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Performance Health Core:Tx User Manual

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Summary of Contents for Performance Health Core:Tx

  • Page 1 Insert cover art here.
  • Page 3 Product Warranty Registration: Please register your Core:Tx with us so that we may continue to provide you with the highest quality products, offer technical support, and inform you about new software developments and updates.

  • Page 5: Table Of Contents

    Inserting the Batteries into the Transceiver ........8 Connecting the Base Station ............10 Starting Core:Tx ................. 11 Understanding the Core:Tx Window ..........14 Navigating in Core:Tx ................ 14 Understanding Core:Tx Terminology..........16 Key Steps for Using Core:Tx..............17 Exiting Core:Tx ..................18 Technical Support .................
  • Page 6 Core:Tx User Guide Importing Core:Tx Patient Data ............26 Backing Up the Core:Tx Database ............28 Deleting Patient Data ................29 3: Setting Up an Activity ........31 Selecting a Movement ................31 Selecting the Activity Mode ..............32 Turning the Audio On or Off ..............33 Selecting the Activity Angle ..............34...
  • Page 7 Knee Flexion/Extension: Closed-Chain Squat ........133 Knee Flexion/Extension: Unilateral Squat .......... 137 Knee Flexion/Extension: Squat and Hold........... 141 Knee Flexion/Extension: Step-Up ............144 Knee Varus/Valgus ................146 Ankle Dorsiflexion/Plantarflexion............149 Ankle Inversion/Eversion..............151 Core:Tx Creative Solutions ..............155 CVA: Midline Orientation ..............155...
  • Page 8 Core:Tx User Guide Avoiding Knee Hyperextension with Weight Shifting......157 Foam Roller Exercises .................159 Exercise Templates ................162 Abbreviations ..................168 Limited Warranty ..........169 Index ..............171...

  • Page 9: Foreword

    Foreword The Facts about Neuromuscular Reeducation (NMR) Neuromuscular control is essential to maximizing a patient’ s functional outcome. In a healthy joint, proprioceptive information is relayed to the central nervous system triggering a coordinated muscular response. This coordinated effort controls joint excursion and loading, which enables dynamic joint stability and prevents injury.

  • Page 10: Disclaimer Statement

    Core:Tx in a manner that is appropriate and safe for each patient. Performance Health Technologies does not guarantee the accuracy or appropriateness of any of the exercises contained herein. In no...

  • Page 11: 1:Getting Started

    About This Guide This guide tells you how to set up and use Core:Tx. It assumes that you have a basic understanding of how to use the Windows operating system.

  • Page 12: Fonts And Symbols

    Caution data from your computer. Core:Tx Overview Your Core:Tx system has several components that work together to give you a versatile rehabilitation tool. The package contents include the following, as shown in Figure 1: •...

  • Page 13: Base Station

    The base station connects to your personal computer or laptop using the provided USB cable. It collects information from the Core:Tx transceiver and communicates to your computer. The base station has the following key parts, as shown in Figure 2: •...

  • Page 14: Transceiver

    Light—shows communication to the base station, as well as showing that the batteries are low on power. • Axis knobs—show the Core:Tx axis. The knobs represent the axis of motion the transceiver is able to detect. This gives you a visual reference for proper alignment of the transceiver.

  • Page 15: Straps

    1: Getting Started Straps Core:Tx comes with a total of six straps and one strap extension. There are three main styles, with one strap provided in four color- coded sizes. Refer to the color tab on each strap to differentiate it from others.

  • Page 16: Care And Storage

    Do not immerse the base station or transceiver in water or other liquid. • Changes or modifications to Core:Tx equipment not expressly approved by Performance Health Technologies could void your authority to operate this equipment, as granted by the Federal Communications Commission (FCC).

  • Page 17: Installing The Software

    1: Getting Started • Base station and transceiver—Only use a soft, damp cloth to wipe down the transceiver and base station. Do not use solvents or abrasive cleaning agents to clean the base station or transceiver. Do not immerse in water for cleaning. To store: •...

  • Page 18: Setting Up The Hardware

    CD-ROM drive that contains the Core:Tx installation CD, then double-click the setup.exe file. Setting Up the Hardware You must perform the following tasks to set up the Core:Tx hardware: Insert the batteries into the transceiver. (See page 8.) Connect the base station to your computer.
  • Page 19 1: Getting Started To insert the batteries: Slide the battery door on the back of transceiver off in the direction of the arrow. Leaving the battery removal ribbon in the bottom of the battery compartment, align and insert batteries as shown. •...

