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biodex 950-401 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 B 5/17

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Summary of Contents for biodex 950-401

  • 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 B 5/17...
  • 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

    Table of Contents   Definition of Symbols ........................ 6   Before Proceeding ........................7   Important Safety Information ..................... 8   Biodex Warranty ........................10     Introduction ........................12   Intended Use ........................ 12   Indications for Use ....................... 12  ...
  • Page 4 Copyright Notice of Music Compositions ..............86     M aintenance ........................88   Daily Maintenance ......................90   Quarterly Maintenance ....................90   Annually or Every 1,000 Hours Reverse Exact-Track Bed ..........91 Biodex Medical Systems, Inc. © 2017...
  • Page 5   References: ........................ 102     P arts and Assembly Illustrations ..................104   Appendix A: CSV File Export ....................109   Appendix B: Use of Music Therapy and the Biodex Gait Trainer ..........114 GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 6: 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 7: Before Proceeding

    Before Proceeding NOTE: The warnings, cautions and instructions provided in this manual must be read, followed and kept available for consultation at all times. Observing the information, instructions, and procedures presented throughout this manual is essential for using this product both properly and safely. SPECIFIC CAUTIONS Allow only qualified, trained personnel to operate or service this product.

  • Page 8: Important Safety Information

    For electromagnetic compliance definition, refer to the Table of Contents. Reference Cleaning and Maintenance instructions in Table of Contents. 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.
  • Page 9 CAUTION: To avoid risk of electric shock, this equipment must only be connected to supply mains with protective earth. ATTENTION: Pour éviter le risque de choc électrique, cet équipement doit uniquement être connecté à un approvisionnement conduites avec la terre protectrice.

  • Page 10: 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 11: 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 12: Introduction

    The Biodex Gait Trainer comes with a printer that is easy to install and resides on the printer stand.
  • Page 13 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 14: 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 15: Initial Setup And Activation

    Printer Installation 1. Refer to the supplied printer manual to unpack the printer and ensure that it has not been damaged by shipping. 2. Position the printer on the Biodex-provided printer stand. GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 16 3. Locate the printer power cable. Plug the small end into the power receptacle on the back of the printer. 4. Insert the AC plug end of the printer power cable first into the Biodex-provided power adapter, and then insert the adapter plug into the power cable receptacle on the back, lower base of the Gait Trainer 3.

  • Page 17: 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 18: 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 19 Figure 2.2. The Gait Trainer Patient Setup screen. Figure 2.3 The Gait Trainer Patient Setup screen. The presence of certain icons (e.g., the Diagnosis and G-Code icons) are set within system Utilities. Similarly, the different ways to input height, weight, and age information can also be configured in system Utilities.

  • Page 20: Gait Training Patient Setup Screen Parameters

    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 21: Additional Gait Training Patient Setup Screen Parameters

    Additional Gait Training Patient Setup Screen Parameters NOTE: The following parameters are only visible when they are activated within the Gait Trainer Configuration settings (i.e., in system Utilities.) G-Code Options (Figure 2.10.): Touch <G-Code> to apply certain G-Code settings to this ●...

  • Page 22: 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 23: The Select Patient Screen

    Set Step Length Tolerance Range: Touch <Set Range> and use the pop-up keypad to ● increase or decrease the distance between the target lines the patient must achieve in the steps they take. Set Visual Biofeedback ON/OFF Interval Time: Touch <ON>, <OFF>, or <Interval> and ●...
  • Page 24 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 25: The G-Code Calculator Options Screen

    The G-Code Calculator Options Screen Figure 2.10. The G-Code Calculator Options screen. The G-Code Calculator Options screen contains three drop-down menus that will apply various types of G-Code data to the patient’s tests. The G-Code result options and categories are discussed in depth in a later section of this document.
  • Page 26 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 27: Footfalls/Histogram Screen Parameters

    Footfalls/Histogram Screen Parameters Touch <Next> at the Patient Setup screen to advance to the Footfalls/Histogram screen. At this screen, users can view patient progress via either a footfall or histogram display. Touch the appropriate icon at the bottom of the left to toggle between display formats. With either display, the following parameters can be adjusted at any time as follows: Walking Speed (mph): Located at the top right of the screen.
  • Page 28 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 29: 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 30: 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 31: Test Results Screen Functions

    Test Results Screen Functions From the Test Results screen the user can perform the following functions: Back: Return to the Footfalls/Histogram screen by touching <Back>. All current exercise data will be lost if <OK> to proceed is touched. To cancel and return to the Test Results screen, touch <Cancel>.

