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biodex GAIT TRAINER 3 Application/Operation Manual

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GAIT TRAINER 3 (v3.X software)
APPLICATION/OPERATION MANUAL
950-400
950-401
950-402
950-403
950-404
950-405
950-406
950-407
950-408
950-413
950-414
FN: 17-024 Rev A 4/17

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  • Page 1 GAIT TRAINER 3 (v3.X software) APPLICATION/OPERATION MANUAL 950-400 950-401 950-402 950-403 950-404 950-405 950-406 950-407 950-408 950-413 950-414 FN: 17-024 Rev A 4/17...
  • Page 2 Gait Trainer 3, 115 VAC, with Geriatric/Pediatric Handrails 950-407 Gait Trainer 3, 230 VAC, with Geriatric/Pediatric Handrails 950-408 Gait Trainer 3, 100 VAC, with Geriatric/Pediatric Handrails 950-413 Gait Trainer 3, 115 VAC, with Music Therapy Option 950-414 Music Therapy Kit Biodex Medical Systems, Inc. © 2017...

  • Page 3: Table Of Contents

    Test Results Screen Functions ..................35   Gait Trainer Progress Report ..................36     G-Codes ..........................40   Introduction to G-Codes and Modifiers ................. 40   Associating G-Code Data ....................41   Test Results Data ......................45 GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 4 Copyright Notice of Music Compositions ..............91     M aintenance ........................93   Daily Maintenance ......................95   Quarterly Maintenance ....................96   Annually or Every 1,000 Hours Reverse Exact-Track Bed ..........96 Biodex Medical Systems, Inc. © 2017...
  • Page 5 Leveling Foot Requires an Adjustment..............17     Figure 1.2. Loosen the Top Nut ..................... 17     Figure 1.3. Adjust the Bottom Nut ..................17     Figure 1.4. Adjusting the height of the Gait Trainer .............. 18 GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 6 Figure 4.10 Progress report showing increase or decrease in total distance covered and steps   taken........................38     Figure 4.11. Progress report showing increase or decrease in average step length....39 Biodex Medical Systems, Inc. © 2017...
  • Page 7 Ready to begin an exercise session with Profile 3, Pyramiding, selected....58   Figure 7.4. At the Editing Profile screen, clinicians enter values for speed, elevation and time   for each of up to ten stages for any profile............59 GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 8 Gait Trainer Display with Music Therapy Sound Bar Installed....... 82   Figure 9.2. The sound bar mounting bracket is slid in behind the Gait Trainer display bracket   and fastened with the two screws from the Gait Trainer display bracket....83 Biodex Medical Systems, Inc. © 2017...
  • Page 9 Close up of motor, showing front roller.............. 99     Figure 10.9. Back of Treadmill shown for tensioning bolt location.......... 99   Figure 10.10. Hex bolts shown to adjust belt left or right............99 GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 10: Definition Of Symbols

    Earth (ground) Alternating Current Fuse USB Connector/Cable Waste in Electrical Equipment Date of Manufacture Manufactured By Type B Applied Part CE Mark CE Mark for products with EC Certificate Certified for Safety by ETL Intertek Biodex Medical Systems, Inc. © 2017...

  • Page 11: Before Proceeding

    à l'utilisateur et-ou le patient. Ne modifiez pas cet équipement sans autorisation du fabricant. Training This operation manual includes assembly and operating instructions. Operating/assembly questions can be directed to the service department during business hours. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 12: Important Safety Information

    CAUTION: Operation for 950-400: 115 VAC; 950-401: 230 VAC; 950-404: 100 VAC. ATTENTION: Opération pour 950-400: 115 VAC; 950-401: 230 VAC; 950-404: 100 VAC. WARNING: Only use approved power supplies. AVERTISSEMENT: N'utiliser que les alimentations homologuées Biodex Medical Systems, Inc. © 2017...
  • Page 13 It is provided with wheels for relocation that should be used when moving. ATTENTION: Ce produit est destiné à rester à un endroit pendant le fonctionnement. Il est muni de roues pour la réinstallation qui devraient être utilisés lors du déplacement. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 14: Biodex Warranty

    BIODEX MEDICAL SYSTEMS, INC. During the warranty period, BIODEX MEDICAL SYSTEMS, INC. will in its sole discretion, repair, send replacement parts, or replace the equipment found to have such defects at no charge to the customer.