  • Page 20: Connecting The Base Station

    The base station must be connected to your computer before you start the Core:Tx software. To connect the base station: Turn on the computer that has the Core:Tx software installed. Connect the small end of the USB cable to the USB port on the base station.

  • Page 21: Starting Core:tx

    One base station light turns on or blinks slowly when it receives power from the computer. Starting Core:Tx You must use your Core:Tx password to access patient data and store activity information for a patient. You set your password when you first installed Core:Tx. If you do not remember your password, you must use the original installation CD to re-create your password.
  • Page 22 For more information, see “Inserting the Batteries into the Transceiver” on page 8. Start the Core:Tx software by doing one of the following: • From the Start menu, point to Programs, then to Performance Health Technologies, then click Core:Tx.
  • Page 23 1: Getting Started – Login—This lets you set up and perform activities, as well as save results and access all patient data. Select the option you want. To use the shortcut to activity To log in 1 Use the arrow keys to select 1 Use the arrow keys to select Login Shortcut to Activity and and press space bar.

  • Page 24: Understanding The Core:tx Window

    Core:Tx User Guide Understanding the Core:Tx Window The Core:Tx window has three primary areas as shown in Figure 5. Main panel—This area displays information related to Navigation bar— the current task. These buttons provide access to the main Core:Tx functions. The...
  • Page 25 1: Getting Started Table 1: Navigation techniques Task Using the keyboard Using the mouse Selecting a Click the button in the 1 Press the up arrow key until function in the navigation bar. you select a button in the navigation bar at navigation bar.

  • Page 26: Understanding Core:tx Terminology

    Understanding Core:Tx Terminology We use specific terms in Core:Tx and in this guide to describe how to use and set up Core:Tx: • Activity—An activity is the selected movement, mode, and other options in Core:Tx that you set up for a patient.

  • Page 27: Key Steps For Using Core:tx

    Movement—A movement is a set of motions of a particular joint of the body. For example, knee flexion/extension and hip abduction/adduction are examples of movements. You select the movement in Core:Tx as the first step to setting up an activity. Key Steps for Using Core:Tx You should complete the following steps to properly set up and use the Core:Tx hardware and software for an activity.

  • Page 28: Exiting Core:tx

    For more information, see “Viewing Results” on page 51. Exiting Core:Tx You can exit Core:Tx at any time. To exit Core:Tx: • Click the X in the upper right corner of the Core:Tx window. Technical Support You can contact technical support for Core:Tx in the following ways: •...

  • Page 29: 2:Working With Administrative Functions

    Delete patient data (See page 29.) To perform any of the patient data tasks, you must enter the Core:Tx password. Each time you return to one of these functions using the Admin button in the navigation bar, the Admin. Login panel displays and you must enter the password.

  • Page 30: Opening Patient Data

    • The Open Patient Data window displays, showing a list of patients whose data is stored in your Core:Tx database. Use your mouse to select the patient you want and click OK. • The system populates Core:Tx with the patient’ s last activity settings and returns to the Admin panel.
  • Page 31 The system saves the patient’ s data and returns to the Admin panel. • If the patient’ s name already exists in the Core:Tx database, a message displays telling you that the patient already exists. If this is the same patient, click Cancel and open the patient’...

  • Page 32: Editing Patient Data

    To edit patient data: Use the arrow keys to select Admin in the navigation bar and press space bar. • For information about navigating in Core:Tx, see “Navigating in Core:Tx” on page 14. • The Admin. Login panel displays. Enter your password and press space bar.

  • Page 33: Changing The Core:tx Password

    2: Working with Administrative Functions Changing the Core:Tx Password You can change the Core:Tx password. Core:Tx uses one password for access to all patient data. If you change the password, be sure that you write it down and store it in a safe place.

  • Page 34: Exporting Core:tx Patient Data

    You may want to do this if you need to share Core:Tx data with another Core:Tx user or with the patient, or if you are moving Core:Tx to another computer. After you export the patient data, you can import it into Core:Tx on another computer.
  • Page 35 4 Select the existing data file. 4 In the File Name field, enter a 5 Click Open. name for the file. • The Core:Tx - Export window • The file will automatically be display, with a list of patients assigned the .pht extension.

  • Page 36: Importing Core:tx Patient Data

    Core:Tx stores patient data in a database. You can import Core:Tx patient data that has previously been exported from Core:Tx or that you backed up from Core:Tx. You may want to do this if you need to share Core:Tx data with another Core:Tx user or with the patient, or if you are moving Core:Tx to another computer.
  • Page 37 Click Import. • The selected patient names move to the list on the left. 10 Click Done. • The system adds the patients to your current Core:Tx database and returns to the Admin panel.

