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1 | Users Manual Part I | Users Manual | 3.00 MiB |
USER MANUAL 40040005 rev. 000 40040005 rev. 000 Copyright 2005 BTE Technologies All Rights Reser ved in is subject this document Information to change without notice. Companies, names and data used in examples are fictitious unless other wise noted. No par t of this manual may be reproduced or transmitted in any form or by any means electronic, mechanical, or other wise, including photocopying and recording or in connection with any information storage and retrieval system, without prior permission from BTE Technologies. BTE Technologies, Inc. may have patents or pending patent applications, trademarks copyrights or other intellectual proper ty rights covering subject matter in this document. The furnishing of this document does not give you license to these patents, trademarks, copyrights, or other intellectual proper ty except as expressly provided in any written license agreement from BTE Technologies, Inc. Printed in the U.S.A. This manual suppor ts the BTE Multi-Cer vical Unit Rev. 000 BTE Technologies 7455-L New Ridge Road Hanover, MD 21076 Phone: 410.850.0333 Toll Free: 800.331.8845 Fax: 410.850.5244 service@btetech.com www.BTEtech.com 40040005 rev. 000 Warranty We guarantee that the BTE Technologies, Inc. rehabilitation products are free of manufacturer defects in both workmanship and material. We will replace or repair defective par ts or equipment for a period of time and in accordance with the conditions set for th below:
This warranty covers the structure and framework for 1 year of normal institutional use. All mechanical components including bearings, bushings, pulleys and glides are warranted from manufacturer defects in both workmanship and material for a one-year period. Cords and padding are covered for a 1-year period under normal use. This limited warranty is in lieu of all warranties, expressed or implied and all other obligations or liabilities on the par t of BTE Technologies Inc. We neither assume nor authorize any person to assume any other obligation or liability in connection with the sale of this product. Under no circumstances shall BTE Technologies, Inc. be liable by vir tue of this warranty or other wise, for damage to any person or proper ty what so ever for any special, indirect, secondar y or consequential damage of any nature however arising out of the use or inability to use this product. This limited warranty applies only while the BTE Technologies, Inc. product remains in the possession of the original purchaser and has not been subject to accident, misuse, abuse, unauthorized modification, failure to follow instructional use, failure to do proper maintenance, incorrect adjustments or failure due to cause beyond the manufactures control. Disclaimer The information presented in this manual is given in good faith and is to the best of our knowledge accurate. However, anyone who uses this information in any way does so entirely at his or her own risk. Neither BTE Technologies, Inc., its of ficers nor their representatives can accept any responsibility for any damage or injur y incurred as a result of information presented here except under the terms of the product warranty. Class A Digital Device This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to par t 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful inter ference when the equipment is operated in a commercial environment. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful inter ference to radio communications. Operation of this equipment in a residential area is likely to cause harmful inter ference in which case the user will be required to correct the inter ference at his own expense. 40040005 rev. 000 01 - Installation and Setup 02 - General Operation 03 - Client Information 04 - Templates 05 - Calibration 06 - Protocols 07 - Reports 08 - Cervical Conditioning 09 - Maintenance 10 - The Melbourne Protocol USER MANUAL 40040005 rev. 000 01 - INSTALLATION & SETUP s e c t i o n 0 1 Introduction MCU Components Multi-Cer vical Station Calibration Tools Computer Equipment and Car t Assembly Instructions Setting up the MCU Station Setting up the Computer Equipment and Car t Strongly Recommended Additional Purchases Computer Care Check Computer Cables Environment Requirements 3 3 3 4 4 4 4 6 7 7 7 7 40040005 rev. 000 page 1 s e c t i o n 0 1 page 2 40040005 rev. 000 s e c t i o n 0 1 INSTALLATION AND SETUP I. INTRODUCTION When you first look at the MCU, it may be dif ficult to imagine that a cer vical assessment can be so simple. However, once you familiarize yourself with the basic components of the unit and practice its operation following appropriate training, you will wonder how you ever did assess-
ments without it. This MCU Operators Manual will review the basic components of the Multi Cer vical Unit. Once you are familiar with the components, you can explore the techniques and protocols for per forming a cer vical assessment, including range of motion and isometric strength testing. This Manual will also review the dif ferent types of repor ts that are automatically generated using the information acquired throughout the assessment, as well as the clinical documenta-
tion you provide the Objective Documentation Evaluation System (ODES) computer diagnostic system component. BTE Technologies recommends that the Multi-Cer vical Unit be used in conjunction with a cer-
tified training program on The Melbourne Protocol. Two-day comprehensive training programs are tailored to suit the specific needs of your facility. Refer to Section 10 for more information. II. MCU COMPONENTS DO NOT CHANGE OR MODIFY ANY COMPONENTS Any changes or modifications, especially to the wireless components, not expressly approved by BTE Technologies, Inc. could void the users authority to operate the equipment. A. MULTI CERVICAL STATION The Multi Cer vical Station consists of the base, column with weight stack, seat, halo, weight stack pins, ROM stop, (2) head braces, (3) Velcro straps, and (4) RJ45 cables - 2 shor t and 2 long (Figure 1-1). Column Weight Stack Pins
& ROM Stop Head Braces RJ45 Cables Velcro Straps Halo Seat Base Figure 1-1. Multi-Cervical TM Station 40040005 rev. 000 page 3 s e c t i o n 0 1 B. CALIBRATION TOOLS The MCU calibration kit consists of (1) calibration block, (1) 10 lb. weight, and (1) 15 lb. weight (Figure 1-2). C. COMPUTER EQUIPMENT AND CART Figure 1-2. Calibration Tools The computer equipment consists of a computer car t, LCD monitor, CPU, printer, speakers, isolation transformer, and a wireless hub (Figure 1-3). Isolation Transformer Wireless Hub LCD Monitor Computer Car t Printer Speakers CPU Figure 1-3. Computer Equipment and Cart III. ASSEMBLY INSTR UCTIONS Once the MCU Station and computer car t have been unpacked, you are ready to star t assem-
bling the unit. A. SETTING UP THE MCU STATION The MCU is shipped on casters to provide maximum protection in transit and ease of installation. The caster assemblies provide adjustable ground clearance. The system is shipped in the highest position to clear ramps, curbs, and thresholds, but it can also be lowered to pass under low door ways. Step 1 . Move the MCU to the location you wish it to be used. Using a 3/4 wrench, lower each caster a small amount until the MCU base is resting on the ground. Once the base is on the ground, remove the casters (Figure 1-4). Lower the Casters Remove the Casters Figure 1-4. Lowering and Removing the Casters page 4 40040005 rev. 000 Step 2. Locate the weight stack pins and ROM stop pin and place them in the correspond-
ing holes on the calibration plate (Figure 1-5). s e c t i o n 0 1 Figure 1-5. Location of Weight Stack Pins & ROM STop Pin Step 3. Locate the head braces and secure them to the calibra-
tion plate (Figure 1-6). Step 4. Locate the Velcro straps and RJ45 cables. These may be placed on the computer car t. Figure 1-6. Head Braces Secured to Column Step 5. Locate the calibration weights and calibration block and place them in the triangular bracket on the base (Figure 1-7). Figure 1-7. Location of Calibration Tools Step 6. Locate the 2 antennas and then locate the far-
right hole on the top back of the MCU station. Inser t one of the antennas through this hole and secure it to the PCB (Figure 1-8). Figure 1-8. Attaching the Antenna ACCEPTABLE ANTENNA(S) This device has been designed to operate with the antenna(s) listed below and having a maximum gain of 2.7 dBi. Antennas not included in this list or having a gain greater than 2.7 dBi are strictly prohibited for use with this device. The required antenna im-
pedance is 50 ohms. Acceptable antenna(s) include:
1. Linx Technologies 916MHz 1/4 Wave Whip Antenna (ANT-916-CW-QW) To reduce potential radio inter ference to other users, the antenna type and its gain should be so chosen that the equivalent isotropically radiated power (e.i.r.p.) is not more than that permitted for successful communication. 40040005 rev. 000 page 5 s e c t i o n 0 1 Step 7. Locate the arm rests, note which is labeled lef t and which is right, and attach them to the seat on the appropriate sides (Figure 1-9). Note that the armrest is inser ted below the plastic piece that is within the bracket. Threaded hole on arm rest Arm Rest Bracket under Seat Inser t Arm Rest into Bracket Arm Rest Knob Thread Knob into Threaded Hole Final Result Figure 1-9. Attaching the Arm Rests Step 8. Plug the power cord, which is located at the bottom back of the MCU, into the designated wall outlet. Hold your hand above the back of the MCU, next to the antenna, and verify a red light shines on your hand; this confirms the PCB is receiving power (Figure 1-10). Figure 1-10. Plugging in the MCU B. SETTING UP THE COMPUTER EQUIPMENT AND CART 1. LCD MONITOR If you havent done so, remove the small bag from the top shelf of the computer car t and mount the LCD monitor to the car t (Figure 1-11). Plug the power cord and serial cable into the back of the LCD monitor. Slide monitor through brackets Secure monitor with set screw Figure 1-11. Securing LCD Monitor page 6 40040005 rev. 000 s e c t i o n 0 1 2. PRINTER Remove the printer from its box and place it on the 2 nd shelf of the computer car t. Fol-
lowing the instructions from the printer box, inser t the ink car tridges and plug in the power cord and USB cable. Once the computer is running and the printer is turned on, print a test page. 3. CPU Remove the CPU (computer tower) from its box and place it on the 3 rd shelf of the com-
puter car t. Plug in the power cord, monitor serial cable, and printer USB cable. 4. SPEAKERS Remove the speakers from their box and place them on the 3 rd shelf of the computer car t. Plug the cable from the lef t speaker into the designated jack on the right speaker. Next, plug the power cord into the designated jack on the right speaker. Finally, plug the speaker cable, which is attached to the right speaker into the CPU. 5. KEYBOARD & MOUSE Remove the keyboard and mouse from their box. Place the keyboard on the auxiliar y shelf of the computer car t and plug the cord into the CPU. Place the mouse on the top shelf of the computer car t and plug the cord into the CPU. 6. WIRELESS HUB Locate the wireless Hub and place it on the 2 nd shelf of the computer car t. Note that inside of the Hub are magnets, which are intended to keep the Hub stable on the shelf. Secure the 2 nd antenna (from Step 6 of Setting up the MCU Station) to the Hub
(Figure 1-12). Plug the USB cable into the CPU. Note that is impor tant to store the Hub in a location such that its antenna is at least 3 feet from the antenna at the top of the MCU. Figure 1-12. Place-
ment of Hub 7. ISOLATION TRANSFORMER Locate the isolation transformer and its power cord and place it next to the designated wall outlet. Attach the computer car t cable, which is located at the bottom back of the car t, to the isolation transformer. Plug one end of the isolation transformer power cord into the isolation transformer and the other end into the designated wall outlet. Turn on the isolation transformer via the green switch (Figure 1-13). Figure 1-13. Place-
ment of Transformer The use of extension cords is not recommended. If an extension cord cannot be avoid-
ed, use no less than 14 gauge wire. Keep the cord as shor t as possible, and use only hospital approved plugs. The extension cord MUST complete the ground from the ER power supply cord to the wall outlet. 40040005 rev. 000 page 7 s e c t i o n 0 1 IV. STRONGLY RECOMMENDED ADDITIONAL PURCHASES In addition to the equipment shipped to you from BTE Technologies, the purchase of the fol-
lowing items from a local supplier is strongly recommended for adequate protection of your patient data:
Several CD-RW re-writable compact discs for backing up and archiving copies of patient data An Uninterruptible Power Supply (UPS) unit providing at least 14 amps as a safeguard against the permanent loss of patient information due to power surge or electrical power failure. IMPORTANT In case of a malfunction, your computer can be repaired or replaced, but your valuable patient data can only be restored from copies kept on back-up CDs (See Section 2 - General Informa-
tion). Disinfectant wipes to clean the commonly used sur faces on the machine and components. VI. COMPUTER CARE A computers hard disk is vulnerable to loss of data and corruption of data (may not function correctly when you attempt to retrieve patient information) from a sudden change in the level of electrical power. In the event of a power failure, the UPS batter y will generate electricity long enough to allow you to shut down the system without damage to your patient data. Since computers are sensitive to extremes of temperature, do not place equipment close to a direct source of heat or cold (for example, in direct sunlight, next to a radiator or an air condi-
tioner). Do not install any additional sof tware onto the controlling computer. The BTE Technologies MCU system is in constant communication with the computer, so a clean, dedicated com-
puter system is crucial to the integrity of this communication system. Lastly, your computer will not be covered under the warranty if any unapproved sof tware has been installed. IMPORTANT Handle your computer with extreme care. A drop or a bump, even from a height of 3-4 inches, may cause serious damage, which is not covered by the warranty. A. CHECK COMPUTER CABLES Check that all cables are securely connected to the computer. Just about ever y cable connector is made in such a way that it will only attach in its appropriate location. If the cables are not secured properly, there may be an interruption of the data transmission, resulting in error messages. B. ENVIRONMENT REQUIREMENTS The MCU is designed to operate within the following environmental conditions:
Ambient Temperature:
Relative Humidity:
Atmospheric Pressure:
Voltage Supply:
50 oF to 100 oF (10 oC to 40 oC) 30% to 75%
700hPa to 1060 hPa 110-120 VAC (International Voltages dif fer) page 8 40040005 rev. 000 02 - GENERAL OPERATION s e c t i o n 0 2 Getting Star ted Basic Sof tware Navigation The Windows XP Environment Using the ODES Sof tware Home (Star t-Up) Screen Administration Menu Clinic Information Practitioner Information Environment Settings Data Acquisition Channel Device Settings Global Settings URFIO Configuration Application User Manager Impor t, Expor t, and Archive Data Job Demand Templates Super ficial Tenderness Repor ts Protocol Hibernation Remove Current Case Taskbar File Drop-Down Menu Database Utilities Compact and Repair Database Back Up Database Restore Database Log Of f and Exit Calibration Drop-Down Menu Statistics Drop-Down Menu Employer Information Patient Status Information Patient Information Referral Information 3 3 3 3 4 5 6 6 7 7 7 8 8 9 10 11 11 12 12 13 13 13 13 13 14 14 14 14 14 14 15 15 40040005 rev. 000 page 1 s e c t i o n 0 2 Insurance Information Statistical Queries Real Time Analysis Expor t Cer vical Data Expor t Admin Information Impor t Admin Information Snapshots Creating a Snapshot Emailing, Saving, Removing, and Viewing a Snapshot Forms Drop-Down Menu Utilities Drop-Down Menu Standing/Sitting Tolerance Repor t Calculators Drop-Down Menu Calculator Deviation Calculator Digital Capture Help Drop-Down Menu Help Manuals About 15 15 15 16 16 17 17 18 18 18 18 18 18 18 18 18 19 19 19 page 2 40040005 rev. 000 s e c t i o n 0 2 GENERAL OPERATION I. GETTING STARTED Ensure that you have carefully read Section 1 of this manual prior to star ting up your MCU. IMPORTANT Voltages over 125V can result in eventual damage to the MCU electronics and produce frequent error messages. Even if you have a dedicated circuit for your MCU, have a tech-
nician check the outlet with a voltmeter to ensure that the wall voltage does not exceed 125 Volts (U.S. and Canada). If your wall voltage exceeds this voltage, call BTE Technolo-
gies immediately. Damage to your MCU resulting from wall voltages exceeding 125 Volts is not covered un-
der the warranty. Step 1 . Af ter making sure ever ything is plugged in properly, turn on the computer. Step 2. Once the system is booted and the MCU is ready to use, click on the Star t Button and select BTE URFIO Config. The URFIO Config screen will appear for 5 seconds and then dis-
appear; however, it is still running in the background. Refer to Section IV-C on how to access the URFIO Config screen through ODES. Step 3. Open the sof tware by double-clicking the ODES icon, which is located on the desk-
top of the computer monitor. II. BASIC SOFTWARE NAVIGATION The BTE Technologies MCU is controlled through its own unique sof tware. Use this section as both an initial primer and a to-the-point, quick reference guide to your ODES sof tware. A. THE WINDOWS XP ENVIRONMENT As a new user of MCU, it is impor tant for you to first acclimate yourself to the Microsof t Windows XP operating system. Familiarize yourself with these basic functions:
Desktop Once Windows loads up, the entire screen is taken up by the desktop. Double-clicking the ODES shor tcut icon, which is located on the desktop, launches the ODES sof tware. Minimize Clicking this button hides the open program and reduces it to a button on the star t bar (Figure 2-1). Minimize Close Maximize/Restore Expands the program window to fit the size of the entire screen. If the program is already expanded, clicking this will shrink the screen to a smaller window (Fig-
ure 2-1). Close Closes the active program window (Figure 2-1). Maximize Figure 2-1. Minimize/
Maximize/Close Scrollbars Click the small black up and down arrows on the bar at the right of a given window to scroll up and down in screens. Star t bar - This horizontal bar located at the bottom of your screen displays a button of ever y open program. Clicking a program name here switches you to that program. Star t button This button is used to launch nearly ever y program and function of Microsof t Windows (Figure 2-2). 40040005 rev. 000 Figure 2-2. Start Icon page 3 s e c t i o n 0 2 B. USING THE ODES SOFTWARE Once you are comfor table with Windows XP, take some time to familiarize yourself with the general layout and functioning of the ODES sof tware. Doing this now will maximize your ef-
ficiency down the line. To access ODES, click on the ODES icon, which is displayed on the computers desktop. You will be prompted for a username and password (Figure 2-3). The username is odes and the password is bte (both lower case); the username and password may be modified through the Administration Menu if you choose to do so later. Figure 2-3. ODES Username and Password Upon entering ODES, you will notice the following elements are used throughout:
Title Bar The narrow blue strip located at the top of the screen which displays the data-
base into which the data is being stored. Taskbar Located at the top of the screen under the title bar; while in the home screen, this bar includes the menus: File, Calibration, Statistics, Snapshots, Forms, Utilities, Cal-
culators, Digital Capture, Patient Standing and Sitting icons, and Help. This bar changes depending on which area of the sof tware you are using. Taskbar items Items listed under each menu title which allow you to per form an opera-
tion or to pull up a repor t. Text fields Text and numerical values are entered into fields. To enter text or an in-
teger into a field, click the field, and a blinking black cursor will indicate that the field is active. Type in the required information. Check boxes A checkbox is like a switch; click one to activate a setting and click it again to de-activate the setting. Drop-down menu A text field with an arrowhead pointing down. When the arrowhead is clicked, the menu drops down to show a list of options available. III. HOME (START-UP) SCREEN The first active screen you will see when the ODES program is initiated is the Home Screen (Fig-
ure 2-4). From this screen, all of the settings, patient information, and protocols may be ac-
cessed. Note that the sections on Self Repor ts, ROM Tests, Strength Tests, and Exercise Program are covered in this manual; however, these sections are also comprehensively covered in the train-