  • Page 32: 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. Figure 4.5. The Stored Test Results Screen Biodex Medical Systems, Inc. © 2017...
  • Page 33 Figure 4.6. 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. Figure 4.8.
  • Page 34 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. Figure 4.11. Progress report showing increase or decrease in average step length. Biodex Medical Systems, Inc. © 2017...
  • Page 35 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 36: 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 37: Associating G-Code Data

    Associating G-Code Data The G-code screen is accessed from the Patient Setup screen in the Gait Trainer interface. Touch the <G-code> icon to access this screen. Figure 5.2. Patient Setup screen in the Gait Trainer interface. Using the G-code icon, a user can access the drop-down menus needed for associating G-code data.
  • Page 38 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 39 The G-code category drop-down menu features a list of commonly used rehabilitation categories. The category most likely to be associated with the Gait Trainer is the Mobility: Walking and Moving Around selection. 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.
  • Page 40 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 41: Test Results Data

    Figure 5.9. The Patient Setup screen after G-code data has been associated. Test Results Data Exercise report data can be reviewed from the Test Results screen only after touching <End> to end the exercise session and touching <Results>. The Test Results screen can also be accessed by selecting the individual record from the Reports section in system Utilities.
  • Page 42 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 43 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.
  • Page 44 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 45 Enter an updated number with the keypad. Two things can be observed when the Stored Test Results screen is redisplayed: First, a red asterisk has appeared next to the updated number marking it as being amended. Also, since the impairment level change was a significant one — from 0 to 33 — the Severity Modifier Code has changed from CH to CJ.
  • Page 46 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 47: Treadmill Operation

    6. Treadmill Operation Figure 6.1. The Quick Start feature allows the user to begin the exercise session with minimal input. Quick Start 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.

  • Page 48: 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 49: Manual Treadmill Operation

    Heart Rate: Displayed at the top of the screen, this is the real-time heart rate of the user during the exercise session measured using the contact handgrips. Quick Setting Option for Speed Value: Clinicians and users have the option of bringing the treadbelt to a designated speed without having to press the <▲>...

  • Page 50: Manual Mode Exercise Track And Numeric Display Parameters

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

  • Page 52: 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 53 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 54: 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 55 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 56: 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. Figure 8.2. Reports – Test Results screen. Biodex Medical Systems, Inc. © 2017...

  • Page 57: Configuration

    Configuration Figure 8.3. Configuration – Utilities Screen To advance to the Configuration screen from the Utilities Menu, touch <Configuration>. There will be a submenu featuring two icons; one for System Configuration and one for Gait Trainer Configuration. For either option, the user must enter 159 at the “Access ID Code” prompt and touch <OK>.

  • Page 58: System Configuration Screen Parameters

    To change the Time Zone, touch the drop-down menu once and scroll through the list to make a selection. Touch <OK> to save the changes and return to the Configuration screen. Biodex Medical Systems, Inc. © 2017...
  • Page 59 Figure 8.6. Set the System Date/Time Screen Tone Volume: Touch any section of the horizontal bar to select a new tone volume setting. Selecting low numbers along the bar will result in lower volume while selecting high numbers makes the louder. Tone volume settings range from 0 to 10. Change Access ID Code: Users can change the default Access Code (159) used to access secure settings in the device software.

  • Page 60: 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>. Biodex Medical Systems, Inc. © 2017...
  • Page 61 Figure 8.9. Clinical Codes Screen. Figure 8.10. Patient Setup screen with Clinical Codes (CPT) option activated. Normative Data Configuration: Normative data can be specified to each facility’s needs. Select a particular row of demographic information and touch the pencil icon beside the row to edit the norms for performance in the settings at the bottom of the screen.

