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Delitto A, Lehman RC: Rehabilitation of the athlete with a knee injury. Clin Sports Med 8: 805-
840, 1989.

Ericson MO, Bratt A, Nisell R, et al: Load moments about the hip and knee joints during
ergometer cycling. Scand J Rehabil Med 18: 165-172, 1986.

Ericson MO, Nisell R: Patellofemoral joint forces during ergometric cycling. Phys Ther 67(9):
1365-1369, 1987.

Ericson MO, Nisell R: Tibiofemoral joint forces during ergometer cycling. Am J Sports Med 14:
285-290, 1986.

Hall JM, Gross MT: EMG Analysis of Cervical, Shoulder, and Trunk Muscles during Cycling for
Three Different Riding Positions. JOSPT 15(1): 52, 1992.

Malek MM, Mangine RE: Patellofemoral pain syndromes: A comprehensive and conservative
approach. J Orthop Sports Phys Ther 2: 108-116, 1981.

Malone T, Blackburn TA, Wallace LA: Knee Rehabilitation. Phys Ther 60: 1602-1610, 1980.

Moran GT, Hall JM, Robertson RN: The Use of Stationary Cycling with Biomechanically
Adjustable Pedals in the Rehabilitation of Ankle and Knee Injuries. JOSPT 15(1): 46, 1992.

Nordemar R, Berg U, Ekblom B, et al: Changes in muscle fibre size and physical performance in
patients with rheumatoid arthritis after 7 months physical training.
Scand J Rheumatol 5: 233-238, 1976.

Shelton GL: Principles of Musculoskeletal Rehabilitation. In: Mellion MB(ed), Office
Management of Sports Injuries and Athletic Problems, Philadelphia: Hanley & Belfus, 1988.

Shelton GL, Thigpen LK: Rehabilitation of Patellofemoral Dysfunction: A Review of Literature.
JOSPT 14(6): 243-249, 1991.

Steadman JR: Nonoperative Measures for Patellofemoral Problems.
Am J Sports Med 7: 374-375, 1979.

12. BIBLIOGRAPHY

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BIBLIOGRAPHY

Summary of Contents for 950-120

Page 1: ...TION OPERATION MANUAL 950 120 950 121 950 122 950 124 950 126 950 127 FN 06 229 6 06 BIODEX Biodex Medical Systems Inc 20 Ramsay Road Shirley New Y ork 11967 4704 Tel 800 224 6339 In NY and Int l call 631 924 9000 Fax 631 924 9241 Email sales biodex com www biodex com ...

Page 2: ...t Cycle Clinical Pro Japanese 100V SEMI RECUMBENT CYCLE NOTE All or some of the following symbols cautions warnings and notes may apply to your Semi Recumbent Cycle and correspond to this operation manual Symbol Meaning Attention consult accompanying documents Symbol signification Attention se référer à la notice Warning Injuries to health may result from incorrect or excessive training Attention ...

Page 3: ...ower Effort Profile Defined Isokinetic Profiles Defined 8 SRC CLINICAL PRO HEART RATE MONITORING 21 Heart Rate Monitoring Heart Rate Chart 9 CLINICAL CONSIDERATIONS 23 What is a MET Biodex Ergometers Support METS and Aid Exercise Perscription for both Cardiopulmonary Rehabilitation and Exercise Fitness The Relationship of Calories Burned to Oxygen Consumption and METs 10 MAINTENANCE AND SERVICE PR...

Page 4: ... and an indexed track allows extensive front to back adjustment to ensure comfort safety and biomechanically correct positioning The seat can also be removed quickly for easy wheelchair access A narrow pedal spread and sturdy grab handle helps cyclists attain and maintain proper positioning for efficient operation The SRC accommodates users from 4 6 to 6 10 and weighing up to 350 pounds The easy t...

Page 5: ...e footstrap and no seat rotation 1 Display Panel 2 Contact Heart Rate Contact Handgrips 3 Fixed Support Handles 4 Seat Front to Back Release Handle 5 Seat Front to Back Scale 6 Adjustable Pedal Cranks Clinical Pro only 7 Battery Recharge Jack 8 RS 232 Jack 9 Rear Seat Stop removable for wheelchair use 10 Seat Rotation Handle Clinical Pro only 2 PARTS AND ADJUSTMENTS 5 PARTS AND ADJUSTMENTS 1 2 3 1...

Page 6: ...ut on the seat front to back release handle and slide the seat off the back of the trolly You can now easily position a wheelchair patient for exercise NOTE Do not sit on seat when removed Rotating Seat Clinical Pro only To aid the user in getting on and off the Semi Recumbent Cycle Clinical Pro an optional rotational seat can be turned left or right To rotate the seat Pull forward on the Seat Rot...