  • Page 15: Contact Information

    7. After analyzing the problem, we will decide if the unit can be repaired on site, or replacement parts will be sent. 8. If the unit must be returned, Biodex will provide a return materials authorization number (R.M.A. #.) Pack the unit in the carton that it was originally shipped in. It is the customer's responsibility for any damage that occurs during shipping.

  • Page 16: Introduction

    The Biodex Gait Trainer comes with a printer that is easy to install and resides on the printer stand.

  • Page 17: Figure 1.1. Leveling Foot Requires An Adjustment

    Figure 1.1. Leveling Foot Requires an Adjustment. Figure 1.2. Loosen the Top Nut Figure 1.3. Adjust the Bottom Nut GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 18: Power-Down

    CAUTION: Do not unplug the device or turn off the ON/OFF front base switch before powering down the display! ATTENTION: Ne débranchez pas l 'appareil ou n'éteignez pas le commutateur de la base avant avant d' éteindre l 'écran! Biodex Medical Systems, Inc. © 2017...

  • Page 19: Initial Setup And Activation

    Note: It is important to not be standing on the treadmill deck when OK is selected to perform the footfall initialization. The footfall initialization calibrates the treadmill sensors to patient footfalls. Standing on the treadmill deck while the initialization is in process, will result in inaccurate footfall readings. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 20: Printer Installation

    15ft USB cable that will be pre-installed in one of the USB ports on the Gait Trainer 3 display. Connect the other end of the cable to the port at the back of the printer. 6. Ensure both cables are positioned such that they will not interfere with the patient or get caught in the Gait Trainer 3 platform or handles.

  • Page 21: Connecting Components

    For help with this, please call Biodex Customer Support at 631-924-9000, Option 3. Similarly, any Windows 7 keyboard or mouse will automatically connect using one of the USB connections.

  • Page 22: Gait Trainer Mode

    2. Gait Trainer Mode The Biodex Gait Trainer can be used for gait training applications or as a rehabilitation treadmill. The following section describes use in the Gait Trainer Mode. The rehabilitation treadmill operation is described later in this manual.

  • Page 23: Gait Training Patient Setup Screen Parameters

    NOTE: The three parameters for Gender, Height, and Age are mandatory fields and must be completed before gait training can begin. First and Last Name: Optional, touch the pop-up <Keypads> to enter the first and last name. Touch <OK> to continue. GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 24 Biofeedback Options (Figure 2.6): Touch <Biofeedback> to adjust biofeedback options ● on the audio/visual Biofeedback Options screen. Select Patient (Figure 2.7): Touch <Select Patient> to designate an existing patient ● within the device’s records for a new training session. Biodex Medical Systems, Inc. © 2017...

  • Page 25: Additional Gait Training Patient Setup Screen Parameters

    The Additional Information screen contains a series of drop-down menus and editable fields in which users can enter various types of information about the patient. In each menu, users can enter a new value or item into the drop-down list. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 26: The Diagnostic Information Screen

    The Biofeedback screen is accessed from the Gait Training User Information screen by touching the <Biofeedback> icon. At this screen, biofeedback parameters can be entered or set. A brief explanation of each parameter and function follows. Audio/visual biofeedback screen parameters and functions: Biodex Medical Systems, Inc. © 2017...

  • Page 27: The Select Patient Screen

    Select one of these fields and enter either a patient last name or the ID number. Select <OK> to display a listing of search results. To return to the list of all patients, select the circular refresh arrow icon at the top right of the screen: GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 28: Figure 2.8. The Select/Edit Patient Screen, Showing Search Results. To Reset Listing Of All Patients, Select The Circular Refresh Arrow In The Upper Right Corner

    Patient records can be edited on this screen, or a new patient can be added. Many of the same information fields that are in the Patient Setup screen will need to be entered. Figure 2.9. The Add Patient screen. Biodex Medical Systems, Inc. © 2017...