  • Page 62: 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 Biodex Medical Systems, Inc. © 2017...
  • Page 63 Figure 8.13. The Patient Management – Select a Patient screen. Figure 8.14. The Patient Management – Test Results screen. Figure 8.15. The Stored Test Results screen. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 64: Adding Patient Files

    Patient file was created when one of these fields was not required, a value must be entered in the now-required field in order to save any other changes (Refer to the previous section for instructions on changing this setting). Biodex Medical Systems, Inc. © 2017...

  • Page 65: Deleting Patient Files

    3. The user may also edit the data in the Additional Information screen. On this screen, the user can add details regarding the facility where the patient is being treated or create customized drop-down menus to name two options. 4. After editing the patient information, touch <OK>. The file is saved with the changes and the system returns to the Patient Management –...

  • Page 66: 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. Biodex Medical Systems, Inc. © 2017...

  • Page 67: Working With Individual Patient Records

    Figure 8.19. The Multiple Patient Data Export screen. 1. From the Patient Management – Select a Patient screen, touch <Export Multiple>. 2. On the next screen, the user has the option to select what range of patient records to export: All records, records from a certain date to present time, records prior to a certain date, or all records between certain dates (From/To).

  • Page 68: 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. Biodex Medical Systems, Inc. © 2017...

  • Page 69: System Maintenance

    Figure 8.21 illustrates that the BioReports folder is just one of several subfolders that are automatically generated in the main GaitTrainer4 directory, which is automatically generated by the system. Here is a list of the subfolders, along with the types of files they contain: BioBackup: The backup of system settings with database.

  • Page 70: Backup To Usb

    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: Biodex Medical Systems, Inc. © 2017...
  • Page 71 Figure 8.25. Restore from USB Screen. The Select Backup to Restore screen displays a list of backed up databases that have been created. The most recently backed up database will be the top row of the list. Select the database to restore as the Gait Trainer’s current data set, and select the <OK> icon. The Database Restore Complete screen is displayed as illustrated below: Figure 8.26.

  • Page 72: 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. Biodex Medical Systems, Inc. © 2017...

  • Page 73: Advanced System Maintenance Screen Settings

    Figure 8.28. Advanced System Maintenance Screen. Advanced System Maintenance Screen Settings Treadmill Diagnostics: The Treadmill Diagnostics screen allows the user to conduct some diagnostic tests with regards to treadmill performance. The strain gauges can be reset to the factory calibration and the strain gauge board can be re-initialized. Touch <...
  • Page 74 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. Biodex Medical Systems, Inc. © 2017...
  • Page 75 Figure 8.32. Event Log Screen. Reset Application Settings: Use this function to return all application settings to factory defaults. Patient data will not be deleted a reset is performed. Figure 8.33. Reset Application Settings Screen. Language: Use this function to set a language preference for the system. Product Type: The product type can be designated as either Gait Trainer or RTM 600.

  • Page 76: 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 77: Music Therapy

    9. Music Therapy The Biodex Gait Trainer 3 with version 3.X software can be configured with an optional Music Therapy component (see Appendix B for a treatise on the use of music therapy in relation to the Biodex Gait Trainer). The Music Therapy option includes a specially designed bracket to hold the provided sound bar and a USB drive that activates the music player software and the music therapy music files.
  • Page 78 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). Biodex Medical Systems, Inc. © 2017...
  • Page 79 Figure 9.4. The sound bar’s power and sound cables (arrows). The Music Therapy component will not be activated until the flash drive is inserted into one of the USB ports on either the side or the bottom of the display. (The location of USB ports may vary depending on the display model.) The software will activate automatically once the flash drive is inserted.
  • Page 80 “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 81 In this example, the 72 BPM version of the song “Street Walking” is selected. 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>...
  • Page 82 PSE is broader Refer to the fourth entry in the References section. Biodex Medical Systems, Inc. © 2017...
  • Page 83 in application than Rhythmic Auditory Stimulation (RAS), because it is (a) applied to movements that are not rhythmical by nature (e.g., most arm and hand movements, functional movement sequences such as dressing or sit-to-stand transfers) and (b) it provides more than just temporal cues.
  • Page 84 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 85 baseline tempo will be unknown and will need to be entered for tempo control to work correctly. For each song with no tempo identified, enter the tempo (in this case 80 BPM [Beats Per Minute]) and touch <OK>. Figure 9.13. Entering a song’s tempo (BPM). The Controls work as follows: Play: Starts the song and, if already playing, will pause the music.

