weight should be placed on the other side Important Stand clear of the TEF Modular Component and T bar assembly when placing the weights o
85. ender F Male ACL Tear Diagnosis Days Post Injury Surgery Days Post Surgery Doctor Group 1 Group 2 Tester Figure 73Group Summary Filter 1 Click the Background button 2 Enter the criteria 3 Click the OK button to save the criteria From Blank Blank 25 25 5 3 2 All Tests Most Recent Test 5 3 3 Right vs Left To Blank 40 Blank 40 Select Tests Data Ignore the field All patients lt 40 years old when the test was performed All patients gt 25 years old when the test was performed All patients from 25 to 40 years old when the test was performed Select tests All tests C Most recent test Figure 74 Group Summary Select Tests Include all tests for each patient in the summary Include the most recent test for each patient in the summary This option prevents a patient who has been tested multiple times from skewing the results Side Side Ze Right Left Dominant Non Dominant Involved Un lnvolved Figure 75 Group Summary Side Average Right side data vs Left side data Page 5 2 HUMAC2009 NORM Application Program User Manual Dominant vs Average Dominant side data vs Non Dominant side data Non Dominant Involved vs Average Involved side data vs UnInvolved side data UnInvolved 5 4 Summarizing the Data Click the Summarize button The HUMAC will read each test in the database compute
86. ent position Clicking Start will re start the display at the first repetition Pause allows the therapist to pause the display and give the patient further instructions before continuing Torque The dynamometer torque settings in Isotonic mode OK Exit the display Page 1 31 HUMAC2009 NORM Application Program User Manual 1 16 Feedback Display Pacing Bar The Roadway Display allows the user to create custom paths for the patient to trace 0 Display Torque m Rest 4 Hold Reps fo Level s EXTS ug 4 4 Start Pause Raise Lower Rep FLXS f0 F OK Help 1 2 0 l 1 Figure 30 Feedback Display Pacing Bar The goal is for the patient to keep the blue cursor on the green red target on target In Isotonic mode the blue cursor corresponds to the patient s limb position The Y Axis displays the percent of the patient s total ROM In Isometric mode the blue cursor corresponds to the patient s torque production The Y Axis display the percent of the patients Maximum Voluntary Contraction MVC A green target color indicates the patient is on target a target color indicates they are not on target The Score dials indicate the percent of time the patient was on target during the Concentric and Eccentric phases of the exercise Note The target turns yellow one second before it begins moving 1 16 1 Options The following options can be set from the Feedback Options screen Protocol The pace for the
87. es at least 1 degree 1 4 inch on the Lift Task in a new direction Once a new repetition is started the patient must move at least 10 degrees 3 on the Lift Task before the HUMAC will look for another repetition This eliminates counting small changes in direction lt 10 degrees as multiple repetitions When analyzing the data from a test or exercise set the HUMAC knows the patient s total range of motion for the set and can use a more sophisticated algorithm for counting repetitions Percent of Total Range After a set is completed the HUMAC can measure the patient s total range of motion for the set When the Accept Variations in ROM preference is not checked the HUMAC only counts repetitions where the patient moved at least 60 of their total range This eliminates more extreme cases of the patient stopping and starting during a test Page 7 6 HUMAC2009 NORM Application Program User Manual The following curves from an actual patient test show the patient stopping during the test and moving their leg back and forth for three small repetitions then continuing the test During these repetitions the torque red line was near zero If the HUMAC counted these as actual repetitions the computed average torque work and power values would be incorrect Note 1 The original CYBEX application used 1 4 degree to detect a change in direction which would count small motions as complete repetitions 2 Because the HUMAC uses diffe
88. est torque scale for the patient and apply it to all sets 7 8 Interactive Feedback Max Slope The Interactive Line feedback display draws a line for the patient to follow If the rate of change of the line is fast near vertical it may be hard for the patient to remain on target The Interactive Feedback Max Slope allows you to set the maximum slope for the interactive line For example if you set the value to 45 the HUMAC will choose the Y Axis scale so the maximum slope for the line on will be 45 degrees 90 degrees is vertical 0 degrees is horizontal 1 Onthe File menu click Preferences Page 7 2 HUMAC2009 NORM Application Program User Manual 2 Click the Feedback tab 3 Enter the desired maximum slope Note This does not change the challenge presented to the patient only the display is re scaled to provide an easier visual path for the patient to follow 7 9 Average vs Best Values The HUMAC can report the average value or the best value On the File menu click Preferences Click the Data Analysis tab In the Torque Parameters area select Compute average value of all repetitions or Compute best value from all repetitions Compute The HUMAC computes and reports the average value The HUMAC report average value displays Peak Torque Foot Pounds Average Value to indicate the average of all of the repetitions is displayed repetitions Compute The HUMAC computes and reports the best value The HUMAC report disp
89. est pattern has an anatomical zero or neutral position For an ankle Plantar Dorsiflexion test it is with the ankle at a right angle Ankle position is specified relative to anatomical zero One would say the patient had a range of motion from 40 degrees of Plantarflexion to 12 degrees of Dorsiflexion specifying both an angle 40 degrees and a location Plantarflexion In order to eliminate the need for specifying angles and locations the HUMAC assigns position measurements positive and negative values based on where in the range of motion they occur For the ankle test the HUMAC would report a range of motion from 40 to 12 degrees This number helps the clinician determine whether or not differences in total work performed are a result of differences in active range of motion or actual differences in muscular work output capability For example if part of your treatment program is designed to increase functional range of motion accomplishing this alone will increase total work output The patient will be able to apply torque through a greater range of motion i e increased distance Comparisons of Average Power can also be used to make this determination At faster test speeds limb inertia helps the agonist move the limb farther against the passive resistance of the opposing tissue structures This may not be true however in patients with neuromuscular inhibition that results in abnormal or premature antagonist activation 2 28 3 Time Parame
90. h set the HUMAC will never increase the patient ROM limits beyond the patient ROM limits The Maximum ROM limits specify the most the ROM can be not the actual ROM Consider the following example of a Knee Ex FI set Patient ROM Ex FI Maximum ROM Ex Fl Final Setting Ex FI 90 deg to 4 deg 90 deg to 4 deg 90 deg to 4 deg 85 deg to blank 85 deg to 4 deg 90 deg to 4 deg 85 deg to 45 deg 85 deg to 45 deg 90 deg to 4 deg 100 deg to 45 deg 90 deg to 45 deg 90 deg to 4 deg 100 deg to 0 deg 90 deg to 4 deg 1 7 16 Angle Isometric Mode 90 degto4deg si 90 degto4deg sd 90 deg to 4 deg blank to 45 deg 90 deg to 45 deg 90 degto 4deg sd 90 degto4deg sd 90 degto4deg sid The limb angle in degrees for rotary motion or inches for linear motion for the isometric contraction 1 7 17 Time Isometric Mode The time in seconds for the isometric contraction 1 7 18 Rep Rest Isometric Mode The rest in seconds between each isometric contraction in the set 1 7 19 Torque Threshold Isokinetic Isometric Mode Depending on the dynamometer mode the following actions are taken when the Torque Threshold is reached Isokinetic The torque required for the dynamometer to initiate and maintain the Eccentric Ecc motion If the patient falls below the Torque Threshold the input adapter stop until the Torque Threshold is reached Isometric The torque required for the timer to being counting the isometric contraction O
91. he Print Preview area select Proprioception Test as the report type Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Propreoception Test Report Knee Extension Flexion Sample Name Zoooenuan mp id Right Left 7 3 2008 7 3 2008 Patient XXXXXXXXXXXXXXXX Xxxxxxxxxxx0 M Birth date 171 1981 Involved Side Right amp Left Group 1 groupt XXXXXXXXXXXX0 Height 65 Inches Preferred Side Right amp Left Group 2 QrOUp2 XXXXXXXXXXXX0 iaht d doctor Weight 165 Pounds Doctor PANE x d tester Gender Male Tester Fa Diagnosis 2 2 1982 diagnosis xxxxxxxxx0 Surgery 3 3 1983 surgery Xxxxxxxxxxx0 Right Training Phase Right Test Phase 120 HE a 5 2 a Time ses Time sec Left Training Phase Left Test Phase o 1 4 D 1 2 Time seo Torque 10 10 ft lbs Reps 8 Value Cof Var Coefficent of Variation Zoom Right 0 28 1 07 Left 0 26 1 07 Coefficent of Variation No Target Zoom Right 0 33 1 09 Left 0 26 1 08 Maximum Deviation Zoom Right 20 1 10 Left 19 1 10 Maximum Deviation No Target Zoom Right 24 1 10 Left 1 07 29 HUMAC 2009 Version 9 1 3 Copyright Computer Sports Medicine Inc 1982 2008 www csmisolutions com Figure 53 Report Interactive Feedback Response Time Report Page 2 16 HUMAC2009 NORM Application Program User Manual 2 15 Endurance Capacity Report
92. he patient to trace 61 Display Torque m Rest gt Hold 3 Reps fo Level 5 EXTS fo A al Start Pause Raise 2 Lower 2 Rep 1 FLXS fo 4 OK Help Figure 29 Feedback Display Roadway The goal is for the patient to keep the round cursor between the roadway boundaries on target In Isotonic mode the ball position corresponds to the patient s limb position The Y Axis displays the percent of the patient s total ROM In Isometric mode the ball position corresponds to the patient s torque production The Y Axis display the percent of the patient s Maximum Voluntary Contraction MVC A green ball color indicates the patient is on target a red ball color indicates they are not on target The Score dials indicate the percent of time the patient was on target during the Concentric and Eccentric phases of the exercise The display shows the target in Magenta the current repetition in yellow and the previous 9 repetitions in gray 1 15 1 Options The following options can be set from the Feedback Options screen Protocol The path for the patient to follow Level The width 1 Easiest to 10 Hardest of the roadway 1 15 2 Actions Start Start the display moving at the first repetition Page 1 30 HUMAC2009 NORM Application Program User Manual Pause Pause the display timer The Patient effort will continue to be updated Note Pressing Pause again will re start the display from the curr
93. id sizing for use with touch screen monitors 1 On the File menu click Preferences 2 Click the General tab 3 Set the Touch Screen option Checked Use larger grid size Cleared Use standard grid size 7 3 Machine The Machine setting selects the type of CSMi machine you are working with The HUMAC program is compatible with the CSMI II Il 300 TEF TR Lift Task 1000 1200 6000 and NORM systems 1 On the File menu click Preferences Click the General tab Select the type of machine you are working with from the Machine list 7 4 TMC Location Sets the side of your machine on which the TMC is installed The TMC location is used by the HUMAC during the TMC calibration and when setting the ROM limits for testing and exercise Stand in front of the chair facing the dynamometer Your right hand corresponds to the right side your left hand corresponds to the left side The NORM power switch is located on the Left side of the enclosure 1 On the File menu click Preferences 2 Click the General tab Page 7 1 HUMAC2009 NORM Application Program User Manual 3 Select the TMC Location 7 5 HUMAC Interface Type Selects the type of interface Demo USB Port used to connect to the HUMAC 1 On the File menu click Preferences 2 Click the General tab 3 Select the Interface None run This is used if you want to evaluate the HUMAC program before installation on program in a CSMi The HUMAC will simulate the CSMI machi
