TMG SYSTEM 100
Contents
1. 5 C rirelae seien Em 5 3 2 Considerations for safe USC smsa 6 oo Other safety mecisUl GS 6 SS e 6 Setting up TNE TMG System JOUR 7 4 1 Check the List of Supplied Items II IIu 7 M EE E 8 4 2 1 8 422 Setting the COMMUNICATION 9 423 Powering up the Electrical Stimulator TMG 2 12 Initial Configuration of TNE Measurement sesenta nnne nnne nnnn 13 5 1 Adding a New SUDjG CT t 13 5 2 15 Bo CISCO Be EW eg 18 5 4 Creating new measurement ammas 19 Le E 19 o CORTE CUR UE MEI 20 6 2 Performing Hd Ee D CH eser neret trennen rete re tee re tnm se sempe senso noH 22 6 3 Final Graph Customization and Measurement Saving 23 CN OM m m 26 o ii e Ke e e TE 27 6 4 EXITING Measurement and Generating Report 28 faelendlConmdrallen Posstbilllle Sun re Hi Y EF D DR UK YN cO Fer 30 YN SSNS CRAFF E 30 ha 32 7 3 Editing Subject Characteristics 34 74 Editing Measurement Characteristics essere nnne nennen 35 4 TMG System 100 User Manual TSG Tensiomyography 1 SCOPE AND PURPOSE The purpose of this document is to familiarize the user with TMG System 100 and let him use all the flexibility offered It allows the user to begin working with the system quickly and effectively Manual currently covers t2. Me Country d v Filter Clear Criteria New Record View Record Delete Record Generate Report FIGURE 21 THE SUBJECT TEST TEST HAS BEEN ADDED TO THE LIST 5 2 SELECTING AN ALREADY EXISTING SUBJECT First select the tab Subject in the menu bar on the top of the program window to switch the program to the Subject screen 15 TMG System 100 User Manual TSG lensiomyography N Import Export Reference Settings Help Subjects Subject Data o Test Name Surname go Testi Testi Sex Laterality reste JA TMG EXAMPLE TMG EXAMPLE9 EXAMPLE10 AMPLE17 E mail Measurement Records MG EXAMPLE22 G EXAMPLE6 J TMG EXAMPLE21 d TMG EXAMPLE16 New Subject Edit Subject Delete Subject Subject Display Filter Name Surname Sex Female All Laterality Left All Address Country Filter Clear Criteria New Record View Record Delete Record Generate Report FIGURE 22 THE SUBJECT SCREEN The subject is selected by simply clicking on its entry in the Subjects handout Subject Import Export Reference Settings Help Subject Data Name d Surname Sex Laterality if TMG EXAMPLE Address E1 TMG EXAMPLES Phone Measurement Records New Subject Edit Subject Delete Subject Subject Display Filter co Sunone E Sex Female e All Laterality Left e All EN Country Filter Clear Criteria New Record View Record Delete Record Generate Report FIGURE 23 SELECTING
3. Waming Irregular Measurement Measurement current 1 00 Amplitude 0 Auto Mode On or Characteristic Points E 238 37 ms 119 2 ms 94 112 131 131 157184210236 262 52 79105 26 0 FIGURE 13 THE TRIANGULAR GRAPHS INDICATE WRONG COM PORT SETTINGS In the example above there s no stimulator connected to the system An example ofa i i i i i i i i i i i i i i i i i i i i 0 50 100 150 200 250 300 350 400 450 500 550 600 650 700 750 800 850 900 950 100 r NY Histry Avg 0 Exit properly measured response from a muscle looks like this instead ES Subject Measurement Import Export Reference Settings Help Measure status Measurement graph Subject 41 d Ge 6 50 Protocol protocol 1 6 00 5 50 Side e Left 5 00 BB Biceps Brachii 4 50 i i i i i i i i i i i i i i i i I 200 250 300 350 400 450 500 550 600 650 700 750 800 850 900 950 100 Time ms Current Sensor status OK Waiting Waming Irregular Measurement Measurement current 18 60 Amplitude Auto Mode On Off Characteristic Points 133 98 ms 126 147 84 105 25 03 ms Tc ms Tr ms Td ms FIGURE 14 EXPECTED MUSCLE RESPONSE GRAPH TMG System 100 User Manual Histry Avg 0 D ES Meas sure Bit Dm mm 11 TSG Tensiomyography Press Set to confirm changes or Exit to discard them After clicking on Set button the confirmation window will pop out informing that new settings have been saved successfu