  • Page 86: 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.
  • Page 87 Phonorecord ℗ 2016 The Center for Music Therapy, Inc. Note: “Silvery Moon Medley” is a Music Therapy arrangement from three compositions: 1. "By The Light of the Silvery Moon" © 1909; original music by Gus Edwards. 2. "Shine On Harvest Moon" © 1908; lyrics by Jack Norworth, music by Nora Bayes-Norworth, copyright Jerome H.

  • Page 88: 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 89 Figure 10.1. Main Screen Figure 10.2. Main Menu, followed by right-left-right touches to activate Advanced System Maintenance button. GAIT TRAINER 3 (v3.X SOFTWARE)

  • Page 90: Daily Maintenance

    Quarterly Maintenance Lubricate the treadbelt and slider deck. The Biodex Lubricant Kit is designed to reduce friction between the treadbelt and the slider deck. It is required for all institutional treadmills. Proper Biodex Medical Systems, Inc. © 2017...

  • Page 91: Annually Or Every 1,000 Hours Reverse Exact-Track Bed

    3. Allow the Gait Trainer 3 to dry for approximately ten minutes. NOTE: Use only the Biodex lubricant kit with the Gait Trainer 3. Most standard greases, waxes and silicon sprays will build up on the rollers causing belt slippage and affecting tracking.

  • Page 92: 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 Biodex Medical Systems, Inc. © 2017...
  • Page 93 2. Access the Quick Start Treadmill function and adjust the speed to 1.0 MPH. 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 .

  • Page 94: 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. Biodex Medical Systems, Inc. © 2017...

  • Page 95: Troubleshooting

    NOTE: The above faults indicate an issue with the treadmill. For fault 64-Safety Lanyard Removed, verify lanyard is still attached in its proper location. For all other faults, please contact Biodex Support Services department at 1-800-224-6339 and provide the fault code. Someone will provide instructions on how to proceed.

  • Page 96: Electromagnetic Compatibility

    EN 60601-1-2 when used with the Gait Trainer 3. Table 12.2. Cable Accessories Table Cable Description Part Number Cable Length USB Printer Cable Biodex # C12086 15ft Biodex Medical Systems, Inc. © 2017...

  • Page 97: Declaration Of Conformity

    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.
  • Page 98 150 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 distance calculated from the equation applicable to the Biodex Medical Systems, Inc. © 2017...
  • Page 99 Immunity IEC 60601-1-2 IEC 60601-1-2 Electromagnetic Test Test Level Compliance Environment -Guidance Level frequency of the transmitter. Recommended separation distance: d = 1.2√ P 150 KHz to 80 MHz d = 1.2√ P 80 MHz to 800 MHz d = 2.3√ P 800 MHz to 2.5 GHz Where P is the maximum output power rating of the transmitter in watt (W)

  • Page 100: Recommended Separation Distances

    Do not expose the equipment to a temperature change of more than 5° F (3° C) per hour. Limits of low and high operating temperature ranges are 59° to 86° F (15° C to 30° C). Biodex Medical Systems, Inc. © 2017...

  • Page 101: Specifications

    13. Specifications Dimensions: 86" l x 27" w (218x69cm) Walking Area: 64" l x20" w (160x51cm) Printer Stand: 24" l x 24" w (61x61cm) Deck: 1” thick (2.5 cm) reversible Teflon™ impregnated high-density composite fiber Motor: 2HP with 4Q-Pulse Width Modulation Control Speed Range: Forward: 0-10 mph (0-16km/h) Reverse: 0-3 mph (0-4.8km/h) in 0.1mph (.16km/h) increments...