94. ion Watts Average Value Zoom Right 19 0 09 12 14 0 07 8 74 Left 18 0 16 11 12 0 06 67 Deficit 5 14 Range of Motion Degrees Zoom Right 2 0 63 89 0 01 Left 19 0 08 89 0 02 HUMAC 2009 Version 9 1 3 Copyright Computer Sports Medicine Inc 1982 2008 www csmisolutions com Figure 54 Report Endurance Capacity Page 2 17 HUMAC2009 NORM Application Program User Manual 2 16 Single Parameter Per Set Report The Single Parameter Per Set Report provides a single page report showing the values of a selected parameter over all sets in a protocol Note Use the Single Parameter Per Rep Report for a multi page report of the value of each repetition of a parameter over each set 2 16 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Single Parameter Per Set as the report type OV ee Ne From the Print Preview area select the Parameter you want reported e g Peak Torque Single Parameter Peak Torque 6 Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preference to set Report Heading Peak Torque Single Parameter Report Knee Extension Flexion Sample 2 XXXXXXXXXXXXO e id Name Patient ID E Right Left 6 25 2007 6 25 2007 Xxxxxxxxxxx0 M Birth date 1 1 1981 Involved Side Right
95. ion in seconds Relax Time Time during which the patient relaxes at the start of a repetition Hold Time Time during which the patient holds at the ROM target in Isotonic mode or the Torque target in Isometric mode Trial Reps The number of repetitions where the patient position feedback is displayed Test Reps The number of repetitions where the patient position feedback is hidden 6 24 Protocol Editor Response Time Response Time Protocol Editor Description Description fi OSteps wa HESS Position Time 25 0 9 0 9 0 9 D 0 9 0 9 0 9 0 9 0 9 0 9 z ei Add Delete Figure 93 Protocol Editor Response Time Parameter Definition Delay Time seconds before target moves to the new position Position Position ROM in Isotonic mode Torque Target in Isometric mode which the target moves to Time Time the patient must remain in the Target for the system to conclude the patient has reached the target This prevents the system from considering success when the patient just moves through the target without setting in the target Page 6 30 HUMAC2009 NORM Application Program User Manual 6 25 HUMAC Data File Locations 6 25 1 Files The HUMAC uses an Access Databases and a collection of real time data files to store the CYBEX data User Patient names demographic information
96. ion Foot Pounds mouest Repetton eye a r ze 12 bi D u x d D zeiten C Range of Roter egen Da ze a a 5 538 mearetc Comte Giteeson Con Preson Con ee ee Cave age weg Zei vn zg tas Peas Torque Ter Pounds grat Repetto ey D zu x Le KE e aM E 4 meted a Work per Repetition Foot Zort great Repetition eh Di 512 ze 12 e D 1 x e d Leen 4 Range of Raten Degrees oo b s eneen Coste Eessen Con KE Speed EUR ceghec Reps tS emer CofWer n m we Cover pe tes te Mesa Torge Font Zerf great Repetitor e S E ze e ox x Gei 53 P stapan mdna ege o 4 a Total mare Done Poot fee n kaye em ei ee weca AMATE EA Verwor E 1 3 Coppaght Comode Boris Metera ee 17 ER Figure 42 Report Short Torque vs Time Page 2 5 2 4 HUMAC2009 NORM Application Program User Manual Short Torque vs Position Report The Short Trq vs Pos Report provides a single page report showing the torque vs position plots for the first set and the numeric results for the first three sets in the protocol 2 4 1 1 af to N Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Short Trq vs Pos as the report type Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Note Use th
97. it Background Rive vu e E 6 14 6 6 Deletn Stored RE 6 15 6 7 E Le El 6 16 6 8 EE ET EE 6 17 6 9 Data File HoCatlonacivichetsividecivesiveriuisdechvesiveehvislsechetelateletatiebscohcee cant vetenage cet dvatduas 6 19 6 102 COMPFeSS TE 6 19 Bt IM ot Database vnc e pT aaae raa ar aar aa a a et 6 20 BCS Jenpert ALOI 0 00 AEN ESE E EAEE SEEE EEEE EEEE EEEE 6 21 EN GEN Exporting D TTT 6 22 6 14 Submitting a Test to CM 6 23 6 15 Submitting a Test to INRTEK AA 6 24 6 16 Submitting a Testito P OS r a a a a aaa a aa a a araea ata aaar aA Kaa 6 25 BI SYSTEM ProtoGOlS A ANAO EEE AAA EEEE EEEE EEE ETET EEEE 6 26 6 18 Interactive PO OC OS egent a aa p ra aa a a a aaar aa a aa ana aa aa aa AAAA AANO 6 27 6 19 Protocol Editor Interactive Une 6 27 6 20 Protocol Editor Interactive Path 6 28 6 21 Protocol Editor Roadway eee rete eeccaeeeeee eee tteeeeeeaaaeeeeeeeetneee 6 28 6 22 Protocol Editor Pacing Bar 6 29 6 23 Protocol Editor Proprioception Testing seeeeeeesssesssssrresssrrsssssrrrnrssssssrrrrnnnsssns 6 30 6 24 Protocol Editor Response Time 6 30 6 25 HUMAC Data File Locations eset eee eeeecaeeeeeeeeeeeeeaaaaaaaeeeeeeeeeneee 6 31 E Eegeregie ESEEE Ee E 6 31 TARE A n m a N E SEA E A E OE O O O IO OOO ANOO O O E 7 1 7 1 Er alo EE 7 1 7 2 Touch Screen Display 7 1 7 3 ME aE EA A saves EA EELER OOE O A N AE E 7 1 7 4 TINAG Eed EE 7 1 1303 HUMAC Interface Type 7 2 7 6 Use Sound to Cou
98. it Sliders cceeceeeeee eee eee eeeccee steer eee teecaaeeeeeeeeeeeeeteeecaaeeeeeeeenneee 8 2 8 4 Starting the Leet Reeg nes 8 3 8 5 oolkit R set e4as ecclesia eis SA eines 8 3 8 6 Setting th ROM wives sae es ee aes 8 4 8 7 Isokinetic Mod c 38acceie isl nn eine 8 5 8 8 GPRM IMOd6 EEES EA EEE 8 5 8 9 ISOTONIC TT 8 6 8 10 clsometric Me eeben ere re aaaea nae aa aaiae raean eaa eaea aaa aa A aaae 8 7 8 1 Toolkit Feedback DISDA ee Te aaa T e Taa a Ta araea e a e apaa Da nha reaa aaa Saia 8 8 8 12 AUX y OU CTT 8 9 GROUP SCREENING a ea aaar Eerst aaa a ate aaa Age a Aa ADAE 9 1 9 1 TLESING GE CTT 9 1 Page 1 4 HUMAC2009 NORM Application Program User Manual LIST OF FIGURES AND ILLUSTRATIONS Figure 1 Main HUMAC For cccccceeeeeeeecenee cette eee eeecaaeee sees eeeeecaaaeeeaeeeeeeeeeseeccaaeeeeeeeeeeeeenaaaes 1 1 Figure 2 Dynamometer Power On Test 1 3 Figure 3 Patient Gelechon eee e eee eeecaeee sees ee etecacecaaaeeeeeeeeetecccaeeeeeeeeeteeesaaaes 1 4 Figure 4 Patient Background Information 1 6 Figure 5 Pattern Selection ccceccceeeeeeeeeeeceee eee eee e eee caeee seer ee teecaaeaaaaeeeeeeeeeteccaaeeeeeeeeeeeeenaaaes 1 7 Figure 6 Protocol Gelecton ee eeecaaaaaaaeeeeeeeeeseccaaeeeeeeeeeeeeenaaaes 1 8 Figure 7 Set Editor ccccccccccccceeee cece eect eeece sees eter ee eecaaaeee sees eeeeeaaaeeeeeeeeegeecaaeeeeeeeeeeeeseeeeaaaes 1 10 Figure 8 Feedback Options eee eeeeccaaeeeee
99. k the Initial button 3 Click the Follow up Test Exercise session then click the Follow Up button 4 Select Short Trq vs Pos as the report Type 5 Click the Preview button to preview the report 2 27 3 Report Types Short Trq vs Time Single page report showing the torque vs time plots for the first set in the protocol and the most commonly used numeric results for the first three sets along with the change which occurred Long Trq vs Time Multi page report showing the torque vs time plots and the numeric results along with the change which occurred for each set in the protocol Isometric Multi page report showing the torque vs time plots for the numeric results along with the change which occurred for each set in the protocol Page 2 30 HUMAC2009 NORM Application Program User Manual 2 28 Measured Parameters The HUMAC provides numerical results for torque position and time data 2 28 1 Torque Parameters 2 28 1 1 Torque Torque is caused by force applied about an axis of rotation It is an instantaneous measurement taken by the NORM System at every half degree in the range of motion The formula for torque is Torque ft lbs Force lbs x Distance ft where distance indicates the perpendicular distance from the input of force to the center of rotation Because the NORM System measures torque directly at this center of rotation the force and distance components are not measured The amount of torque
100. l because you can create a protocol with multiple sets of the same speed and number of repetitions For example if we tested Rob Potash on September 13 at 60 deg sec 15 repetitions and 180 deg sec 15 repetitions the HUMAC would create the following files Potash_ RobertL9 12 _987_48 40 AM 60 5 Right 0 CSV Potash_ Robert L9 12 987 48 40 AM 60 5 Left 0 CSV Potash_ RobertL 9 12 98 7_48 40 AM 180 15 Right 1 CSV Potash_ Robert L9 12 987 48 40 AM 180 15 Left 1 CSV These tests can be read into Excel by double clicking the filename Page 6 22 HUMAC2009 NORM Application Program User Manual 6 14 Submitting a Test to CSMi The HUMAC allows you to submit tests to CSMi via for review 6 14 1 Submitting a Test Select the Patient who s data you want to submit On the Database menu click Database Submit Test Click the Browse button to set the destination for the submitted test file If you do not have internet access from the CYBEX computer you can set the destination to a USB key and e mail the test to CSMi from a different computer Select the Test or Exercise you want to submit Click the Start button to create the Submit file E mail the file to service csmisolutions com Add a description of the issue you would like CSMi to review in the body of the e mail when submitting the test Note Patient identifying information Name ID Doctor etc is removed from the test before it is submitted to CSMi In addition the Submit file is en
101. lay and give the patient further instructions before continuing The speed at which the display scrolls down the screen The dynamometer torque settings in Isotonic mode Display the Help topic Exit the display Page 1 41 HUMAC2009 NORM Application Program User Manual 1 21 Feedback Display Pong The Pong Feedback Display allows the patient to play interactive challenges with the HUMAC el Pong Es Player D Paddle Size p Ball Speed gt Ball Accel Figure 36 Feedback Display Interactive Pong The goal is for the patient to keep hitting the balls causing the computer to miss In Isotonic mode the patients paddle position corresponds to the patient s limb position In Isometric mode the paddle position corresponds to the patient s torque production 1 21 1 Options The following options can be set from the Feedback Options screen Torque In Isometric Mode the torque required to move the paddle fully across the screen Ball Speed The initial speed of each ball as the game begins Ball Accel The ball acceleration each time it strikes a paddle Setting the Accel to 0 keeps the ball at a constant speed during the game Ball Size The ball diameter Nbr Balls The number of balls per game Page 1 42 HUMAC2009 NORM Application Program User Manual Ball Rest The rest period in seconds before the next ball is launched Paddle Size The patient s paddle height Computer The per
102. lays highest value Peak Torque Foot Pounds Best Repetition to indicate the data is for the from all repetition with the best value repetitions Note 1 The best value is computed for the following parameters Peak Torque Peak Torque Slope Average Torque Work Power Reaction Time Settling Time 2 The Highest Value is the best value for the following parameters Peak Torque Peak Torque Slope Average Torque Peak Torque Slope Work Power Peak Torque to Body Weight Peak Torque Slope to Body Weight Average Torque to Body Weight Power to Body Weight Percent On Target Joint Angle at Peak Torque Range of Motion Time to Half Peak Torque Time Peak Torque Held 3 The Lowest Value is best for the following parameters Torque Ratio Peak Torque Slope Ratio Average Torque Ratio Work Ratio Power Ratio Torque Deficit Initial Peak Torque Deficit Peak Torque Slope Deficit Average Torque Deficit Work Deficit Total Work Deficit Power Deficit Torque Fatigue Index Work Fatigue Index Reaction Time Settling Time Coefficient of Variation Coefficient of Variation No Feedback Maximum Deviation Maximum Deviation No Feedback Time To Peak Torque Force Decay Time Reciprocal Delay Delay Time 1 Because the HUMAC stores the real time unprocessed data it is possible to print reports for a given test with the average value or the highest value To do this select Compute average value of all repetitions and print the report Then sel