ing program on The Melbourne Protocol. Refer to Section 10 for more information on this training program. page 4 40040005 rev. 000 A B C D E F G H I J K s e c t i o n 0 2 L M N O P Q R S T U V W X Y Z Figure 2-4. ODES Home Screen A . Histor y Patient Histor y Templates B. Examination Patient Examination Re-
sults Templates C. Diagnosis Patient Diagnosis Templates D. X-Rays/Lab Patient X-Ray and Lab Re-
sults Templates E. Referral Patient Referral Letter Tem-
plates F. Impairment Patient Impairment and Disability Templates G. Return To Work Patient Return To Work
(RT W) Letter Templates H. Custom Note Blank Template for Cus-
tomized Notes I. Progress Analysis Patient Progress Analysis Templates J. Validity Analysis Comparison of Actual Results vs. Expected Results K. Job Demands Comparison of Job De-
mand vs. Ability Demonstrated L. Self Repor ts Patient-Filled Question-
naires M. Cardio Cardiovascular Measurement Protocols IV. ADMINISTRATION MENU N. ROM Tests Range of Motion Protocols O. Strength Tests Muscular Strength Pro-
tocols P. Work Sim Tests Work Simulation Proto-
cols Q. Clinical Tests Clinical Analysis of Pain Protocols R. Impairment Ratings Patient Impairment Ratings S. Testing Analysis Analysis of the Test Results Templates T. Recommendations Recommendation Letter Templates U. Cover Letter Cover Letter Templates V. Exercise Program Pre-programmed Ex-
ercises to add to a case W. Client Information Create and find cli-
ents and cases; display the current client X. Repor ts Create, edit, and print repor ts Y. Exit Exit the ODES sof tware Z. Administration Clinic and Practitioner Personalization Settings, Sof tware Settings, Hear t Rate Comments, and Protocol Settings From the Administration Menu you can control several types of settings, templates, and proto-
cols as well as remove cases (Figure 2-5). 40040005 rev. 000 page 5 s e c t i o n 0 2 A. CLINIC INFORMATION Figure 2-5. Administration Menu This screen allows you to personalize the repor ts with your clinics information and logo Figure 2-6). Add a clinic by clicking New. To enter a clinic logo, double click on the Clinic Logo blank field. Locate the saved logo file on your hard drive. The logo can be in any graphic file format (.jpg, .gif, etc.) and should be 3.2 x 0.8, so that it doesnt become distor ted when attached to a repor t. Edit a clinics information by pull-
ing up the clinics screen, modify-
ing the necessar y information, and then clicking New, Previous, Next, or Close. Remove a clinic by clicking Remove. Figure 2-6. Clinic Information Change the default clinic by clicking Next or Previous to select the correct location and then checking the Set as default clinic box. Note that a default clinic cannot be removed until another clinic has been assigned as the default. When a repor t is printed, the default clinic and logo are included on the repor t. B. PRACTITIONER INFORMATION This screen allows you to personalize the repor ts with the practitioners name and digital signature (Figure 2-7). page 6 40040005 rev. 000 s e c t i o n 0 2 Step 1 . Type in the name and demographics of the practitioner. Step 2. To add a digital signature, you must first scan the signature and save it to your hard drive in a graphic file format (.jpg, .gif, etc.). Click the allow digital signature box, enter a pass-
word (optional), and double click the icon in order to locate the signature file on your hard drive. Step 3. Click Add to include the practitioner to the database. The name will now appear at the bottom of the screen. Edit the health practitioner information by highlight-
ing the name from the list and then clicking Edit. A practitioner may also be replaced by another within the Edit screen. Once the changes have been made click on Add. Remove the health practitioner information by highlighting the name from the list and then clicking Remove. Figure 2-7. Health Practitioner C. ENVIRONMENT SETTINGS This screen allows you to set up communication between your wireless hub and computer, change how you inter face with the sof tware, set up reminders, and monitor the wireless configurations (Figure 2-8). Figure 2-8. Environment Settings 1. DATA ACQUISITION CHANNEL Click Auto to ensure the wireless hub is communicat-
ing properly with the computer (Figure 2-9). If there is a problem, an error message will appear stating that ODES cannot communicate. Other wise, if ever ything is working properly, a message will appear stating the data acquisi-
tion box has been set up successfully. 40040005 rev. 000 Figure 2-9. DAQ Channel page 7 s e c t i o n 0 2 2. DEVICE SETTINGS The Device Settings section indicates which channel various tools are being read from based on the set-up the sof tware (Figure 2-10). This section is most helpful troubleshooting. the of for Figure 2-10. Device Settings 3. GLOBAL SETTINGS (FIGURE 2-11) Figure 2-11. Global Settings Countr y, Units, and Language Specify the countr y, language, and the units of mea-
surement to be used in printed repor ts. Backup Reminder Set reminders for backing-up your data. The recommended amount of time between back-ups is 7 days. The backups should be saved on floppy disks, CDs, or ZIP disks and kept separate from your system in case of fire, thef t, or other equally damaging events. Verify or Calibrate Set reminders for calibrating and verifying the equipment. The rec-
ommended amount of time between calibrations is 7 days, and the unit should be veri-
fied before each day of testing to ensure your tools are accurate. The accuracy of your equipment is extremely impor tant, par ticularly if your repor ts will be used in litigious cases. In addition, the Reminder can be set up as Remind only or Must Be Done. Spell Checker Spell check your documents using Microsof t Word or the provided Medi-
cal Spellchecker. Automatically Read Shelf Heights This is not used for an MCU system. Voice Type Change the type and speed of the voice inter face. You may also turn the sounds and voices on and of f by clicking on the knobs. 4. URFIO CONFIGURATION APPLICATION The URFIO Configuration Application is the por tion of the sof tware that monitors the wireless configurations of the system (Figure 2-12). Figure 2-12. DAQ Channel Clicking on the URFIO Configurator icon brings up the URFIO Configuration Tool Mapping screen (Figure 2-13). This screen displays which wireless channel the system is operat-
ing on and which tool is mapped to that current wireless channel. This screen should only be used when a new tool needs to be mapped or for troubleshooting purposes. page 8 40040005 rev. 000 s e c t i o n 0 2 Figure 2-13. URFIO Configuration Tool Mapping If a tool needs to be mapped: click on the tool name under Tool Selection, highlight the tools serial number under Available Tools, and then click the green arrow to map the tool; the serial number should appear under Current Mapping. To unmap a tool, click on the tool name under Tool Selection (the serial number must appear under Current Map-
ping), click on the red arrow; Not Mapped should appear under Current Mapping. D. USER MANAGER This screen allows you to add, edit, and remove users as well as set each users level of rights to the sof tware (Figure 2-14). Figure 2-14. User Manager To add a new user, enter a users name, password (case sensitive), and select a security level from the drop-down menu. Click Add to include the new user. When the user signs into the sof tware, he or she will use the name and password assigned in this screen. Edit a users information by highlighting their name on the right hand side of the screen and clicking on Edit. Once the changes have been made, click on Update. Delete a user by highlighting their name and then clicking on Remove. Descriptions of the security levels:
Administrator All rights High All rights except User Manager Medium High - All rights except User Manager and removal of cases Medium - All rights except Administration Low Medium - All rights except Administration, Repor ts, removal of assigned protocols to a client, and deletion of tests 40040005 rev. 000 page 9 s e c t i o n 0 2 Low - All rights except access to client notes, Administration, Repor ts, and unable to edit, delete or create tests Lowest - Only access to client information and client case information E. IMPORT, EXPORT & ARCHIVE DATA This screen allows you to impor t and expor t data with var ying degrees of detail (Figure 2-
15). Step 1 . Click Browse to locate the data-
base you wish to impor t or expor t the data from. Highlight the desired database and click Open. The database information will be now listed. You will be prompted to in-
clude the ODES Database Password if you are impor ting or expor ting from an ODES database that is in a zipped format. Note that the impor ted/expor ted database cannot share the same name as an exist-
ing database. Rename the file and tr y again. Figure 2-15. Import/Export & Archive Data Step 2. Select whether you would like to impor t to your current database or expor t data from your current database to another. Step 3. Select the Client Impor t Criteria:
All Clients impor t/expor t all clients; new templates, custom tests, and super proto-
cols are impor ted/expor ted as well Selected Clients impor t/expor t select clients; new templates, custom tests, and su-
per protocols are impor ted/expor ted as well Star ting Date impor t/expor t according to clients star t date; new templates, custom tests, and super protocols are impor ted/expor ted as well Status impor t/expor t according to clients status; new templates, custom tests, and super protocols are impor ted/expor ted as well Employer impor t/expor t according to clients employer; new templates, custom tests, and super protocols are impor ted/expor ted as well No Clients impor t/expor t only new templates, custom tests, and super protocols Step 4. Choose how you would like the data handled by clicking on the boxes next to the options. Step 5. Once all of the parameters are set to your preferences, click Star t. Note that when an impor t/expor t is processed, the sof tware will run a check of the tests. If any changes have been made to the standard tests, the sof tware considers this as a new test and will include copies of both. You may wish to store the duplicates under protocol hi-
bernation or delete them. However, be aware that deleting a test also deletes the data from that test in all patients files. It is recommended that if you will be impor ting data obtained of f-site to your main database, you should expor t the main database (no clients) to the local database you will be using. Therefore, when you impor t the data from your local database back to the main database, there will be no test duplicates since the sof tware recognizes these as the same databases. page 10 40040005 rev. 000 s e c t i o n 0 2 A progress screen will appear and then a notification will indicate whether the impor t/ex-
por t was successful or not. F. JOB DEMAND TEMPLATES This screen allows you to create, edit, delete, and print Job Demand Templates (Figure 2-16). These templates can be used within the Job Demands screen that is accessed from the Home Screen. Figure 2-16. Job Demand Templates Add a new Job Demand Template by clicking New. Enter the job title and source of the in-
formation (I.e. Job Site Analysis, Dictionar y of Occupational Titles, Self Repor t, etc.). The Section Header is optional; however, if Section Headers are used, the Job Demand Templates will be grouped by Section Header (I.e. lif ting, positional tolerance, mobility, etc.) whenever the templates are printed. Include details on job tasks, units of measurement, and the job demand level (OCCasional 1-33%; FREQuent 34-66%; CONstant 67-100%). Click Save once you have added all the needed information. Import templates by clicking Impor t and selecting the director y from which you will be retrieving the templates and the director y into which you will be impor ting the templates. You must also indicate whether you will be impor ting all the templates in the source ODES database or just the current template. Print the Job Demands Templates by clicking Print. The repor t can also be printed by click-
ing Expor t to create the repor t as a Word document (if you have Microsof t Of fice installed on your computer), or by creating a repor t Snapshot (see the Snapshot section of this manual). Edit a Job Demand Template by selecting the job from the drop-down menu, clicking Edit, and making any required changes. Remove a Job Demand Template by selecting the job from the drop-down menu and click-
ing Remove. Access a Job Demands Template within the Job Demands screen by selecting the job from the drop-down menu and clicking Populate. This will add the header, job task, job demand level, units, and information source to the appropriate fields. Complete the Ability Demon-
strated fields, and determine whether there is a job match or not. Add a Job Demand template from the Job Demands screen by clicking on Add to Template. G. SUPERFICIAL TENDERNESS REPORTS This screen allows you to create, edit, and delete Super ficial Tenderness Templates. These templates can be accessed through the Super ficial Tenderness protocol within the Self Repor ts screen (Figure 2-17). 40040005 rev. 000 page 11 s e c t i o n 0 2 Figure 2-17. Superficial Tenderness Templates Add a new template by clicking New. Edit an existing template by clicking Edit and then selecting the template. Remove an existing template by clicking Remove and then selecting the template. H. PROTOCOL HIBERNATION This screen allows you to place protocols, which may not be used of ten, in hibernation as well as remove protocols, which may be needed, from hibernation. Moving protocols in and out of hibernation does not delete the data or testing information. Note that protocol hibernation can also be accessed through the protocol pages (Figure 2-18). Figure 2-18. Protocol Hibernation Hibernate a test by highlighting the test on the lef t hand side of the screen and then click-
ing Put into Hibernation. The test should now appear on the right screen and not the lef t one. Bring a protocol out of hibernation by highlighting the test from the right hand side of the screen and then clicking Awaken From Hibernation. The test should now appear on the lef t screen and not the right one. I. REMOVE CURRENT CASE This screen allows you to delete the client case that has been selected from within the home screen. Note that once a case has been deleted, it cannot be retrieved. Step 1. Remove the current client case by clicking Remove Current Case. page 12 40040005 rev. 000 Step 2. A warning will appear prior to deleting data. Click Yes to remove the case. s e c t i o n 0 2 V. TASKBAR (FIGURE 2-19) Figure 2-19. ODES Taskbar A. FILE DROP-DOWN MENU 1. DATABASE UTILITIES This screen allows you to open a database, create a new database, rename an existing database, and remove an existing database (Figure 2-20). Open a database by locat-
ing the database, double clicking the name in the Search Results field, and then clicking Open. Af ter confirming that you would like to open the database selected, the home screen will appear with the se-
lected database available to use. The blue title bar at the top of the screen should now read the opened database. Figure 2-20. Database Utilities Create a new database by typing in the new database name within the Database Loca-
tion text field, clicking Use Blank, and then confirming you would like to create this new database. Rename an existing database by locating the database you would like to change, double clicking the name in the Search Results field, modifying the name within the Database Location text field, clicking Rename, and then confirming you would like to rename this database. Remove a database by double clicking the name in the Search Results field, clicking Remove, and then confirming you would like to delete this database. Note that once a database has been removed, it can not be recovered by you or BTE Technologies. 2. COMPACT & REPAIR DATABASE This screen allows you to repair any small errors that may occur due to networking (Figure 2-21). Repair the database by clicking on Compact & Repair. A screen will pop up confirming you would like to repair the database currently in use. Another screen will appear once the repair is successful. Figure 2-21. Compact &
Repair Database Message It is recommended that you compact and repair your database ever y one to two months. 3. BACK UP DATABASE This screen allows you to back up your databases; this is highly recommended in the case your hard drive becomes irrecoverable and you cannot access your files (Figure 2-
22). 40040005 rev. 000 page 13 s e c t i o n 0 2 Back up a database by locating the director y you would like to save the database to, selecting whether or not to use a password, selecting whether or not to back up the impairment ratings, selecting whether or not to erase the disk, and then clicking Star t Back up. Note that BTE Technologies cannot recover any lost or forgotten passwords that have been used for back ups. Figure 2-22. Back Up Database It is highly recommended that you back up your database to a floppy disk, CD, or ZIP disk at the end of each day. A back-up reminder can be set within the Environment Settings Screen. If you are using a laptop or will be transpor ting your computer, we recommend back-
ing up your database prior to moving the system. 4. RESTORE DATABASE This screen allows you to restore a previously backed up database (Figure 2-23). Restore a database by locating the director y you would like to restore the database from, entering the password if necessar y, selecting whether to keep the original name or not, selecting whether to restore the impairment ratings or not, and then clicking Star t Restore. Figure 2-23. Restore Database Note that if you choose to restore with a name that is the same as another database, the other database will be over written by this new restore. Af ter you restore a database, you must use the Database Location field to find the newly restored database. 5. LOG OFF AND EXIT The Log Of f option is to be used if you are going to be using ODES on and of f throughout the day. By logging of f rather than exiting, the speed of ODES will be enhanced. It is recommended you exit the program at the end of each day and shut down the com-
puter. B. CALIBRATION DROP-DOWN MENU This section is covered in Section 5 - Calibration & Verification. C. STATISTICS DROP-DOWN MENU 1. EMPLOYER INFORMATION Provides a summar y of all Employers that are stored within the Case Information section of the ODES database. The repor t can be printed, expor ted to a snapshot file format, or expor ted to Microsof t Word (if Word is installed on the computer). 2. PATIENT STATUS INFORMATION Provides a summar y of all Client Statuses. If the status of a client has been added to the database in the Client Case page, the client will be added to this repor t. You may sor t by last name or by the status of the client. The repor t can be printed, expor ted to a snapshot file format, or expor ted to Microsof t Word (if Word is installed on the com-
page 14 40040005 rev. 000 s e c t i o n 0 2 puter). 3. PATIENT INFORMATION Provides a summar y of all client information that has been added to the database. The repor t can be printed, expor ted to a snapshot file format, or expor ted to Microsof t Word
(if Word is installed on the computer). 4. REFERRAL INFORMATION Provides a summar y of all referral sources that have been entered into the database. The repor t can be printed, expor ted to a snapshot file format, or expor ted to Microsof t Word (if Word is installed on the computer). 5. INSURANCE INFORMATION Provides a summar y of all insurance companies that have been entered into the da-
tabase. The repor t can be printed, expor ted to a snapshot file format, or expor ted to Microsof t Word (if Word is installed on the computer). 6. STATISTICAL QUERIES Allows you to quer y for information regarding existing clients by searching various crite-
ria (Figure 2-24):
Case Manager Employer Physician Attorney Referral Source Insurance Company Super vising Practitioner Status Pre/Post of f of employment Star t/End Date Injur y Locations The repor t provides detailed informa-
tion on length of treatment, common injuries, and the number of clients be-
ing referred from a specific source. Under repor t type, select Detailed to obtain a list of the clients, and select No Details to obtain the summar y without client names. Figure 2-24. Statistical Queries The repor t can be printed, expor ted to a snapshot file format, or expor ted to Microsof t Word (if Word is installed on the computer). 7. REAL TIME ANALYSIS Allows you to analyze the data from each individual client in detail. It also allows you to compare individual or multiple trials of any strength test that is recorded in the data-
base. Real Time Analysis is useful for research, analyzing job demands, and client prog-
ress/tracking (Figure 2-25). Step 1 . Select the protocol to analyze. Step 2. Select the test range. 40040005 rev. 000 page 15 s e c t i o n 0 2 Step 3. Specify whether you wish to analyze a specific trial or the average of the trials relating to the specific protocol for a specific cli-
ent. Step 4. Specify which position you would like to graph. Step 5. Indicate the time frame you would like to analyze (option-