4. immediately after generation The generated report will be saved in the folder you have specified 7 ADDITIONAL CONFIGURATION POSSIBILITIES 7 1 SETTING THE SENSOR Due to manufacturing reasons most sensors have a normal output they measure displacements of muscle belly so that the displacement is shown in positive direction There are however some sensors with the same performance their output being inverted the displacement is shown in this case in negative direction 30 TMG System 100 User Manual TSG Tensiomyography Subject Measurement Import Export Reference Settings Help Characteristics Subject Age Height Weight Sport Diagnosis Load Type Measurement graph Coments su Edit Measurements Muscle Protocol BB Biceps Brachii protocol Measurement current Characteristic Points C OORT B CH CM CT CR CRGA CH ROO ad phen dd tte 000008 g 4 New Measurement Generate Report FIGURE 43 THE YELLOW MEASUREMENT WAS DONE WITH THE INVERTED SENSOR In order to analyze measurements correctly the displacement should be interpreted as positive To invert the shape of curve select Settings tab in the menu bar on the top of the program to open the Settings window When the Settings window pops up the Sensor input setting should be swapped from the default value Normal to Inverted Settings Port Units Language Date Format Sensor input Set TES
5. possible to set the number of displayed previous measurements during current session blue graphs This is done by simply selecting the desired number in the drop down menu on the graph Up to 6 previous measurements can be displayed simultaneously 24 TMG System 100 User Manual TSG Tensiomyography i i i i i i i i i i i i i i i i i i M 100 150 200 250 300 350 400 450 500 550 600 650 TOO 750 000 850 S00 950 100 3 Time ms i FIGURE 36 SETTING THE NUMBER OF DISPLAYED MEASUREMENTS DURING THE SAME SESSION The number of measurements which are used for calculation of history average white can be up to 15 To set it select desired number from drop down menu on the graph ENEE ha gn Ca placement mm ha S S EE Di 2 0 50 d GE 0 00 0 50 4 i i i i i i i i i i i i i 0 50 100 150 200 250 300 350 400 450 500 550 600 650 Time I ms FIGURE 37 SETTING THE HISTORY AVERAGING FACTOR System 100 User Manual TSG Tensiomyography Single measured graphs can be hidden with View Toolbar within View and save toolbox Subject Measurement Import Export Reference Settings Help Characteristics Measurement graph oT aad Merlene Ottey 3 88 3 38 Age us Weight Sport cement mm Diagnosis Load Type Displac 5 o Coments Edit Measurements Measurement Current 6555 Muscle Protocol BF Biceps Femoris protocol Characteristic Points 75 33 ms 66 03 ms
6. subject must be provided with a record where the results of measurements are stored First of all the Subject screen of the program must be selected and a new must be added or an existing subject selected To create a new record the New Record button must be clicked in the middle of the bottom of the program window in the Measurements Records handout Subject Data Name Sex Laterality Address Phone Measurement Records 3333333333 New Subject Edit Subject Delete Subject Subject Display Filter Name Surname Sex Female All Laterality Left All Address Country Filter Clear Criteria New Record View Record Delete Record Generate Report FIGURE 26 THE NEW RECORD HANDOUT A new window pops up Record Subject Sport defined Age Weight Height Diagnosis Healthy Load Type Mixed Comments FIGURE 27 THE WINDOW WITH PESRONAL INFORMATION Information about age weight and height has to be entered to create a new record In addition the subject s sport diagnosis and load type is added If necessary additional comments can be written 18 TMG System 100 User Manual TSG Tensiomyography 5 4 CREATING A NEW MEASUREMENT New measurements for selected subject are conducted on Measurement screen As described above it opens after selecting New Record button It is necessary to initiate new record for the current day If it has already been created during the current da
7. 23 ms 84 112 140 168 195 58 68 ms 56 Tc ms Tr ms Td ms Dm mm FIGURE 40 THE BASIC MEASUREMENT SCREEN AFTER EXITING THE MEASUREMENT The measurement record is generated by pressing Generate Report button S Subject Measurement Import Export Reference Settings Help Characteristics Measurement graph Subject Tes a gt EE 700 6 50 6 00 5 50 5 00 4 50 4 00 3 50 3 00 N g o 2 00 1 50 1 00 0 50 0 00 0 50 i i i i i i i i i i i i i i i i i i i 0 50 100 150 200 250 300 350 400 450 500 f 650 700 750 800 850 900 950 100 Time ms Displacement mm Current Histry Avg 4 Measurements M SE TTT ET Muscle Protocol Side amp BB Biceps Brachi Characteristic Points FT v VM Vastus Medialis protocol LE 202 177 69 ms 36 26 ms 84 112 140 168 195 58 68 ms Tc ms Tr ms Td ms Dm mm FIGURE 41 GENERATE REPORT BUTTON AT RIGHT SIDE 29 TMG System 100 User Manual TSG Tensiomyography Generate Report window will pop out Generate Report Circumstances Subject Report Type File Open report Generate FIGURE 42 THE NAME OF THE SUBJECT IS DISPLAYED SIMOULTANEOUSLY WITH THE DATE Data on the Generate Report window facilitates double check of the Report to be generated Preferred output format is chosen before report generation Location of the generated file is chosen by clicking on Browse button There is also the possibility to open the report