103. ly delete a patient and all their stored test and exercise sessions Page 6 15 HUMAC2009 NORM Application Program User Manual 6 7 Usage Report The Usage Report shows each protocol run on the system grouped by patient The report is sorted first by Patient Name then by the Date the protocol was run 6 7 1 Create Usage Report 1 On the File menu click Usage Report HUMAC2008 Usage Report Date Description Protocol Test Potash Rob L 8 4 2007 2 33 37PM Knee Extension Flexion 60 180 Degrees Per Second Yes 842007 2 44 30PM Shoulder InternalvExternal Rotation 2 Speed Protocol 60 180 Yes 84 2007 3 17 27PM Ankle Plantar Dorsiflexion Prone 2 Speed Protocol 30 120 Yes 8 5 2007 10 56 03AM Knee Extension Flexion Repeatability 60 90 60 Yes 8 5 2007 11 51 49AM Shoulder Internal External Rotation 2 Speed Protocol 60 180 Yes 8 7 2007 8 27 12AM Knee Extension Flexion 60 180 Degrees Per Second Yes 8 9 2007 2 19 40PM Knee Extension Flexion 60 180 Degrees Per Second Yes 34 2008 9 51 17AM Knee Extension Flexion Isometric 90 60 30 degrees Yes 3 4 2008 9 59 53AM Knee Extension Flexion Isometric 90 60 30 degrees Yes 3 4 2008 10 09 39AM Knee Extension Flexion Interactive Path Mid Range Yes 34i2008 10 27 27AM Knee Extension Flexion Resistance Sampling CPM Isom lsok le No 4 27 2008 11 16 59AM Knee Extension Flexion 3 Speed Protocol 60 180 240 Yes Rudzitis Paul V 8 4 2007 2 16 54PM Knee Extension Flexion 60 180 Degrees Per Second Yes 8 4 2007
104. ly in See Dynamometer Mode Switching topic below Servo Status OFF The servo amplifier is disabled READY The servo amplifier is enabled Page 8 1 HUMAC2009 NORM Application Program User Manual Fault NONE No pending faults Condition 8 2 1 Dynamometer Mode Switching HUMAC Status HUMAC Status Position 797 Position 823 System State NORMAL System State NORMAL Mode CPM Mode CPM Internal Mode ISOK Internal Mode CPM User requested CPM mode Dynamometer is Dynamometer is in CPM mode in Isokinetic mode until the input adapter is moved to the starting location at which time the system will switch to CPM mode 8 3 Using the Toolkit Sliders The toolkit sliders allow you to easily change the dynamometer settings Velocity Velocity Low Range jw Low Range iv Det Da iv Cw CCw Es CCW EE CCW Pr DO 500 Pr 1 00 1 00 E eee oz 07 gt 30 gt 30 E F 1E S e 0 50 0 50 200 am a E I 100 100 Bosi P T en e T Sag 8 16 8 3 1 Displayed Value The slider displays the current setting as a filled bar with the numeric value below the bar In the above example the left slider velocity is set to 60 deg sec 8 3 2 Changing the Slider Value There are three ways to change the slider value e Click the slider and hold the mouse button down as you move to a new value Release the mouse button and the slider will be set to the new value e Click the slider to select it and us
105. m the Print Preview area select the Parameter you want reported e g Peak Torque Single Parameter Per Rep Peak Torque 6 Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preference to set Report Heading Peak Torque Single Parameter Per Repetition Report Knee Extension Flexion Sample e XXXXXXXXXXXXO id 7 e Name Patient ID EE EE Right Left 6 25 2007 6 25 2007 ees et M Birth date 1 1 1981 Involved Side Right Group 1 Group XXXXXXXXxXxXxxxO Height 65 Inches Preferred Side Left Group 2 GPOUP2 XXXXXXXXXXXXO e 3 7 doctor Weight 165 Pounds Doctor 1000000000000 7 z tester Gender Male Tester weng HEET Diagnosis 2 2 1982 diagnosis xxxxxxxxx0 Surgery 3 3 1983 surgery xxxxxxxXxxxxO Extensors Con Flexors Con 60 CW HUMAC 2009 Version 9 1 48 Copyright Computer Sports Medicine Inc 1982 2009 www lutions com Figure 56 Report Single Parameter Per Set Page 2 19 HUMAC2009 NORM Application Program User Manual 2 18 Isometric Report The Isometric Report shows the numeric results and torque vs time plots for the isometric sets in the protocol 2 18 1 Printing the Report 1 From the main HUMAC Screen click the Patient button to select the patient 2 Click the Report button 3 Select the desired test protocol 4 From the Print Preview area select Isometric as th
106. mits 2 Click the ISOM tab 3 Set the Torque Limit 4 Click the Set Mode button The HUMAC will switch to Isometric mode Computer Selected The computer automatically moves the limb to the Isometric setpoint move to Cleared The computer enters isokinetic mode and waits for the patient patient angle reaches the setpoint When the patient reaches the setpoint the system moves to isometric mode Set Mode Switch dynamometer mode to Isometric Mode Torque Limit Set the CW and CCW Concentric Torque Limit in ft lbs Setpoint Change the isometric setpoint Page 8 7 HUMAC2009 NORM Application Program User Manual 8 11 Toolkit Feedback Display Feedback Display Velocity Data Collection Position Velocity Real Time Reset Save I Excel I Preview I Metric I Pause Scales Torque Sample Rate 2500 MEN 500 250 100 50 10 Velocity Figure 103 Toolkit Feedback Display 8 11 1 Real Time Numeric Values 1 The top of the feedback display contains real time Torque Position and Velocity values along with the Min and Max values 8 11 2 Data Collection Reset Clear the data collection buffer Reset the Min Max values Save Write the data collection buffer to a disk file Excel Cleared Save the data as a CSV text file Checked Save the data in Excel format Preview Open the saved data file Metric Cleared Display the data in US ft lbs units Checked Display the data in metric nm units Pause
107. motion indicated by the ROM stops Note When performing a calibration it does not matter if the T bar is placed to the left or right of the scapular pad adjustment channel However it is recommend that the T bar be consistently placed in the same position whenever a calibration or verification is performed Caution Exercise caution whenever the T bar is attached to the input arm assembly Page 6 6 6 1 7 HUMAC2009 NORM Application Program User Manual Calibrate TMC On the Utilities menu click Calibration From the Calibration Menu click Calibrate TMC Setup the TMC for the calibration Click the box or press the space key when the TMC is setup correctly T Set the stops at White D and Teal D Slide chair to end of monorail position 75 Set dynamometer tilt to position 0 Rotate chair to position 90 Attach TMC to docking hitch lower dynamometer over TMC input adapter and mate with TMC Input adapter should be flush with TMC adapter Move scapular pad as far down as possible and secure Chest pad should be removed Secure the Calibration T Bar next to the scapular pad adjustment Move the Sacral Seat pad to Position 7 Raise the input adapter toward full extension until the arm locks into isometric mode Click the box or press the space key to continue Position the arm against the O stop Verify no weights are on the T bar Stand clear of the dyna input arm and check the box The T bar will begin to fall and will
108. n the T bar Do not stand below the T bar Check this box when the weights are loaded on the arm The TMC will begin the weight drop and will pause near horizontal for a few seconds T Load calibration T bar with 75 pounds 2 25 pound weights on one side 1 25 pound weight on the other side Keep clear of the input arm 8 When the second drop is completed the following box will be enabled Remove the weights from the T bar and then check this box Remove all weight from the input arm assembly 9 The HUMAC will display the verification results Page 6 8 HUMAC2009 NORM Application Program User Manual Calibration Results Success Expected Value Measured Value Percent Error Percent Full Scale Error Note If the HUMAC reports Verification Error you should repeat the calibration and verification procedures If the HUMAC reports an error a second time contact CSMI Technical Support 6 1 9 Calibration Log The HUMAC Calibration Log displays your calibration and verification values Date Calibration Type Machine ConvFact Verify1 Verify2 Therapist Small Big Baseline Adapter Dyna Side Date the Calibration or Verification was run Yes indicates a calibration was done No indicates a verification was done The data channel Torque Position or Speed which was calibrated verified The machine which was calibrated verified The calculated Conversion Factor The HUMAC uses the Conversion Fa
109. n the calculation of the Fatigue Index 2 28 1 9 Average Torque The average production during an isometric contraction 2 28 1 10 Fatigue Index The percentage peak torque declined during the endurance test Computed as the percent change from the Initial Peak Torque and the Final Peak Torque Note A negative Fatigue Index indicates the patient produced more torque at the end of the test then the beginning 2 28 1 11 Work per Repetition Work is typically defined as force times distance For rotational systems i e systems which measure torques and angles work is defined as torque times angle where the torque is in foot pounds and the angle is in radians Work Torque ft lbs Angle deg 0 0175 rad deg 2 28 1 12 Total Work Done The Total Work performed over an entire set 2 28 1 13 Endurance Ratio The ratio of the total work from the first 1 2 of the set to the last 1 2 of the set Page 2 32 HUMAC2009 NORM Application Program User Manual 2 28 1 14 Average Power per Repetition Power is defined as Work per unit time Given the Work per Repetition in foot pounds and the Time per Repetition in seconds Power watts is computed as Work ft Ibs Time seconds Power watts 1 3558179 2 28 2 Position Parameters 2 28 2 1 Joint Angle at Peak Torque The point in the range of motion where peak torque first occurs 2 28 2 2 _ Range of Motion The maximum limb excursion during extension flexion Each t
110. na follow up test the peak occurs just after the window start it would then be reported as the patient s peak 7 12 2 Set the Window Torque Data Option 1 On the File menu click Preferences 2 Click the Data Analysis tab Page 7 4 HUMAC2009 NORM Application Program User Manual 3 Select Window back pattern torque data to print reports with the torque data windowed Note e Because the HUMAC stores the real time unprocessed data it is possible to view both windowed and non windowed test results To do this select Window back pattern torque data and print a test report Then un check the Window back pattern torque data and re print the report e The original CYBEX DOS applications enabled Data Windowing 7 13 Gravity Correct Torque Data During testing and exercise the patient s limb may be assisted or resisted by gravity When you enable gravity correction the HUMAC asks you to weigh the patient s limb From this the HUMAC computes the MaxGET Maximum Gravity Effected Torque The MaxGET limb position and direction of motion are used to adjust the torque values for the effects of gravity using the following equation Limb is Reported Torque Measured Torque MaxGET Cosine Angle assisted by gravity Limb is Reported Torque Measured Torque MaxGET Cosine Angle resisted by gravity The Angle is the position of the limb relative to vertical not the limb s anatomical position The Angle is 0 when the limb is
