biodex 950-460 Operation Manual Download

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FN: 10-202 Rev B 4/11

BIOSWAY PORTABLE BALANCE SYSTEM

OPERATION MANUAL

950-460
950-461

IODEX

Biodex Medical Systems, Inc.

20 Ramsey Road, Shirley, New York, 11967-4704, Tel: 800-224-6339 (

Int’l 631-924-9000),

Fax: 631-924-9338, Email: [email protected], www.biodex.com

Summary of Contents for 950-460

Page 1: ...Y PORTABLE BALANCE SYSTEM OPERATION MANUAL 950 460 950 461 BIODEX Biodex Medical Systems Inc 20 Ramsey Road Shirley New Y ork 11967 4704 Tel 800 224 6339 Int l 631 924 9000 Fax 631 924 9338 Email info...

Page 2: ...461 BioSway Portable Balance System w Case BIOSWAY PORTABLE BALANCE SYSTEM CAUTION Federal law restricts this device to sale of or on the order of a medical practitioner When prescribed for therapeuti...

Page 3: ...g Training 6 13 7 teStInG 7 1 The Postural Stability Test 7 2 Performing A Limits of Stability Test 7 4 Performing A Fall Risk Test Using The CTSIB 7 5 8 reportS and data 8 1 Report Parameters 8 1 Dat...

Page 4: ...n Balance C 4 CTSIB Test Result Interpretation C 5 appendIx d addItIonal noteS about ctSIb report InterpretatIon A Note About CTSIB Report Interpretation D 1 appendIx e conformance StandardS E 1 Accom...

Page 5: ...1 Provides valid reliable and repeatable objectives measures of a patient s neuromuscular control and ability to balance on a firm and or unstable surface 2 Documents balance rehabilitation and asses...

Page 6: ......

Page 7: ...ight capacity 500 lb 227 kg Platform Dimension 21 25 w x 19 00 l x 2 56 h Weight 19 lb Display Specifications Display Size and Type 12 1 30 7 cm color touch screen Display resolution 800 x 600 Operati...

Page 8: ...operated in a normal environment where the temperature and humidity are maintained for normal human comfort Certification ETL and cETL listed to UL 60601 1 CAN CSA C22 2 No 601 1 M90 and EN60601 1 EMC...

Page 9: ...shipping knob and insert it into the handle for storage Be sure to replace the knob if transporting the system Figure 3 3 BioSway components shown in the optional hard case 1 Foam pad 2 Cables 3 AC po...

Page 10: ...or at the opposite end of the cable to the base Figure 3 4 Base to display connections ac power connections See Figure 3 5 Plug the power supply into wall current Plug the opposite end of the power su...

Page 11: ...ontact Biodex customer service Figure 3 6 Printer connections Serial connection to laptop or pc See Figure 3 7 The serial connection is used to connect the BioSway to a laptop or PC NOTE See Chapter 9...

Page 12: ...vel when all four markers on the display are green Figure 3 8 Figure 3 9 Figures 3 8 and 3 9 Use the Adjustment Knob to compensate for floor irregularities when leveling the platform When all four box...

Page 13: ...elescoping table top Stand for bioSway display included The Table Top Stand fits into the BioSway case for portability and can also be wall mounted bioSway display on telescoping Stand sold separately...

Page 14: ...connecting and disconecting to from the telescoping Stand Position so it clicks in place See Figure 1 and 2 Press the release tab to remove See Figure 3 connecting the display to the table top Stand...

Page 15: ...a wide variety of monitor products designed for portability with compact Storage CONTENTS 3 7 CONNECTIONS AND ADJUSTMENTS Compact for travel from place to place Loosen knob and fold up for travel Til...

Page 16: ...during testing or training An outstretched arm not touching is reassuring for the patient Figure 4 1 Figure 4 2 Figures 4 1 and 4 2 Ensure all users have a verbal understanding of the BioSway before u...