  • Page 29: The G-Code Calculator Options Screen

    After making any selections to the menus on this screen, note that the G-Code icon on the Patient Setup screen will change from red to green. Footfalls/Histogram Screen Figure 2.11. If the Patient’s Steps are outside of the Target Step-Length Range, One or Two Vertical Orange Bars are Displayed. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 30: Figure 2.12. If The Patient Is Achieving The Desired Step-Length Target, Two Vertical Green Bars Are Displayed Along With A "Good Job!" Message

    0-80 cm, 0-100 cm, or 0-120 cm. The X axis can be TIME, DISTANCE, or STEPS. To change the axis label, touch the axis label (in Figure 2.13 the words Number of Steps) to toggle between selections. Biodex Medical Systems, Inc. © 2017...

  • Page 31: Footfalls/Histogram Screen Parameters

    If target distance is decreased, treadbelt speed decreases because steps need to become shorter. Distance: Located at the left of the screen, touch the blue dot <o> to toggle units of ● measure between miles, meters, and kilometers. GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 32 NOTE: On the histogram graph, the upper and lower horizontal green lines are the target step length area, plus or minus the step length tolerance. The Step Length Tolerance Range can be adjusted in the Biofeedback Options screen (from the Patient Setup screen). Biodex Medical Systems, Inc. © 2017...

  • Page 33: Normative Data

    NOTE: Clarification of Normative Data for the Gait Trainer: The normative data and goals presented in the Biodex Gait Trainer are derived from the reference tables in Gait Analysis, An Introduction, 2nd. Edition, Michael W. Whittle, 1997, pgs. 218 - 219.

  • Page 34: Test Results

    Time on Each Foot: This is the actual time spent on the mentioned limb. The time spent on each limb should be equally distributed between right and left. Should they be different, the patient is spending more time on one leg than the other. Biodex Medical Systems, Inc. © 2017...

  • Page 35: Test Results Screen Functions

    Setup screen, or <Cancel> to return to the Patient Name is Undefined screen. 2. If the patient name has already been entered, touch <OK> on the Test Results screen to save the results for later reporting or export. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 36: Gait Trainer Progress Report

    A progress report is perfect for showing need, progress, and outcome. Progress reports for specific parameters are available when a patient has multiple exercise reports. Figure 4.4. Select any of the patient records by touching a row. Biodex Medical Systems, Inc. © 2017...

  • Page 37: Figure 4.5. The Stored Test Results Screen

    Select Progress Report, and Reports on the following screen. Figure 4.7. Touch the progress parameters that you are interested in viewing and/or printing. Green boxes indicate selected parameters. Also, choose to have data points on the report and/or Normative data ranges. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 38: Figure 4.8. Progress Report Showing Total Time In Seconds For Each Exercise Session

    Progress report showing total time in seconds for each exercise session. Figure 4.9. Progress report showing increase or decrease in average walking speed over the six sessions. Figure 4.10 Progress report showing increase or decrease in total distance covered and steps taken. Biodex Medical Systems, Inc. © 2017...

  • Page 39: Figure 4.11. Progress Report Showing Increase Or Decrease In Average Step Length

    Figure 4.11. Progress report showing increase or decrease in average step length. Figure 4.12. In this case, the progress report shows an increased step length variability over the sessions. Figure 4.13. Progress report showing the percentage of time spent on each foot. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 40: G-Codes

    The G-codes will be used by those who provide outpatient therapy services. These include physical therapists, occupational therapists, speech-language pathologists, physicians, physician assistants, nurse practitioners, and clinical nurse specialists. Figure 5.1. Sample Claim Form with G-code and Impairment Modifier Biodex Medical Systems, Inc. © 2017...