111. nce the Torque Threshold is reach the timer continues even if the torque drops below the threshold 1 7 20 Computer Moves patient to angle Isometric Mode Computer Moves patient to angle determines how the isometric angle is reached at the start of a set Checked The HUMAC moves the patient limb using a slow speed CPM to the Isometric Angle When the angle is reached the HUMAC switches to Isometric mode This is sometimes referred to as powered isometrics Page 1 13 HUMAC2009 NORM Application Program User Manual Isometric The HUMAC enters Setup mode Isokinetic Con Con and waits for the patient to move their limb to the Isometric Angle When the patient reaches the Angle the HUMAC enters Isometric mode 1 7 21 Cushion Isokinetic lsotonic CPM Mode As the patient approaches the ROM limits the HUMAC must decelerate the dynamometer The smallest cushion value 0 corresponds to the slowest deceleration softest stop The largest cushion value 5 corresponds to the fastest deceleration hardest stop 1 7 22 Ramping CPM Mode During CPM the dynamometer accelerates from the ROM stop moves through the range of motion and decelerates toward the ROM stop The CPM Ramping feature allows you to gradually increase the CPM speed during the set Example In this example we want the patient to perform a high speed CPM exercise at 300 deg sec However we don t want the first repetition to begin at that speed instead w
112. ne allowing you to test all Demo mode HUMAC functions COM COM Available with the CYBEX II 300 TEF TR and Lift Task systems Port USB Port Available with the 6000 and NORM systems The HUMAC interface supports both USB 1 1 and 2 0 ports USBCOMM Available with the HUMAC360 and Weight Stack systems 7 6 Use Sound to Count Repetitions The HUMAC can count repetitions through the PC s speakers during testing and exercise 1 On the File menu click Preferences Click the Feedback tab Click on Use sound to count repetitions 7 7 Reset Torque Scales for Each Set The HUMAC auto scales the feedback display during testing and exercise The very first time a patient is tested the HUMAC starts with a 20 ft lbs scale If the patient exceeds 20 ft lbs the HUMAC moves to a 50 ft lbs scale The HUMAC continues with 100 200 and 500 ft lbs scales until the best scale for the patient is found This best value is stored in the HUMAC database The next time the patient is tested the HUMAC starts with best value Because of the potential strength difference between involved and un involved limbs and different test speeds in a protocol some clinicians prefer to have the HUMAC find the best torque scale for each set 1 On the File menu click Preferences Click the Feedback tab Check Reset torque scales for each set to have the HUMAC find the best torque scale for each set Clear Reset torque scales for each set to have the HUMAC find the b
113. ng Form Torque ve s Y Report mnes ExteruonPienos name Potash Rocet 12345 Rigrelet OSX teras e ach Je Pay f j rt ON 5 t E MDE JEN Pi cx i N i A KE Ste Det Sedo Coven at Site Curves moareoc Contos Exteesors Con Prexors Con Speed COTO Gegreec Hepes vave Cot Wor sow Vee Corver Sow Reto TORQUE PARAMETERS Peak Torque root Deenen Highest Repettion Reet ON OM Let 013 x 4 Detot gt Work pet Mepettion Poot Pownds highest Repetitor Hight e 2 r R 2 tatt D om x 1 D Dator Di 7 Average Power per Repettion Watts Highest Repettion Rett Dy Du x Let v 3 Dett PORTION PARAMETERS Jm Angle a Peat Torque Degrees gt Right ch Le Range of More Degrees D s Let TIME PARAMETERS orgue ecgz gn Le To Trane Peak f rten Hired Seconds ech d Lef Force Decay Time Seconds Right Let Beeacg Deier Seconds Woh Lef Detay Fre ist gt Ryn EI Ei E 2 SAACH CU Verson A 1 3 gur Computer Sports Medene ino tii 2008 Figure 64 Report Long Progress Page 2 28 HUMAC2009 NORM Application Program User Manual 2 26 Involved Side Re Test Report The Involved Side Re test Report allows you to combine the results of an initial test for one side with the results of a follow up test for the other side into a single report This is typically used when you test both side during an initial evaluation and only re test the involved side during a follo
114. nt Repetitions cccccececcccceneee cece eeeeeecceeeeeeeeeeeeeccaaeesaeeeeeeeeenees 7 2 HUMAC2009 NORM Application Program User Manual 7 7 Reset Torque Scales for Each Get 7 2 7 8 Interactive Feedback Max Glope cccccceccececcteeeeeeeeeeeeeccneeeeeeeeeeeeetceeeeaeeeeeeeeenee 7 2 7 9 Average vs Best ValS sccccccavccssocsccceeseaenss sare taceeasaenss sons taseea pease vend Eiaa Eia 7 3 7 10 Strength Test Work Parameters cccccceccececcneeeeeeeeeeeeecceeeeeeeeeeteceaaeeeaeeeeeeeeennee 7 3 Zelt Fatigue Paramet rSis 26 e0 2 eeegrsesegees vs reeg eases vase Eed ASSEN Eegeregie dee 7 4 7 12 Window Back Pattern Torque Data 7 4 7 13 Gravity Correct Torque Data 7 5 7 14 Adjust Calibration for Input Adapter Toroue 7 5 7 15 Zero Torque at ROM stop 7 5 7 16 Accept Variations in BON cece eee e ee ee enter rere aee eset rete ee etnecaaaeeeeeeeteneee 7 6 7 17 Torque Vs Position Plots AA 7 7 AAB Highlight Detictts k4 wkend nde ee ENEE 7 8 TE eblebt EN aon cee et ial lt let os Ee et 7 8 7 20 Default Torque Scale wiw ee kde cd AA AME A ot 7 8 7 21 Display Bi Polar Torque Plots ccecccececceeeceee teeter ee eeecceee eset ee eteec aa aaaaeeeeeeeeteneee 7 8 7 22 Display ZOOM Values A 7 9 ZS Report Heading ag ees nent 7 9 elek UNIS hashes eae uli sv el aS A Ait 7 9 RESEARGH MORIS 8 1 8 1 Foot Depense ein einen 8 1 8 2 TOOIKIt Status sates iat le ee eens 8 1 8 3 Using the Toolk
115. o we ino 1080 2008 Figure 45 Report Long Torque vs Position Page 2 8 HUMAC2009 NORM Application Program User Manual 2 7 Graphic Summary Report The Graphic Summary report provides a single page report showing torque work and power bar plots for the first three sets in the protocol and fatigue plots for the final set in the protocol The bar plot include the numeric values are displayed under the bars and the right left side deficit at the top of the bars 2 7 1 Printing the Report 1 From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Graphic Summary as the report type af won Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use Fite Preferences commend to set trupon heading t Beem mary SI nee Ertem Name fatah Rodet i mm KS Ke OII UOR Br asta tees e nagre F reran Preferred See let Group 2 wegh nN pees d Aert Ee For aogas D H i i UU An pa Payette heop ha pe apen WH TETI monnet CoCa Spred ETET Cxtensors Con Paors Con Figure 46 Report Graphic Summary Page 2 9 2 8 HUMAC2009 NORM Application Program User Manual Curve Overlay Report The Curve Overlay Report overlays the right and left side torque vs position data You can select up to four angles for the HUMAC to report the torque data and
116. omical position The Angle is 0 when the limb is horizontal and 90 when the limb is vertical The Reported Torque values are used to compute the Peak Torque Work and Power values 1 13 1 Weighing the Limb 1 Move the limb to desired angle For the most accurate weight the limb should be positioned as near horizontal greatest MaxGET as possible 2 Click the Lock button to switch the dynamometer to isometric mode 3 Instruct the patient to relax the limb and click the Weigh Limb button 4 The HUMAC will display the measured Torque Angle and MaxGET e If you feel the patient was not relaxed during the limb weighing you can repeat the procedure using the UnLock button to re position the limb and the Weigh Limb button to repeat the weighing e During testing and exercise the real time feedback display is not gravity corrected e When using gravity correction you will notice a discontinuity in the torque data when the patient changes direction during a gravity affected motion During a change of direction the CSMI is below the isokinetic test speed so the torque transducer shows 0 output However when gravity correction is enabled the HUMAC adds the position adjusted limb weight during extension and subtracts the position adjusted limb weight during flexion At the point the patient reverses direction the HUMAC switches from adding to subtracting Page 1 23 HUMAC2009 NORM Application Program User Manual the torque correction and y
117. or Test 2 Move the dynamometer input arm back and forth to verify the torque and position numbers change Page 6 10 HUMAC2009 NORM Application Program User Manual 6 3 Auxiliary Outputs The HUMAC board provides Auxiliary Torque Position and Velocity analog outputs Auxiliary Outputs Position Torque Speed V Enabled Enabled Enabled Gain 8 Gain 1024 aal Gain 1024 0 9 Offset Offset fo aal Offset 0 0 9 IT Rectity IT Rectify Figure 80 Auxiliary Outputs The conversion from the sampled digital data to the analog outputs uses the following equations Position Gain Sampled Position Offset 1024 10v 32768 Output Torque Gain Sampled Torque Offset 1024 10v 32768 Output Velocity Gain Sampled Velocity Offset 1024 10v 32768 Output Enabled When checked the HUMAC outputs the analog data Rectify When checked the auxiliary output computes the Absolute Value Sampled Data Offset before applying the Gain This is typically used if you want the torque to always be a positive voltage Note e Sampled Position is in units of 1 16 degree e Sampled Torque is in units of Foot Pounds 32768 500 This is an approximate value Exact values must be obtained by calibrating the analog output to a know torque input e Sampled Velocity is in units of 1 16 degree 6 3 1 Adjust Auxiliary Outputs 1 On the Utilities menu click Auxiliary Outputs 2 Enter the desired conversion
118. orts providing a torque vs position plot and complete numeric results for each set in the protocol Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Long Trq vs Pos as the report type Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Note Use the Notes button to add text notes which appear on the first page of the long report Use File Preferences command Leng Form Torque va Poumon Potash Rocer Eames Con Hot Sede Coven ep See Curves otmete Contos Eieren Speed Gr gu r Hepes veve Cot TORQUE PARAMETERS Pease Torque Foot Pounds Highest Repettion Rott 2 WI Les 0 Cony ver sow Deace gt Werk per Mepetmon Poat Pounds ghost Repeteor Regn ag on e Lef u Datat a Average Power per Repettion Watts Highest Rapettion Dee H 043 Let e Detot a POSITION PARAMETERS Ant Angie a Peak Torve Degrees Hen Lef Range of More Degrees Rore Let TIME PARAMETERS Time to Pest Torque ecengni Right let 0S4 Timne Posa Toria Heed Bao Bag s let Force Decay Time Seconds Rett Le Reeace Deier Seconds Wah Lef Ce Tene econ nt fo Right Ei MALS CO Verson 3 1 mur Corre to set report heading Regen sree Cap ewe 12345 pary Ue naw
119. ou see a discontinuity You do not see this during the change from flexion to extension because the limb is near vertical where the effect of gravity is 0 Figure 17 Gravity Corrected Torque Page 1 24 HUMAC2009 NORM Application Program User Manual 1 14 Feedback Display Curves Bars The HUMAC displays real time feedback to the patient during testing and exercise sessions The HUMAC feedback display contains a number of sections 1 14 1 Computed Data Peak Torque Total Work Done EXT 1150 436 0 FLX 130 0 436 0 Figure 18 Feedback Display Computed Data At the top left side are the Extensor and Flexor Peak Torque and Work Concentric Eccentric values The data is displayed as Con Peak Trq 115 Ecc Peak Trq 0 1 14 2 Set Rep Counter Reps Set Reps 3 4 Set 1 4 Figure 19 Feedback Display Set Rep Counter At the top right side are the current Repetition and Set for the protocol In the above example the patient is on set 1 of a 4 rep set Set 1 contains 4 repetitions and the patient is currently on repetition number 3 1 14 3 Real Time Feedback Display EXTENSORS FLEXORS w 5 js 60 80 100 120 Angle Figure 20 Feedback Display Curves Page 1 25 HUMAC2009 NORM Application Program User Manual Important The patient should not begin their motion until the feedback display is fully displayed 1 14 4 Targets The HUMAC displays High Low targets as horizontal lines on the real time display
