GripAble Pro Page 2 User Manual Download

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GripAble. User Manual Pro

p.1

GripAble is an assessment and treatment instrument for people with upper

limb needs. It is intended for use by people with a wide variety of clinical

presentations and aims to:

• provide assessment of grip and release

• provide assessment of wrist and forearm movements

• optimise dose and intensity of upper limb training

• provide real time feedback during use

• track and monitor all training

GripAble is an adjunct to other instruments and rehabilitation modalities and

can be used in many different clinical and community settings. The therapist

will need to use clinical reasoning for each user and apply the instrument

appropriately. The therapist is responsible for the assessments and treatment

prescription selected.
For home use, it is recommended that the user consults an occupational

therapist or physiotherapist, who can assess the suitability of GripAble as part

of their home rehabilitation programme, set goals and advise on the appropriate

activities for the individual.

THERAPEUTIC

GUIDE TO THE

DEVICE

Summary of Contents for Pro

Page 1: ...GripAble User Manual Pro p 1 PRO USER MANUAL ...

Page 2: ...ipAble is an adjunct to other instruments and rehabilitation modalities and can be used in many different clinical and community settings The therapist will need to use clinical reasoning for each user and apply the instrument appropriately The therapist is responsible for the assessments and treatment prescription selected For home use it is recommended that the user consults an occupational ther...

Page 3: ... mode GripAble rehabilitation goal setting and tracking Repetition calculations Time calculations Tracking and monitoring training Cleaning the device Main menu app navigation Initial set up instructions for user New user set up GripAble activities Grip test menu Extra help FAQs and troubleshooting CONTENTS Therapeutic guide to the device Contents What does GripAble do ...

Page 4: ...Kg Assessment of ability to release is valuable for neurological disorders GripAble gives an objective assessment of the ability to actively release even at low strength levels This is represented as a percentage of total release TRAINING The therapist can use GripAble to address training goals as appropriate including to gain control of grip and release strengthen forearm and hand muscles improve...

Page 5: ...ng screen will appear Now when you enter the activity carousel all those activities which need to be installed or updated will be indicated Click on each one and follow the instructions as follows Follow the instructions By pressing OK you will be taken automatically to the Play Store Install activity Click Update When the update has completed Click Open Activity being updated If you already have ...

Page 6: ...t lanyard around the wrist to prevent accidental dropping of GripAble Grip and release activities are designed with the GripAble placed in the hand with the forearm in mid pro supination with the thumb uppermost Wrist flexion extension activities are designed with the GripAble placed in the hand with the forearm in full pronation palm down Where possible the starting position is in neutral Wrist r...

Page 7: ...eded GripAble should be used in the isometric mode see below STRAPPING GripAble is supplied with one black lanyard strap which fixes to the base of the device This should be placed around the wrist during use to prevent accidental dropping GripAble is also supplied with several white silicone straps These are intended for use with users who need extra help to retain a hold of GripAble They have mu...

Page 8: ...be used isometrically similar to a hand dynamometer To lock Squeeze GripAble and press the locking button completely in To unlock Squeeze GripAble and press the locking button completely in let go and the button will pop back out to be flush with the top of the device Should you be in locked mode at a time when it is not usually used the GripAble software will give you a warning that it is in lock...

Page 9: ...and minutes trained that day will be displayed with the number that were added during that level of that activity as a See below On the Level menu you will see one two or three stars This represents how well the user has performed at the activity Advise your user which activities are the best to meet their goals Grip release added during the level just completed Daily repetitions of grip release M...

Page 10: ...e software and a cumulative score achieved This can be benchmarked against a daily goal set by the therapist for movement of the wrist in this plane Pronation supination Each cycle of movement from neutral to pronation through to supination and back to neutral vice versa will count as one Each full revolution performed during the day will be recorded by the software and a cumulative score achieved...

Page 11: ...t reliability between GripAble and Jamar BMC Musculoskeletal Disorders 23 1 23 1 1 10 Mace et al 2022 GripAble an accurate sensitive and robust digital device for measuring grip strength J Rehabil Assist Technol Eng PRECAUTIONS If you have epilepsy vestibular or visual changes please discuss with a clinician prior to use to assess your suitability to use any of the activities as the activity might...

Page 12: ...chievements To review daily progress Data is available on eight screens 1 2 3 4 Daily overview minutes trained repetitions completed and total work accumulated Minutes spent on each activity Minutes trained today and comparison to daily goal a Goals can be set and reset here Repetitions trained today and comparison to daily goal a Goals can be set and reset here MAIN MENU APP NAVIGATION ...

Page 13: ...nar Deviation trained today and comparison to daily goal a History of wrist radial ulnar deviation activities over 7 30 60 and 90 days can be tracked here b History can be tracked with and without the goal line included Wrist Extension Flexion trained today and comparison to daily goal a History of wrist extension flexion activities over 7 30 60 and 90 days can be tracked here b History can be tra...

Page 14: ...erview of training minutes and repetitions for each motion and which activities were used If you have done the Single Maximum Grip Test on that day this result will also carry through c This report can be emailed to any account you choose Grip Tests Report a Select the date you wish to see those when assessment occurred will be highlighted b Results from all the grip tests completed on that day wi...

Page 15: ...others to log in and register new users MAIN MENU APP NAVIGATION SWITCHING GRIPABLE OFF To preserve the battery it is vital that when the activity session has been completed the app is swiped away on the tablet otherwise the app is constantly searching for the device and the device battery will drain quickly See online video if further instructions are needed ...