8. 33 71 ms 24 46 ms Tc ms Td ms Dm mm FIGURE 38 VIEW AND SAVE TOOLBOX IS ON THE UPPER RIGHT By default all graphs are shown Click on the eye icon in the first column of the View Toolbar to hide selected graph After clicking on the eye icon the icon will change its shape into hollow eye and the graph will be hidden 26 TMG System 100 User Manual TSG Tensiomyography Save toolbar which is in View and Save Toolbox enables easy and quick saving of measurement graphs By default all measurement graphs are set to be saved they are marked with green tick Usually not all graphs are saved as the results of stimulation below supramaximal response are not that important To omit them the green tick in the row of a certain graph needs to be clicked The icon changes to a red cross and the measurement graph is set to not be saved Note that from the measurement series of a muscle the last measurement is on the top and the first is on the bottom of the list within toolbox View Save Mame A a d To complete the process the Save button should be clicked As said above the graphs marked with green stick are saved and the graphs marked with red cross are erased and disappear from display 27 TMG System 100 User Manual TSG Tensiomyography Warning The measurements with the red cross are indeed discarded and can t be recovered once the Save button is clicked 6 4 EXITING MEASUREMEN
9. GURATION OF THE MEASUREMENT The first step of any TMG measurement is inserting the data of the subject about to be measured into TMG software Subject screen enables filling the information about new subjects and to edit view and filter the data of already inserted subjects Subject window also enables easy access to new measurement window for selected subject to view and delete measurement records of desired person saved in database Without selecting the subject the measurement can t be performed The Subject screen can be chaecked anytime by clicking on the Subject tab in the menu bar on the top of the main program window mo DG DG DG DG mu z nm ew Subject Edit Subject Delete Subject Subject Display Filter New Record View Record Delete Record FIGURE 17 SUBJECT TAB POSITION ON MAIN WINDOW 5 1 ADDING A NEW SUBJECT To add a new subject the Subject tab in the menu bar on the top of the program window should be chosen After the Subject tab has been selected in the top menu click on New Subject button in the Subjects handout window area 13 TMG System 100 User Manual TSG Tensiomyography Subject Data Name Sex Address Laterality Address Country Filter New Record View Record Delete Record Generate Report FIGURE 18 THE NEW SUBJECT TAB By clicking on New Subject button a new window will pop up New Subject Sumame Male Femal
10. T FtPd English MM dd yyyy Hormal Inverted Exit FIGURE 44 THE SETTINGS WINDOW Note that after the Sensor input is set to Inverted the Set button should be clicked for the changes to take effect 31 TMG System 100 User Manual TG lensiomyography 7 2 CHARACTERISTIC POINTS The Characteristic Points handout is located on the lower right part of the Measurement screen To make it visible the measurement has to be made or the past measurement record has to be viewed The Measurement screen in this case looks like this gt Subject Measurement Import Export Reference Settings Help Characteristics Measurement graph Subject 7 00 6 50 6 00 5 50 5 00 Age Height Weight Sport TRES EE Football defense Diagnosis Load Type Coments i i i i i i i i i i i i i i i i i i i 50 100 150 200 250 300 350 400 450 500 550 600 650 700 750 800 850 900 950 100 Time ms Current Histry Avg 4 9 Er Measurement current New Measurement Generate Report ol 7 H 2848 ms ot c I B ol Tc ms Td ms Dm mm Muscle Protocol Beeps Bachi VM Vastus Medialis protocol LEFT D 177 69 ms 140 168 195 58 68 ms 0 28 56 84 112 FIGURE 45 CHARATERISTIC POINTS HANDOUT AT LOWER RIGHT In the Characteristic Points handout four typical parameters of muscle twitch are displayed and compared with the reference database numer