al). Step 6. Click Analyze and a graph of the real time analysis will ap-
pear. 8. EXPORT CERVICAL DATA Figure 2-25. Real TIme Analysis Allows Multi-Cer vical users par ticipating in International research with the Melbourne Protocol to expor t raw data into a program outside of ODES. This allows the user to work with the data in a spreadsheet format if so desired (Figure 2-26). Step 1 . Select the type of testing data you wish to expor t. Step 2. Select the fields you wish to include when expor ting. Step 3. Specify your target popula-
tion (including client status, gender, and age range) or target dates. Step 4. Select a file name and a director y your data will be saved as a text file here. The file name that you chose will now be written in the File Name to Expor t Into line. A confirmation message will appear once the expor t is successful. In order to locate the expor ted data, close ODES and return to the Win-
dows Desktop. Open the program into which the data was expor ted
(e.g. Excel). Click on the Data tab, select Impor t External Data and then Impor t Data. Locate the text file which was just expor ted, open the file, and follow the directions given. The expor ted data should now appear in the spreadsheet. Figure 2-26. Export Cervical Data 9. EXPORT ADMIN INFORMATION Allows you to expor t the administrative information related to the various protocols, su-
per protocols, and templates (Figure 2-27). page 16 40040005 rev. 000 s e c t i o n 0 2 Figure 2-27. Export Administration Information Step 1 . Select which protocols, super protocols, or templates you would like to expor t. Step 2. Click Browse to find the director y you would like to expor t into. Step 3. Enter a password (optional) and click Star t Expor t. 10. IMPORT ADMIN INFORMATION Allows you to impor t the administrative information related to the various protocols, super protocols, and templates (Figure 2-28). Figure 2-28. Import Administration Information Step 1 . Locate the director y you would like to impor t from. Step 2. Enter the password if needed and click Star t Restore. D. SNAPSHOTS This screen allows you to create PDF-like files from repor ts so that they may be emailed without compromising the validity of the document (Figure 2-29). A snapshot viewer ex-
ecutable file is bundled with the repor t file, which will allow individuals without ODES (e.g. insurance companies and manufacturing plants) to view the repor ts. Figure 2-29. Report Snapshot Viewer 40040005 rev. 000 page 17 s e c t i o n 0 2 1. CREATING A SNAPSHOT Step 1 . Click on Repor ts within the Home Screen. Step 2. Preview the repor t you would like to snapshot. Step 3. Within the taskbar, select Expor t then Create a Repor t Snapshot. The repor t will now be expor ted into a repor t snapshot, and a message will appear once the save is successful. 2. EMAILING, SAVING, REMOVING, AND VIEWING A SNAPSHOT Step 1 . From the Home Screen taskbar, click on Snapshots. Step 2. Locate the snapshot you wish use. Double click on the file name within the Search Results field, and the file name should appear within the Repor t Snapshot text field. Step 3. Click on whichever operation (Email, To Floppy, Remove, or View) you would like to per form. If you choose to email the snapshot, a message will appear asking if you would like to include the snapshot viewer. If the email recipient does not have ODES or has never viewed a snapshot before, you must email the viewer. Make sure the recipient is aware that the viewer is included with the email and it must be used to view the repor t. E. FORMS DROP-DOWN MENU This menu of fers a variety of questionnaires and forms available for printing. The client can fill out these forms and the information can be entered manually into the sof tware. F. UTILITIES DROP-DOWN MENU 1. STANDING/SITTING TOLERANCE REPORT Using the standing and sitting icons within the taskbar, you can track a clients toler-
ance of standing and sitting and with respective to time (Figure 2-30). Click on either the standing or the sitting icon to begin the timer. Once the client can no longer tolerate the chosen op-
tion, click Stop. Figure 2-30. Standing/
Sitting Tolerance The Standing/Sitting Tolerance Repor t tabulates the date and time star ted, the position of the client, the duration of time the client was able to stand or sit, the total amount of time standing or sitting, and the percentage of total standing vs. total sitting. Note that the duration of time is rounded to the closest minute. G. CALCULATORS DROP-DOWN MENU 1. CALCULATOR Calculator for basic arithmetic needs 2. DEVIATION CALCULATOR Calculator for finding the standard deviation of at least two values H. DIGITAL CAPTURE This screen allows you to inser t a variety of pictures with accompanying headings and com-
ments. This feature is useful for showing clients how to per form tasks or exercises (Figure 2-31). page 18 40040005 rev. 000 s e c t i o n 0 2 Figure 2-31. Digital Capture Step 1 . Take the picture with a digital camera. Step 2. Download the picture to your hard drive using your camera sof tware. Step 3. Within the Digital Capture Obser vations screen, click on the binoculars icon to locate the picture in the director y it was saved and click Open. Step 4. Click Inser t and the picture should appear in the large box. Step 5. Enter a picture title and any comments if desired. The comments are included when a page of pictures is printed. Step 6. A picture may be removed by clicking Remove below the file name text field. Step 7. An entire page of pictures may be printed, deleted, and created by using the Print, Delete, and New icons at the top of the screen. I. HELP DROP-DOWN MENU 1. HELP MANUALS A PDF version of this MCU manual is located here. If you have loaded the Adobe Acrobat Reader and the help manuals onto your hard drive, you will be able to access the manuals directly. However, if you have no loaded sof tware and manuals, you will be prompted to inser t the ODES CD in your disk drive. You can load Adobe Acrobat Reader for free at www.adobe.com. 2. ABOUT A screen showing the attributes of your specific MCU and ODES sof tware. This is a helpful screen to view whenever you need to call customer ser vice. 40040005 rev. 000 page 19 s e c t i o n 0 2 page 20 40040005 rev. 000 03 - CLIENT INFORMATION Introduction Adding a Client Adding a Case Adding a Family Physician/Specialist/Attorney/
Referral Source/Insurance Company/Employer Adding Current Medications Client Photos Client Status Star t/End Time Evaluator 1 and 2 Adding in ICD-9 Codes Areas of Complaint Locking Cases Finding a Client/Case Adding and Removing Tests s e c t i o n 0 3 3 3 4 4 4 4 5 5 5 5 5 5 6 6 40040005 rev. 000 page 1 s e c t i o n 0 3 page 2 40040005 rev. 000 CLIENT INFORMATION I. INTRODUCTION The client information screen can be accessed from the center of the home screen, just above the client drop-down menu (Figure 3-1). s e c t i o n 0 3 Figure 3-1. Client Information Icon ADDING A CLIENT In order to utilize the sof tware, a client must first be entered. It is recommended to star t by creating a sample client in order to get familiarized with the sof tware without having to worr y about losing valuable information (Figure 3-2). Figure 3-2. Client Information Step 1 . Click on Client Information within the Home Screen. The Client Information screen will appear. Step 2. Click on New Client. Step 3. Enter all the demographics of the client. The required information includes the name, gender, bir th date, and dominant hand. This data is required for tests which compare the clients objective measurements with a normative data-
base. Step 4. Click Close once all the information is entered. The client is now stored in the database and should appear in the drop-down menu within the Client Information screen. 40040005 rev. 000 page 3 s e c t i o n 0 3 III. ADDING A CASE All clients must have a case associated with their file. Within the Client Information screen, click New Case. The Client Case Information screen allows you to enter information regarding the clients physi-
cian, medications, referral sources, employment, insurance, ICD-9 codes, etc. (Figure 3-3). Figure 3-3. Case Information A. ADDING A FAMILY PHYSICIAN/SPECIALIST/ATTORNEY/REFERRAL SOURCE/INSUR-
ANCE COMPANY/EMPLOYER Enter a new contact by double clicking on the white text box. A new window will appear that allows you to add in the contact information. Af ter entering in the information and closing the new window, the contacts name will appear in the drop-down menu for that par ticular contact type. This data will be saved in your database so the information will only have to be entered once. B. ADDING CURRENT MEDICATIONS A list of client medications can be added by double clicking in the white text box. The Current Medications screen will appear and this allows you to enter in the name of the medication as well as a description of its purpose and usage. If the client is taking a medication that has previously been entered, select the name of the medication from the drop-down menu and enter the remaining information by either typing it in or select-
ing it from a drop-down menu. Once all the information has been added, and the screen is closed, the Current Medications text box will be populated with all of the medication names. C. CLIENT PHOTOS This screen gives you the ability to add a clients picture into his or her file, and this in turn will be incorporated into that clients repor ts. You must first take a picture with a digital camera and then save the picture to your hard drive. Once that is done, click on the large white box in the upper right hand corner of the Client Case page or click on Picture at the bottom right hand corner of the page. Click Browse to locate the picture and then page 4 40040005 rev. 000 s e c t i o n 0 3 click Inser t to add the photo. D. CLIENT STATUS The client status field is useful for keeping track of the amount and type of assessments you have completed. Client status can also be used as a criterion under Statistical Que-
ries. The drop-down menu should already be populated with status options, but you can also add, edit or remove status information by double clicking on the blank text field. E. START/END TIME The assessment star t time and date are automatically logged on the Client Case page when you click on New Case in the Client Information Screen. In order to record an end time, simply double click in the corresponding blank field once the assessment is completed, and the current time will be entered into the field. You may also manually enter a time by typing in the text field. The evaluation times will be displayed on the cover sheet of your repor t. F. EVALUATOR 1 AND 2 The Evaluator 1 and 2 fields allow the evaluator(s) to enter their name and credentials into the Client Case page. Enter a new Evaluator by double clicking in text field. A screen will pop up which will allow you to enter in the Evaluators name, designation, occupation and registration number. This information will be included in the front of the repor t and beneath the signature sign-of f line (if a signature is requested when printing the repor t). Please note this is not a feature of all repor ts printed in ODES. Click the Allow Digital Signature checkbox if you would like to add your signature to the sof tware; this is a useful tool if you are anticipating e-mailing repor ts. See Section 2-IV-B on directions for adding a digital signature. G. ADDING IN ICD-9 CODES ICD-9 codes can be stored within ODES for later use. Double click the blank ICD-9 Codes box on the Client Case page, and a screen will pop up allowing you to select the proper codes. To assign an existing ICD-9 code to your client, select the code from the Codes in Database drop-down menu and click Add. Create new codes by double clicking on the ICD-9 Codes in Database field and entering in the code and description. Once an ICD-9 code has been added to the database, it will be available from the drop-down menu for future cli-
ents. In addition, once a code is entered, it is available for use in the note templates. H. AREAS OF COMPLAINT A clients areas of complaint may be obtained from his or her responses to the Pain Dia-
gram or the Ransford Pain Diagram. To enter the information into the database, double click on the large Area of Complaint Information box or click Add in the Area of Complaint Information section of the Client Case page. A pain diagram will be displayed, which will allow you to enter in location information and pain descriptions. Af ter clicking on the dia-
gram location where the client presents a complaint, complete the char t that is below the body diagrams. Once you have entered all the information, click Add, and it will appear on the Client Case page. I. LOCKING CASES This feature allows the evaluator to prevent other individuals from modifying a case. In order to access a locked case, a password must be entered. Please note that it is your responsibility to remember this password. If the password is forgotten, our technical sup-
por t/customer ser vice staf f at BTE Technologies, Inc. will not be able to help you retrieve it. Lock the case by clicking Lock Case at the bottom of the Client Case page. A screen will 40040005 rev. 000 page 5 s e c t i o n 0 3 appear prompting you to enter and confirm a password. Click OK when you are done. Once locked, you will see the Lock Case icon change to Unlock Case. Once the Client Case page is complete, you may click the Close button located at the bottom right hand corner of the page; this will bring you back to the Client Information page, and a case number will now be associated with your client. Click the Close button in order to return to the Home Screen. The new client will now be listed in the drop-down menu underneath the Client Information button. To quickly access a clients information screen, double click on the clients name. You can also quickly access the clients case information by double clicking on the case number under the client name drop-down menu. III. FINDING A CLIENT/CASE ODES allows you to search for a client or case using various probes. Within the Client Infor-
mation screen, click on Find a Client or Find a Case to access these options (Figure 3-4). You may search using any of the fields. Remem-
ber that the more fields which are selected, the narrower the search. If youre having trouble finding a case or a client, tr y selecting only one or two fields to broaden the search. Once you have populated the fields you wish to search by, click on the binoculars icon to re-
trieve the search results. Open a client or case file by clicking on the arrow button to the lef t of the name or case number. IV. ADDING AND REMOVING TESTS Figure 3-4. Find a Client Once you had added your client into ODES you can assign tests to the client. From the Home Screen, click on Self Repor ts, Cardio, ROM Tests, Strength Tests, Work Sim Tests, or Clinical Tests. The same basic screen appears for each icon: the box on the lef t lists the tests related to the icon you selected, and the box on the right lists all the tests assigned to the client (Figure 3-5). Figure 3-5. Adding and Removing Tests page 6 40040005 rev. 000 s e c t i o n 0 3 Add a new test to the client by either highlighting the test name in the lef t box and clicking Add to Client or by double clicking on the test name in the lef t box. Once the test has been assigned to the client it will appear in the right box. Change the order the tests will be completed in by highlighting the test in the right box and use the up and down arrows under Change Protocol Order. Perform the test assigned to a client either by highlighting the test in the right box and click-
ing on Perform Test or by double clicking on the test in the right box. Remove a test from a client by highlight the test in the right box and clicking Remove From Client. You can access the other types of tests without having to go back to the Home Screen ev-
er y time by clicking on the desired test-categor y box displayed at the bottom of the Protocol Screen. 40040005 rev. 000 page 7 s e c t i o n 0 3 page 8 40040005 rev. 000 04 - TEMPLATES Pre-Programmed Templates Custom Templates s e c t i o n 0 4 3 4 40040005 rev. 000 page 1 s e c t i o n 0 4 page 2 40040005 rev. 000 s e c t i o n 0 4 TEMPLATES Each of the Notes pages in ODES has a template section that allows you to create any number of templates. This feature allows you to specify which client information you would like to include on each repor t and in which location. For example, the clients name, date of injur y, and injur y loca-
tions could be inser ted in the upper lef t hand corner of a repor t. This feature speeds up repor ting time, improves ef ficiency, and hence, profitability. You can find pre-programmed templates or create your own templates within the following Home Screen categories:
Histor y Testing Analysis Custom Note Impairment I. PRE-PROGRAMMED TEMPLATES X-Rays/Lab Examination Recommendations Progress Analysis Return to Work Referral Diagnosis Cover Letter To access the pre-programmed templates, click on one of the categories listed on the lef t side of the Home Screen. Click on the template icon in the lower right hand corner of the screen
(Figure 4-1). This will bring you to the main Templates screen (Figure 4-2). Figure 4-1. Template Icon Figure 4-2. Main Templates Screen Step 1 . To view or edit a template, first click on Edit; the Edit icon should change to Cancel Edit. Next click on the pre-programmed template you wish to use. A screen will appear with the generic template code (Figure 4-3). Figure 4-3. Generic Template Code Step 2. Highlight the code and either press CTRL-C on your keyboard or pull down the Edit menu in the taskbar and select Copy. This will copy the code to your clipboard. Step 3. Click the Close icon within the pre-programmed templates screen. This will return you to the main Templates screen. 40040005 rev. 000 page 3 s e c t i o n 0 4 Step 4. Click Cancel Edit and then select the template you just viewed. This will bring you to the corresponding screen (Figure 4-4). Figure 4-4. Blank Notes Screen Step 5. While in the home template screen, click within the white text box to place the cursor and paste in the code. You can paste by either pressing CTRL-V on your keyboard, clicking on the Paste icon within the home template screen, or pulling down the Edit menu in the taskbar selecting Paste (Figure 4-5). Figure 4-5. Updated Template Code The code will be updated with the clients information, but you must still populate the fields with carets and select which bracketed options apply. Note that any client demographics within brackets [ ] will automatically be populated with the clients information that has been entered in the client information and case screens (i.e. title, name, gender). All other information which is bracketed but isnt available from these screens will remain intact until deleted. This is typically used when there are several options to describe the situation and you must pick the most applicable one (i.e. condition is either controlled by medication, in remission, or has resolved itself). Any text within carets << >>
is intended to aler t the evaluator to fill in the information (i.e. name of the condition and year of the diagnosis). Edit a pre-programmed template by clicking Edit in the main Templates screen and selecting the template you wish to modify. You can then add fields by selecting the desired field from the Inser t Field drop down menu and clicking Inser t or delete fields using the delete key on your keyboard. The text may also be modified as you see fit. To delete any template, first click the Delete icon in the main Templates screen; the Delete icon should change to Cancel Delete. Next click on the pre-programmed template you wish to delete. II. CUSTOM TEMPLATES To create or access a custom template, click on one of the categories listed on the lef t side of the Home Screen. Click on the template icon in the lower right hand corner of the screen (Fig-
ure 4-5). Figure 4-6. Template Icon page 4 40040005 rev. 000 This will bring you to the main Templates screen (Figure 4-7). s e c t i o n 0 4 Figure 4-7. Main Templates Screen Step 1 . Create a new template by clicking on New. A new icon will appear within the main Templates screen. Step 2. To view the template, first click on Edit; the Edit icon should change to Cancel Edit. Next click on the template you just created. A screen will appear with a blank text box (Figure 4-8). Figure 4-8. Blank Template Within this screen you can change the name of the template as well as create the generic code by inser ting fields and typing text. Step 3. Begin by writing what you wish to include in the repor t, but use the merge fields when you would like information automatically populated. The sof tware already includes multiple pre-programmed merge fields which are listed under the Inser t Field drop down menu. Inser t a merge field by selecting the field from the Inser t Field drop down menu and click-
ing Inser t. The merge field will be inser ted where the text cursor is located. The merge field should have brackets [ ] around the text. You may create your own merge fields by typing the options you would like to include and plac-