120. ow in the ProtocolRow 5 5 1 2 Fields Each table include a description of its data fields To access the field descriptions Open the Results2009 MDB file with Access Single click the table to select it Click the Design icon Pn DNs E The Description column contains the field description Page 5 3 5 6 5 7 5 8 2 HUMAC2009 NORM Application Program User Manual Printing a Summary Report In the Group Summary database area select the Group Summary record you want to Preview Print Click the Preview or Print button Comparing a Patient to a Group Summary From the Main HUMAC menu select the Patient From the Group Summary menu select My Data In the Group Summary Database area select the Group Summary record you want to compare the patient to In the Patient area select the Patient session you want to compare to the Group Summary In the Patient area click the Preview or Print button Deleting a Group Summary From the Group Summary Database area select the Group Summary record you want to Delete Click the Delete button Note Deleting the Group Summary only deletes the summarized results The original patient tests remain in the HUMAC database Page 5 4 HUMAC2009 NORM Application Program User Manual 6 UTILITIES 6 1 Calibration Calibration in general is a process for adjusting or fine tuning the accuracy of the gradations of a measurement system e The NORM System is capable of mea
121. pause near horizontal for a few seconds IT Remove all weight from the input arm assembly Keep clear of the input arm When the first drop is completed the following box will be enabled Raise the input adapter toward full extension until the arm locks into isometric mode Click the box or press the space key to continue Position the arm against the O stop Carefully load 75 pounds onto the T bar Two 25 pound weights should be placed on one side of the T bar One 25 pound weight should be placed on the other side Important Stand clear of the TEF Modular Component and T bar assembly when placing the weights on the T bar Do not stand below the T bar Check this box when the weights are loaded on the arm The TMC will begin the weight drop and will pause near horizontal for a few seconds T Load calibration T bar with 75 pounds 2 25 pound weights on one side 1 25 pound weight on the other side Keep clear of the input arm When the second drop is completed the following box will be enabled Remove the weights from the T bar and then check this box IT Remove all weight from the input arm assembly Note After performing a calibration you should Verify the TMC Torque 6 1 8 1 2 Verify TMC On the Utilities menu click Calibration From the Calibration Menu click Calibrate TMC Page 6 7 HUMAC2009 NORM Application Program User Manual 3 Setup the TMC for the calibration Click the box or press the space key wh
122. ps Trq vs Time Report is a multi page report providing torque vs time plots and Torque Work Power and ROM numeric results for each repetition in the set 2 23 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Reps Trq vs Time as the report type SL de Zi J Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command fo set report heading Te patton Torga ve Teme Report enee Externe men osh etl O Ria Sean Sex mesio pes Group t ep at OMT Comasco Cony D TALE r fee Syne Mere ve 7 erg Figure 62 Report Reps Torque vs Time Page 2 26 HUMAC2009 NORM Application Program User Manual 2 24 Short Progress Report The Short Progress Report provides a single page report showing the patient background information torque vs position plots for the first set in each session and the numeric results for the first three sets in each session along with the change which occurred 2 24 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient From the Report menu select Progress Select the initial test protocol and click the Initial button Select the follow up test protocol and click the Follow Up button From the Print Preview area select
123. r the selected Pattern in the Protocol Name area Select Testing or Exercise to edit the appropriate protocol Select Add to add a new protocol 6 17 3 Deleting a System Protocol 1 From the Utilities menu select Protocol Editor 2 Inthe Test Pattern area select the pattern you want to add edit a protocol for The HUMAC will display all available system protocols for the selected Pattern in the Protocol Name area Select Testing or Exercise to edit the appropriate protocol 4 Single click the protocol name The HUMAC will display all sets in the selected protocol Select Delete to delete the selected protocol Page 6 26 HUMAC2009 NORM Application Program User Manual 6 17 4 Printing Protocols 1 From the Utilities menu select Protocol Editor 2 Click the Print button 6 18 Interactive Protocols The HUMAC allows you to define a number of interactive protocols The interactive protocols are described in detail below The procedures for adding editing and deleting interactive protocols are similar for each protocol type 6 18 1 Adding a New Protocol 1 From the Utilities menu select Interactive Feedback Editor Protocol Type 2 Click the Add button 3 Enter the protocol values The HUMAC automatically updates the feedback display 4 Inthe area above the display enter a Descriptive Name for the protocol 6 18 2 Editing a Protocol From the Utilities menu select Interactive Feedback Editor Protocol Type In the table on
124. raning E you have any comments of suggestions concerning this patient contact me deectly at 781 297 2034 Serge Rob Potash Robert L Potash Prywcal Trerspat Musde Pectormance Evaluston in Ortnapsedio Practice Alexander A Sapega VO Joumal of Bone and Mint Surgery Vol 72A issue 10 Dec 1950 Figure 60 Report Narrative Page 2 24 HUMAC2009 NORM Application Program User Manual 2 22 Reps Torque vs Position Report The Reps Trq vs Pos Report is a multi page report providing torque vs position plot and Torque Work Power and ROM numeric results for each repetition in the set 2 22 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Reps Trq vs Pos as the report type GA oN Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading DEET ET Ref EE same Pour oteti 735 et ite a pregtiegd baje HoN Grove TEEN EE cren Preterred Sete e Group 2 Neg a Zen ter eres Sne Eggs Coe GET Panes Cony LEFT Extemsors Con L IT Preners ech MACH LE ven E 1 3 Corrag Commenter S ch Metera ze 1002 008 Figure 61 Report Reps Torque vs Position Page 2 25 HUMAC2009 NORM Application Program User Manual 2 23 Reps Torque vs Time Report The Re
125. relationship that occurs throughout the range of motion peak torque is indicative of maximum muscular tension capability You can also analyze additional peak torque measurements at angles other than the angle of peak torque If you note points in the initial torque curves that are affected by injury or pathology you may wish to evaluate progress at those points during subsequent tests 2 28 1 4 Torque to Body Weight Ratios Clinical experience has shown this ratio to be a valuable tool for inter individual comparisons and for evaluation of the functional strength of an individual s weight bearing musculature Torque to body weight ratios allow for comparisons to normative data Page 2 31 HUMAC2009 NORM Application Program User Manual 2 28 1 5 Peak Torque at Additional Angles Torque measuremenis at angles other than the angle of peak torque are important for a number of reasons For example it is useful to evaluate torque capabilities at specific functionally critical angles Or you may want to observe changes or progress at an angle that the torque curve shows to be particularly affected by some injury or pathology The NORM System Overlay Report allows you to request peak torque measurements at four additional angles at the time the report is generated 2 28 1 6 Agonist Antagonist Torque Ratios Opposing muscle group torque ratios express the normally weaker muscle group torque as a percentage of the normally stronger muscle gro
126. rent methods for counting repetitions during a test and for counting repetitions when analyzing a test you may find a case where the HUMAC reports all O s as the test results In the above example the feedback display counted the small motions as repetitions because the patient moved at least 10 degrees The data analysis routine did not count them and thus reported not enough repetitions were completed Fixed Change of Direction When the Accept Variations in ROM preference is checked the HUMAC uses the same method for counting repetitions as is used during the test or exercise session and thus will not report not enough repetitions were found In some cases you may want to enable this to view the results 7 16 1 2 Minimum Torque Requirement Another most common condition to detect is the patient moving the limb back and forth at the start of a test For example assume we have a patient setup for a knee extension flexion test While waiting for the test to begin the patient is lightly swinging their leg back and forth The patient then notices the feedback display moves the limb to full flexion and then begins the test We do not want to count the time when the patient was swinging the leg back and forth as repetitions during the test The HUMAC will not begin analyzing the data from the CYBEX until the patient reaches a minimum torque requirement For the ankle elbow forearm and wrist patterns the threshold is 1 ft lb For all other patterns
127. right to left side deficit 2 8 1 1 D U oe Go Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Curve Overlay as the report type Click the Angle button to select the desired angles Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading reg Overtay Report Knee Extension Flexion 12645 Rightiet 6252007 057007 Name Potash Robern L D 2 Pan ane men ivotved Side Right Group 1 TEEN eg ht 65 inches Preferred Sede Lem Group 2 went 25 Poris Jones Genser Moe Tester Anderson R Diagnosn At ACL Tear Surgery Extensors Con Right Soe Curves Let Sate Curves Oferece D 5 g D SEN D Defot 8 H 8 HUMAC 2008 Version 6 1 3 Copyright Computer Sports Mediowe ino 1902 008 wew curve Figure 47 Report Curve Overlay Page 2 10 HUMAC2009 NORM Application Program User Manual 2 9 Torque Repeatability Report The Torque Repeatability Report compares the initial bout in an isokinetic test to the final bout The report includes curve overlays of the data along with computed numeric values 2 9 1 Printing the Report 1 From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desir
128. rotocol Editor Interactive Path Scrolling Path Protocol Editor Description S h Position Time Position Time I DR o 1 Add Random Training 1 of s al of es os Ny 2f of f os Bf of si Delete 3 a af an ni col os 4f of f os 5 ei col 2 Description S of sf 71 of ol os Hils 6 of al o5 Y of sl 100 7 sei col am of al os ef of col o5 9 si sl 2 3f of sf 17 of al os wy al elo of s 3 1 80 85 2 Total 25 Figure 89 Protocol Editor Interactive Path Parameter Definition Position The percent of the full scale x axis value For Isometric mode 100 represents the patient s full isometric contraction For Isotonic Mode 100 represents the patient s full range of motion Time The time in seconds to reach the new position 6 21 Protocol Editor Roadway Feedback Display Editor Description Description Road 2 Up 2 Down La Road 2 Up 2 Down Relax Time 2 03 Hold Time Raise Time 2 0 9 Lower Time Delete Figure 90 Protocol Editor Roadway Parameter Definition in seconds Page 6 28 HUMAC2009 NORM Application Program User Manual Parameter Definition in seconds Relax Time Time during which the patient relaxes at the start of a repetition Raise Time Time during which the patient is moving toward the ROM target in Isotonic mode or th
129. rque Work Power and ROM numeric results for up to 12 test sessions The Isometric Multi Session Report shows a graph of the Peak Torque and Average Torque values along with the Peak Torque and Average Torque numeric results for up to 12 test sessions 2 20 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Using the Control key select the test protocols to be included in the report From the Print Preview area select Multi Session Report as the report type In the Multi Session Report area select The Side to be reported The Dynamometer Mode and Action to be reported CN Or Gl ZF J gt Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Mutt Session Report Zeg Extension Flesion Name Potash Robet L ID 1265 Beth date KKH weve Sde ot Group 1 e Men Hei 65 Inches Preferred Side Leg Group 7 Wage 165 Ponds Dog teg Agen Gerster Mare Tester Anderson R Diagnosis DNI ACL Zeg Surgery Extensors Con Right i i ls d 1003 3 50 so i D 4 Test Number Flexors Con Right 3 100 t0o0 gt H H ap 20 E g 5 5 8 Tex 1 2 3 H 6 s 9 s n 12 DG 3 Peak Tra s2 e 7 w ns Work Ki 7 Gi 7 m vg Power a st 7o re 2 w ROM o d H 0 H o En Tew 1 2 3 4 A