11. T AND GENERATING REPORT After the measurements of certain subject are done and saved the Exit button in the lower right corner of the Measurement Graph handout should be clicked Subject Measurement Import Export Reference Settings Help Measure status Measurement graph Subject Protocol protocol 1 Side Left BB Biceps Brachii Sensor status OK Waiting Waming Irregular Measurement Measurement current 18 60 o Amplitude Auto Mode n Characteristic Points 2 63 84 105 126 147 FIGURE 39 THE EXIT BUTTON SHOULD BE PRESSED AT THE END OF MEASUREMENT The basic Measurement screen reappears and all of the measurements that have been made for certain subject can be seen in the lower left corner of the program window in the Measurements handout Alternatively this screen can be seen by clicking View Record in the Subject screen 28 TMG System 100 User Manual TSG lensiomyography gt Subject Measurement Import Export Reference Settings Help Characteristics Measurement graph gt T SETT Test l 7 00 6 50 6 00 5 50 5 00 4 50 Displacement mm i i i i i i i i i i i i i i i i i i 50 2 250 300 350 400 450 500 550 600 650 700 750 800 850 900 950 100 Current Histry Avg 4 Measurement current New Measurement Generate Report Protocol Characteristic Points VM Vastus Medialis protocol 3 A 202 177 69 ms 3646 ms XX 22 81 ms 20
12. THE SUBJECT Once a subject is selected its records are displayed and its first record will be selected if a subject with multiple records was selected 16 TMG System 100 User Manual TSG Tensiomyography Subjects st Ta JE AG wc ar Ab 1 Ta div Ke JE Le Vn am div Subject Measurement Import Export Referenc e N Ww N co M mh ah dh co r 02 O O O O 0 0 02 New Subject Edit Subject Delete Subject FIGURE 24 THE FIRST RECORD WILL BE SELECTED Note that if the selected subject has no records of measurements yet its entry will be highlighted instead of a record Note also that if the plus in front of the subject is clicked all its records are displayed but none is selected Subjects T TT x J34 LH LH LH LH LH LH LH LH D LH LH LH LH Hn KAAAAAAAAAAAAAA A 42343 d en New Subject Edit Subject Delete Subject FIGURE 25 THE RECORD IS NOT YET SELECTED This is important if a specific record is under review if it is not selected it will not be seen But more importantly the wrong record will be seen In the figure above instead of viewing the record of TMG EXAMPLE2 made 11 6 2007 the record of Test TT made 3 19 2010 will be seen since it is still selected 17 TMG System 100 User Manual TSG Tensiomyography 5 3 CREATING A NEW RECORD To measure a subject with TMG every
13. TMG System 100 User Manual TSG lensiomyography NN FIGURE 10 TMG SYSTEM 100 READY FOR THE MEASUREMENT LAPTOP AND ELECTRODES NOT SHOWN The laptop comes with the software preinstalled After powering up the laptop please start the program by double clicking the TMG software icon The program will start If used for the first time open the Settings tab v Subject Import Export Reference Help Subjects Subject Data fWEnakiRecordi TestUros Name Surname if STirecordi3testUROS gf Juvancic Jure Sex Laterality P Kalabic or e ff noviRECORDI2 TESTuro Address df Su nik Rok TMG EXAMPLE2 MMC EXAMPLES TMG EXAMPLE10 TMG EXAMPLE17 TMG EXAMPLES Created Age Height Weight Sport Diagnosis Load Type Comments gO TMG EXAMPLE7 wei TMG EXAMPLE1 TMG EXAMPLE5 TMG EXAMPLE19 EI TMG EXAMPLE20 if TMG EXAMPLE14 TMG EXAMPLE11 TMG EXAMPLE24 TMG EXAMPLE18 E TMG EXAMPLE4 Phone EXP E mail Measurement Records IMG EXAMPLE15 r ALS EXAMPLE22 TMG EXAMPLES New Subject Edit Subject Delete Subject Subject Display Filter Name Surname Sex Female All Laterality Left All Address Country Filter Clear Criteria New Record View Record Delete Record Generate Report FIGURE 11 THE DEFAULT SCREEN OF THE TMG SOFTWARE TMG System 100 User Manual TSG Tensiomyography new window Settings pops up Settings Port TEST Units Ft Pd Cm Kg Language English Date For
14. TSG Tensiomyography USER MANUAL TSG Tensiomyography e i O I mr LIN nmn Document ID Version REVISION HISTORY Written by Revision Description Version Andrej Kosicek Original based on TMG software help 1 01 14 12 2011 electrical stimulator manual TMG S2_007 USB TMG System 100 User Manual TSG Tensiomyography Copyright TMG BMC doo 2011 No part of this document may be reproduced or stored on any medium without the written permission of TMG BMC doo Edition First edition December 2011 Printed in Slovenia TMG BMC doo Splitska 5 SI 1000 Ljubljana Slovenija Assistance You can rely on our support Our core team consists of skilled engineers with full knowledge of the system We will help you with setup software and practical usage issues throughout the products life cycle Contact us e mail andrej kosicek tmg si Phone 386 51 620892 Fax 386 1 300 7777 Licenses The hardware and or software described in this document are furnished under a license and may be used or copied only in accordance with the terms of such license Document dependencies TMG System 100 specifications Integrated help of TMG System 100 software TMG System 100 User Manual TSG Tensiomyography 2 3 4 5 6 TABLE OF CONTENTS DIT DN DIE I EN 5 laje eoqieg 5 R01 S T NER