Page 16: ...t will come on when you have correctly turned it on Make sure the device and tablet are sufficiently charged GripAble shows its connective status via the blue LED light at the top end of the device If this light is off the device is asleep When flashing blue it is in pairing mode to allow you to connect the GripAble App When solid blue the connection is established 1 2 3 4 Off Device is asleep Blu...

Page 17: ...ating through the carousel The user will need to enter their PIN number Plug in GripAble and the tablet to charge when charging is required Both the tablet and GripAble device are supplied with power cables which connect into a USB plug The GripAble device charger can be managed with one hand using the magnetic connector When training has finished remember to shut down the GripAble App Swipe up on...

Page 18: ...ken for another This stage can be skipped but it is not recommended If your user requires training for their right and left hands they will need to build themselves as two user profiles and use a second mobile phone number at this stage or use the mobile number of a friend or relative Select Add User from the carousel When the mobile phone number is used an SMS text six digit code will be sent to ...

Page 19: ...ah or Fred A Left If you are training both left and right hands or grip and pinch set up two user profiles with clear indication in the name as to which is which Or not Select a user image from the origami emojis To keep your account safe use a unique six number pin that you can remember for when you log into your account 3 3 5 6 4 NEW USER SET UP ...

Page 20: ...of conditions to scroll through namely neurological musculo skeletal miscellaneous There is an other option on each page where you can enter other diagnoses 8 9 NEW USER SET UP Add your personal information Select gender Input date of birth Select the hand to be trained Select your dominant hand 7 ...

Page 21: ...ions to complete this calibration Remember to aim for the advised posture see above At the end of the process the results will be displayed and will be saved under the users profile These categories can be reassessed at any point You can also skip any that your user is unable to perform Remember that not assessing all four categories will restrict the number of activities available Any time you or...

Page 22: ...ch movement can be trained by which activity All activities require good vision and a level of attention cognition and perception although this differs activity to activity The level of grip strength release and movement required to perform each activity will be calibrated individually to each user s ability based on their current assessment measures Each user will be prompted to update their asse...

Page 23: ...llow the instructions for positioning and alternating between hands Turn the screen away from the user Write down the result as it is not retained in the app Hand GripAble to the other hand to test again and click Restart Should a result in pounds lbs be required press the circle with the Kgs indicated before you press Restart and this will display GripAble enables the therapist to carry out both ...

Page 24: ...Turn the screen away from the user Select the number of tests per hand and the starting hand Follow the narration as the instruction to your patient Click on Other Hand when ready to move on When each of the tests is complete click Results Results include You can email the results for placement into clinical records o Mean o Standard deviation o Comparison ...

Page 25: ...If measuring both hands choose the starting hand Follow the narration as the instruction to your patient Click on Other Hand or Next Position when ready to move on When each of the tests is complete click Results Results include You can email the results for placement into clinical records o Individual results for each position on each hand on the testing page o GRIT ratio for each measured hand o...

Page 26: ...tion to your patient Click on Begin when ready The test will count down until the start and then the user needs to grip and release straight away Do not worry if this takes a practice just restart and try again There is an auditory and a visual cue for the timing Follow whichever works best for your user When the test is complete click Results Results include You can email the results for placemen...

Page 27: ...GripAble User Manual Pro p 26 ...

Page 28: ...e test will only start when the device detects the beginning of the squeeze When the test is complete click Results Results include You can email the results for placement into clinical records o Maximum strength o Mean strength o Time to peak o Space under curve This test enables you to track the performance of grip over a more functional length of time from 5 10 seconds Potentially useful for al...

Page 29: ...se the starting hand Follow the narration as the instruction to your patient You can choose to enable or disable the sound Click on Begin when ready The test will count down five seconds and then start When the test is complete click Results Results include You can email the results for placement into clinical records o Maximum strength for each side o Mean strength for each side o Standard deviat...

Page 30: ...ses above Follow this link to watch them https m youtube com c gripable Unboxing and setting up your GripAble Get to know the GripAble app Get to know your tablet New user set up Charging your GripAble How to use the straps Quick Grip Test Setting goals How to track your achievements GripAble activities Achievement history How to turn on and off your GripAble ...

Page 31: ...low box the GripAble device has connected If it still says Connect in a grey box the GripAble device has not connected Please press the Connect box if this is the case the GripAble device should vibrate if it connects and the box will turn yellow with Disconnect written in it h If this still does not work please turn off the tablet and GripAble device and repeat these steps Turning off while conne...

Page 32: ... the device into advertising mode blue light flashing swipe away the GripAble App if necessary b Press the locking button 3 or more times within a 5 sec period device will reset and vibrate c It is best to press the button halfway down and not too quickly I e once per second a Please check your wifi b If you are working in an institution such as the NHS please ensure you are on the staff wifi rath...

Page 33: ...obile phone d No therapist should use their own mobile number for a user other than themselves e Future versions will have the ability to swap an e mail address for mobile number 9 10 What if I want to assess strength in both hands a When doing the Quick Grip test the user selects which hand they are testing and therefore assessment of both hands is possible b When using the Single Maximum Grip Te...

Page 34: ...I wanted to train individual fingers or specific pinch grips What if the tablet gets lost or stolen a We have a device called PinchAble that is placed on the GripAble and allows the patient to pinch and release with their fingers This is currently going through a proof of concept process and will be more widely available in 2021 b The fingerplate can also be controlled using a pinch grip GripAble ...

Page 35: ...GripAble User Manual Pro p 33 PRO GRIPABLE CO ...

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