Page 7: ...pically require 110 to 115 degrees of knee flexion to complete full pedal revolutions Adjustable pedal cranks let patients perform complete revolutions with as little as 80 to 90 degrees of flexion These pedal cranks also provide a means for establishing knee flexion limits to avoid painful points in the patient s range of motion or to protect reconstructed ligaments 7 PARTS AND ADJUSTMENTS ...

Page 8: ...g 3 Use the and buttons to adjust effort level 5 at bottom of the display To stop the system at any time simply stop pedaling All parameters will continue to display for one minute before the system shuts off If you want to turn the system off and automatically reset the display press Power ON again NOTE Standard SRC s default to Constant Power Effort Control exercise mode SRC Clinical Pro s out f...

Page 9: ... Refer to Figure 2 Figure 2 The Biodex Semi Recumbent Cycle Display Panel 4 BASIC OPERATION 9 BASIC OPERATION ...

Page 10: ... control 5 Adjust Isokinetic Speed or Constant Power Effort Level Use the or arrows to adjust the Isokinetic speed or constant power effort level to the desired level NOTE To make changes to programmed parameters press Clear Settings This will set all parameters back to default values You can then begin again at step one above 6 Grasp the SRC fixed handlebars or heart rate contact handgrips and be...

Page 11: ...y needs to be recharged To recharge the battery simply plug the input jack of the recharg ing pack into the receptacle at the front of the cycle base Plug the opposite end of the recharg ing pack into a wall socket The system will recharge even while turned OFF NOTE The SRC has a Time Out function based on the system clock If left on without being used for more than 60 seconds the SRC automaticall...

Page 12: ...low as they wish The catch is that the slower one pedals the greater the resistance encountered That s because Constant Power Effort Control provides for a preset fixed power PWR output with variable speed and variable resistance Using Constant Power Effort Control no matter how fast or slow the subject pedals the same amount of work must be produced To ensure this the SRC instantaneously varies p...

Page 13: ...e other hand if effort is lessened the pedaling resistance will decrease This reflects the basic premise of Isokinetic exercise fixed speed with totally accommodating variable resistance Just what is totally accommodating variable resistance Simply put this means that at any point in the range of motion in this case the pedaling revolution the resistance encountered by the user will exactly match ...

Page 14: ...vel Bar Graph provides both clinician and user with immediate real time biofeed back which helps make it easy for the user to stay within personal protocol guidelines and for the clinician to be aware of the user s level of effort The following sections define each exercise protocol and its potential applications CONSTANT POWER EFFORT PROFILE EXAMPLES All segments of the Constant Power Profiles ar...

Page 15: ...d High 200 WATTS Peak Effort Level Cool Down 20 WATTS 200 x 10 All values for Constant Power are rounded to the nearest unit of 10 CONSTANT POWER EFFORT PROFILES DEFINED Constant Power Manual Mode Effort level is consistent for the duration of this profile The user selects the peak effort level and simply begins to pedal Appropriate for general aerobic endurance Exercise at lower work rates for lo...

Page 16: ... is the goal Aerobic Interval Training The starting segment 1 warm up and ending segment 8 cool down are set at 10 of selected peak effort level or the minimum effort for the first three segments produced in the effort bar whichever is greater 1 8 Low level segments 2 4 6 are set at 25 of selected peak effort High level segments 3 5 7 are the selected peak effort level Warm up followed by three in...

Page 17: ...ort conditions of short intense effort followed by longer recovery periods Pyramid The starting segment 1 warm up and ending segment 7 cool down are set at 25 of selected peak effort level or the minimum effort for the first three segments produced in the effort bar whichever is greater Segments 2 and 6 are set at 65 of selected peak effort level while seg ments three and five are set at 85 of sel...

Page 18: ...r period of time if de conditioned or weight loss is the goal Constant Level with Warm up and Cool Down The starting segment 1 warm up is however hard the patient chooses to work The middle segment 2 work target value equals 100 more than the average actual work rate performed in the warm up segment rounded to the nearest 10 watts Target effort level flashes in the effort bar during the time durat...

Page 19: ...med in the Third Low level 8 Cool Down equals 25 less than the average actually work rate performed in the Third Low level Warm up followed by three intervals of high effort then low effort For improving aerobic capability or if extremity circulation problems are experienced Exercise at upper end of target zone to a moderate level of fatigue at each interval Anaerobic Interval Training 1 The start...

Page 20: ...six short intervals of high level effort Low intervals are 25 of high effort For improving strength and endurance mimics sport conditions of short intense effort followed by longer recovery periods Pyramid 1 The starting segment 1 warm up is however hard the patient chooses to work 2 First Level equals 65 more than the average actual work rate performed in the initial warm up segment 3 Second Leve...