15. e Laterality Fight Left Address Test Street Country Afganistan ui Phone Test Mumber E mail Test Email Cancel FIGURE 19 THE POP UP WINDOW Fill in all requested information about the a subject you want to measure and press Save to save the new subject or Cancel to discard the filled information about the new subject After clicking on the Save button usual double checking window appears TMG System 100 User Manual TSG lensiomyography Message Do you really want to save data FIGURE 20 THE CONFIRMATION WINDOW If confirmed the pop up window disappears and the new subject is saved displayed and selected the icon of the folder is open in the Subjects handout The new subject is inserted in the main database its data being displayed in the Subject Data handout el f Ca Subjects Subject Data Subject Import Export Reference Settings est TT Name Surname 7 Sex Laterality Country 8 Test Test2 TMG EXAMPLE Address if TMG EXAMPLES go TMG EXAMPLE10 go TMG EXAMPLE17 gO TMG EXAMPLES d TMG EXAMPLE7 EXAMPLE1 gO EXAMPLES E J TMG EXAMPLE19 go TMG EXAMPLE20 go TMG EXAMPLE14 gO EXAMPLE11 d TMG EXAMPLE24 MG EXAMPLE18 Phone Measurement Records MG EXAMPLE15 g TMG EXAMPLE22 TMG EXAMPLE6 ALS EXAMPLE21 gO TMG EXAMPLE16 New Subject Edit Subject Delete Subject Subject Display Filter Sex Female All Laterality Left All
16. ethod is dissuaded from e Patients with cardiac pace maker demand type e Heavy cardiac patients e Pregnant women TMG System 100 User Manual TSG Tensiomyography e Non qualified use 3 2 CONSIDERATIONS FOR SAFE USE e Only qualified workers should operate with the system e Patients with surface inflammations whose status demand other kind of nursing have to ask a doctor for permission for using TMG System 100 e Applications of electrodes on the neck or mouth is dissuaded because of possible obstruction of respiratory system e Applications of electrodes on the eyes membranes open wounds is dissuaded e Subjects with sensitive skin could gain skin irritation e Both electrodes have to be placed on the same lateral side of the body e Itis forbidden to test the apparatus by holding electrodes in both hands or by placing one of them on the leg 3 3 OTHER SAFETY MEASURES e All equipment used in TMG method has to be functional e Use only self adhesive electrodes with diameter of 50 mm e Keep the system out of the reach of children e Do not use system in damp places e High frequency of stimulation could damage the skin where electrodes are placed e Do not place mobile phones near the apparatus e Moisten the electrodes before placing them on the skin for better galvanic contact 3 4 MAINTENANCE The only maintenance needed for TMG System 100 is to remove dust regularly with a humid duster and check the statu
17. he actual version of TMG software Within the software there is extensive Help section intended to guide the user through the program However the document does not deal with the hardware details these are discussed in TMG System 100 Specifications On the other hand the TMG software interface is documented in details This document concentrates on description of TMG System 100 setup connections and communication between PC running TMG software electrical stimulator and the sensor Examples are shown using the screenshots of the TMG software and photos of practical usage 2 INDICATIONS TMG System 100 is an apparatus which is commonly used by experts in the field of physical medicine doctors and physiotherapists or other specialists qualified to diagnose status of skeletal muscle It is used to monitor contractile properties of skeletal muscles and electrically evoked muscle contraction dynamics The apparatus can be used in rehabilitation process by acute and chronic injuries in optimization of training process in monitoring of muscle fatigue in diagnosing muscle diseases etc The measurement method is called TMG tensiomyography and is patented Important Only qualified workers should operate with the TMG System 100 Note that highly recommended standard 2 days training is available during TMG System 100 handover and to obtain the best results from the system 3 CAUTION MEASURES 3 1 CONTRAINDICATIONS The use of TMG m