ing brackets around each one. This is useful when there are several options to describe the situation and you must pick the most applicable one (i.e. client arrived [early][on time][late]
for the assessment). You can also include characters which aler t you to personalize a field for the client. This is useful when you need to include information which is dif ferent for ever y client but must be included in the repor t (i.e. client has been diagnosed with <<Enter Diagnosis>> on <<Enter Date>> by a <<Enter Specialist>>). The pre-programmed templates use carets << >> to bring your attention to the field, but you may use any characters you like (Figure 4-9). 40040005 rev. 000 page 5 s e c t i o n 0 4 Figure 4-9. Custom Template Code Step 4. Once you have finished creating the code, highlight the code and either press CTRL-C on your keyboard or pull down the Edit menu in the taskbar and select Copy. This will copy the code to your clipboard. Next, click the Close icon within the custom templates screen. This will return you to the main Templates screen. Step 5. Click Cancel Edit and then select the template you just viewed. This will bring you to the corresponding screen (Figure 4-10). Figure 4-10. Blank Notes Screen Step 6. While in the home template screen, click within the white text box to place the cursor and paste in the code. You can paste by either pressing CTRL-V on your keyboard, clicking on the Paste icon within the home template screen, or pulling down the Edit menu in the taskbar and selecting Paste (Figure 4-11). Figure 4-11. Updated Custom Template Code The code will be updated with the clients information, but you must still populate the fields page 6 40040005 rev. 000 s e c t i o n 0 4 with carets and select which bracketed options apply. Edit a custom template by clicking Edit in the main Templates screen and selecting the tem-
plate you wish to modify. You can then add fields by selecting the desired field from the Inser t Field drop down menu and clicking Inser t or delete fields using the delete key on your key-
board. The text may also be modified as you see fit. To delete any template, first click the Delete icon in the main Templates screen; the Delete icon should change to Cancel Delete. Next click on the pre-programmed template you wish to delete. 40040005 rev. 000 page 7 s e c t i o n 0 4 page 8 40040005 rev. 000 05 - CALIBRATION & VERIFICATION Introduction Per forming the Calibration Per forming the Verification Calibration Repor ts s e c t i o n 0 5 3 3 7 8 40040005 rev. 000 page 1 s e c t i o n 0 5 page 2 40040005 rev. 000 s e c t i o n 0 5 CALIBRATION & VERIFICATION I. INTRODUCTION Calibration is an impor tant component of the Multi-Cer vical system. Since one of the main attributes of the system is the ability to track the progress of your patients, it is essential that the equipment is always giving accurate feedback. Therefore, we recommend calibrating ever y 7 days and verifying the beginning of ever y day. As shown in Section 2 under the Administration Menu over view, reminders may be set for cali-
brations and verifications. There is also an option of requiring that the calibration and verifica-
tion must be done. II. PERFORMING THE CALIBRATION Calibration may be per formed for the head braces, halo (2 locations), and the seat. Access the Calibration Screen by selecting Calibrate FOCUS & MCRP from the Calibration drop-down menu, which is located in the taskbar (Figure 5-1). Figure 5-1. Calibration Drop-Down Menu The main calibration screen will appear (Figure 5-2). Make sure that under Calibration Type, which is located in the upper lef t of the screen, Manual is selected. The calibration screen also has the Detail On feature, which allows you to directly view the voltage values of any tool that can be calibrated; this is useful when troubleshooting. Figure 5-2. Main Calibration Screen 40040005 rev. 000 page 3 s e c t i o n 0 5 Select the Cer vical icon from the main calibration screen to bring up the MCU calibration screen (Figure 5-3). Figure 5-3. Cervical Calibration Screen The screen will always indicate the last day of successful calibration in addition to the amount of weight used for the last calibration. Step 1 . Secure the head brace you wish to calibrate to the calibration plate. Make sure the RJ45 cable is plugged into the head brace as well to the jack closest to the front of the unit on the top of the MCU (Figure 5-4). Click the first OK on the calibration screen. Figure 5-4. Preparing Head Brace for Calibration Step 2. Place the calibration block on the head brace (Figure 5-5). 0.7lb 0.3kg Figure 5-5. Placing Calibration Block on Head Brace page 4 40040005 rev. 000 Step 3. Place the calibration weight(s) on the calibration block (Figure 5-6). Enter the amount of weight you are using to calibrate (remember to add the weight of the calibration block, which is 0.7lb/0.3kg) in the calibration screen and then click OK. s e c t i o n 0 5 Figure 5-6. Calibrating the Head Brace Step 4. Remove the calibration weights from the calibration block before proceeding with the rest of the calibration. Step 5. bration screen. If it isnt already, set the halo rotation to 0 degrees (Figure 5-7). Click OK on the cali-
Step 6. Unlock the rotation pin, set the halo rotation to 90 degrees lef t, and then lock the rotation pin (Figure 5-8). Click OK on the calibration screen. Figure 5-7. Halo at 0 o Rotation Step 7. Unlock the rotation pin, rotate the halo back to 0 degrees, and then lock the rotation pin. Figure 5-8. Halo at 90 o Rotation 40040005 rev. 000 page 5 s e c t i o n 0 5 Step 8. ROM stop pin (Figure 5-9). Click OK on the calibration screen. If it isnt already, set the halo flexion/extension angle to 0 degrees and inser t the Figure 5-9. Halo at 0 o Flexion/Extension Step 9. Remove the ROM stop pin, set the halo flexion/extension angle to 70 degrees flexion, and then inser t the ROM stop pin (Figure 5-10). Click OK on the calibration screen. Figure 5-10. Halo at 70 o Flexion Step 10. Remove the ROM stop pin, set the halo flexion/extension angle back to 0 degrees, and inser t the ROM stop pin. Step 11 . If it isnt already, lower the seat height to its lowest position (Figure 5-11). Click OK on the calibration screen. Figure 5-11. Seat Height at Lowest Position page 6 40040005 rev. 000 Step 12. Make sure the seat back is at its lowest position, and then raise the seat height to its highest position (Figure 5-12). Click OK on the calibration screen. s e c t i o n 0 5 Figure 5-12. Seat Height at Highest Position Step 13. Once the device has been successfully calibrated, a screen will appear requesting the name of the individual who just completed the calibration. III. PERFORMING THE VERIFICATION It is recommended that the accuracy of the device be verified af ter calibration. In addition, verification should be completed prior to testing each day or af ter the equipment has been set up. Note that verification may only be per formed on the head braces. The Verification Screen can be accessed under the Calibration menu within the taskbar or within the individual tool calibration screens (Figure 5-13). Figure 5-13. Calibration Drop-Down Menu The main verification screen will appear (Figure 5-14). Figure 5-14. Main Verification Screen 40040005 rev. 000 page 7 s e c t i o n 0 5 Select the Cer vical icon from the main verification screen to bring up the MCU verification screen (Figure 5-15). Figure 5-15. Cervical Verification Screen The screen will always indicate the last day of successful verification. The verification tools and process are the same as calibration. However, you must make sure to use a different amount of weight for the verification than you did for the calibration. Lastly, remember to include the weight of the calibration fixture, which is 0.7lb. Once the device has been successfully verified, a screen will appear requesting the name of the individual who just completed the calibration. In addition, the verification screen will show the weight that you entered compared to the weight that the sof tware calculated. IV. CALIBRATION REPORTS To print or view the calibration and verification repor ts, go to the Calibration menu within the taskbar and then Calibration Repor ts (Figure 5-16). Figure 5-16. Calibration Drop-Down Menu You may filter the calibration repor t according to latest calibration, all calibrations, or date range (Figure 5-17). Figure 5-17. Calibration Report Options Menu Print a repor t by clicking Print. View a repor t by clicking Print Preview. page 8 40040005 rev. 000 Repor ts include the name of the person who per formed the calibration/verification, the date when the calibration/verification occurred, and actual weight vs. measured weight, and any deviation from the accuracy of the device (Figure 5-18). s e c t i o n 0 5 Figure 5-18. Calibration and Verification Report 40040005 rev. 000 page 9 s e c t i o n 0 5 page 10 40040005 rev. 000 s e c t i o n 0 6 06 - PROTOCOLS Self Repor ts Utilizing Self Repor ts Editing and Creating Self Repor ts Cardiovascular Protocols Utilizing Cardiovascular Protocols Editing and Creating Cardiovascular Protocols ROM Protocols Positioning the Patient for a Cer vical ROM Protocol Positioning the Patient for a ROM Flexion or Extension Test Positioning the Patient for a ROM L/R Rotation Test Positioning the Patient for a ROM Lateral Flexion Test Utilizing the Cer vical ROM Protocol Accessing the Cer vical ROM Protocol Utilizing the ROM Flexion Test Utilizing the ROM Rotation Test Utilizing the ROM Lateral Flexion Test Utilizing the ROM Extension Test Strength Protocols Positioning the Patient for a Neutral Cer vical Isometric Strength Protocol Positioning the Patient for an Isometric Flexion/Extension Test Positioning the Patient for an Isometric Lateral Test Positioning the Patient for a 25 Degree Cer vical Isometric Strength Protocol Positioning the Patient for a 25 o Isometric Flexion/Extension Test Positioning the Patient for a 25 o Isometric Lateral Test Positioning the Patient for a 45 Degree Cer vical Isometric Strength Protocol Positioning the Patient for a 45 o Isometric Flexion/Extension Test Positioning the Patient for a 45 o Isometric Lateral Test Utilizing the Cer vical ROM Protocol Accessing the Cer vical Strength Protocols Utilizing the Strength Flexion Test Utilizing the Strength Extension Test 3 3 4 5 5 5 7 7 8 9 10 11 11 13 14 15 17 18 18 20 21 22 24 25 26 28 29 30 30 31 33 40040005 rev. 000 page 1 s e c t i o n 0 6 Utilizing the Strength Lateral Test Utilizing the Strength Protraction Test Utilizing the Strength Retraction Test Creating Custom Cer vical Integration Protocols Clinical Protocols Utilizing Clinical Protocols Editing and Creating Clinical Protocols Super Protocols Validity Analysis 34 36 37 38 39 39 40 41 43 page 2 40040005 rev. 000 s e c t i o n 0 6 PROTOCOLS Through the ODES sof tware, you can access many pre-programmed protocols as well as cre-
ate customized protocols. The following protocol categories can be accessed through the Home Screen:
Self Repor ts Cardio ROM Tests Strength Tests Clinical Tests BTE Technologies recommends that the MCU be used in conjunction with a cer tified training program on The Melbourne Protocol. This training program covers the practical and clinical appli-
cation of Evaluation Protocols for patients suf fering from various cer vical disorders. Precautions, indications, and contra-indications for the evaluation of patients on the MCU are also covered. Refer to Section 10 for more information on this training program. I. SELF REPORTS ODES includes several pre-programmed Self Repor t protocols, which are intended to be com-
pleted without the use of any tools. These are typically questionnaires used to evaluate the patients perceived level of injur y and pain. A. UTILIZING SELF REPORTS Access the pre-programmed Self Repor ts protocols by clicking the Self Repor ts icon on the Home Screen. This will bring you to the Self Repor ts Protocols main page. From this page you have the ability to access all the pre-programmed protocols, including those in hibernation, add and remove tests to clients, create new range of motion tests, edit tests, and delete tests (Fig-
ure 6-1). Figure 6-1. Self Reports Protocol Screen Step 1 . Assign a test to a client by highlighting the test in the lef t box and clicking Add to Client or by double clicking on the test in the lef t box. Step 2. Once a test has been assigned to a client, highlight the test name in the right box and click Perform Test to bring up the testing screen. Step 3. Fill out the questionnaire using the following options: a) Read the questions aloud and enter in the answers; b) Allow the patient to enter in the answers via the computer; c) Print out the questionnaire and allow the patient to enter in the answers on the paper. Step 4. Store and/or file the questionnaire according to your clinics procedures. 40040005 rev. 000 page 3 s e c t i o n 0 6 B. EDITING AND CREATING SELF REPORTS Access the pre-programmed Self Repor ts protocols by clicking the Self Repor ts icon on the Home Screen. This will bring you to the Self Repor ts Protocols main page, where you can edit and create tests. Edit a test by highlighting the test you would like to edit in the lef t box and clicking Edit Test. Create a new test by clicking on New Test. If you are editing a test, a screen will appear with the current settings of the test you selected. If you are creating a test, a screen will appear with the same headings as if you were editing a test, but all of the text fields will be blank (Figure 6-2). A B C D E F G Figure 6-2. Custom Self Report Since editing and creating protocols are ver y similar, an example of an edited test will be given, but the same guidelines apply for creating a test.The following can typically be ed-
ited or created on Custom Self Repor t Tests:
A . Test Name - Type in the name of the test B. Section - Type in the sections to include in the test C. Final Score Column Name - Type in the name of the final score column D. Rating Column - Select whether to include a rating column and then type in the name of the column E. Examiner Description - Type in any description the examiner will need to per form the test - this field is especially useful for supplying instructions on how to per form the evalu-
ation F. Repor t Description - Type in any description that should be included on the repor t G. Reference Information - Include any reference information that needs to be added to the repor t Once the screen has been closed, the protocol is saved under the assigned test name with page 4 40040005 rev. 000 s e c t i o n 0 6 the new specifications. II. CARDIOVASCULAR PROTOCOLS ODES includes several pre-programmed Cardiovascular protocols. A. UTILIZING CARDIOVASCULAR PROTOCOLS Access the pre-programmed Cardiovascular protocols by clicking the Cardio icon on the Home Screen. This will bring you to the Cardiovascular Protocols main page. From this page you have the ability to access all the pre-programmed protocols, including those in hibernation, add and remove tests to clients, create new range of motion tests, edit tests, and delete tests (Fig-
ure 6-3). Figure 6-3. Cardiovascular Protocols Step 1 . Assign a test to a client by highlighting the test in the lef t box and clicking Add to Client or by double clicking on the test in the lef t box. Step 2. Once a test has been assigned to a client, highlight the test name in the right box and click Perform Test to bring up the testing screen. Step 3. Follow the instructions on the test screen. B. EDITING AND CREATING CARDIOVASCULAR PROTOCOLS Access the pre-programmed Cardiovascular protocols by clicking the Cardio icon on the Home Screen. This will bring you to the Cardiovascular Protocols main page, where you can edit and cre-
ate tests . Edit a test by highlighting the test you would like to edit in the lef t box and clicking Edit Test. Create a new test by clicking on New Test. If you are editing a test, a screen will appear with the current settings of the test you selected. If you are creating a test, a screen will appear with the same headings as if you were editing a test, but all of the text fields will be blank (Figure 6-4). 40040005 rev. 000 page 5 s e c t i o n 0 6 C E G A B D F H I J K L M N Figure 6-4. Custom Cardiovascular Protocol Since editing and creating protocols are ver y similar, an example of an edited test will be given, but the same guidelines apply for creating a test. The following can typically be edited or created on Cardiovascular Tests:
A . Test Name - Type in the name of the test B. Set Maximum Allowable Hear t Rate - Select whether to set the maximum allowable hear t rate and at what percentage of age. C. View Initial Hear t Rate - Select whether to view the initial hear t rate within the test screen D. View Peak Hear t Rate - Select whether to view the peak hear t rate within the test screen E. View Final Hear t Rate - Select whether to view the final hear t rate within the test screen F. View Percent Hear t Rate Increase from Initial - Select whether to view the percent hear t rate increase from the initial within the test screen G. View Recover y Hear t Rate - Select whether to view the recover y hear t rate within the test screen and choose when to stop the recover y time H. Use a Rating - Select whether to use a rating and then set the rating I. Examiner Description - Type in any description the examiner will need to per form the test - this field is especially useful for supplying instructions on how to per form the evalu-
ation J. Repor t Description - Type in any description that should be included on the repor t K. Reference Information - Include any reference information that needs to be added to the repor t L. Test Duration Options - Choose which method will determine test duration M. Use a Metronome - Select whether to use a metronome and number of beats per minute page 6 40040005 rev. 000 s e c t i o n 0 6 N. Parameters to be Measured (Heading Labels) - Type in the parameters that will be mea-
sured Once the screen has been closed, the protocol is saved under the assigned test name with the new specifications. III. CERVICAL RANGE OF MOTION (ROM) PROTOCOLS A. POSITIONING THE PATIENT FOR A CERVICAL ROM PROTOCOL In order to prepare for cer vical range of motion testing, it is extremely impor tant to under-
stand how to properly position the patient; this will prevent any injur y during testing. The following 7 steps are required prior to each type of ROM testing. Outlined af ter these 7 initial steps are the subsequent steps, which var y according to the test being per formed. Step 1 . Inser t the range-of-motion stop pin in the zero degree position on the halo (Figure 6-5). Figure 6-5. Insert ROM Stop Step 2. Lower the chair all the way down to its lowest position. Step 3. Using the latch on the right side, open the halo (Figure 6-6). Figure 6-6. Open Halo Step 4. Ask the patient to sit in the chair. Step 5. Adjust the height of the seat, the position of the seat, the position of the back of the chair, the height of the back of the chair, and the arm rests to accommodate the patients size, height, and posture. Set the halo height to 3 as a star ting position (Figure 6-7). Figure 6-7. Seat Adjustments 40040005 rev. 000 page 7 s e c t i o n 0 6 Step 6. Secure the patient with the waist strap and shoulder straps (Figure 6-8). Figure 6-8. Waist and Shoulder Straps Step 7. Close and lock the halo (Figure 6-9). Figure 6-9. Close and Lock the Halo 1. POSITIONING THE PATIENT FOR A ROM FLEXION OR EXTENSION TEST Step 8. For a flexion test, inser t both of the head braces in the halo. For an extension test, inser t the back head brace with a Velcro strap attached. Note that the bottom of the back brace is located at the external occipital protuberance (Figure 6-10). Flexion Set-up Attaching Strap for Extension Location of Back Brace Figure 6-10. Initial ROM Flexion & Extension Set-ups Step 9. Set the halo to 15 degrees below the horizontal (Figure 6-11). Figure 6-11. Halo Angle Step 10. Position the head brace(s) against the patients head, but do not secure his/
her head in place. Step 11 . Make fine adjustments to the seat and halo such that C5/C6 of the patients page 8 40040005 rev. 000 spine lines up with the pivot point of the halo (Figure 6-12). s e c t i o n 0 6 Figure 6-12. Final Adjustments and Locating C5/C6 Step 12. Firmly secure the patients head with the head brace(s) and Velcro strap (if per forming an extension test). Step 13. Remove the range-of-motion stop pin before per forming the test (Figure 6-13). Flexion Extension Figure 6-13. Final Set-ups for ROM Flexion & Extension Note that the RJ45 cable is not required for this test. 2. POSITIONING THE PATIENT FOR A ROM L/R ROTATION TEST Step 8. Inser t both of the head braces in the halo (Figure 6-14). Figure 6-14. Insert Both Head Braces Step 9. Set the halo to 0 degrees with respect to the horizontal and 10 degrees flexion
(Figure 6-15). Figure 6-15. Set halo angles Step 10. Position the head braces against the patients head, but do not secure his/her head in place. 40040005 rev. 000 page 9 s e c t i o n 0 6 Step 11 . Make fine adjustments to the seat to line up C5/C6 of the patients spine with the pivot point of the halo (Figure 6-16). Figure 6-16. Final Adjustments and Locating C5/C6 Step 12. Firmly secure the patients head with the head braces. Step 13. While holding onto the side of the halo, unlock the rotation pin, which is locat-