Page 21: ...s being provided in the top window of the display panel HEART RATE CHART As illustrated by the following chart medical authorities have determined target heart rate ranges for optimum cardiovascular benefit While the chart may be used as a guide or starting point concessions must be made based on individual user needs CAUTION As a general guideline use the following equation in estimating Maximum ...

Page 22: ...ers of use i e total work maximum heart rate etc to reduce the risk of patient injury ADVERTISSEMENT Quand l appareil est untilisé en thérapue le médecin responsable do it définir les paramétres spécifiques en patient pour limiter tout rique et nnotamment le travail total et la fréquence cardiaque Age Estimated Maximal 85 70 Attainable Heart Rate Level Level 20 200 170 140 25 195 166 136 30 190 16...

Page 23: ...ior to starting the actual exercise session and a similar amount of time of decreasing exercise intensity following each session 5 Any pedaling position resulting in the tibia tilting anteriorly nine degrees or greater will cause the patellofemoral joint to absorb the force This is often a result of a low seat height or the user pedaling with the ball of the foot 6 Positions causing the tibia to t...

Page 24: ...ur du genou et les ménisques Ceci a souvent pour origine une position élevée du siège ou un utilisateur qui pédale avec le talon WHAT IS A MET The Acronym MET stands for metabolic equivalents METS are a unit of measurement that estimate the amount of physical demand placed on a per son s cardiopulmonary system METS are often used in prescribing exercise for patients involved in cardiopulmonary reh...

Page 25: ...ry different effect on one s metabolic rate and heart rate when compared to pedaling a lower body cycle at 100 watts It is up to the clinician to set the appropriate workloads on each ergometer or speed and elevation on the treadmill to achieve the appropriate MET level THE RELATIONSHIP OF CALORIES BURNED TO OXYGEN CONSUMPTION AND METS For every liter of oxygen consumed by the body during exercise...

Page 26: ... On calcule le taux métabolique en MET en divisant simplement la consommation d oxygène en ml kg min par 3 5 LES ERGOMÈTRES BIODEX FACILITENT LE CALCUL DES MET ET LES PRESCRIP TIONS D EXERCICE POUR RÉADAPTATION CARDIOPULMONAIRE ET MISE EN FORME SOUS SURVEILLANCE MÉDICALE L épreuve d effort cardiaque indique normalement le nombre maximal de MET atteint par le patient ou le nombre de MET au point où...

Page 27: ...é d énergie appropriée à l exercice Cette même personne brûle 14 6 millilitres d oxygène pour chaque kilogramme de son poids corporel par minute 1 000 ml d oxygène 68 kg de poids corporel Étant donné que un MET consommation d oxygène en ml kg min 3 5 cette personne s exerce à un taux de 4 MET Elle doit augmenter son métabolisme au repos environ 4 fois pour atteindre et maintenir ce taux d exercice...

Page 28: ...lide the left cover out of the way removing the left side crank arm will make this procedure easier but is not necessary Crank arm removal requires a special crank arm puller available at most bicycle repair shops 2 Remove the battery bracket top Phillips screw 3 Rotate bracket down 4 Disconnect power wires from battery connectors red from red and black from black 5 Disconnect the battery temperat...

Page 29: ...ing turn nut until belt deflects no more then 25 by pressing on the belt between the pulleys The location where to press on belt is marked by the belt identification arrow on illustration 5 Once tension is adjusted tighten alternator tension lock bolt 6 Slide the covers into place and reinstall the twelve Phillips screws 7 Test ergometer operation Remove pedal crank arm caps by unscrewing with fla...

Page 30: ...e CSAFE protocol for data export Seat Capacity 350 lb 159 kg Weight 160 lb 72 kg Power Self Powered No external power requirement at user work rates over 30 watts and 50 rpms 115 VAC adapter 230 VAC available is provided to power system and charge battery during applications below 30 watts and 50 rpms Battery automatically recharges at work rates above 30 watts and 50 rpms Certification ETL listed...

Page 31: ...Orthop Sports Phys Ther 2 108 116 1981 Malone T Blackburn TA Wallace LA Knee Rehabilitation Phys Ther 60 1602 1610 1980 Moran GT Hall JM Robertson RN The Use of Stationary Cycling with Biomechanically Adjustable Pedals in the Rehabilitation of Ankle and Knee Injuries JOSPT 15 1 46 1992 Nordemar R Berg U Ekblom B et al Changes in muscle fibre size and physical performance in patients with rheumatoi...

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Page 39: ...BIODEX Biodex Medical Systems Inc 20 Ramsay Road Shirley New Y ork 11967 4704 Tel 800 224 6339 In NY and Int l call 631 924 9000 Fax 631 924 9241 Email sales biodex com www biodex com ...

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