18. ically and graphically ra 84 112 140 168 195 3 E M5 20 56 0 FIGURE 46 CHARACTERISTIC POINTS DISPLAY 32 TMG System 100 User Manual TSG Tensiomyography The first three displayed parameters are in time domain Ke Time of muscle contraction ms Ke Time of muscle relaxation ms KE Time of muscle reaction delay ms If the measured results for the subject are faster better than the reference values they are displayed in green color otherwise the red color is used The fourth parameter Dm measures the radial displacement of the muscle If the displacement for the subject is shorter shallower than the reference displacement the result is displayed in greed otherwise in red color If there is no reference present there are no double numbers on the columns as in the case below only measurement results are displayed This means that either the right reference database has not been selected or the reference for the selected sport is missing in the reference database Characteristic Points ane a Ll Day Fo cn x 30 60 116 Om mm FIGURE 47 IN THIS CASE THE REFERENCE VALUES ARE MISSING Note that the reference database can t be changed during the measurement the results are not updated automatically Current measurement results should be saved the program restarted and the parameters are compared correctly with the newly set reference base Note also
19. ings will be displayed in the Measurement Graph handout Once the electrodes sensor and stimulator are set Recommended initial current amplitude on stimulator is usually 15mA for the first measurement and turned on all cables connected click Measure button to conduct the measurement Measurement graph 4 50 View Swe Hame A 4 00 3 50 3 00 e Displacement mm in CO e i i i i i i i i i i i i i i i i i i 50 100 150 200 250 300 350 400 450 500 550 600 650 DD 750 S00 S850 900 950 100 Time I ms Previous 4 d Histry Avg 0 Sensor status OK Waiting ing Irregular Measurement Measurement current Measure REUS On Off FIGURE 33 MEASUREMENT GRAPH WINDOW PREPARED FOR MEASUREMENT 22 TMG System 100 User Manual TSG Tensiomyography After the measurement the measurement results are displayed Subject Measurement Import Export Reference Settings Help Measure status Measurement graph Subject Protocol protocol 1 Side e Left BB Biceps Brachii Sensor status OK Waiting Measurement current 18 60 Amplitude Auto Mode Waming Characteristic Points FIGURE 34 THE MEASUREMENT RESULTS Note The electrical current value controlled by the regulator knob on the Electrical Stimulator TMG S2 and displayed on the stimulator s display is to be increased in 5mA to 10mA steps and the measurement repeated until supramaximal stimulus is reached this can be evaluated from the mu
20. lly Message Settings were successfully saved FIGURE 15 THE CONFIRMATION WINDOW By clicking on the Exit button the Setting window will close and changes will not be taken into account Check that the current regulation knob is set to min Press on the power switch at front left The Battery Indication Diode on front left has three possible states Red Blink In the moment when the unit is switched on this is normal Green The battery is charged and the measurement is possible Intermittent Green The battery needs to be recharged this takes 12 16 hours There is one more control diode on front right If the current level knob is not set to min during powering up of the unit the diode will be orange and the measurement will not be allowed This is due to safety reasons The current regulation knob should be set to zero to start the measurement the diode turns off and the unit is ready to be used The current level setting in mA can be seen on the display Battery Indication Diode Regulation knob Power Switch Control Diode FIGURE 16 ELECTRICAL STIMULATOR TMG S52 FRONT VIEW 12 TMG System 100 User Manual TSG Tensiomyography Note that for the safety of the measurement the Electrical Stimulator should be disconnected from AC charging power during operation However as a Safety feature the external power supply is cut off automatically even if the AC charging cable is not unplugged 5 INITIAL CONFI