ed at the top middle of the halo, before per forming the test (Figure 6-17). Unlock Rotation Pin Final Rotation Set-up Figure 6-17. Unlocking Rotation Pin and Final ROM L/R Rotation Set-up Note that the RJ45 cable is not required for this test. 3. POSITIONING THE PATIENT FOR A ROM LATERAL FLEXION TEST Step 8. Unlock the rotation pin and rotate the halo to 90 degrees right rotation. Lock the rotation pin back into place (Figure 6-18). Figure 6-18. Halo at 90 o Rotation Step 9. Inser t both of the head braces in the halo (Figure 6-19). Figure 6-19. Attach Head Braces Step 10. Set the halo to 0 degrees with respect to the horizontal. Make sure the flexion/
extension angle is set to 0 degrees as well (Figure 6-20). page 10 40040005 rev. 000 s e c t i o n 0 6 Figure 6-20. Set halo angles Step 11 . Position the head braces against the patients head, but do not secure his/her head in place. Step 12. Make fine adjustments to the seat to line up C5/C6 of the patients spine with the pivot point of the halo (Figure 6-21). Figure 6-21. Final Adjustments and Locating C5/C6 Step 13. Firmly secure the patients head with the head braces. Step 14. Remove the range-of-motion stop pin before per forming the test (Figure 6-22). Figure 6-22. Final Set-up for ROM Lateral Flexion Note that the RJ45 cable is not required for this test. B. UTILIZING THE CERVICAL RANGE OF MOTION (ROM) PROTOCOL 1. ACCESSING THE CERVICAL ROM PROTOCOL Access the pre-programmed ROM protocols by clicking the ROM Tests icon on the Home Screen. This will bring you to the ROM Protocols main page. From this page you have the abil-
ity to access all the pre-programmed protocols, including those in hibernation, add and remove tests to clients, create new range of motion tests, edit tests, and delete tests. Note that the Cer vical Range of Motion protocol is the only pre-programmed ROM test that will be needed for the MCU (Figure 6-23). 40040005 rev. 000 page 11 s e c t i o n 0 6 Figure 6-23. Range of Motion Protocols Step 1 . Assign a test to a client by highlighting the test in the lef t box and clicking Add to Client or by double clicking on the test in the lef t box. Step 2. Once a test has been assigned to a client, highlight the test name in the right box and click Perform Test to bring up the testing screen (Figure 6-24). Figure 6-24. Cervical Range of Motion Main Screen The initial Cer vical Range of Motion protocol screen contains the following features:
Name of the test Test number Star t Test icon, which changes to Stop Test af ter the test has begun New icon to begin a new set of tests Delete icon to delete the selected tests results Close icon to return to the protocol screen Next Protocol icon to move on to the next protocol Flexion icon, which switches to the Flexion test screen L/R Rotation icon, which switches to the Rotation test screen page 12 40040005 rev. 000 s e c t i o n 0 6 Lateral Flexion icon, which switches to the Lateral Flexion test screen Extension icon, which switches to the Extension test screen Graphs and tables to illustrate the test results Instructions on how to per form the tests Threshold icon, which allows a threshold force to be set 2. UTILIZING THE ROM FLEXION TEST The ROM Flexion test measures the patients range of motion with respect to the flexor muscle group. Step 1 . Select the Flexion icon. The Flexion Testing screen will appear (Figure 6-25). Figure 6-25. Cervical ROM - Flexion Test Note that the screen shown in the figure may dif fer from that on the computer. Step 2. Position the patient as described in Section 06-III of this manual. Step 3. Click Star t Test to begin testing. Step 4. Once the test is completed, a pain scale will appear. Ask the patient to rate his/her pain on a ten-point scale (0 is equivalent to no pain and 10 is equivalent to the worst pain possible). Click on the number the patient stated and then click OK. The ROM Flexion test calls for three trials to be per formed. As the protocol is per formed, the screen will display the results and averages via a line graph, table, pie char t, and bar graph. In addition to the test results, the screen will tabulate: the average ROM, peak ROM, coef ficient of variation (COV), and the percent of normal. The pain rating determined by the patient will also appear in the pain scale text field (Figure 6-26). 40040005 rev. 000 page 13 s e c t i o n 0 6 Figure 6-26. Cervical ROM - Completed Flexion Test You may retest a trial by clicking on the R icon to the lef t or right of the trial table, de-
pending on which trial you would like to redo. However, once a test has been closed, the trials can not be retested. 3. UTILIZING THE ROM ROTATION TEST The ROM Rotation test measures the patients range of motion with respect to the lat-
eral rotator muscle group. Step 1 . Select the L/R Rotation icon. The Rotation Testing screen will appear (Figure 6-27). Note that the screen shown in the figure may dif fer from that on the computer. Figure 6-27. Cervical ROM - L/R Rotation Test page 14 40040005 rev. 000 s e c t i o n 0 6 Step 2. Position the patient as described in Section 06-III of this manual. Step 3. Click Star t Test to begin testing. Step 4. Once each side is completed, a pain scale will appear. Ask the patient to rate his/her pain on a ten-point scale (0 is equivalent to no pain and 10 is equivalent to the worst pain possible). Click on the number the patient stated and then click OK. The ROM Rotation test calls for three trials to be per formed per side. As the protocol is per formed, the screen will display the results and averages via a line graph, table, pie char t, and bar graph. These figures are especially helpful in comparing the abilities of each side. In addition to the test results, the screen will tabulate: the average ROM, peak ROM, co-
ef ficient of variation (COV), the percent of normal, and the percent dif ference between the lef t and right side. The pain ratings determined by the patient will also appear in the pain scale text fields (Figure 6-28). Figure 6-28. Cervical ROM - Completed L/R Rotation Test You may retest a trial by clicking on the R icon to the lef t or right of the trial table, de-
pending on which trial you would like to redo. However, once a test has been closed, the trials can not be retested. 4. UTILIZING THE ROM LATERAL FLEXION TEST The ROM Lateral Flexion test measures the patients range of motion with respect to the lateral flexor muscle group. Step 1 . Select the Lateral Flexion icon. The Lateral Flexion Testing screen will appear
(Figure 6-29). Note that the screen shown in the figure may dif fer from that on the com-
puter. 40040005 rev. 000 page 15 s e c t i o n 0 6 Figure 6-29. Cervical ROM - Lateral Flexion Test Step 2. Position the patient as described in Section 06-III of this manual. Step 3. Click Star t Test to begin testing. Step 4. Once each side is completed, a pain scale will appear. Ask the patient to rate his/her pain on a ten-point scale (0 is equivalent to no pain and 10 is equivalent to the worst pain possible). Click on the number the patient stated and then click OK. The ROM Lateral Flexion test calls for three trials to be per formed per side. As the protocol is per formed, the screen will display the results and averages via a line graph, table, pie char t, and bar graph. These figures are especially helpful in comparing the abilities of each side. In addition to the test results, the screen will tabulate: the average ROM, peak ROM, co-
ef ficient of variation (COV), the percent of normal, and the percent dif ference between the lef t and right side. The pain ratings determined by the patient will also appear in the pain scale text fields (Figure 6-30). page 16 40040005 rev. 000 s e c t i o n 0 6 Figure 6-30. Cervical ROM - Completed Lateral Flexion Test You may retest a trial by clicking on the R icon to the lef t or right of the trial table, de-
pending on which trial you would like to redo. However, once a test has been closed, the trials can not be retested. 5. UTILIZING THE ROM EXTENSION TEST The ROM Extension protocol measures the patients range of motion with respect to the extensor muscle group. Step 1 . Select the Extension icon. The Extension Testing screen will appear (Figure 6-
31). Note that the screen shown in the figure may dif fer from that on the computer. Figure 6-31. Cervical ROM - Extension Test 40040005 rev. 000 page 17 s e c t i o n 0 6 Step 2. Position the patient as described in Section 06-III of this manual. Step 3. Click Star t Test to begin testing. Step 4. Once the test is completed, a pain scale will appear. Ask the patient to rate his/her pain on a ten-point scale (0 is equivalent to no pain and 10 is equivalent to the worst pain possible). Click on the number the patient determined and then click OK. The ROM Extension test calls for three trials to be per formed. As the protocol is per formed, the screen will display the results and averages via a line graph, table, pie char t, and bar graph. In addition to the test results, the screen will tabulate: the average ROM, peak ROM, coef ficient of variation (COV), and the percent of normal. The pain rating determined by the patient will also appear in the pain scale text field (Figure 6-32). Figure 6-32. Cervical ROM - Completed Extension Test You may retest a trial by clicking on the R icon to the lef t or right of the trial table, de-
pending on which trial you would like to redo. However, once a test has been closed, the trials can not be retested. IV. STRENGTH PROTOCOLS A. POSITIONING THE PATIENT FOR NEUTRAL CERVICAL ISOMETRIC STRENGTH PRO-
TOCOLS In order to prepare for cer vical strength testing, it is extremely impor tant to understand how to properly position the patient; this will prevent any injur y during testing. The following 7 steps are required prior to each type of strength testing. Outlined af ter these 7 initial steps are the subsequent steps, which var y according to the test being per-
formed. Step 1 . Inser t the range-of-motion stop pin in the zero degree position on the halo (Figure 6-33). page 18 40040005 rev. 000 s e c t i o n 0 6 Figure 6-33 Insert ROM Stop Step 2. Lower the chair all the way down to its lowest position. Step 3. Using the latch on the right side, open the halo (Figure 6-34). Figure 6-34. Open Halo Step 4. Ask the patient to sit in the chair. Step 5. Adjust the height of the seat, the position of the seat, the position of the back of the chair, the height of the back of the chair, and the arm rests to accommodate the patients size, height, and posture. Set the halo height to 3 as a star ting position (Figure 6-35). Figure 6-35. Seat Adjustments Step 6. Secure the patient with the waist strap and shoulder straps (Figure 6-36). Figure 6-36. Waist and Shoulder Straps Step 7. Close and lock the halo (Figure 6-37). 40040005 rev. 000 page 19 s e c t i o n 0 6 Figure 6-37. Close and Lock the Halo 1. POSITIONING THE PATIENT FOR AN ISOMETRIC FLEXION/EXTENSION TEST Step 8. For a flexion test, inser t the front head brace. For an extension test, inser t the back head brace. Note that the bottom of the back brace is located at the external oc-
cipital protuberance (Figure 6-38). Flexion Set-up Location of Back Brace Figure 6-38. Initial Isometric Flexion
& Extension Set-up Step 9. Set the halo to 15 degrees below the horizontal (Figure 6-39). Figure 6-39. Halo Angle Step 10. Position the head brace against the patients head. Step 11 . Make fine adjustments to the seat and halo such that C5/C6 of the patients spine lines up with the pivot point of the halo (Figure 6-40). Figure 6-40. Final Adjustments and Locating C5/C6 Step 12. Attach the RJ45 cable to the head brace being used and the RJ45 jack that is page 20 40040005 rev. 000 closest to the front of the unit at the top of the MCU (Figure 6-41). Flexion Extension s e c t i o n 0 6 Figure 6-41. MCU RJ45 Jack and Final Isometric Flexion & Extension Set-ups 2. POSITIONING THE PATIENT FOR A ISOMETRIC LATERAL TEST Step 8. Unlock the rotation pin and rotate the halo to 90 degrees right rotation. Lock the rotation pin (Figure 6-42). Figure 6-42. Halo at 90 o Rotation Step 9. Attach the head brace to the halo on the side being tested (Figure 6-43). Figure 6-43. Attach Head Brace Step 10. Set the halo to 0 degrees with respect to the horizontal. Make sure the flexion/
extension angle is set to 0 degrees as well (Figure 6-44). Figure 6-44. Set halo angles Step 11 . Position the head brace against the patients head. Step 12. Make fine adjustments to the seat to line up C5/C6 of the patients spine with the pivot point of the halo (Figure 6-45). 40040005 rev. 000 page 21 s e c t i o n 0 6 Figure 6-45. Final Adjustments and Locating C5/C6 Step 13. Attach the RJ45 cable to the head brace being used and the RJ45 jack that is closest to the front of the unit at the top of the MCU (Figure 6-46). Figure 6-46. MCU RJ45 Jack and Final Isometric Lateral Set-up B. POSITIONING THE PATIENT FOR 25 DEGREE CERVICAL ISOMETRIC STRENGTH PROTOCOLS In order to prepare for cer vical strength testing, it is extremely impor tant to understand how to properly position the patient; this will prevent any injur y during testing. The following 7 steps are required prior to each type of strength testing. Outlined af ter these 7 initial steps are the subsequent steps, which var y according to the test being per-
formed. Step 1 . Inser t the range-of-motion stop pin in the zero degree position on the halo (Figure 6-47). Figure 6-47. Insert ROM Stop Step 2. Lower the chair all the way down to its lowest position. Step 3. Using the latch on the right side, open the halo (Figure 6-48). page 22 40040005 rev. 000 s e c t i o n 0 6 Step 4. Ask the patient to sit in the chair. Figure 6-48. Open Halo Step 5. Adjust the height of the seat, the position of the seat, the position of the back of the chair, the height of the back of the chair, and the arm rests to accommodate the patients size, height, and posture (Figure 6-49). Figure 6-49. Seat Adjustments Step 6. Secure the patient with the waist strap and shoulder straps (Figure 6-50). Figure 6-50. Waist and Shoulder Straps Step 7. Close and lock the halo (Figure 6-51). Figure 6-51. Close and Lock the Halo 40040005 rev. 000 page 23 s e c t i o n 0 6 1. POSITIONING THE PATIENT FOR A 25 DEGREE ISOMETRIC FLEXION/EXTENSION TEST Step 8. For a flexion test, inser t the front head brace. For an extension test, inser t the back head brace. Note that the bottom of the back brace is located at the external oc-
cipital protuberance (Figure 6-52). Flexion Set-up Location of Back Brace Figure 6-52. Initial Isometric Flexion
& Extension Set-up Step 9. Set the halo to 15 degrees below the horizontal (Figure 6-53). Step 10. Position the head brace against the patients head. Figure 6-53. Halo Angle Step 11 . Make fine adjustments to the seat to line up C5/C6 of the patients spine with the pivot point of the halo (Figure 6-54). Figure 6-54. Final Adjustments and Locating C5 Step 12. While holding onto the side of the halo, unlock the rotation pin, which is lo-
cated at the top middle of the halo. If youre testing the patients lef t side, rotate the halo 25 degrees right and then lock the rotation pin. Rotate the halo 25 degrees to the lef t to test the patients right side (Figure 6-55). Unlock Rotation Pin 25 o Right Figure 6-55. Halo Rotation of 25 o page 24 40040005 rev. 000 Step 13. Attach the RJ45 cable to the head brace being used and the RJ45 jack that is closest to the front of the unit at the top of the MCU (Figure 6-56). Flexion Extension s e c t i o n 0 6 Figure 6-56. MCU RJ45 Jack and Final 25 o Isometric Flexion & Extension Set-ups 2. POSITIONING THE PATIENT FOR A 25 DEGREE ISOMETRIC LATERAL TEST Step 8. Unlock the rotation pin, which is located at the top middle of the halo. If youre testing the patients lef t side, rotate the halo 65 degrees toward the right, and then lock the rotation pin. Rotate the halo 65 degrees toward the lef t when testing the patients right side (Figure 6-57). Note that the figures show a set-up for testing the patients right side. Figure 6-57. Halo Rotation of 25 o Lateral Step 9. Attach the head brace to the halo on the side being tested (Figure 6-58). Figure 6-58. Attach Head Brace Step 10. Set the halo to 0 degrees with respect to the horizontal. Make sure the flexion/
extension angle is set to 0 degrees as well (Figure 6-59). Figure 6-59. Set halo angles Step 11 . Position the head brace against the patients head. Step 12. Make fine adjustments to the seat to line up C5/C6 of the patients spine with 40040005 rev. 000 page 25 s e c t i o n 0 6 the pivot point of the halo (Figure 6-60). Figure 6-60. Final Adjustments and Locating C5 Step 13. Attach the RJ45 cable to the head brace being used and the RJ45 jack that is closest to the front of the unit at the top of the MCU (Figure 6-61). Figure 6-61. MCU RJ45 Jack and Final 25 o Isometric Lateral Set-up C. POSITIONING THE PATIENT FOR 45 DEGREE CERVICAL ISOMETRIC STRENGTH PROTOCOLS In order to prepare for cer vical strength testing, it is extremely impor tant to understand how to properly position the patient; this will prevent any injur y during testing. The following 7 steps are required prior to each type of strength testing. Outlined af ter these 7 initial steps are the subsequent steps, which var y according to the test being per-
formed. Step 1 . Inser t the range-of-motion stop pin in the zero degree position on the halo (Figure 6-62). Figure 6-62. Insert ROM Stop Step 2. Lower the chair all the way down to its lowest position. Step 3. Using the latch on the right side, open the halo (Figure 6-63). page 26 40040005 rev. 000 s e c t i o n 0 6 Figure 6-63. Open Halo Step 4. Ask the patient to sit in the chair. Step 5. Adjust the height of the seat, the position of the seat, the position of the back of the chair, the height of the back of the chair, and the arm rests to accommodate the patients size, height, and posture. Set the halo height to 3 as a star ting position (Figure 6-64). Figure 6-64. Seat Adjustments Step 6. Secure the patient with the waist strap and shoulder straps (Figure 6-65). Figure 6-65. Waist and Shoulder Straps Step 7. Close and lock the halo (Figure 6-66). Figure 6-66. Close and Lock the Halo 40040005 rev. 000 page 27 s e c t i o n 0 6 1. POSITIONING THE PATIENT FOR A 45 DEGREE ISOMETRIC FLEXION/EXTENSION TEST Step 8. For a flexion test, inser t the front head brace. For an extension test, inser t the back head brace. Note that the bottom of the back brace is located at the external oc-
cipital protuberance (Figure 6-67). Flexion Set-up Location of Back Brace Figure 6-67. Initial Isometric Flexion
& Extension Set-up Step 9. Set the halo to 15 degrees below the horizontal (Figure 6-68). Step 10. Position the head brace against the patients head. Figure 6-68. Halo Angle Step 11. Make fine adjustments to the seat to line up C5/C6 of the patients spine with the pivot point of the halo (Figure 6-69). Figure 6-69. Final Adjustments and Locating C5/C6 Step 12. While holding onto the side of the halo, unlock the rotation pin, which is lo-
cated at the top middle of the halo. If youre testing the patients lef t side, rotate the halo to 45 degrees right rotation and then lock the rotation pin. Rotate the halo to 45 degrees lef t rotation to test the patients right side (Figure 6-70). Unlock Rotation Pin 45 o Right page 28 40040005 rev. 000 Figure 6-70. Halo Rotation of 45 o Step 13. Attach the RJ45 cable to the head brace being used and the RJ45 jack that is closest to the front of the unit at the top of the MCU (Figure 6-71). Flexion Extension s e c t i o n 0 6 Figure 6-71. MCU RJ45 Jack and Final 25 o Isometric Flexion & Extension Set-ups 2. POSITIONING THE PATIENT FOR A 45 DEGREE ISOMETRIC LATERAL TEST Step 8. Unlock the rotation pin, which is located at the top middle of the halo. If youre testing the patients lef t side, rotate the halo to 45 degrees right rotation, and then lock the rotation pin. Rotate the halo to 45 degrees lef t rotation when testing the patients right side (Figure 6-72). Note that the figures show a set-up for testing the patients right side. Figure 6-72. Halo Rotation of 45 o Lateral Step 9. Attach the head brace to the halo on the side being tested (Figure 6-73). Figure 6-73. Attach Head Brace Step 10. Set the halo to 0 degrees with respect to the horizontal. Make sure the flexion/
extension angle is set to 0 degrees as well (Figure 6-74). Figure 6-74. Set halo angles Step 11 . Position the head brace against the patients head. Step 12. Make fine adjustments to the seat to line up C5/C6 of the patients spine with the pivot point of the halo (Figure 6-75). 40040005 rev. 000 page 29 s e c t i o n 0 6 Figure 6-75. Final Adjustments and Locating C5/C6 Step 13. Attach the RJ45 cable to the head brace being used and the RJ45 jack that is closest to the front of the unit at the top of the MCU (Figure 6-76). Figure 6-76. MCU RJ45 Jack and Final 45 o Isometric Lateral Set-up D. UTILIZING THE CERVICAL STRENGTH PROTOCOLS 1. ACCESSING THE CERVICAL STRENGTH PROTOCOLS Access the pre-programmed Strength protocols by clicking the Strength Tests icon on the Home Screen. This will bring you to the Strength Protocols main page. From this page you have the ability to access all the pre-programmed protocols, including those in hibernation, add and remove tests to clients, create new isometric strength tests, edit tests, and delete tests (Figure 6-77). Figure 6-77. Strength Protocols Note that three strength protocols have been designed for the Multi-Cer vical Unit:
MCU Neutral Isometric, MCU Angle Specific 25 Degrees, and MCU Angle Specific 45 Degrees. The only dif ference between the three protocols is the rotation angle at which page 30 40040005 rev. 000 s e c t i o n 0 6 the halo is set (i.e. 0 degrees, 25 degrees, and 45 degrees). Step 1 . Assign a test to a client by highlighting the test in the lef t box and clicking Add to Client or by double clicking on the test in the lef t box. Step 2. Once a test has been assigned to a client, highlight the test name in the right box and click Perform Test to bring up the testing screen (Figure 6-78). Figure 6-78. Cervical Strength Main Screen The initial Cer vical Strength protocol screens contain the following features:
Name of the test Star t Test icon, which changes to Stop Test af ter the test has begun Analysis icon to extensively analyze the data of a completed test New icon to begin a new set of test results Delete icon to delete the selected tests results Close icon to return to the protocol screen Next Protocol icon to move on to the next protocol Flexion icon, which switches to the Flexion test screen Extension icon, which switches to the Extension test screen Lateral icon, which switches to the Lateral test screen Protraction icon, which switches to the Protraction screen Retraction icon, which switches to the Retraction screen Graphs and tables to illustrate the test results Instructions on how to per form the tests Threshold icon, which allows a threshold force to be set 2. UTILIZING THE STRENGTH FLEXION TEST The Strength Flexion test measures the patients strength with respect to the flexor muscle group. Step 1 . Select the Flexion icon. The Flexion Testing screen will appear (Figure 6-79). Note that the screen shown in the figure may dif fer from that on the computer. 40040005 rev. 000 page 31 s e c t i o n 0 6 Figure 6-79. Cervical Strength - Flexion Test Step 2. Position the patient as described in Section 06-IV of this manual. Step 3. Click Star t Test to begin testing. Step 4. Once the test is completed, a pain scale will appear. Ask the patient to rate his/her pain on a ten-point scale (0 is equivalent to no pain and 10 is equivalent to the worst pain possible). Click on the number the patient stated and then click OK. The Strength Flexion test calls for three trials to be per formed. As the protocol is per formed, the screen will display the results and averages via a line graph, table, pie char t, and bar graph. In addition to the test results, the screen will tabulate: the average force, peak force, coef ficient of variation (COV), and the percent of normal. The pain ratings determined by the patient will also appear in the pain scale text field (Figure 6-80). page 32 40040005 rev. 000 s e c t i o n 0 6 Figure 6-80. Cervical Strength - Completed Flexion Test You may retest a trial by clicking on the R icon to the lef t or right of the trial table, de-
pending on which trial you would like to redo. However, once a test has been closed, the trials can not be retested. 3. UTILIZING THE STRENGTH EXTENSION TEST The Strength Extension test measures the patients strength with respect to the exten-
sor muscle group. Step 1 . Select the Extension icon. The Extension Testing screen will appear (Figure 6-
81). Note that the screen shown in the figure may dif fer from that on the computer. Figure 6-81. Cervical Strength - Extension Test 40040005 rev. 000 page 33 s e c t i o n 0 6 Step 2. Position the patient as described in Section 06-IV of this manual. Step 3. Click Star t Test to begin testing. Step 4. Once the test is completed, a pain scale will appear. Ask the patient to rate his/her pain on a ten-point scale (0 is equivalent to no pain and 10 is equivalent to the worst pain possible). Click on the number the patient stated and then click OK. The Strength Extension test calls for three trials to be per formed. As the protocol is per formed, the screen will display the results and averages via a line graph, table, pie char t, and bar graph. In addition to the test results, the screen will tabulate: the average force, peak force, coef ficient of variation (COV), and the percent of normal. The pain ratings determined by the patient will also appear in the pain scale text field (Figure 6-82). Figure 6-82. Cervical Strength - Completed Extension Test You may retest a trial by clicking on the R icon to the lef t or right of the trial table, de-
pending on which trial you would like to redo. However, once a test has been closed, the trials can not be retested. 4. UTILIZING THE STRENGTH LATERAL TEST The Strength Lateral test measures the patients strength with respect to the lateral muscle group. Step 1 . Select the Lateral icon. The Lateral Testing screen will appear (Figure 6-83). Note that the screen shown in the figure may dif fer from that on the computer. page 34 40040005 rev. 000 s e c t i o n 0 6 Figure 6-83. Cervical Strength - Lateral Test Step 2. Position the patient as described in Section 06-IV of this manual. Step 3. Click Star t Test to begin testing. Step 4. Once each side is completed, a pain scale will appear. Ask the patient to rate his/her pain on a ten-point scale (0 is equivalent to no pain and 10 is equivalent to the worst pain possible). Click on the number the patient determined and then click OK. The Strength Lateral test calls for three trials to be per formed per side. As the protocol is per formed, the screen will display the results and averages via a line graph, table, pie char t, and bar graph. In addition to the test results, the screen will tabulate: the average force, peak force, coef ficient of variation (COV), and the percent of normal. The pain ratings determined by the patient will also appear in the pain scale text field (Figure 6-84). 40040005 rev. 000 page 35 s e c t i o n 0 6 Figure 6-84. Cervical Strength - Completed Lateral Test You may retest a trial by clicking on the R icon to the lef t or right of the trial table, de-
pending on which trial you would like to redo. However, once a test has been closed, the trials can not be retested. 5. UTILIZING THE STRENGTH PROTRACTION TEST Step 1 . Select the Protraction icon. The Protraction Testing screen will appear (Figure 6-85). Note that the screen shown in the figure may dif fer from that on the computer. Figure 6-85. Cervical Strength - Protraction Test Step 2. Position the patient as described in Section 06-IV of this manual. page 36 40040005 rev. 000 s e c t i o n 0 6 Step 3. Click Star t Test to begin testing. Step 4. Once the test is completed, a pain scale will appear. Ask the patient to rate his/her pain on a ten-point scale (0 is equivalent to no pain and 10 is equivalent to the worst pain possible). Click on the number the patient stated and then click OK. The Strength Protraction test calls for three trials to be per formed. As the protocol is per formed, the screen will display the results and averages via a line graph, table, pie char t, and bar graph. In addition to the test results, the screen will tabulate: the average force, peak force, coef ficient of variation (COV), and the percent of normal. The pain ratings determined by the patient will also appear in the pain scale text field. You may retest a trial by clicking on the R icon to the lef t or right of the trial table, de-
pending on which trial you would like to redo. However, once a test has been closed, the trials can not be retested. 6. UTILIZING THE STRENGTH RETRACTION TEST Step 1 . Select the Retraction icon. The Retraction Testing screen will appear (Figure 6-86). Note that the screen shown in the figure may dif fer from that on the computer. Figure 6-86. Cervical Strength - Retraction Test Step 2. Position the patient as described in Section 06-IV of this manual. Step 3. Click Star t Test to begin testing. Step 4. Once the test is completed, a pain scale will appear. Ask the patient to rate his/her pain on a ten-point scale (0 is equivalent to no pain and 10 is equivalent to the worst pain possible). Click on the number the patient stated and then click OK. The Retraction Strength test calls for three trials to be per formed. As the protocol is per formed, the screen will display the results and averages via a line graph, table, pie char t, and bar graph. In addition to the test results, the screen will tabulate: the average force, peak force, 40040005 rev. 000 page 37 s e c t i o n 0 6 coef ficient of variation (COV), and the percent of normal. The pain ratings determined by the patient will also appear in the pain scale text field. You may retest a trial by clicking on the R icon to the lef t or right of the trial table, de-
pending on which trial you would like to redo. However, once a test has been closed, the trials can not be retested. 7. CREATING CUSTOM CERVICAL INTEGRATION PROTOCOLS Access the pre-programmed Strength protocols by clicking the Strength Tests icon on the Home Screen. This will bring you to the Strength Protocols main page, where you can edit and create tests. Create a new test by clicking on New Test and then clicking Cer vical Integration (Fig-
ure 6-87). A B D F C E G H I K J L Figure 6-87. Custom Cervical Integration Protocol The following can be created on Custom Cer vical Integration Protocols:
A . Cer vical Protocol Name - Type in the name of the test B. Maximum Trial Duration - Set the maximum amount of time (seconds) for the trial duration C. Rest Period Between Trials - Set the amount of time (seconds) to rest between trials D. Rest Period Between Sides - Set the amount of time (seconds) to rest between switching sides E. Fixed Initial Rotation Angle (deg) - Set the initial angle (degrees) for a rotation test F. Test Description - Type in any description that should be included on the test G. Inser t Password - Choose whether a password is required to edit the test if this op-
tion is selected, any user will be prompted for the password whenever he or she tries to edit the test. H. Body Region - Select which body region is to be evaluated I. Fixed Initial Flexion/Extension Angle (deg) - Set the initial (degrees) for a flexion or extension test J. Flexion/Extension Threshold (lbs) - Set the amount of force (lbs) required for a flex-
page 38 40040005 rev. 000 s e c t i o n 0 6 ion or extension test to begin K. Rotation Threshold (lbs) - Set the amount of force (lbs) required for a rotation test to begin L. Pain Rating Per Side - Choose whether to display the pain rating scale Once the screen has been closed, the protocol is saved under the assigned test name with the new specifications. V. CLINICAL PROTOCOLS ODES includes several pre-programmed Clinical protocols, which are intended to be completed without the use of any tools. These protocols help to identify any injuries or anomalies the pa-
tient may have. A. UTILIZING CLINICAL PROTOCOLS Access the pre-programmed Clinical protocols by clicking the Clinical icon on the Home Screen. This will bring you to the Clinical Protocols main page. From this page you have the ability to access all the pre-programmed protocols, including those in hibernation, add and re-
move tests to clients, create new range of motion tests, edit tests, and delete tests (Figure 6-88). Figure 6-88. Clinical Protocols Step 1 . Assign a test to a client by highlighting the test in the lef t box and clicking Add to Client or by double clicking on the test in the lef t box. Step 2. Once a test has been assigned to a client, highlight the test name in the right box and click Perform Test to bring up the testing screen (Figure 6-89). 40040005 rev. 000 page 39
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s e c t i o n 0 6 Figure 6-89. Clinical Protocol - Cervical 1 Depending on the test, ever y screen will look slightly dif ferent, but most will have the fol-
lowing features:
Name of the test Delete icon to delete the selected tests results New icon to begin a new set of test results Close icon to return to the protocol screen Next Protocol icon to move on to the next protocol Date of Test Instructions on how to per form the tests Comments field Step 3. Follow the instructions, which are located at the top lef t of the screen, and in-
dicate whether the patient showed positive or negative results or if the location wasnt tested. B. EDITING AND CREATING CLINICAL PROTOCOLS Access the pre-programmed Clinical protocols by clicking the Clinical Tests icon on the Home Screen. This will bring you to the Clinical Protocols main page, where you can edit and create tests. Edit a test by highlighting the test you would like to edit in the lef t box and clicking Edit Test. Create a new test by clicking on New Test. If you are editing a test, a screen will appear with the current settings of the test you selected. If you are creating a test, a screen will appear with the same headings as if you were editing a test, but all of the text fields will blank (Figure 6-90). page 40 40040005 rev. 000 A B C D E s e c t i o n 0 6 F Figure 6-90. Custom Clinical Protocol Since editing and creating protocols are ver y similar, an example of an edited test will be given, but the same guidelines apply for creating a test. The following can typically be edited or created on Clinical Protocols:
A . Test Name - Type in the name of the test B. Sub-Heading - Type in the sub-headings to include in the test C. Examiner Description - Type in any description the examiner will need to per form the test - this field is especially useful for supplying instructions on how to per form the evalu-
ation D. Repor t Description - Type in any description that should be included on the repor t E. Reference Information - Include any reference information that needs to be added to the repor t F. Body Region - Select which body region is being evaluated Once the screen has been closed, the protocol is saved under the assigned test name with the new specifications. VI. SUPER PROTOCOLS Super Protocols can be created when you require a standardized protocol for testing (i.e. Post Of fer of Employment Testing). They can also be used if you want to decrease the amount of time required to select specific tests for specific injuries. The Melbourne Protocol has defined the optimal sequence of testing suitable for a patient suf-
fering Whiplash and Associated Disorders (WAD); this Super Protocol is covered in The Mel-
bourne Training Protocol. Refer to Section 10 for more information on this training program. To create or access a super protocol, click on the Super Protocol link on the Home Screen above the Administration icon (Figure 6-91). 40040005 rev. 000 page 41 Figure 6-91. Super Protocol Link s e c t i o n 0 6 This will bring you to the main Super Protocols screen (Figure 6-92). Figure 6-92. Super Protocol Main Screen Step 1 . Create a new protocol by clicking on New. A new icon will appear within the main Super Protocols screen. Step 2. To view the super protocol, first click on Edit; the Edit icon should change to Cancel Edit. Next click on the super protocol you just created. A screen will appear with boxes of test names on the lef t and a blank box on the right (Figure 6-93). Figure 6-93. Create/Edit Super Protocol Step 3. Select the applicable tests from the lists on the lef t-hand side of the page and Add them to the Super Protocol. The order of testing can be changed by highlighting one of the included tests and using the Change Order arrows to move it up or down within the list. Step 4. Once you have added all the applicable tests and arranged them in the desired order, finish the process by clicking Lock Super Protocol. Step 5. You will be prompted to enter and confirm a password to lock the Super Protocol. Step 6. To apply a Super Protocol, select a client then click Super Protocol from the Home page 42 40040005 rev. 000 Screen. Step 7. Click the Super Protocol you wish to use. A testing screen will appear with the tests for the super protocol already added to your client. If other tests have already been added to the client, the super protocol tests will be listed be-
low them (Figure 6-94). s e c t i o n 0 6 Figure 6-94. Super Protocol Added to Client Edit a super protocol by clicking Edit in the main Super Protocol screen and selecting the su-
per protocol you wish to modify. You can then add and remove tests by highlighting a test and clicking Add or Remove. To delete any protocol, first click the Delete icon in the main Super Protocol screen; the De-
lete icon should change to Cancel Delete. Next click on the super protocol you wish to delete. VII. VALIDITY ANALYSIS The Validity Analysis allows you to evaluate the patients actual results versus the expected results. This may be done for any or all of the tests completed by the patient. Access the Validity Analysis by clicking on the Validity Analysis icon located on the Home Screen. (Figure 6-95) Figure 6-95. Validity Analysis Icon This will bring you to the main Validity Analysis screen (Figure 6-96). 40040005 rev. 000 page 43 s e c t i o n 0 6 Figure 6-96. Validity Analysis Main Screen Step 1 . Once the Validity Analysis screen is open, click on the arrow to the right of the first drop-down menu and select the protocol you wish to evaluate. You may also click Use All Avail-
able if you wish to use all of the tests (Figure 6-97). Figure 6-97. Select Protocol for Validity Analysis The Protocol or Section Name, Result, Expected Result, and Deviation fields will automatically be populated. Step 2. Add any necessar y notes regarding the validity of the protocols. Step 3. Click Print to preview the repor t (Figure 6-98). Figure 6-98. Preview Validity Analysis Report You may also add protocols to the analysis by clicking Add Validity Name and typing in the pro-
tocol name, section name, and expected result. page 44 40040005 rev. 000 07 - REPORTS Accessing the Repor ts Types of Repor ts Cer vical Assessment Custom Repor t Custom Repor t (Non-Integrated) FCA Progress Assessment (Non-Integrated) FCA (Non-Integrated) MCRP Assessment MCRP Discharge Assessment MCRP Progress Assessment MCRP General Progress Assessment MCRP Reassessment MCRP Summar y Repor t s e c t i o n 0 7 3 6 6 6 6 7 7 7 8 8 8 9 10 40040005 rev. 000 page 1 s e c t i o n 0 7 page 2 40040005 rev. 000 s e c t i o n 0 7 REPORTS I. ACCESSING THE REPORTS ODES allows you to create a unique repor t that can include any information you deem neces-
sar y, such as the raw data from a protocol, hear t rate capture, or comments about the pa-
tients per formance. Access the Repor ts screen by clicking the Repor ts icon on the Home Screen. Each repor t will be slightly dif ferent with respect to what may be included in it; the following steps are a combination of what may be encountered for any one test. Therefore, follow only those steps which apply to the repor t you wish to view. Step 1 . Click on the arrow to the right of Repor t Title to access the drop-down menu and se-
lect the repor t you would like to view (Figure 7-1). Figure 7-1. Report Title Selection Step 2. Verify the appropriate star t and end dates for the notes and for the protocol (Figure 7-2). Figure 7-2. Report Selection & Date Range 40040005 rev. 000 page 3 s e c t i o n 0 7 Step 3. Click Next. The Patient Notes to Print screen will appear (Figure 7-3). Figure 7-3. Patient Notes to Print Step 4. Select whether you would like to include the dates in the margin. Step 5. Select whether you would like to include page numbering when printing the notes from the Notes screen. Step 6. Select whether you would like to star t page numbering when printing the notes from the Notes Screen. Step 7. Choose which notes you would like to include in the repor t by highlighting the note in the lef t box and clicking Add Note. If you wish to include all of the listed notes, click Select All. If you would like to remove a note, highlight the note in the right box and click Remove Note. Step 8. Depending on which step you would like to do next, click Next, Print Notes, or Pre-
view Notes. Note that if you click Preview Notes, you will be able to print them from the Pre-
view Screen. If you click Next, the Tests to Print Screen will appear (Figure 7-4). Figure 7-4. Tests to Print Step 9. Choose which tests you would like to include in the repor t by highlighting the test in the lef t box and clicking Add Test. If you wish to include all of the listed tests, click Select All. If you would like to remove a test, highlight the test in the right box and click Remove Test. page 4 40040005 rev. 000 Step 10. Depending on which repor t you have selected to view and which step you would like to do next, click Next, Print Notes, or Preview Notes. Note that if you click Preview Notes, you will be able to print them from the Preview Screen. If you are able to click Next, the Repor t Op-
tions screen will appear (Figure 7-5). s e c t i o n 0 7 Figure 7-5. Report Options Step 11 . Choose whether you would like to address the repor t for a Referral, Insurance, At-