  • Page 41: Associating G-Code Data

    G-code icon on the Patient Setup screen will have a red (as opposed to green) dot on it. Figure 5.3. G-code Calculator Options screen in the Gait Trainer interface. The first drop-down menu allows the user to customize the G-code data that will appear on the Gait Training Test Results. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 42: Figure 5.4. A Sample Of The Test Results After 'Both Impairment % And Severity Modifier Code' Has Been Selected

    Figure 5.4. A sample of the Test Results after ‘Both Impairment % and Severity Modifier Code’ has been selected. Biodex Medical Systems, Inc. © 2017...

  • Page 43: Figure 5.5. The Second Drop-Down Menu On The G-Code Calculator Options Screen In The Gait Trainer Interface Allows The User To Choose A G-Code Category

    The second drop-down menu on the G-code Calculator Options screen in the Gait Trainer interface allows the user to choose a G-code category. Figure 5.6. A sample of the Test Results showing the G-code category that has been selected. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 44: Figure 5.7. The Third Drop-Down Menu On The G-Code Calculator Options Screen In The Gait Trainer Interface Allows The User To Select The Status Of The Beneficiary

    A sample of the Test Results showing the status that has been selected. Press <Back> to return to the Patient Setup screen. Note that the dot on the G-code icon is green, as opposed to red. Biodex Medical Systems, Inc. © 2017...

  • Page 45: Test Results Data

    The two columns at the right of the screen pertain to G-code data. The Impair Percentage numbers refer to what degree the patient could be considered impaired, with 100% meaning the patient is completely impaired and unable to do the associated task without help. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 46: Figure 5.11. The Scale Of 7 Modifiers Is Intended To Denote The Patient's Degree Of Impairment/Limitation/Restriction

    0% impaired. Note: In this example, a “normal” range of 1.1 to 1.82 MPH is calculated from the age, gender, and height data entered on the Patient Setup screen. Biodex Medical Systems, Inc. © 2017...

  • Page 47: Figure 5.12. Sample Graph Showing How The Gait Trainer Software Calculates Impairment Percentage

    From the Stored Test Results screen, the therapist may also choose to alter the Impairment Percentage numbers manually. To do so, touch the number to be changed. Figure 5.13. The Impairment Percentage numbers can be manually changed from this screen. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 48: Figure 5.14. Reason For Amendment Screens

    On the Reason for Amendment screen, select a reason for the change in the drop-down menu. Figure 5.14. Reason for Amendment screens Biodex Medical Systems, Inc. © 2017...

  • Page 49: Figure 5.15. The Change In Impairment Percentage Is Now Noted By An Asterisk

    Changing & Maintaining Body Position G8981 Body position current status G8982 Body position goal status G8983 Body position D/C status Carrying, Moving and Handling Objects G8984 Carry current status G8985 Carry goal status G8986 Carry D/C status GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 50 G8990 Other PT/OT current status G8991 Other PT/OT goal status G8992 Other PT/OT D/C status Other PT/OT Subsequent (not covered in above category) G8993 Sub PT/OT current status G8994 Sub PT/OT goal status G8995 Sub PT/OT D/C status Biodex Medical Systems, Inc. © 2017...

  • Page 51: Treadmill Operation

    Although the Gait Trainer offers advanced programming capability, it also features a "Quick Start" function that allows the user to immediately begin exercise on the system with 1/4-mile scaled track views. Figure 6.2. Quick Start track view. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 52: Quick Start Track / Numeric Display Parameters

    Lap Count/Pace: The amount of time it will take the user to move one mile or KM at the current treadbelt speed. Toggle between miles or kilometers by clicking on the number below the Lap text. Biodex Medical Systems, Inc. © 2017...

  • Page 53: Manual Treadmill Operation

    Time, Distance, and Calories. During the exercise, the user can choose between Exercise Track or Numeric displays. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 54: Manual Operation Procedure

    The same parameters are displayed on both the Exercise Track and Numeric displays. A brief explanation of these parameters can be found in the previous (Quick Start) section. Figure 6.4. The Exercise Track display. Biodex Medical Systems, Inc. © 2017...