Page 17: ...ortant for maintaining a frame of reference and providing spatial information regarding the environ ment around the person When the VA is disturbed the eyes will exhibit nystagmus in order to fix a re...

Page 18: ...ts of Stability LOS for standing balance is defined as the maximum angle a person s body can achieve from vertical without losing balance Basically how well can a person control their Center of Gravit...

Page 19: ...omatosensory inputs Condition 3 Visual conflict on firm surface Some vision present but information conflicts with vestibular information This condition brings in more vestibular and somatosensory inp...

Page 20: ...ndard deviation would be higher Thus the standard deviation is indicative of sway The Sway Index is an objective quantification of what commonly is done with a time based pass fail for completing the...

Page 21: ...teraction and Balance Arch Phys Med Rehab Feb 2004 85 pp 335 338 9 El Kashlan et al Evaluation of Clinical Measures of Equilibrium Laryngoscope March 1998 108 3 pp 311 319 10 Nichols DS Phys Ther May...

Page 22: ...ttons operate as follows 1 On Standby Power 0ff The only way to fully depower the BioSway is to disconnect the AC adapter When plugged in the display still has power to it even if it appears off You c...

Page 23: ...ck and easy repeat of a training or test session The print screen function will allow the user to generate a printout of training results Training results can also be saved and recalled for later use...

Page 24: ...ere the COG is Based on the COG height the BioSway takes into account that the theoretical angular excursion of the COG is different for different height people Taller people will find it easier than...

Page 25: ...then press Start on the display to begin the training session The Stability Training grid on the screen charts the patient s stability perfor mance through the course of the training session touch the...

Page 26: ...S training loS training access and differences from other training modes Access to the Limits of Stability Training mode is similar to Postural Stability Training with the following differences 1 Touc...

Page 27: ...bar graph A running patient score is also provided in the upper right corner NOTE If you have selected to enlarge the screen by touching the Magnifying Glass you must return to the normal viewing scre...

Page 28: ...good hit total All outside boundary hits are subtracted from the total amount of target hits This value equals the net good hits For example Enter 10 as the of tar get hits There were 4 times when the...

Page 29: ...ng ON OFF and set Scoring Tone ON OFF Touch OK to confirm your selections and return to the Weight Shift Training Options screen or Cancel to return to the Weight Shift Training Options screen without...

Page 30: ...maze if the wall is hit 6 times the resulting score will be 22 28 78 maze control training access and differences from other modes To Access the Maze Control Mode is similar to other training modes w...

Page 31: ...Cancel to return to the Maze Control Training Options screen without making changes Use the or keys to set the total hits Again please note If you have selected to enlarge the screen by touching the M...

Page 32: ...ing screen the target circle should be flashing in the center of the stability grid Touch Circle Speed to toggle though the three target circle speeds until the target circle flashes at the desired sp...

Page 33: ...n anterior posterior medial and lateral movements Therapists and patients should find Percent weight bearing training to be an effective mode for communicating what where and how a patient s body weig...

Page 34: ...ning screen Scoring is the percent of time spent within the target range Figure 6 12 The position patient screen is used to adjust and record the patient s foot position prior to beginning the trainin...

Page 35: ...to bring up the Position Patient Entry screen Using the keypads enter the patient s left foot left heel right foot and right heel positions using the midline of the foot and the platform grid as refe...

Page 36: ...ed height an appropriate static measure scaling is applied Testing provides a baseline for rehabilitation programs as well as balance screening Good static testing scores can lead to a progression int...

Page 37: ...tient move the cursor to the center point on the grid 7 Touch Record to bring up the Position Patient Entry screen Again suggested standard ized foot positions are provided reference Mcllroy WE Positi...

Page 38: ...lect the zoom feature You must however leave the zoom feature to make any changes NOTE A Practice rep is suggested and is available prior to each test rep Simple press Practice Rep and a trial rep wil...

Page 39: ...ability test and differences from other test modes To Access The LOS Test simply follow screen prompts as for Postural Stability testing with the following differences 1 Touch Skill Level to tighten o...