torney, Patient, Physician, Employer, Case Manager, or Specialist. If you select once of these listed icons, the address needs to have been entered in the client information screen. If you wish to address the repor t to a person or company other than the ones listed, or an address hasnt been entered in the client information screen, you may manually enter the address in the text field. Step 12. Select whether you would like to include the following in the repor t (note that these may not be available for ever y repor t):
Injur y Location Diagram Injur y Location Char t Evaluator Comments Job Demands on a separate page Page numbering Clients name at the bottom of ever y page Clients file number at the bottom of ever y page Step 13. Type in a title name for this repor t and click Store. Note that this option may not ap-
pear for ever y type of repor t. Step 14. Check the box if you would like to return to the Home Screen af ter previewing or printing the repor t. Step 15. Depending on which step you would like to do next, click Preview Repor t or Print Re-
por t. Note that if you click Preview Repor t, you will be able to print it from the Preview screen. If you choose Preview Repor t, the Repor t Preview screen will appear (Figure 7-6). 40040005 rev. 000 page 5 s e c t i o n 0 7 Figure 7-6. Preview Report II. TYPES OF REPORTS Depending on which repor t you elect to view, each will look somewhat dif ferent. The following is a list that includes each repor t type all the options that may be incorporated into it. A. CERVICAL ASSESSMENT This repor t allows you to:
Select date range of data Add and remove client notes from the repor t Alter page numbers Enter dates in the margins beside client notes Select all or only specific tests to include on the repor t Print or preview the repor t B. CUSTOM REPORT This repor t allows you to:
Select date range of data Alter pages numbers Add and remove client notes from the repor t Address the repor t to the following: Referral, Insurance Company, Attorney, Client, Physi-
cian, Employer, Case Manager Include injur y diagram and/or char t on the repor t page 6 40040005 rev. 000 s e c t i o n 0 7 Put the job demand on a separate page Add or remove page numbers from the repor t Include clients name at the bottom of each page of the repor t Print or preview the repor t Create a custom title for the repor t C. CUSTOM REPORT (NON-INTEGRATED) This repor t is designed to include only Non-Integrated tests that have been per formed. This repor t allows you to:
Select date range of data Alter pages numbers Add and remove client notes from the repor t Add specific non-integrated tests to your repor t Address the repor t to the following: Referral, Insurance Company, Attorney, Client, Physi-
cian, Employer, Case Manager Include injur y diagram and/or char t on the repor t Put the job demand on a separate page Add or remove page numbers from the repor t Include clients name at the bottom of each page of the repor t Print or preview the repor t Create a custom title for the repor t D. FCA PROGRESS ASSESSMENT (NON-INTEGRATED) This repor t is designed to include only Non-Integrated tests that have been per formed. It is specifically used to track the progress of multiple assessments. This repor t allows you to:
Select date range of data Alter pages numbers Add and remove client notes from the repor t Add specific non-integrated tests to your repor t Address the repor t to the following: Referral, Insurance Company, Attorney, Client, Physi-
cian, Employer, Case Manager Include injur y diagram and/or char t on the repor t Put the job demand on a separate page Add or remove page numbers from the repor t Include clients name at the bottom of each page of the repor t Print or preview the repor t E. FCA (NON-INTEGRATED) This repor t allows you to:
Select date range of data Alter pages numbers Add and remove client notes from the repor t Add specific non-integrated tests to your repor t 40040005 rev. 000 page 7 s e c t i o n 0 7 F. MCRP ASSESSMENT This repor t allows you to:
Select date range of data Alter pages numbers Add and remove client notes from the repor t Address the repor t to the following: Referral, Insurance Company, Attorney, Client, Physi-
cian, Employer, Case Manager Include injur y diagram and/or char t on the repor t Put the job demand on a separate page Add or remove page numbers from the repor t Include clients name at the bottom of each page of the repor t Print or preview the repor t G. MCRP DISCHARGE ASSESSMENT This repor t allows you to:
Select date range of data Alter pages numbers Add and remove client notes from the repor t Address the repor t to the following: Referral, Insurance Company, Attorney, Client, Physi-
cian, Employer, Case Manager Include injur y diagram and/or char t on the repor t Put the job demand on a separate page Add or remove page numbers from the repor t Include clients name at the bottom of each page of the repor t Print or preview the repor t H. MCRP PROGRESS ASSESSMENT This repor t allows you to:
Select date range of data Put the job demand on a separate page Add or remove page numbers from the repor t Include clients name at the bottom of each page of the repor t Print or preview the repor t I. MCRP GENERAL PROGRESS ASSESSMENT This repor t allows you to:
Select date range of data Alter pages numbers Add and remove client notes from the repor t Add specific tests to your repor t Address the repor t to the following: Referral, Insurance Company, Attorney, Client, Physi-
cian, Employer, Case Manager Include injur y diagram and/or char t on the repor t Put the job demand on a separate page page 8 40040005 rev. 000 s e c t i o n 0 7 Add or remove page numbers from the repor t Include clients name at the bottom of each page of the repor t Print or preview the repor t Create a custom title for the repor t J. MCRP REASSESSMENT This repor t allows you to:
Select date range of data Alter pages numbers Add and remove client notes from the repor t Add specific tests to your repor t Address the repor t to the following: Referral, Insurance Company, Attorney, Client, Physi-
cian, Employer, Case Manager Include injur y diagram and/or char t on the repor t Put the job demand on a separate page Add or remove page numbers from the repor t Include clients name at the bottom of each page of the repor t Print or preview the repor t K. MCRP SUMMARY REPORT This repor t allows you to:
Select date range of data Print preview all raw data obtained for a specific client 40040005 rev. 000 page 9 s e c t i o n 0 7 page 10 40040005 rev. 000 08 - CERVICAL CONDITIONING s e c t i o n 0 8 Accessing Cer vical Conditioning Selecting Exercises Blackout Feature Target Feature Tracking Dates Super vising Practitioner Weight Stack Selection Seat Values Minimum Values Time Star ting %
Default Accuracy Value Notes 3 5 5 5 6 6 7 7 8 8 8 9 9 9 40040005 rev. 000 page 1 s e c t i o n 0 8 page 2 40040005 rev. 000 s e c t i o n 0 8 CERVICAL CONDITIONING Recently, the exercise program por tion of the ODES sof tware has been reintroduced. Included in this feature is a protocol for cer vical conditioning. This function was created specifically for Multi-Cer vical Units and allows evaluators to customize cer vical exercise programs for their clients. Results are directly integrated into the sof tware, making this feature extremely user friendly, functional, and ef ficient. The Rehabilitation Program on the MCU for patients suf fering cer vical conditions is covered extensively during the training program on The Melbourne Protocol. This training program in-
cludes basic to advanced set-up to accommodate various patients groups including:
Whiplash and Associated Disorders (WAD) Acute and Chronic Cer vical Injur y Management Specific Cer vical Pathologies Hyper trophy Training for the Athlete I. ACCESSING CERVICAL CONDITIONING The cer vical conditioning protocol can be located within the Exercise Program Menu. To locate it, click on the Exercise Program Button located on the main screen of your ODES sof tware
(Figure 8-1). Figure 8-1. Exercise Program Icon This will bring you to the Active Conditioning Protocol Screen (Figure 8-2):
Figure 8-2. Active Conditioning Protocols In order to use the cer vical conditioning feature, you may per form either of the following steps:
1. Highlight Cer vical Conditioning on the lef t hand side and click the Add button. 2. Double click on Cer vical Conditioning to add this protocol to the Exercises Assigned to Client list. Cer vical Conditioning will now appear on the right hand side of your screen under Exercises As-
signed to Client (Figure 8-3). 40040005 rev. 000 page 3 s e c t i o n 0 8 When entering the program for the first time, two warnings will appear; one is shown below
(Figure 8-4). Figure 8-3. Cervical Conditioning Selected Figure 8-4. Warning Screen Simply click OK and you will be allowed into the cer vical conditioning program. You will now enter into the cer vical conditioning screen (Figure 8-5). Figure 8-5. Cervical Conditioning Screen page 4 40040005 rev. 000 II. SELECTING EXERCISES There are various options to choose from within the Cer vical Conditioning screen. On the lef t hand side of the screen, all possible movements are listed. In order to select the exer-
cises for the client, simply click on the name of the move-
ment. A number will be assigned to the exercise, and the name of the movement will turn black. If you wish to order the exercises dif ferently (e.g. place flexion in a neutral position as exercise #2), simply double click on the number beside the exercise, and all the numbers will change accord-
ingly (Figure 8-6). s e c t i o n 0 8 This exercise has not been chosen Selected exercise Exercises have been reversed III. BLACKOUT FEATURE Figure 8-6. Selecting Exercises For cer tain movements, a blackout option is available. This is impor tant for client safety since it may be set to limit the range of motion a client can per form safely. The blackout feature automatically defaults to no meaning no value is assigned and the client can per form all exercises without any limitations
(Figure 8-7). No blackout has been selected Figure 8-7. No Blackout In order to set the blackout value, place your mouse over the word no it should turn yellow. Then double click your lef t mouse button in order to specify the maximum range of motion the client should per form (Figure 8-8). No turns yellow Setting blackout value Blackout has been set to 30 o Figure 8-8. Setting Blackout Value In the example above, the client should not exceed 30 degrees of neutral flexion. Therefore, the pin on the halo should be placed in the 30 degree position to limit the movement. IV. TARGET FEATURE The target represents the number of sets and repetitions to be per formed for each selected exercise. The default for this is 3 sets of 10. It can, however, be changed. If you double click on the word target, two numbers will appear above it. The number on the lef t represents the number of sets that the program will default to, and the number on the right is the number of repetitions. To change these default values, lef t click on the number you wish to change. Once changed, these values will be the new defaults for ALL clients (Figure 8-9). Sets Reps Double click to change sets or reps Figure 8-9. Setting Target Value 40040005 rev. 000 page 5 s e c t i o n 0 8 V. TRACKING DATES Multiple dates can be tracked within the sof tware in order to per form continual conditioning programs. The sof tware also reminds you to do re-assessments to compliment the condition-
ing program. There is no limit or cap to how many conditioning programs a client may per form. The date does not need to be manually inputted into the correct field. Instead, it will be im-
por ted automatically af ter the rehab program has been initiated. You may also double click in the blank field a calendar will appear and you can select the correct date (Figure 8-10). Double click for calendar Figure 8-10. Setting the Date VI. SUPERVISING PRACTITIONER To enter your name as a super vising practitioner, your name must be entered in case informa-
tion. If you have already entered yourself as a super vising practitioner, your name will appear in the drop down menu. If not, go into case information; double click in the space besides su-
per vising practitioner (Figure 8-11). Figure 8-11. Adding Supervising Practitioner Then, fill out the health practitioner screen (Figure 8-12). page 6 40040005 rev. 000 Figure 8-12. Health Practitioner Information Your name will now appear in the drop down menu (Figure 8-13). s e c t i o n 0 8 Figure 8-13. Supervising Practiioner Drop-Down Menu VII. WEIGHT STACK SELECTION In order to make the cer vical conditioning program specific to your Multi-Cer vical Unit, a feature was added to the sof tware to allow you to change the weight stack type. In order to alter this setting, you must click on View in the bottom right hand corner of your screen (Figure 8-
14). Figure 8-14. Weight Stack Setting Once the View button is clicked, a table will appear that displays the pin number and its corresponding weight (Figure 8-15). Figure 8-15. Weight Stack Values VIII. SEAT VALUES In the bottom right hand corner of your screen, you will find an icon that will al-
low you to make notes on the positioning of your seat (Figure 8-16). To enter in information on your seat positioning, click on Seat. This Seat Positioning screen allows you to comment on cer tain seat features which may or may not be taken into account. For example, if you are utilizing lumbar suppor t, place a check mark in the box located beside lumbar suppor t. You may now track these specifications for your client and ensure that the same positioning is achieved for each conditioning session (Figure 8-17). Figure 8-16. Seat Icon Seat height values (present and previous) are shown here Figure 8-17. Seat Settings This space is for additional comments Store seat back position here 40040005 rev. 000 page 7 s e c t i o n 0 8 IX. MINIMUM VALUES This feature in the cer vical conditioning program allows the practitioner to enter a minimum range that must be obtained in order for the motion to register in the sof tware (Figure 8-18). For example, if the practitioner wishes to set a minimum value of 50 de-
grees for flexion, a minimum value of 50 should be selected. If this is the case, the client must now per form at least 50 degrees of flexion before the repetition will register in the sof tware (Figure 8-19). Any minimum can be selected, and if you wish, you can set these values as default values by clicking on the Set as Defaults button. X. TIME Figure 8-18. Minimum Settings Figure 8-19. Minimum Flexion Setting The total time of the conditioning program (daily and cumulative) is shown in the lower right hand corner of the testing screen. You may modify the clients rest time with the correspond-
ing arrow (up increases the time allotted, down decreases the time allotted). Click star t timer when ready to begin (Figure 8-20). Lef t clicking with your mouse in the yellow box increases rest time by 1 hour. XI. STARTING %
Figure 8-20. Timer Before per forming a cer vical exercise program, a star ting % should be selected. This feature refers to the amount of weight being used (i.e. the PIN # you select on your weight stack). Af ter you select the correct weight stack type, you may use this feature (Figure 8-21). Figure 8-21. Starting %
The data you receive from your cer vical assessment of the client will provide you with the maximum amount of weight that they can maneu-
ver in that motion. You will want to use a percentage of this weight for the cer vical conditioning program (i.e. 40% of their maximum capabili-
ties). In order to do this, select the correct percentage from the drop down menu. When you click go, the sof tware will automatically fill the grid with the correct Pin # (i.e. the Pin that is associated with 40% of the clients maximum) (Figure 8-22). Figure 8-22. Setting Starting %
XII. DEFAULT The default button sets the values entered into the Star ting %, Minimum Values and Weight Stack fields as the default values for ALL patients (Fig-
ure 8-23). XIII. ACCURACY VALUE Figure 8-23. Set as Default Af ter double clicking on the word Target, a number 7 will appear in the ver y bottom lef t hand corner of your screen (Figure 8-24). page 8 40040005 rev. 000 s e c t i o n 0 8 Figure 8-24. Accuracy Value This number relates to the number of degrees a client is allowed to be within to register a rep-
etition. In this case, the range is 7 degrees. Therefore, the repetition will not register until the client is within 7 degrees from the initiation point of the motion. To change this value, simply click on the number located in the bottom lef t hand corner. IXV. NOTES Notes can be added into the conditioning program. In order to do this, click on Notes in the upper right hand corner (Figure 8-25). The Notes screen will appear, which will allow you to enter in multiple notes on your client (Fig-
ure 8-26). Figure 8-25. Notes Icon Figure 8-26. Notes Screen To enter in notes, place your cursor in the large upper white box. You may now type any infor-
mation that you wish to include. If you wish to include to date prior to entering your note, click Inser t Date (located on the tool bar). The date will now appear in the text box (Figure 8-27). 40040005 rev. 000 page 9 s e c t i o n 0 8 Figure 8-27. Insert Date You may also enter information into a template format. This allows you to save popular phrases so that you do not have to re-enter them time and time again. To do this, enter the information you wish to save in the lower text box and then click Add to List, which is highlighted in green
(Figure 8-28). Figure 8-28. Create a Common Note page 10 40040005 rev. 000 Your information will now appear in a list, which you can access by clicking on the drop down icon (Figure 8-29). s e c t i o n 0 8 Figure 8-29. Add Common Note to List To inser t this information into your note, select the phrase you wish to include and click Inser t into Note, which is highlighted in blue (Figure 8-30). Figure 8-30. Select Common Note to Insert 40040005 rev. 000 page 11 s e c t i o n 0 8 Your information will now appear in the notes section (in the upper text box) (Figure 8-31). Figure 8-31. Common Note Inserted into Main Notes Field page 12 40040005 rev. 000 09 - RECOMMENDED MAINTENANCE s e c t i o n 0 9 General Computer Maintenance Do Not Install Additional Sof tware Shut Down the Computer Properly Maintenance Schedule General Product Maintenance Do Not Disassemble Any Components of the MCU Maintenance Schedule Af ter Each Client Daily Weekly Monthly Prevention of Inter ference between Wireless Components 3 3 3 3 3 3 3 4 4 4 4 4 40040005 rev. 000 page 1 s e c t i o n 0 9 page 2 40040005 rev. 000 s e c t i o n 0 9 RECOMMENDED CARE AND MAINTENANCE I. GENERAL COMPUTER MAINTENANCE ODES sof tware runs in the Microsof t Windows XP environment; Windows XP Professional is an extremely reliable and secure operating system, but extended use requires some degree of system maintenance. It is recommended that a log is kept for the maintenance of the computer equipment. A. DO NOT INSTALL ADDITIONAL SOFTWARE Do not install any additional sof tware onto the controlling computer. The BTE Technologies MCU system is in constant communication with the computer, so a clean, dedicated computer system is crucial to the integrity of this communication system. B. SHUT DOWN THE COMPUTER PROPERLY To avoid possibly damaging the computer system, do not shut down the computer by simply pressing the power button. Step 1. When you are ready to shut down the MCU, click Star t at the bottom lef t corner of the computer screen. Step 2. Click Shut Down. Step 3. Make sure Shut Down is highlighted in the drop-down menu and click OK. C. MAINTENANCE SCHEDULE 1. DAILY Backup the database - you should have a backup disk for each day of the week 2. WEEKLY Backup the database - you should have a backup disk for each week of the month 3. MONTHLY Compact and repair the ODES database - see Section 2 for instructions Clear hard drive of any unnecessar y files (go to Star t| Programs | Accessories | Sys-
tem Tools | Disk Cleanup, select the C Drive and then the files you would like to de-
lete) Run the defragment program to ensure optimum computer per formance (go to Star t |
Programs | Accessories | System Tools | Disk Defragmenter) II. GENERAL PRODUCT MAINTENANCE The MCU station and tools are designed to be robust and used frequently, but extended use requires some degree of maintenance. It is recommended that a log is kept for the maintenance of the system. A. DO NOT DISASSEMBLE ANY COMPONENTS OF THE MCU Do not attempt to disassemble any component of the MCU or its tools. The system is as-
sembled in such a way that components of it may break if disassembled incorrectly. If one of the BTE Technologies products is not working properly, call customer ser vice at 1-800-331-8845 so the problem may be properly diagnosed and repaired. 40040005 rev. 000 page 3 s e c t i o n 0 9 B. MAINTENANCE SCHEDULE 1. AFTER EACH CLIENT Clean the head braces and arm rests with an antibacterial wipe or rubbing alcohol braces or the top of the column.