21. mat MM dd yyyy Sensor input Normal Inverted Set Exit FIGURE 12 THE SETTINGS WINDOW Verify that the Stimulator TMG S2 is connected and powered off First thing to do is to set the Communication Port The default value is TEST Click on the arrow at the right side and choose the offered COM Port You can also set English or European units Language and Date Format and Normal or Inverted Sensor Input the later explained here Note that if there is no stimulator connected the only displayed port will always be just Test As soon as the stimulator is connected to the system the assigned port will be shown in the menu and will be selected automatically If more stimulators have been connected to the system you have to choose manually the appropriate com port from selection It may happen although rarely that a stimulator com port is not shown in the program Usually this happens if an installation or a re installation of a com port on the system has been done In such a case you have to assign a com port using the Device manager through Control panel 10 TMG System 100 User Manual TSG lensiomyography E Subject Measurement Import Export Reference Settings Help Measure status Subject Protocol 4 Q i Side Co RA BB Biceps Brachii Displacement mm gt N N Co q J KA ks GA Q lt gt lt gt Q Q gt Time ms Current Sensor status OK Waiting
22. ndout is located in lower left of the Measurement screen To edit the muscle s information press Edit button New Measurement Generate Report FIGURE 50 THE MEASUREMENTS HANDOUT ON LOWER LEFT After clicking on Edit button a new window will pop out Make the desired changes and press Save or Cancel Edit Measurement Measurement Data Subject Side Right Left Muscle VM Vastus Medialis Save Cancel FIGURE 51 THE MUSCLE INFORMATION CAN BE CHANGED Note that the only thing that can t be changed is the name and surname of the subject This is only possible within Subject window 35 TMG System 100 User Manual TSG Tensiomyography www tmpg si Contactinfo TMG BMC d o o Splitska 5 1000 Ljubljana Slovenia Phone 386 838 77530 Fax 386 1 300 7777 info tmg si TMG System 100 User Manual 36
23. s of electrical stimulator and sensor head from time o time In the not likely case of malfunction please check the Troubleshooting chapter of this User Manual or ask for support Note that the electrodes are treated as consumable goods Follow the instructions on the packaging to assure proper usage TMG System 100 User Manual TSG Tensiomyography 4 SETTING UP THE TMG SYSTEM 100 4 1 CHECK THE LIST OF SUPPLIED ITEMS Verify that you have received Laptop with the TMG 100 software preinstalled Electrical Stimulator TMG S2 Digital Sensor Manipulating Hand Electrodes 4 pairs Supporting Pads Tripod with Bag FIGURE 1 LAPTOP FIGURE 2 ELECTRICAL STIMULATOR TMG S2 Y FIGURE 3 SENSOR FIGURE 4 TRIPOD FIGURE 5 TRIPOD HEAD FIGURE 6 MANIPULATING HAND TMG System 100 User Manual TSG Tensiomyography FIGURE 7 SUPPORTING PADS FIGURE 8 ELECTRODES 4 2 SETUP All cable connections have to be connected before switching the Electrical Stimulator TMG S2 in ON mode e The laptop is connected to the Stimulator through USB cable e The Stimulator input is connected to the Digital Sensor with the 4 wire low voltage cable e The Stimulator output is connected to electrodes through LEMO connector and appropriate cable Note that all the cables are provided within TMG System 100 USB cable LEMO cable o o 4 wire low voltage cable FIGURE 9 BASIC CONNECTION SCHEME
24. scle response graph The value of supramaximal stimulus vary from muscle to muscle and person to person and it s usually between 30mA and 80mA meaning that usually 5 or 6 measurements are performed taking approximately 1 minute After that another muscle can be measured following the same procedure To see how the results are saved please jump to Save Toolbar section 63 FINAL GRAPH CUSTOMIZATION AND MEASUREMENT SAVING The measurements are recorded on the graph different views are possible in order to make the work easier and more effective Let s concentrate on the graph first 23 TMG System 100 User Manual TSG Tensiomyography ks Ti O E E CL g C i i i i i i i i i i i 100 150 200 250 300 350 400 450 500 550 600 650 700 750 S800 850 900 Time ms History Avg 4 FIGURE 35 THE MEASUREMENT GRAPH CONTAINS RAW DATA INFORMATION The current most recent measurement is displayed in yellow previous measurements from the same session are displayed in blue If the same subject has been measured before e g tracking rehabilitation process the average graph of saved measurements from previous sessions are displayed in white To conclude if the opposite side was measured before during the same session the average graph of saved measurements from that side are displayed in green color These graphs of different colors enable quick overview of lateral symmetry rehabilitation progress etc It is