Page 40: ...do You can also toggle the cursor ON OFF The Cursor should be OFF during the actual test Touch OK to confirm your selections and return to the CTSIB Testing screen Use the or keys to set the Test Tri...

Page 41: ...o perform a trial rep prior to each test condition rep The practice rep can be stopped at anytime to proceed to the test rep 3 After completing the condition the next test condition will follow until...

Page 42: ...esults and then touch OK in response to the Save Results for later reporting or export prompt The system will display Save Results Completed after the results are saved 6 Another test for the same pat...

Page 43: ...ing directions 2 Anterior Posterior A P Sagital Plane 3 Medial Lateral M L Frontal Plane overall Stability Index The following equation is used to calculate the Overall Stability Index DI 2 0 X 2 0 Y...

Page 44: ...alling Rehabilitation exercises can be properly pre scribed from these results to effectively assist the patient to better control their LOS method 2 By using the Limits of Stability Test protocol it...

Page 45: ...Score calculatIon dloS Score Straight Line Distance to Target x 100 Actual Distance Traveled where Actual Straight Line Distance Distance to Target Traveled trace CENTER TARGET overall dloS Score I 8...

Page 46: ...Sample balance reportS See Figures 8 1 8 4 Figure 8 1 The Postural Stability Test Report SERVICE PROCEDURES REPORTS AND DATA 8 4...

Page 47: ...REPLACEMENT PARTS 8 5 REPORTS AND DATA Figure 8 2 A Limits of Stability Test Report...

Page 48: ...Figure 8 3 CTSIB Sample report 6 conditions Note that if the patient failed to complete a condition it would be denoted as FELL X REPORTS AND DATA 8 6...

Page 49: ...To Print A Progress Report 1 Touch Utilities on the Main Menu The System Utilities screen should now be displayed 2 Touch Patient Management and enter code 781 to advance to the Patient Management scr...

Page 50: ...t by touching the desired icon Figure 9 1 The Utilities screen SyStem utIlItIeS CONFIGURATION PATIENT MANAGEMENT CUSTOM PROTOCOL LIST PATIENT DATA STORAGE USAGE SOFTWARE AND HARDWARE INFORMATION HOURS...

Page 51: ...Set Screen Time Out The Set Test Exercise Complete Screen Time Out screen should now be displayed 2 Use the or arrows to increase or decrease the value displayed in 30 secondincre ments Time Out range...

Page 52: ...ons At the Configuration screen simply touch along the LCD Brightness Bar Scale until the desired display brightness is achieved The left end of the scale is darkest the right end of the scale is ligh...

Page 53: ...efaults changing the ctSIb default conditions 1 At the Configuration Screen touch Default Settings The Default Settings screen should now be displayed 2 Touch the conditions you want as defaults The s...

Page 54: ...ement See Figure 9 5 At the System Utilities screen touch Patient Management and then enter 781 in response to the Enter Access Code prompt Touch OK The Patient Management screen should now be display...

Page 55: ...for a test or exercise session To repeat any saved test or exercise session touch Repeat on the on screen report The system will return to the appropriate test or training Position Patient screen wit...

Page 56: ...t export See Figure 9 8 NOTE This process requires Patient Data Export Software Install the software as per instructions and connect the serial interface cable from the BioSway display to the target c...

Page 57: ...Touch the date section to change or use the arrows to adjust 3 Touch Delete Now to delete the selected patient files cuStom protocol lISt and creatInG cuStom protocolS See Figures 9 9 9 12 Custom prot...

Page 58: ...otocols can be organized under Training or Testing Figure 9 11 The Training Custom Protocols list Note that all target placements and goal settings are saved and recalled for custom protocols CONTENTS...

Page 59: ...Figure 9 12 The Postural Stability Training Protocol Set Up NOTE All target placements and goal settings are saved and recalled for custom protocols CONTENTS SYSTEM UTILITIES 9 10...