130. rt can combine up to 15 sessions in a single report Use the Windows Multi selection options Shift amp Control to select the sessions for the report Multi Page report with Torque vs Time plots and Torque Work Power and ROM values for each repetition Page 2 1 Reps Torque vs Position Interactive Feedback Isometric Proprioception Response Time Coordination HUMAC2009 NORM Application Program User Manual Multi Page report with Torque vs Position plots and all measured parameters Multi Page report with Position Isotonic or Torque Isometric vs Target plots and all measured Interactive values Multi Page report with Torque vs Time plots and all measured isometric parameters Multi Page report with Position Isotonic or Torque Isometric vs Target plots and all measured Proprioception values Multi Page report with Position Isotonic or Torque Isometric vs Target plots and plots of Response Time and Settle Time values Multi Page report with Position Isotonic or Torque Isometric vs Target plots and all measured Coordination values Endurance Multi Page report with Force vs Position plots and all measured Capacity Endurance values Exercise Single page report with Torque and Work values 2 1 2 Actions Annotations Print Preview report Ne 2 Ka Short Trq vs Pos z Z a H G Delete Notes Angle Narrative Preview Print File Figure 39 Report Actions Notes Enter text notes which are displa
131. s EXTENSORS FLEXORS 8 00s 10 00s 12 00s 14 00s Time Figure 21 Real time Feedback Targets The targets can be changed by dragging them up and down using the left mouse button When changing the targets the HUMAC displays the target value 160 ft lbs in this example EXTENSORS FLEXORS W 8 00s 10 00s 12 00s 14 00s Time Figure 22 Dragging the Target to a New Value Page 1 26 HUMAC2009 NORM Application Program User Manual In Isometric Torque vs Time mode the HUMAC displays a diamond cursor with the current toque value From the Dashboard you can select Freeze display if outside target When selected the cursor turns red and the timer stops if the patient torque is not within the target area 100 60 60 40 Figure 2s Isometic In Target Figure 24 Isometric Out of Target Below the real time display are options which can be changed during the exercise 1 14 5 Dynamometer Settings At the bottom of the feedback display are the dynamometer settings which can be adjusted Note Changes made from the feedback display are not copied back to the original protocol 1 14 6 Set ROM Limits All Modes The Set ROM Limits area is used to change the ROM limits during Exercise and Testing Set ROM Limits Dyna Patient Expand Override EXS RB WM 0 wl dec FLXS ge 90 foo S Inc Dec Figure 25 Feedback Display ROM Limits Parameter Description Dyna The current software ROM limits set on the dynamometer
132. s com Figure 49 Report Interactive Feedback Scrolling Line Page 2 12 HUMAC2009 NORM Application Program User Manual 2 11 Interactive Feedback Scrolling Path Report The Interactive Feedback Report provides a report showing the path and the patient position for isotonic mode or torque for isometric mode during the test 2 11 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Interactive Feedback as the report type of ON Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Interactive Feedback Report Knee Extension Flexion Sample Name Bore CeO in 8 Right Left 7 3 2008 7 3 2008 ient XXXXXXXXXXXXXXXX XXXXXXXXXXX0 M Birth date 14171981 Involved Side Right amp Left Group 1 groupt XXxXXXXXXXXxXO Height 65 Inches Preferred Side Right amp Left Group 2 group2 XXXXXXXXXXXxXO ight doctor Weight 165 Pounds Doctor ee EE Gender Male Tester tester XXXXXXXKKXXXO Diagnosis 2 2 1982 diagnosis xxxxxxxxx0 Surgery 3 3 1983 surgery A SON SOEN 30 25 20 F o Wi l o 2 1 o E Z415 L 104 5 J KE D T 100 Torque 10 10 ft lbs Reps 1 Value Cof Var Percent
133. s values 6 3 2 Auxiliary Output Connector The Auxiliary Outputs are accessible via the DB 9 connector at the rear of the HUMAC Interface Mating connector is DB 9 Male Amp 747904 2 or equivalent Pin Signal 1 Gnd 2 Gnd Page 6 11 HUMAC2009 NORM Application Program User Manual Gnd Gnd Gnd Position Torque Velocity ojlo NIDA Oo Direction Page 6 12 HUMAC2009 NORM Application Program User Manual 6 4 Error Log The HUMAC maintains an error log which lists the machine mode settings error and time date the error occurred 6 4 1 Displaying the Error Log 1 From the Utilities menu select Error Log HUMAC2008 Error Log Date Code Desc Mode Init Rec ip Status Hard Fault Soft Fault State Watchdog Safety Reg 4 Er Fa Servo Err Version Pos Limit Trg Limit Vel Limit Cmd Limit Comment Figure 81 Error Log Page 6 13 HUMAC2009 NORM Application Program User Manual 6 5 Edit Background Information The HUMAC allows you to edit the patient background information for stored tests This is typically used after you complete a test or exercise session and realize the patient s weight injury or other information was is incorrect Date Pattern Description _ ei Ww 4 27 2008 11 16 594M Knee Extension Flexion 3 Speed Protocol 60 180 240 EE b 3 4 2008 9 51 17 AM Knee Extension Flexion Isometric 90 60 30 degrees EI EI EI is
134. se No delete confirmation is requested Note Deleting the selected user removes them from the Login options All recorded database access is retained after the user is deleted Page 6 32 HUMAC2009 NORM Application Program User Manual 6 26 5 Login Usemame potash Password ke Cancel Help Figure 95 Login 1 If Users Must Login is selected the HUMAC will display the Login screen at startup 2 Use the File Setup Users Login command to change the logged in user without re starting the HUMAC 6 26 6 Printing an Access Log 1 From the File menu select Report Access Log Page 6 33 HUMAC2009 NORM Application Program User Manual 7 PREFERENCES The HUMAC File Preferences command allows you to customize the operation of your HUMAC System The Preferences dialog box is divided into four tabs Program Feedback Data Analysis and Reporting 7 1 Language The HUMAC is available in a number of languages To set the language 1 On the File menu click Preferences 2 Click the General tab 3 Select the Language 4 Click the OK button 5 Exit and re start the HUMAC program to switch to the new language Note The Windows Operating System must include the fonts required to display the selected language Selecting Japanese on an English version of Windows will display for the text as the Japanese fonts are not available on English Windows systems 7 2 Touch Screen Display The HUMAC can increase the gr
135. se Time Test Report Knee Extension Flexion Sample Name Moone mp id Right Left 7 3 2008 7 3 2008 Patient XXXXXXXXAXXXXXXXO KXXXXXXXXXXO M Right Left Reaction 0 5 1 0 1 0 1 1 1 14 28 20 11 13 1 1 Reaction 1 0 08 1 5 07 0 9 08 1 0 08 1 1 0 8 Settle 0 5 02 01 04 25 01 02 05 0 8 0 5 Settle 1 0 02 02 04 06 01 02 04 1 1 05 Right Left ane a i EE E A 3 ea 3 ee WE Tee SES 30 es 30 ao L a Ces fs Se Bs ES SS En i 15 eeneg GEES 1 GE EE TEE ol 10 Ss SCH RE Teen E j o 20 40 a0 D 100 0 20 40 30 B0 10 Torque 10 10 ft lbs Reps 10 Value Cof Var Value Cof Var Response Time Seconds Zoom Right 0 55 1 09 Left 0 59 1 23 Settling Time Seconds Zoom Right 0 11 4 74 5 45 Left 0 16 HUMAC 2009 Version 9 1 3 Copyright Computer Sports Medicine Inc 1982 2008 www csmisolutions com Figure 52 Report Interactive Feedback Response Time Report Page 2 15 HUMAC2009 NORM Application Program User Manual 2 14 Interactive Feedback Proprioception Report The Interactive Feedback Proprioception Report provides a report showing the patient position with visual feedback and without visual feedback 2 14 1 GA ON Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From t
136. select Progress 3 Select the initial test protocol and click the Initial button 4 Select the follow up test protocol and click the Follow Up button 5 From the Print Preview area select Isometric as the report type 6 Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Isometric Knee Extension Flexion Name Potash Rob L ID 1234 Right Left 3 4 2008 3 4 2008 Birth date 1 1 1963 Involved Side Left Group 1 Wrestling Height 68 Inches Preferred Side Right Group 2 Weight 160 Pounds Doctor Harris Gender Male Tester CSMi Tech Diagnosis 8 1 2007 ACL Tear 8 3 2007 Arthroscopy Surgery isometric Extensors Con Angle 90 deg 3 4 2008 3 4 2008 Change Peak Torque Foot Pounds Tr Right 67 79 18 i Left 48 58 21 Deficit 28 27 g Average Torque Foot Pounds Right 59 70 WE Left 42 51 EE Deficit 29 27 Peak Torque Slope Foot Pounds Seconds Right 57 56 1 Left 51 51 OS Deficit 11 9 je Time to Half Peak Torque Seconds AN Right 0 19 028 009 Left 0 21 014 OO7 Time to Peak Force Seconds Right 1 59 152 007 Left 0 97 188 O91 3 4 2008 3 4 2008 Figure 58 Report Isometric Progress Page 2 21 HUMAC2009 NORM Application Program User Manual 2 20 Multi Session Report The lsokinetic Multi Session Report shows a graph of the Peak Torque and Work values along with the Peak To
137. set the measured torque to 0 during the time the limb is decelerating into the software stop This is the same functionality as the original CYBEX 6000 and NORM software 1 On the File menu click Preferences 2 Click the Data Analysis tab Select Zero Zero the torque data as the patient enters the software stop Torque at ROM Stop Clear Zero Display the un adjusted torque data Torque at ROM Stop Note e Because the HUMAC stores the real time unprocessed data it is possible to view both Zeroed and Non Zeroed test results To do this select Zero Torque at ROM stop and print the test results Then from the Preferences screen disable the Zero Torque at ROM stop then print the same report The HUMAC will display the results without Torque Zeroing e The torque is never zeroed in the real time patient feedback display 7 16 Accept Variations in ROM When analyzing test results the HUMAC can use two different methods for counting repetitions 1 On the File menu click Preferences 2 Click the Data Analysis tab 3 Select the desired repetition counting method Clear Allow Count repetitions based on the patient s total range of motion variations in ROM Check Allow Count repetitions based on a fixed change of direction typically 1 4 degree variations in ROM 7 16 1 Counting Repetitions 7 16 1 1 Minimum Position Requirement During atest or exercise session the HUMAC counts a repetition each time the patient mov
138. suring form 0 to 500 ft lbs 678 Nm of torque and attaining speed of up to 500 deg sec e The weight calibration procedure makes use of the principle that A quantity of weight on an input arm set to a specific pre determined length will generate a known amount of torque when it falls e During the Torque calibration a quantity of weight 100 Ibs is dropped The long adjustable arm is set to a specific length The system is shown the amount of torque is should read when the specific quantity of weight is dropped e Following the weight drop the system adjusts is internal conversion factors Initial calibration of the NORM System is performed by CSMI personnel during installation Thereafter to ensure its measurement accuracy the NORM System should be periodically calibrated Torque calibration should also be performed after any reinstallation of software or anytime new or updated software is installed Calibration Menu Therapist EI View Log 1 1 1980 Calibrate Torque Verify Torque 12 30 1899 Calibrate TMC Verify TMC Weights OK Help Figure 76 Calibration Menu 6 1 1 Dynamometer Calibration Setup The parts and accessories listed below are needed to perform the torque calibration Page 6 1 HUMAC2009 NORM Application Program User Manual e The Calibration Weights Weights totaling 100 lbs are needed Four 25 lb weights are included with the NORM System The calibration weights are certified at