  • Page 55: Figure 6.5. The Numeric Display

    Figure 6.5. The Numeric display. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 56: Treadmill Profiles

    7. Treadmill Profiles The Biodex Gait Trainer treadmill mode features five pre-loaded exercise profiles and the ability to create and select up to 12 custom exercise profiles. These programs allow the clinician to select pre-determined exercise format routines. Exercise profiles are divided into as many as ten segments each.

  • Page 57: Figure 7.1. The Select Profile Screen Allows The User To Choose From Five Pre-Defined Profiles

    Figure 7.1. The Select Profile screen allows the user to choose from five pre-defined profiles. Figure 7.2. At the Profile Setup Options screen, users can enter values for time, body weight and maximum elevation. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 58: Profile Mode Exercise Track And Numeric Display Parameters

    Touch <OK> to return to the Custom Profile menu. 5. At this point, the user can select any of the custom profiles designed. The Custom Profile Setup Options screen is displayed. Proceed as if using a pre-defined profile. Biodex Medical Systems, Inc. © 2017...

  • Page 59: Figure 7.4. At The Editing Profile Screen, Clinicians Enter Values For Speed, Elevation And Time For Each Of Up To Ten Stages For Any Profile

    Figure 7.4. At the Editing Profile screen, clinicians enter values for speed, elevation and time for each of up to ten stages for any profile. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 60: Gait Trainer Utilities

    The Reports function is another way to navigate to the Test Results screens detailed in the Patient Management section, the main difference being that you cannot edit Codes/Comments or G-Code data in Reports section screens. Biodex Medical Systems, Inc. © 2017...

  • Page 61: Configuration

    Following is a description of Configuration screen options. Once all parameters and values are set, touch <Back> to exit and return to the Utilities Menu. Touch <Back> a second time to return to the Main Menu. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 62: System Configuration Screen Parameters

    External Monitor> (An external monitor must already be connected to the VGA port on the bottom of the display.) Touch <OK> to confirm the changes and return to the Configuration screen. Touch <Cancel> to return to the Configuration screen without making any changes. Biodex Medical Systems, Inc. © 2017...

  • Page 63: Figure 8.5. Screen Configuration Screen

    <!> and <"> arrows or the numeric buttons on the key pad. Press <OK> to save the New Access ID Code and return to the System Configuration screen. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 64: Figure 8.7. Enter New Access Id Screen

    Access ID Code when they attempt to alter a customized profile that has been created in the Custom Profiles section of the Treadmill mode. Enable Speed Limit: The software for the Gait Trainer 3 includes an additional safety setting to limit treadbelt movement to a predetermined speed during Treadmill Training activities.

  • Page 65: Gait Trainer Configuration

    Diagnostic/ICD Codes options on the Patient Set up screen. To enable one or more codes, touch the boxes to turn them green. A default CPT Code can be set by selecting one of the rows and touching <Add>. Figure 8.9. Clinical Codes Screen. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 66: Figure 8.10. Patient Setup Screen With Clinical Codes (Cpt) Option Activated

    Gait Training Patient Setup Screen (as opposed to simply designating an age number and height range). Require Patient ID# for Patient Record: Touch this checkbox to require that users input a specific Patient ID# for each new patient that performs gait training sessions. Biodex Medical Systems, Inc. © 2017...

  • Page 67: Patient Management

    Step Symmetry Histogram X Axis: This setting allows the X axis for the Reports/Test Results histograms to be units of time, steps, or distance. Patient Management Figure 8.12. Utilities Menu Figure 8.13. The Patient Management – Select a Patient screen. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 68: Figure 8.14. The Patient Management - Test Results Screen

    Patient Management functions include the ability to add or edit an individual patient file, delete a file, delete single or multiple patient files, and import or export patient data. A description of each feature follows. Biodex Medical Systems, Inc. © 2017...