Page 60: ...1 Mouse Logitech V220 Mouse HP WX414AA Mouse Dynex DX PWLMSE Mouse Toshiba PA3651U 1ETC Mouse Logitech G500 910 001259 Mouse BTC M859C Mouse Logitech M BJ79 Mouse Dell MOA8BO Mouse Dell M UK DEL3 Mous...

Page 61: ...ch recorded sample consists of a X Y coordinate What is displayed is the sway angle derived from the position of the COG from zero and the height of the patients COG taken as 55 times the patient heig...

Page 62: ...ender 0 Height meters 101 1 45 2 00 1 7263 11410 Weight KG 101 44 09 137 73 81 4784 19 06182 Waist CM 59 26 00 44 00 34 4576 4 01000 bmi 101 12 50 44 60 27 3748 5 50826 Valid N listwise 0 Reliability...

Page 63: ...anterior posterior movement strategies have been identified the ankle hip and stepping strategies ankle Strategy The nervous system employs the ankle strategy in response to small losses of balance an...

Page 64: ...ual vestibular and somatosensory touch and proprioception systems The use of multiple systems in balance allows us to learn new movements quickly and to fine tune and easily repeat familiar move ments...

Page 65: ...ample where the person in the stationary car slams on the brake only to realize through somatosensory input that her car has not moved the feeling that the car is moving when it is not is an example o...

Page 66: ...ccurring leading to falls Sensorimotor adaptation The nervous system has a powerful ability to compensate for actual or perceived disabilities Once an injury has occurred the nervous system immediatel...

Page 67: ...situations depending on the activity or circumstance demands The COG sway scores indicate how well the patient accomplished this Lower scores reflect little movement which are consider better than hig...

Page 68: ...ation course Internet Available from http www therapyceu com courses 212 index_tceu html Neurocom International Clinical Operations Guide Rev 8 June 2008 foot placement reference Mcllroy WE Maki BE Pr...

Page 69: ...worse than normal The higher the Sway Index score the more unstable the patient was for the condition Total instability where a patient must hold onto something or stop is considered a fall and is no...

Page 70: ...is noted as Fell Figure D 3 This is the screen from the Configuration area that allows for the Sway Index Goal to be entered The values noted as defaults are the factory defaults from our existing nor...

Page 71: ...urface provides a biomechanical challenge as well as a sensory one Patients with ankle or foot weakness joint restrictions or pain will have difficulty standing steadily on the foam and will produce h...

Page 72: ...of this equipment as replace ment parts for internal and external components may result in increased emissions or decreased immunity of the equipment The BioSway Balance system should not be used adja...

Page 73: ...r o f fo l ik l rt fl fl 1 1 R P S CI m e RF s n o i s is 1 1 R P S CI t r o t s i d c i n o m r Ha ar n io 0 0 0 1 6 EN 3 2 s n o i t t a at u t tu c u l f e g a t l Vo r e ck i l f d an l A s s a Cl...

Page 74: ...th n o i t i s o p to f f yp ty tt fi i p y t a f o t a at h t e cal a f I t n nt e m n r e t t be s i t i ed s i e c n a an l a al B y y l p p u s r e w o p e l b s e c e n e b y a a m y r sa r f fr...

Page 75: ...t r o p n e e w t be c ac w o l e b d e d n e m m o c e r s a m co a e c n a t s i d n o i t a r a p Se ep t u ti le o i t a c ca i un m m o c co F R e l i b o m nd a e n i t n e m n o r i v n n e c...

Page 76: ...d inspect all locking and adjustment mechanisms for signs of wear or damage If you have any questions or need further assistance contact the Biodex Customer Service Department CAUTION Some steps of th...

Page 77: ...ODEX Biodex Medical Systems Inc 20 Ramsey Road Shirley New Y ork 11967 4704 Tel 800 224 6339 Int l 631 924 9000 Fax 631 924 9338 Email info biodex com www biodex com Certified Quality Management Syste...

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