(70% alcohol). Make sure to not allow any liquid to enter the RJ45 jacks on the head 2. DAILY the tool Verify any equipment that has been calibrated. If verification fails, then recalibrate Clean the halo with an antibacterial wipe or rubbing alcohol (70% alcohol) Clean the seat bottom and back with an antibacterial wipe or rubbing alcohol (70%
alcohol) 3. WEEKLY Calibrate and verify all tools 4. MONTHLY Check all the cables to ensure they are secure and in good working condition III. PREVENTION OF INTERFERENCE BETWEEN WIRELESS COMPONENTS Inter ference, which can result in an inability to acquire accurate data, may occur in the follow-
ing scenarios:
a. There are multiple wireless systems within 50 feet of each other that are on the same wireless channel (e.g. 2 wireless MCUs in the same clinic on channel 16). b. The antennas of any wireless components are within 3 feet of each other (e.g. the an-
c. There is not a direct line of sight between the antennas of the wireless components. In addition, any metal that is between the antennas will cause inter ference. tenna on the Hub is within 3 feet of the antenna on top of the MCU). You may prevent inter ference by maintaining your system in the following manner:
in securing it to the computer car t. a. Do not allow the Hub to fall on the floor; there are magnets inside the Hub that will aid b. Regularly check the USB cable that is attached to the Hub and check the power cable c. Verify the antennas are in good working order and properly secured. that is attached to the MCU. You may also prevent inter ference by using the following guidelines:
tion) for how to determine on which channel a system is operating. a. If there are multiple wireless systems within 50 feet of each, verify that each unit is on a dif ferent wireless channel. Refer to Section 02-IV-C-4 (URFIO Configuration Applica-
b. The recommended location for the Hub is on the second shelf of the computer car t. This ensures the antenna of the Hub will always be at least 3 feet from the antenna on the c. Verify there is a direct line of sight between the Hub antenna and the MCU antenna. top of the MCU. page 4 40040005 rev. 000 10 - THE MELBOURNE PROTOCOL Introduction Outcome Data Reliability Summar y Reliability Study Data World Wide Spine Ar ticle Pain in the Neck Ar ticle s e c t i o n 1 0 3 4 5 6 11 40040005 rev. 000 page 1 s e c t i o n 1 0 page 2 40040005 rev. 000 THE MELBOURNE PROTOCOL s e c t i o n 1 0 To compliment the BTE User Manual, Rober t De Nardis, (Physiotherapist, Director of the Mel-
bourne Whiplash Centre and Panel Member for the International Whiplash Taskforce) has de-
signed a specific protocol (The Melbourne Protocol), which is gaining international recognition and is being used in over 50 specialist whiplash facilities around the world. The Melbourne Protocol details evaluation and treatment protocols based on evidence from ongoing research into the treatment of Whiplash and Associated Disorders (WAD). Some of the topics covered in training include:
- Assistance with branding your Center as a Neck Care Center of Excellence
- Whiplash Center Marketing Strategies (12 month Marketing Plan provided
- Whiplash Center Business Administration
- Reliability and Validity on the Multi-Cer vical Unit
- Initial assessment protocols including Ver tebro-Basilar Insuf ficiency (VBI) Testing and the application of Functional Questionnaires
- Management of the Irritable Patient and Exclusion Criteria for The Multi-Cer vical Unit
- Treatment Protocols including Contra-indications for Treatment and Key Prognostic Indica-
tors from current research
- Patient Positioning for Evaluation of Range of Motion and Isometric Strength on The Multi-Cer vical Unit
- Patient Positioning for Treatment on the Multi-Cer vical Unit
- Advanced Treatment Ideas and Options for Whiplash and Associated Disorders Patients
- Current Whiplash and Associated Disorders Research Trends
- Collecting and Analyzing Data Collected on The Multi-Cer vical Unit
- Research at The Melbourne Whiplash Centre Contact BTE Technologies for more information on registering for this program:
U.S. & Canada: 800.331.8845 International: 410.850.0333 Fax: 410.850.5244 Internet: www.btetech.com/training_sched.htm 40040005 rev. 000 page 3 s e c t i o n 1 0 Greenwood, K.M. & De Nardis, R.J. (2000). Melbourne Whiplash Centre Outcome Data. Preliminary Report. Melbourne Whiplash Centre (Manuscript in preparation). Summary of Findings Having established that the measures produced by The Melbourne Protocol on the BTE Multi-Cervical Unit have an acceptable degree of reliability (Greenwood & De Nardis, 2000a), the focus of research attention should now move to the issue of the validity of measurements and the efficacy of therapy using the unit. Validity refers to the appropriateness, meaningfulness, and usefulness of the specific inferences made from test scores
(Standards for Educational and Psychological Testing, 1985, p.9). Method The data were obtained from 123 patients (66% female, average age 40.4 years, average chronicity of symptoms 98.0 months, average duration of treatment 6.9 weeks). Patients were assessed before and after the treatment program on 8 variables: scores on Neck Disability Index, strength of isometric Flexion/Extension/Lateral Flexion and range of motion of Flexion/Extension/Lateral Flexion/Rotation. Paired t-tests were used to compare changes from pre- to post-program values. Results Measure Neck Disability Index ROM (degrees) Flexion Extension Lateral Flexion Rotation Isometric Strength (lbs) Flexion Extension Lateral Flexion Pre-Program 33.8 58.2 48.7 38.8 63.5 10.1 14.5 10.9 Post-Program 17.5 65.5 55.3 48.0 73.4 17.1 25.0 18.6 t 15.165
-8.041
-6.530
-10.695
-8.593
-15.808
-15.352
-14.490 df p 98 116 115 114 114 116 117 116
<.001
<.001
<.001
<.001
<.001
<.001
<.001
<.001 It can be seen that highly significant changes were found in all variables in the expected direction, most notably for strength. It is clear from these results that treatments using the Melbourne Protocol with the BTE Multi-
Cervical Unit results in improvements in Neck Disability Index, strength and ROM in these patients as a group. Six month follow-up data (thus far only available for 18 patients) indicates that there is no evidence of changes in the values of NDI, strength and ROM from post-program to 6 month recording. Therefore, treatment gains have persisted in this sample. page 4 40040005 rev. 000 s e c t i o n 1 0 Greenwood, K.M. & De Nardis, R. (2000). An assessment of the reliability of measurements made using the Melbourne Protocol and the BTE Multi-Cervical Unit. Melbourne Whiplash Centre (Manuscript in preparation). Summary of Findings The reliability of a measurement refers to the consistency, the reproducibility and the repeatability of the instrument or measurement procedure (Richman, Makrides & Prince, 1980). The Reliability Trial To assess the reliability of measures made using The Melbourne Protocol and the BTE Multi-Cervical Unit, a trial was designed in which 26 individuals (who did not have ailments involving the neck) were assessed by three therapists on two occasions each. The trial allowed assessment of inter-
observer and intra-observer reliability. Results:
Inter-Tester Reliability The consistency of a measurement technique when used by different clinicians over time. x x x x Systematic Difference between Therapists Results indicate a good degree of agreement between therapists. All averages reported were within 3.3 degrees for ROM measurements and 0.8 lbs for strength measurements. x Order of Testing Effects There were no systematic differences between the first, second and third measurements. Results indicate that there are no major warm-up or familiarisation of technique changes in value and further indicate that the pre-measurement trials conducted in the protocol are sufficient to rule out these effects. x Relationship Between the Therapists Scores Correlations Correlation coefficients are high (.747 to .949 [approaching 1.0]) indicating good inter-observer reliability. x Relationship Between Therapists Scores ICCs Intra-Class correlation coefficients are high (.767 to .930 [approaching 1.0]) indicating good inter-
observer reliability. Standard Error of Measurement SEMs are low (1.56 to 4.10) indicating good inter-therapist reliability. Intra-Tester Reliability The consistency of a measurement technique when used by the same clinician over time. Systematic Changes Over Time No systematic differences were identified in scores over time. x Relationship Between the Therapists Scores Test-Retest Correlations The majority of the correlation coefficients are high (.667 to .895 [approaching 1.0]) indicating good test-retest reliability. ROM extension scores were lower (.529 to .747) indicating some attention is required for this particular measure. x Test-Retest Reliability of Therapists Scores ICCs The majority of the ICCs are high (.654 to .879 [approaching 1.0]) indicating good test-retest reliability. Again ROM extension was lower (.531 to .742). Standard Error of Measurement SEMs are low (1.54 to 5.73) indicating good test-retest reliability. x Minimum Detectable Change Test-Retest The same therapist over a one week period can reliably detect changes of around 10 degrees in ROM and around 5lbs in strength. 40040005 rev. 000 page 5 s e c t i o n 1 0 page 6 40040005 rev. 000 s e c t i o n 1 0 40040005 rev. 000 page 7 s e c t i o n 1 0 page 8 40040005 rev. 000 s e c t i o n 1 0 40040005 rev. 000 page 9 s e c t i o n 1 0 page 10 40040005 rev. 000 s e c t i o n 1 0 40040005 rev. 000 page 11 s e c t i o n 1 0 page 12 40040005 rev. 000
1 | Instructions on Separation Distance | Operational Description | 50.99 KiB |
s e c t i o n 0 1 2. PRINTER Remove the printer from its box and place it on the 2 nd shelf of the computer car t. Fol-
lowing the instructions from the printer box, inser t the ink car tridges and plug in the power cord and USB cable. Once the computer is running and the printer is turned on, print a test page. 3. CPU Remove the CPU (computer tower) from its box and place it on the 3 rd shelf of the com-
puter car t. Plug in the power cord, monitor serial cable, and printer USB cable. 4. SPEAKERS Remove the speakers from their box and place them on the 3 rd shelf of the computer car t. Plug the cable from the lef t speaker into the designated jack on the right speaker. Next, plug the power cord into the designated jack on the right speaker. Finally, plug the speaker cable, which is attached to the right speaker into the CPU. 5. KEYBOARD & MOUSE Remove the keyboard and mouse from their box. Place the keyboard on the auxiliar y shelf of the computer car t and plug the cord into the CPU. Place the mouse on the top shelf of the computer car t and plug the cord into the CPU. 6. WIRELESS HUB Locate the wireless Hub and place it on the 2 nd shelf of the computer car t. Note that inside of the Hub are magnets, which are intended to keep the Hub stable on the shelf. Secure the 2 nd antenna (from Step 6 of Setting up the MCU Station) to the Hub
(Figure 1-12). Plug the USB cable into the CPU. Note that is impor tant to store the Hub in a location such that its antenna is at least 3 feet from the antenna at the top of the MCU. Figure 1-12. Place-
ment of Hub 7. ISOLATION TRANSFORMER Locate the isolation transformer and its power cord and place it next to the designated wall outlet. Attach the computer car t cable, which is located at the bottom back of the car t, to the isolation transformer. Plug one end of the isolation transformer power cord into the isolation transformer and the other end into the designated wall outlet. Turn on the isolation transformer via the green switch (Figure 1-13). Figure 1-13. Place-
ment of Transformer The use of extension cords is not recommended. If an extension cord cannot be avoid-
ed, use no less than 14 gauge wire. Keep the cord as shor t as possible, and use only hospital approved plugs. The extension cord MUST complete the ground from the ER power supply cord to the wall outlet. 40040005 rev. 000 page 7
frequency | equipment class | purpose | ||
---|---|---|---|---|
1 | 2006-03-24 | 903 ~ 926.3 | DTS - Digital Transmission System | Original Equipment |
app s | Applicant Information | |||||
---|---|---|---|---|---|---|
1 | Effective |
2006-03-24
|
||||
1 | Applicant's complete, legal business name |
BTE Technologies, Inc.
|
||||
1 | FCC Registration Number (FRN) |
0014420616
|
||||
1 | Physical Address |
7455-L New Ridge Road
|
||||
1 |
Hanover, MD
|
|||||
1 |
United States
|
|||||
app s | TCB Information | |||||
1 | TCB Application Email Address |
t******@metlabs.com
|
||||
1 | TCB Scope |
A4: UNII devices & low power transmitters using spread spectrum techniques
|
||||
app s | FCC ID | |||||
1 | Grantee Code |
TV3
|
||||
1 | Equipment Product Code |
WER-1
|
||||
app s | Person at the applicant's address to receive grant or for contact | |||||
1 | Name |
J****** P****
|
||||
1 | Title |
VP of Engineering
|
||||
1 | Telephone Number |
410-8********
|
||||
1 | Fax Number |
410-8********
|
||||
1 |
j******@btetech.com
|
|||||
app s | Technical Contact | |||||
n/a | ||||||
app s | Non Technical Contact | |||||
n/a | ||||||
app s | Confidentiality (long or short term) | |||||
1 | Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?: | Yes | ||||
1 | Long-Term Confidentiality Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?: | No | ||||
if no date is supplied, the release date will be set to 45 calendar days past the date of grant. | ||||||
app s | Cognitive Radio & Software Defined Radio, Class, etc | |||||
1 | Is this application for software defined/cognitive radio authorization? | No | ||||
1 | Equipment Class | DTS - Digital Transmission System | ||||
1 | Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant) | MCU Wireless | ||||
1 | Related OET KnowledgeDataBase Inquiry: Is there a KDB inquiry associated with this application? | No | ||||
1 | Modular Equipment Type | Single Modular Approval | ||||
1 | Purpose / Application is for | Original Equipment | ||||
1 | Composite Equipment: Is the equipment in this application a composite device subject to an additional equipment authorization? | No | ||||
1 | Related Equipment: Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization? | No | ||||
1 | Grant Comments | Modular Approval. Output Power listed is conducted. End-users must be informed of the operating requirements for satisfying RF exposure compliance. | ||||
1 | Is there an equipment authorization waiver associated with this application? | No | ||||
1 | If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded? | No | ||||
app s | Test Firm Name and Contact Information | |||||
1 | Firm Name |
MET Laboratories, Inc.
|
||||
1 | Name |
R******** F******
|
||||
1 | Telephone Number |
41035********
|
||||
1 | Fax Number |
41035********
|
||||
1 |
r******@metlabs.com
|
|||||
Equipment Specifications | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Line | Rule Parts | Grant Notes | Lower Frequency | Upper Frequency | Power Output | Tolerance | Emission Designator | Microprocessor Number | |||||||||||||||||||||||||||||||||
1 | 1 | 15C | 903.00000000 | 926.30000000 | 0.0255000 |
some individual PII (Personally Identifiable Information) available on the public forms may be redacted, original source may include additional details
This product uses the FCC Data API but is not endorsed or certified by the FCC