  • Page 69: Adding Patient Files

    4. After editing the patient information, touch <OK>. The file is saved with the changes and the system returns to the Patient Management – Select a Patient screen. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 70: Deleting Patient Files

    The Import Patient Data function allows patient data from a stored test to be imported in a binary (.biodata) file format. Figure 8.16. Select a File Name from the Patient Data File Import Screen Biodex Medical Systems, Inc. © 2017...

  • Page 71: Exporting Multiple Patient Data Sets

    Exporting Multiple Patient Data Sets The Export Multiple function allows patient data from stored tests to be exported in either a binary (.biodata) file format or a CSV format. Figure 8.18. The Multiple Patient Data Export screen. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 72: Working With Individual Patient Records

    “BioCSV”. Note: The user has the option to export patient data either to a Binary file or a CSV file, which can be stored locally on a hard drive. Biodex Medical Systems, Inc. © 2017...

  • Page 73: Printing Stored Results

    “BioReports” on an inserted USB flash drive. After printing, the system returns to the Stored Test Result screen. • Figure 8.20. Print Results screen. Figure 8.21. The hard drive saving location for the <Export PDF> function. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 74: System Maintenance

    The reports in PDF format System Maintenance Figure 8.22. Utilities main screen. The System Maintenance main menu contains icons for the three configurations related to database maintenance: 1. Backup to USB 2. Restore from USB 3. Database Cleanup Biodex Medical Systems, Inc. © 2017...

  • Page 75: Backup To Usb

    The Restore from USB function allows users to restore a previously backed up database to be the Gait Trainer’s current data set. The restoration will be from a removable flash drive that was used in the Backup to USB function. Selecting the <Restore from USB> icon displays the following screen: GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 76: Figure 8.25. Restore From Usb Screen

    Restore operation will restore all of these settings in addition to the patient data. This includes the backup and restoration of the facility name. Also, for added safety/security, all backup data is encrypted. Biodex Medical Systems, Inc. © 2017...

  • Page 77: Database Cleanup

    Touch the left side (as indicated by the red circle in Figure 8.27). c. Touch the right side a second time. Figure 8.27. Unmarked touch areas for Access to the Advanced System Maintenance Screen. 3. Touch <Advanced System Maintenance>. The Advanced System Maintenance screen is displayed. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 78: Advanced System Maintenance Screen Settings

    12 and 15. If they not, loosen the nut on the elevation pot and adjust the pot for a count between 12 and 15. Touch < > until the treadmill is fully elevated. The counts must be between 121 and 125. Figure 8.29. Treadmill Diagnostics Screen. Biodex Medical Systems, Inc. © 2017...

  • Page 79: Figure 8.30. Treadmill Calibration Screen

    View Event Log: The Event Log screen contains information on device events with options to filter by date ranges. The screen can be used to delete the log content or export it to a USB flash drive. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 80: Figure 8.32. Event Log Screen

    Aux Com Port: The auxiliary port, which allows the device to transmit or receive data, can be set as COM1 or COM3. Custom Logo: Use this function to upload an image from a USB flash drive to be used as branding on the device. Biodex Medical Systems, Inc. © 2017...

  • Page 81: Software Updates

    From time to time, it may be necessary to update the device’s software. The steps for updating the software are as follows: 1. Download the updated software from www.biodex.com to a portable thumb drive. Be sure to save the file in the root directory of the drive.

  • Page 82: Music Therapy

    USB drive that activates the music player software and the music therapy music files. If the Gait Trainer 3 was ordered from the factory with the Music Therapy option, the sound bar will already be installed on the display.

  • Page 83: Figure 9.2. The Sound Bar Mounting Bracket Is Slid In Behind The Gait Trainer Display Bracket And Fastened With The Two Screws From The Gait Trainer Display Bracket

    The sound bar has two cables: one for power and one for sound (see Figure 9.4). Both plug into the display directly above it. The sound bar also has standard jacks for headphones and a microphone (see Figure 9.3). Figure 9.3. The sound bar’s headphone and microphone jacks (circled). GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 84: Figure 9.4. The Sound Bar's Power And Sound Cables (Arrows)

    USB Port on the Side of the Display with Flash Drive Inserted. When the Music Therapy software is activated, the music therapy button ( ) will be visible on the left hand side of the Gait Trainer mode screen. Biodex Medical Systems, Inc. © 2017...