139. t Source C HUMAC Backup ZIP Figure 86 Import Database Point to the source media CD ZIP disk containing the HUMAC Backup data UnZip Data UnZip a HUMAC Backup file Import Data Read the backup data into the database 6 11 1 Importing Data When the Sending Sites Backup Their HUMAC Data Each site creates a backup of their data and sends it to the central location On the File menu click Import Database Click Set Source From the Windows File Open dialog box select the HUMAC Backup file submitted by the site Click UnZip Data to expand the HUMAC Backup file 6 Click Import Data to import the submitted data into the main HUMAC database 6 11 2 Importing Data When the Sending Sites Copy Their HUMAC Data a e a 1 Each site copies the HUMAC Data Files to a CD R ZIP or other large format storage media On the File menu click Import Database Click Set Source 4 From the Windows File Open dialog box select the User HUMAC MDB file submitted by the site 5 Click Import Data to import the submitted data into the main HUMAC database Page 6 20 HUMAC2009 NORM Application Program User Manual 6 12 Import Protocols The HUMAC Import Protocols command allows you to import System Protocols from other users into your HUMAC System 1 On the File menu click Import Protocols 2 Each HUMAC protocol has a unique code The HUMAC will ask if you want to Overwrite duplicate protocols e g those
140. taken when the concentric torque limit is exceeded Isokinetic Overtorque Abort The HUMAC switches to setup mode and reports an eccentric over torque error Overtorque Isometric The HUMAC switches to isometric mode and the input adapter remains in place When the torque is reduced to below the torque limit the system resumes Isokinetic mode CPM Overtorque Abort on Ecc Over Torque The HUMAC switches to setup mode and reports an eccentric over torque error Overtorque Isotonic The HUMAC switches to isotonic mode and the patient is allowed to overpower the input adapter Page 1 12 HUMAC2009 NORM Application Program User Manual Overtorque Reverse Direction The HUMAC initiates the end of ROM sequence The input adapter stops the pause is counted down and the input adapter moves in the reverse direction 1 7 14 Pause CPM Mode The pause in seconds at the end of each motion 1 7 15 Maximum ROM Limits The patient ROM limits are established during the patient setup and typically are used for all sets in the patient protocol The HUMAC allows you to over ride the patient ROM limits on a set by set basis For example the patient Knee Evtl range may be from 90 deg of flexion to 4 degrees of extension During the first set in a protocol you want the patient to perform as short arc CPM from 90 deg of flexion to 45 deg of flexion In this case you would set the Maximum ROM limits in the Set to 90 and 45 Note During eac
141. target to move Level The height 1 Easiest to 10 Hardest of the target 1 16 2 Actions Start Start the display moving at the first repetition Pause Pause the display timer The Patient effort will continue to be updated Note Page 1 32 HUMAC2009 NORM Application Program User Manual Pressing Pause again will re start the display from the current position Clicking Start will re start the display at the first repetition Pause allows the therapist to pause the display and give the patient further instructions before continuing Torque The dynamometer torque settings in Isotonic mode OK Exit the display Page 1 33 HUMAC2009 NORM Application Program User Manual 1 17 Feedback Display Response Time Test The Response Time Test allows the user to create moving targets for the patient to respond to DN Interactive Feedback Response Time Settling Time Display Torque DOD w Delay fi Time 02 Reps 10 Level 5 EXTS ho 4 D emm i L mera Figure 31 Feedback Display Response Time The goal is for the patient to move the dot inside the circle In Isotonic mode the dot position corresponds to the patient s limb position The Y Axis displays the percent of the patient s total ROM In Isometric mode the dot position corresponds to the patient s torque production The Y Axis display the percent of the patient s Maximum Voluntary Contraction MVC A green ball color indicates the p
142. ters 2 28 3 1 Time to Peak Torque The time from the beginning of torque development until the point where peak torque is first developed 2 28 3 2 Time Peak Torque Held The time during which peak torque is maintained 2 28 3 3 Force Decay Time The time from the end of peak torque production to the end of the motion 2 28 3 4 Reciprocal Delay The time required to reverse the limb direction 2 28 3 5 Delay Time The time from the beginning of a motion until the beginning of torque development 2 28 3 6 Time to Half Peak Torque Isometric Report The time from the beginning of torque development until the point where the torque is 1 2 the peak torque Page 2 33 HUMAC2009 NORM Application Program User Manual 2 28 4 Interactive Parameters 2 28 4 1 Percent on Target The percent of time the patient was within the target zone 2 28 4 2 Coefficient of Variation The Coefficient of Variation between the patient position isotonic mode or torque isometric mode and the target value 2 28 4 3 Maximum Deviation The maximum deviation difference between the patient position isotonic mode or torque isometric mode and the target value 2 28 4 4 Response Time The time between when the Response Time target moved and the patient responded 2 28 4 5 Settling Time The time between when the patient responded to the new target position and when the patient first entered the target zone and maintained their position inside
143. that can be produced is related to musculotendinous tension levels joint contact forces and in some cases joint translation forces Torque usually decreases as angular velocity increases Therefore it is important to analyze torque data at a variety of speeds 2 28 1 2 Gravity Effect Torque When testing with the NORM System it is possible to begin the test by determining the gravity effect torque of the limb and the input adapter the computer can then correct for the effect of gravity This is called MAX GET which stands for Maximum Gravity Effect Torque The computer uses this value and multiplies it by the cosine of the angle at each point in the patient s range of motion This is the amount of torque that is being contributed or taken away due to the weight of the limb and input accessory For example during knee extension when gravity resists the motion the appropriate gravity effect torque value is added During knee flexion when gravity assists the patient the appropriate gravity effect torque value is subtracted If you decide to perform gravity correction you must duplicate this procedure every time you test the patient in order to maintain consistent data This will prevent any changes in patient body weight from confounding the data you are collecting 2 28 1 3 Peak Torque The maximum torque production during an extension flexion Taking into account changes due to biomechanical leverage and the muscular length tension
144. the measured parameters and store them in the Summary Database Note 1 When you change the summary criteria you must re summarize the data to compute the results for the new group 2 When you test additional patients which you want to include in the Group Summary simply select the Stored Summary and click the Summarize button The HUMAC will re compute the summary for all tests stored in the database 5 5 Exporting a Summary to Microsoft Access 1 From the Group Summary database area select the Group Summary record you want to Export Click the Access button The HUMAC will export the data computed in the Summary to the HUMAC Results2009 MDB file Data from the Results database can be imported to other applications e g SPSS 5 5 1 Group Summary Access Data Format The Group Summary program stores the summarized data in the Results2009 MDB database file The file is in the Access 2000 format Results MDB includes a collection of tables containing the more detailed Patient Information Dynamometer Settings and Per repetition values Advanced users may want to use the Linked Table to perform advanced Queries and Data Analysis 5 5 1 1 Tables Table Definition Protocol Table containing one row for each patient test or exercise session ProtocolRow Table containing the settings for each set row in the Protocol Demographics The patient background information for each Protocol Vals The per repetition values for each r
145. the input adapter at 6 00 Straight Down Click the Self Test button The system will briefly move the input adapter Page 8 3 HUMAC2009 NORM Application Program User Manual 8 6 Setting the ROM 8 6 1 Setting the ROM Limits pt or P CPM Setup Aux Clear Range Set Setpoint Cushion E Set Range Return Speed Du cow Ia Isometric cw cow gt 150 Sila 222 i Gm 99 EEN gt 60 gt 60 30 30 Wou Ra 10 10 Figure 98 Toolkit ROM Limits Click the Setup button The HUMAC is now in Setup mode and ready to establish a ROM for the patient Click the Clear Range button to clear previous ROM settings Move the patient through the desired range Click the Set Range button The HUMAC will set the ROM to the range traveled in Step 4 6 Set the ROM stops to the values displayed Note To change the ROM for a new patiern or patient repeat steps 1 6 under Setting the ROM 8 6 2 Isometric Settings GE G Ne oe 8 6 2 1 Isometric Angle 1 Set the ROM as described above 2 Move the input adapter to the desired Isometric angle 3 Click the Set Setpoint button 8 6 2 2 Isometric Return speed The Isometric Return Speed is the speed the input adapter returns to isometric angle if patient exceeds the torque limit and moves away from the angle 1 In the Return Speed area set the Isometric value to the desired speed in d s 8 6 3 Isotonic Settings 8 6 3 1 Isotonic Start Point
146. the threshold is 3 ft lbs 7 17 Torque vs Position Plots The HUMAC reports can plot the torque vs position data for all repetitions in a set or only the repetition with the highest peak torque value 1 On the File menu click Preferences 2 Click the Reporting tab Plot Displays a single torque vs position curve of the repetition with the highest repetition peak torque value with the highest torque Plot all Plot the torque vs position curves for all repetitions repetitions Note Page 7 7 1 7 18 HUMAC2009 NORM Application Program User Manual When Plot repetition with the highest torque is selected the HUMAC plots the Initial and reciprocal curves from the repetition with the highest peak torque during the initial motion For example on a knee extension flexion test if the third repetition had the highest peak torque extension value the HUMAC will plot the extension and flexion curves from the third repetition Because the HUMAC stores the real time unprocessed data it is possible to plot two reports for a test one with the single repetition plotted and one with all repetitions plotted by changing the Plot repetition with the highest torque and re printing the report Highlight Deficits When printing reports the HUMAC can automatically highlight right to left side deficits in red 1 2 3 4 7 19 On the File menu click Preferences Click the Reporting tab Select the Highlight deficits gr