25. t on the picture for easier orientation TMG System 100 User Manual 20 TSG Tensiomyography Measure status Subject Protocol protocol Side Left Right BB Biceps Brachii FIGURE 30 MEASURE STATUS HANDOUT Note that the desired muscle AND the side of the body can be selected by clicking on the appropriate green dot directly on the picture as well The dot of the selected muscle then changes to red The muscle can always been selected in the drop down menu by clicking on the arrow down Measure status Subject Protocol protocol 1 Side Left Right BB Biceps Brachii FIGURE 31 THE MUSCLE CAN BE SLECTED FROM DROP DOWN MENU Once the muscle is selected the picture with proper electrodes and sensor positions will be displayed in Electrode Position handout Note that the pictures are made for one side of the body only Obviously just mirror the positions of the electrodes and sensor for the opposite side of the body Place the electrodes properly and by adjusting the manipulating hand firmly place the sensor against the selected muscle The sensor 21 TMG System 100 User Manual TSG Tensiomyography should retract into its housing for about 10mm just before the measurement to have the best results Electrode position FIGURE 32 PHOTO IN ELECTRODE POSITION HANDOUT HELPS TO POSITION THE ELECTRODES AND THE SENSOR 6 2 PERFORMING A MEASUREMENT Sensor status measurement current and possible warn
26. that if the wrong sport is selected or the measured muscle is wrongly selected those results will be correctly compared with the wrong measurement For more detailed information about the reference database handling please refer to help which is integrated in TMG software 33 TMG System 100 User Manual TSG Tensiomyography 7 3 EDITING SUBJECT CHARACTERISTICS Editing Subject Characteristics is possible within Characteristics handout of the Measurement screen This feature is useful if for instance the athlete properties are compared to another sport average To edit the subject s information click on Edit button Characteristics Subject Age FIGURE 48 THE CHARACTERISTICS HANDOUT After clicking on Edit button a new window will pop out Make the desired changes and press Save or Cancel Record Not defined Healthy Weight Height Comments FIGURE 49 THE RECORD PROPERTIES CAN BE CHANGED Note that the only thing that can t be changed is the name and surname of the subject This is only possible within Subject window 34 TMG System 100 User Manual TSG Tensiomyography 7 4 EDITING MEASUREMENT CHARACTERISTICS In a very similar way as the subject characteristics the measurement characteristics can be edited as well it s mainly about muscle data These editing options are useful if the wrong muscle or side of the body was selected when performing a measurement The Measurements ha
27. y you can just select it Measurement screen in the start looks like this Subject Measurement ImportExport Reference Settings Help Characteristics Measurement graph Subject T f Subject SSR 3 3 8 go Diagnosis He 5 3 00 2 50 2 00 E f I u 1 50 00 0 50 00 50 i Characteristic Points Coments Edit Measurements FIGURE 28 THE MEASUREMENT SCREEN 6 NEW MEASUREMENT Click on the New Measurement button to start measuring The screen now changes on the left side the Measure Status and the Electrode Position handouts appear 19 TMG System 100 User Manual TSG Tensiomyography Subject Measurement Import Export Reference Settings Measure status Measurement graph Subject Protocol protocol 1 Side e Left BB Biceps Brachii Sensor status OK Waiting Measurement current mA Amplitude Characteristic Points FIGURE 29 NEW MEASUREMENT WINDOW Waming Irregular Measurement Auto Mode On Dm mm Note that if the button New Measurement is disabled the record for the current day hasn t been selected Please return to the Subject window and select the appropriate record or create a new one 6 1 PREPARING THE MEASUREMENT In Measure Status handout the Protocol default value is recommended Side of the body and the Muscle that you want to measure must be selected properly The selected muscle will be displayed with a red do
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