  • Page 85: Figure 9.6. The Music Therapy Software Package Activation Will Be Marked By The "Music

    “Music” button in the lower left corner. During an initial assessment, a Music Therapist assesses the patient's gait with either an over- ground session (10 meter walk test) or if they have the Biodex Gait Trainer, with a standard Gait Trainer mode session—no music.

  • Page 86: Figure 9.8. Setting The Beats Per Minute (Bpm)

    To match the BPM of the song with the steps per minute reading on the left, touch the “up” <Metronome> button until the BPM reads “78”. Figure 9.9. Pressing the Play Button. The therapist presses the <Play> button to start the music for the patient to begin gait training. Biodex Medical Systems, Inc. © 2017...

  • Page 87: Figure 9.10. When Music Therapy Is Installed, The Tempo Can Be Adjusted To Optimize The Gait

    As a result, the therapist must only make slight belt speed (walking cadence) adjustments until the patient relaxes into a more open gait pattern according to Patterned Sensory Enhancement (PSE) strategies. Refer to the fourth entry in the References section. GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 88 When the gait training session with music therapy is complete, a report documents the song title, starting bpm, and the percent change of the song tempo in addition to showing all the important gait parameter measures of: gait speed, step length, step length variability, and such. Biodex Medical Systems, Inc. © 2017...

  • Page 89: Figure 9.12. Gait Training Test Results

    On the Music Therapy screen when <Select Song> is touched, the contents (audio files) of the currently inserted flash drive are displayed. If the Biodex flash drive is inserted, a library of songs composed specifically for music therapy will be displayed. A different flash drive can be inserted (although not at the same time) and the software will display any audio files that are in the flash drive’s root directory.

  • Page 90: Figure 9.13. Entering A Song's Tempo (Bpm)

    The system will remember the tempo that was entered for any previously selected song and will not ask for it to be entered again when retrieved from the library. Biodex Medical Systems, Inc. © 2017...

  • Page 91: Music Compositions

    A more comprehensive clinical guideline for music therapy protocols will be available to help guide a music therapy program. Visit www.biodex.com or email clined@biodex.com for more information. The music therapy component of the Gait Trainer 3 should only be utilized by a credentialed music therapist. Music Compositions...
  • Page 92 Phonorecord ℗ 2015 The Center for Music Therapy, Inc. “Animals Everywhere” is an original Music Therapy composition. Copyright © 2015 The Center for Music Therapy, Inc. Phonorecord ℗ 2015 The Center for Music Therapy, Inc. Biodex Medical Systems, Inc. © 2017...

  • Page 93: 10. Maintenance

    10. Maintenance The Biodex Gait Trainer 3 should provide trouble-free operation as long as the following maintenance procedures are performed. To verify hours of operation, touch <Utilities> and touch the right-left-right sequence on the main system Utilities screen to activate the <Advanced System Maintenance>...

  • Page 94: Figure 10.1. Main Screen

    Figure 10.1. Main Screen Figure 10.2. Main Menu, followed by right-left-right touches to activate Advanced System Maintenance button. Biodex Medical Systems, Inc. © 2017...

  • Page 95: Daily Maintenance

    As required, clean all exterior surfaces, excluding the display with a light application of disinfectant and wipe dry with paper towels. NOTE: DO NOT use solutions containing ammonia. Hardware computer components should be wiped clean as needed using a soft rag dampened with alcohol. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 96: Quarterly Maintenance

    1. Using the large syringe provided, squirt one-half tube of the lubricant underneath the center of the treadbelt. 2. Walk ten steps on the Gait Trainer 3 at a speed of 1.0 mph. This will moisten an 8-inch track underneath the center of the entire treadbelt.