  • Page 102: 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 Biodex Medical Systems, Inc. © 2017...
  • Page 103 CHIU, CC, et al. INFLUENCING FACTORTS AND AMBULATION OUTCOME IN PATIENTS WITH DUAL DISABILITIES OF HEMIPLEGIA AND AMPUTATION Arch Phys Med Rehabil, Vol. 81, Jan 2000 Biodex #91-144 DEAN, CM, et al. TASK-RELATED TRAINING IMPROVES PERFORMANCE OF SEATED REACHING TASKS AFTER STROKE, Vol.

  • Page 104: Parts And Assembly Illustrations

    15. Parts and Assembly Illustrations Biodex Medical Systems, Inc. © 2017...
  • Page 105 GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 106 Biodex Medical Systems, Inc. © 2017...
  • Page 107 GAIT TRAINER 3 (v3.X SOFTWARE)
  • Page 108 Biodex Medical Systems, Inc. © 2017...

  • Page 109: Appendix A: Csv File Export

    Appendix A: CSV File Export From the Gait Trainer application, two types of CSV files can be exported: Single (Individual) test record CSV • Multiple test record CSV file. • A Single CSV file will contain all of the data for an individual test along with raw data points.
  • Page 110 Average Step Length in CMs. The first two columns display the normative value and the third AvgStepLength column displays the actual exercise value for the right leg. The fourth column represents the Biodex Medical Systems, Inc. © 2017...
  • Page 111 Field Heading Description left leg. RtVariance Coefficient of variation displayed as a percentage for the Right Leg. LtVariance Coefficient of variation displayed as a percentage for the Left Leg. RtTimeDistrib The time spent on the right foot displayed as a percentage. LtTimeDistrib The time spent on the left foot displayed as a percentage.
  • Page 112 It is suggested that the unnecessary data columns be deleted or hidden. The statistical analysis can easily be performed on this data. Figure A.1. Multiple Record CSV Export Sample File Format. Biodex Medical Systems, Inc. © 2017...
  • Page 113 The file starts with the basic information about the patient/test performed, after which it contains the actual scores/data for the test result. A more concise illustration of the exported file is presented in Figure A.2 below: Figure A.2. CSV File Format Explanation – A More Concise Illustration of the Exported File. The first record within the exported CSV file illustrates values of AvgSpeed = 0.25 and the normative data minimum and maximum for this category as 0.96 and 1.68 respectively (see Figure A.3 extracted from the Test Results screen that matches the exported CSV file value).

  • Page 114: Appendix B: Use Of Music Therapy And The Biodex Gait Trainer

    This technique uses music as an external cue to regulate the body’s movement in time and allows patients to become in tune with their own rhythm. It typically occurs during closed-chain gait activities Biodex Medical Systems, Inc. © 2017...
  • Page 115 Patterned Sensory Enhancement (PSE) A broader application than RAS as it facilitates movement and movement patterns that are not biologically rhythmical. These movement patterns are incorporated into a series to form functional movement patterns. For example, hand and arm movements for eating, dressing, and other ADL’s as well as whole body movements required to shift from a seated to as standing position.
  • Page 116 Animals PT Terms Instrument Auditory Functional Movement Biodex Medical Systems, Inc. © 2017...
  • Page 117 Everywhere: 45-108 Initial Contact/ Metronome/Bass Drum • Constant music (heelstrike) • Facilitates heel strike 45-108 BPM Initial Contact Bass guitar • A crisp sound with greater force assists with Metronome/Down (heel strike) increasing stride length beat of songs • tends to get people to stroll •...
  • Page 118 Music Samples from compositions designed for use in Biodex GT3 Systems Animals Everywhere (gentle forward-pulling sensory experience throughout piece): BPM: Time: Activity: 45 BPM: Guitar pattern for leg lift, extension and drum playing down beat for consistent heel strike from beginning through end of song.
  • Page 119 72 BPM: 0:00 - Heel strike first. 0:26 1:19 Gentle pushing quality to sensory pattern, builds movement up then backs off and gives anticipatory cues for more complex UE/LE complex coordination. 2:13 Integrate texture for full hip extension and UE rotation, arm swing. Throughout piece more up/down as well as sideways (rotate/weight shift) enhanced quality for more complex gait movements.
  • Page 120 Biodex Medical Systems, Inc. © 2017...

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