147. the zone for the target time For example assume the target time is 0 2s If the patient begins moving toward the target at time 0 3s reaches the target at 0 8s moves out of the target at 0 9s 0 1s after entering the target re enters the target at 1 4s and then stays inside the target for 0 2s their settling time is 1 1s 1 4s 0 3s 2 28 5 Coefficient of Variance The Coefficient of Variance COV a statistical measurement for the accuracy of the data being collected It is derived by dividing the standard deviation by the mean Page 2 34 HUMAC2009 NORM Application Program User Manual 3 DASHBOARD The HUMAC Dashboard allows you to control the basic functions of the HUMAC and provide patient feedback without running a test or exercise protocol Data is not saved when using the Dashboard 3 1 Accessing the Dashboard Click the Dashboard button or from Utilities menu select Dashboard 3 2 Pattern Pattern e Knee Extension Flexion c Shoulder Internal External Rotation Mod Pattern Standing C Ankle Plantar Dorsiflexion Supine G C Chest Extesion Flexion Setup Figure 65 Dashboard Pattern e The most commonly selected patterns are displayed as the first three quick choices e To select a different pattern click the Pattern button The newly selected pattern will be displayed as the forth quick choice e Click the Setup button for instructions on the dynamometer setup 3 3 Mode and Action Mode and Action Hode A
148. tor You can select neither side the Right side the Left side or both the Right and Left sides for the patient s Preferred side and Involved side The Diagnosis Surgery Doctor Tester Group1 and Group2 values are entered from a list of choices called picklists To select from the picklist you can begin typing and the HUMAC will find the closest match or you can click the pull down arrow to display the list of choices To edit the choices click the pull down arrow and select lt lt Edit list gt gt from the end of the list Only one copy of the patient s Name ID Birth Date and Sex are stored in the HUMAC database Any changes to these fields will automatically appear on every test and exercise record for the patient The Height Weight Preferred Side Involved Side Diagnosis Injury Date Surgery Surgery Date Doctor Tester Group1 and Group2 values are stored individually with each test and exercise session run This allows changes to these fields to accurately reflect the patient s condition at the time of the test or exercise session Use the Edit Background Section 6 5 command to change the values for a test which has already been run Page 1 6 1 5 HUMAC2009 NORM Application Program User Manual Pattern Selection The HUMAC contains the dynamometer setup and patient positioning information for the test and exercise patterns 1 5 1 OK Cancel Ir l4
149. ual Ball Rest The rest period in seconds before the next ball is launched Paddle Size The patient s paddle width 1 22 2 Actions Start Start the game OK Exit the display Page 1 45 HUMAC2009 NORM Application Program User Manual 1 23 Rest Period At the conclusion of a test or exercise bout the HUMAC displays a count down timer for the rest period The timer switches to yellow when the time reaches five seconds Rest Period CC Page 1 46 HUMAC2009 NORM Application Program User Manual 2 REPORTING 2 1 Single Test Report The HUMAC provides a number of test and exercise reports Annotations Print Preview report K l IC dei Ki Short Trq vs Pos Notes Angle Narrative Preview Print File ix Delete Options Units Torque Scale Gravity correct torque data Multi Session Report e E Ei Ri C us Average Value Auto E Zero Torque at ROM stop Right Left C O ei ji Metric Highest Rep Fed 400 M Window back pattem torque data Isokinetic B M Accept variations in ROM Con Con X Date Name Description Test RData LData I 3 4 2008 10 27 27 AM Knee Extension Flexion Resistance Sampling CPM Isom Isok Isot r Vv I ei D 3 4 2008 10 09 39 AM Knee Extension Flexion Interactive Path Mid Range EI sl 3 4 2008 9 59 53 AM Knee Extension Flexion Isometric 90 60 30 degrees Iw Vv Iw 3 4 2008 9 51 17 AM Knee Extension Flexion Isometric 90 60 30 degrees Vv Vv Vv 8 9 2007 2 19 4
150. up torque For example in a knee extension flexion test knee flexion torque is expressed as a percent of knee extension torque So if the patient produced a peak torque in flexion of 104 ft lbs and a peak torque in extension of 189 ft lbs on his right side then he had an opposing muscle group ratio of 55 on that side 104 189 55 x 100 55 This means that on the right side at peak torque the patient s flexors were 55 as strong as his extensors This ratio can exceed 100 as a result of specific training of the weaker muscle group or as a result of injury pain or pathology affecting the normally stronger muscle group s torque development capability It is well established that certain patients benefit greatly from altering the normal opposing muscle group ratio by significantly strengthening one muscle group to offset a specific joint deficiency For example hamstrings strength may be increased closer to normal levels of quadriceps strength to improve stability of an anterior cruciate deficient knee Opposing muscle group ratios are an important factor regardless of the torque capabilities of the individual muscle groups 2 28 1 7 Initial Peak Torque The average of the Peak Torque values for the first three repetitions of an endurance test 2 28 1 8 Final Peak Torque The average of the peak torque values for the last three repetitions in an endurance test This parameter does not appear on the final report but is used i
151. ure 64 Report Long Progress 2 28 Figure 65 Dashboard Pattern cccccccccceeeee cece eee eeecceee eee eee eeeccaaaeeeeeeeeeeeeegeecaaaeeeeeeeeeeeeeaaaes 3 1 Figure 66 Dashboard Mode A Action 00 0 2 eeceeeeneee ee eenneeeeeneeeetenaeeeeenenaeeeeeenenaeeeseeneeeeee 3 1 Figure 67 Dashboard Feedback cette eeeceneee eee eee e eee aaeeeeeeeeeeeeeeeccaaaeeeeeeeeeeeeeaaaes 3 2 Figure 68 Dashboard Gide AA 3 2 Figure 69 Dashboard AZ in 22ce ne ei ene 3 2 Figure 70 Dashboard ROM Limits ccccccceeeeeeeeeeeeeee eee eee e eee aaeeeeeeeeeteeeteeaaaeeeeeeeeeeeeeaaaes 3 3 Figure 71 Dashboard Torque Limite 3 4 Figure 72 Group Summary Add 5 1 Figure 73Group Summary Filter eeeecceeeeeee cece ee eeeccee eee eee e ee eeaaaeeeeeee tees eeeeccaaaeeeeeeeeeeeeeaaaes 5 2 Figure 74 Group Summary Select Tests oe eee creer reece ee eenaeeeeeneaeeeeeeaaaeeeesenaeeeene 5 2 Figure 75 Group Summary Side eee e cece cece cece eee eeeeenee eee ee eee e eee aaee sete eeeeeeeteccaaaaeeeeeeeeeeeeaaaes 5 2 Figure 76 Calibration dE 6 1 Figure 77 Calibration Weights cccccecceeeeeeeeeeeeeeeeceeeeeeeeeeeeecaaaeeeeeeeeeeeeeseecaaaeeeeeeeeeeeeaaaes 6 2 Figure 78 Calibration ReSUults ccccceecesccceeeesenceeeeseeceeseseeceeseneeaseseeseseneeedeeenseeneesneeerersansennees 6 4 Figure 9 Sensor E nine aie eG eeu es es eee 6 10 Foure EK EIN Al e 6 11 F rs Bil EOF LOG a chesulie coveulurevtubunetutusyhetvaeyy
152. w up visit 2 26 1 Actions OK Close the report screen and return to the main HUMAC screen Right Set the selected test for the right side data Left Set the selected test for the left side data Preview Preview the selected report on the screen Print Send the selected report to the printer e mail E mail the selected report Type Select the type of report to generate 2 26 2 Preview a Short Torque vs Position Report 1 Click the Report button or on the File menu click Report Involved Re Test 2 Click the Right Side Test Exercise session then click the Right button 3 Click the Left Side Test Exercise session then click the Left button 4 Select Short Trq vs Pos as the report Type 5 Click the Preview button to preview the report Page 2 29 2 27 HUMAC2009 NORM Application Program User Manual Progress Report The Progress Report allows you to view the change in patient performance between to tests 2 27 1 Actions OK Close the report screen and return to the main HUMAC screen Initial Set the selected test as the initial test Follow Up Set the selected test as the follow up test Preview Preview the selected report on the screen Print Send the selected report to the printer e mail E mail the selected report Type Select the type of report to generate 2 27 2 Preview a Short Progress Report 1 Click the Report button or on the File menu click Report Single 2 Click the Initial Test Exercise session then clic
153. xxxxx0 3 3 1983 surgery xxxXxXxxXxxxxx0 id Right Left XXXXXXXXXXXXXXXX 7 3 2008 7 3 2008 groupt XXxxxxxxxxxxx0 QrOUp2 XXXXXXXXXXXXO Right amp Left Right amp Left doctor XXXXXXXXXXXXO tester XXXXXXXXXXXX0 Group 1 Group 2 Right Time sec Left Maximum Red Average Green tensors Con Value Cof Var 100 0 00 100 0 00 tation Zoom 0 61 0 31 0 38 0 53 jon Zoom 14 0 29 11 0 37 6 7 Time sec Extensors Ecc Value Got Var 100 0 00 100 0 00 0 45 0 29 0 60 0 31 10 0 43 16 0 36 HUMAC 2009 Version 9 1 3 Copyright Computer Sports Medicine Inc 1982 2008 www csmisolutions com Figure 51 Report Interactive Feedback Roadway Report Page 2 14 HUMAC2009 NORM Application Program User Manual 2 13 Interactive Feedback Response Time Report The Interactive Feedback Response Time Report provides a report showing the time for the patient to react to the target change and the time to setting into the new target position 2 13 1 Printing the Report From the main HUMAC Screen click the Patient button to select the patient Click the Report button Select the desired test protocol From the Print Preview area select Response Time Test as the report type SL de Zi J Click the Preview button to preview the report on the screen or the Print button to send the report to the printer Use File Preferences command to set report heading Respon
154. y allows the user to create custom paths for the patient to follow 100 Ecc e 0 Display Torque Speed 1 EXTS 110 aj a v Start Pause Level ES FLXS 40 A 4 OK Help 5 v Figure 32 Feedback Display Interactive Line The goal is for the patient to keep the two balls around the line on target In Isotonic mode the ball position corresponds to the patient s limb position The X Axis displays the percent of the patient s total ROM In Isometric mode the ball position corresponds to the patient s torque production The X Axis display the percent of the patient s Maximum Voluntary Contraction MVC A green ball color indicates the patient is on target a red ball color indicates they are not on target The Score dials indicate the percent of time the patient was on target during the Concentric and Eccentric phases of the exercise The displayed time is shown in the MM SS format 1 18 1 Options The following options can be set from the Feedback Options screen Protocol The path for the patient to follow Level The spacing 1 Easiest to 10 Hardest of the balls Speed The speed at which the display scrolls down the screen 1 18 2 Actions Start Start the display moving at the first repetition Page 1 36 Pause Level Speed Torque Help OK HUMAC2009 NORM Application Program User Manual Pause the display timer The Patient effort will continue to be up
155. yed on the Long Report Angle Select angles for the Curve Overlay Report Narrative Select Modalities and Goals to be included on the Narrative Report Preview Preview the selected report on the screen Print Send the selected report to the printer File Save the selected report to a disk file Type Select the type of report to generate Delete Delete the selected test from the database 2 1 3 Options Options Unite Torque Scale Gravity correct torque data Multi Session Report US Average Value e Auto E Zero Torque at ROM stop Right Left Metric Highest Rep Fixed 400 M Window back pattern torque data Isokinetic E M Accept variations in ROM Con Con z Figure 40 Report Options 2 1 4 Multi Session Options Right Left Report the data for the Right or Left side Mode Report data for sets with the selected Mode Action Report data for sets with the selected Action Page 2 2 HUMAC2009 NORM Application Program User Manual The Options section allows you to change how the data is processed and reported for the selected test Note Changes to the options only apply to the current report being generated and do not affect the Preferences Use the File Preferences command to set the default report options Page 2 3 2 2 HUMAC2009 NORM Application Program User Manual Exercise Report The Exercise Report shows the numeric results and for exercise sessions 2 2 1 1 a ron Printing the Report From the main HUMA

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