  • Page 97: Treadbelt Adjustment

    Figure 10.4. Squirt one-half tube of lubricant between the belt and deck. Treadbelt Adjustment 1. Remove the 6 Phillips head screws from the cover. Lift the cover off the treadmill. Figure 10.5. Treadmill Cover GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 98: Figure 10.6. Quick Start Treadmill Screen

    3. Walk on the treadmill at 1.0 MPH and stop the treadbelt with a foot. Front roller should slip under the treadbelt . Figure 10.7. Treadmill shown without cover. Note the location of front roller. Biodex Medical Systems, Inc. © 2017...

  • Page 99: Treadbelt Alignment

    8. Turn the left hex bolt half turn clockwise to move the belt toward the right side of the roller. Figure 10.10. Hex bolts shown to adjust belt left or right. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 100: 11. Troubleshooting

    11. Troubleshooting Symptom Gait Trainer 3 is turned ON and speed control is inoperable (belt not moving). Check for faults on display. The following diagnostic error codes apply: Table 11.1. Diagnostic Error Codes Table Code Description Communication between upper/lower board inop...

  • Page 101: 12. Electromagnetic Compatibility

    The Gait Trainer 3 should not be used adjacent to or stacked with other equipment. If the Gait Trainer 3 is used while positioned adjacent to other equipment, it should be observed to verify normal operation in the configuration in which it will be used.

  • Page 102: Declaration Of Conformity

    Manufacturer’s Declaration Electromagnetic Emissions The Gait Trainer 3 is intended for use in the electromagnetic environment specified below. The customer or the user of the Gait Trainer 3 must ensure that it is used in such an environment. Table 12.3.

  • Page 103: Table 12.4. Immunity Test Table

    Portable and mobile RF IEC 61000-4-6 150 KHz to 80 MHz 150 KHz to 80 MHz communications equipment should be used no closer to any part of the Gait Trainer 3, including cables, than the recommended separation GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 104: Recommended Separation Distances

    Gait Trainer 3 should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the Gait Trainer 3. Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.

  • Page 105: Operating Temperature

    The Gait Trainer 3 is intended for use in the electromagnetic environment in which radiated RF disturbance are controlled. The customer or the user of the Gait Trainer 3 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and the Gait Trainer 3 as recommended below, according to the maximum output power of the communication equipment.

  • Page 106: 13. Specifications

    Power: 115VAC, 50/60Hz, 20AMP dedicated line, or 230 VAC, 50/60 Hz, 20 AMP dedicated line. Includes hospital grade plug with 12' (3.7m) power cord. Printing: PCL printing via USB port Warranty: Two years on parts; one year on labor Biodex Medical Systems, Inc. © 2017...

  • Page 107: 14. References And Bibliography

    GOAL-DIRECTED SECONDARY MOTOR TASKS: THEIR EFFECTS ON GAIT IN SUBJECTS WITH PARKINSON DISEASE Arch Phys Med Rehabil, Vol. 81, January 2000 Biodex #91-149 BROUWER, B STROKE SURVIVORS BENEFIT FROM STRENGTH TRAINING Biomechanics, Jan 2000 Biodex #91-147 GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 108 Reed Educational & Professional Publishing Ltd. Biodex #92-233 WOLFF, M, et al. BEYOND STRIDE - OTHER CONSIDERATIONS WHEN DECIPHERING GAIT OF PEOPLE WITH AMPUTATION Advance for Physical Therapists: 28-32 / March 9, 1998 Biodex #91-140 Rev. November 20, 2007 Biodex Medical Systems, Inc. © 2017...

  • Page 109: 15. Parts And Assembly Illustrations

    15. Parts and Assembly Illustrations GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 110 Biodex Medical Systems, Inc. © 2017...
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  • Page 112 Biodex Medical Systems, Inc. © 2017...
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  • Page 114 Biodex Medical Systems, Inc. © 2017...
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