  • Page 38: Backing Up The Core:tx Database

    Backing Up the Core:Tx Database Core:Tx stores patient data in a database. You can back up the database to removable media such as a floppy disk, compact disc (CD), or flash drive (a small storage device that connects to a USB port).

  • Page 39: Deleting Patient Data

    2: Working with Administrative Functions Click Save. • The system saves a copy of your Core:Tx database to the selected location and returns to the Admin panel. Deleting Patient Data You can delete all of a patient’ s data from the database if you no longer need that patient’...
  • Page 40 Core:Tx User Guide...

  • Page 41: 3:Setting Up An Activity

    3:Setting Up an Activity After you start Core:Tx and open or create patient data, you are ready to set up an activity. When you open patient data, the activity settings default to the last settings you used for that patient.

  • Page 42: Selecting The Activity Mode

    The system saves your selection and returns to the Activity Setup panel. Selecting the Activity Mode The mode in Core:Tx controls the type of activity. You can set an activity in Core:Tx to one of two modes: • Monitor—Monitor Mode requires the patient to perform a tracking exercise or to maintain a static position.

  • Page 43: Turning The Audio On Or Off

    To select the Activity Mode: Use the arrow keys to select Activity Setup in the navigation bar and press space bar. • For information about navigating in Core:Tx, see “Navigating in Core:Tx” on page 14. • The Activity Setup panel displays.

  • Page 44: Selecting The Activity Angle

    To select the activity angle: Use the arrow keys to select Activity Setup in the navigation bar and press space bar. • For information about navigating in Core:Tx, see “Navigating in Core:Tx” on page 14. • The Activity Setup panel displays.

  • Page 45: Selecting The Speed And Total Time Or Repetitions

    You determine the duration of an activity by selecting either the total time or the number of repetitions. If you select a time, Core:Tx calculates the number of repetitions. If you select the number of repetitions, Core:Tx calculates the total time.
  • Page 46 To select the speed and total time or repetitions: Use the arrow keys to select Activity Setup in the navigation bar and press space bar. • For information about navigating in Core:Tx, see “Navigating in Core:Tx” on page 14. • The Activity Setup panel displays.

  • Page 47: Setting The Difficulty

    To set the difficulty: Use the arrow keys to select Activity Setup in the navigation bar and press space bar. • For information about navigating in Core:Tx, see “Navigating in Core:Tx” on page 14. • The Activity Setup panel displays.

  • Page 48: Saving Activity Settings As The Default

    To save the activity settings as the default: Use the arrow keys to select Activity Setup in the navigation bar and press space bar. • For information about navigating in Core:Tx, see “Navigating in Core:Tx” on page 14. • The Activity Setup panel displays.

  • Page 49: 4:Performing An Activity

    Once you set up the activity, you are ready to have the patient perform the activity. Note Be sure that you have the Core:Tx transceiver turned on and in the proper location. For more information, see “Positioning the Transceiver” on page 40.

  • Page 50: Positioning The Transceiver

    Make sure that the light on the transceiver is on. • For information about turning on the transceiver, see “Starting Core:Tx” on page 11, steps 1 and 2. Place the transceiver between the elastic bands of the appropriate strap. •...
  • Page 51 4: Performing an Activity Pull the elastic bands around each end of the transceiver, one band at a time, centering the transceiver button between the elastic bands and facing outward. Transceiver Elastic band Elastic band Note Make sure the transceiver is secure before starting the exercise.

  • Page 52: Calibrating The Range Of Motion And Starting The Activity

    If Core:Tx is not responding to motion or you find that you have to recalibrate repeatedly while performing an activity, see “Motion Does Not Display Properly on the Computer Screen”...
  • Page 53 4: Performing an Activity To start the activity and calibrate the range of motion: In the Core:Tx software, use the arrow keys to select Activity in the navigation bar and press space bar. • For information about navigating in Core:Tx, see “Navigating in Core:Tx”...

  • Page 54: Understanding The Monitor Activity Screen

    Core:Tx User Guide When the patient is ready to start the activity, use the Start button. • After you start an activity, the Start button changes to Pause. If you need to pause the activity for any reason, use the Pause button.
  • Page 55 4: Performing an Activity spine in a neutral position while doing spinal stabilization exercises. Figure 6 shows the Monitor Activity screen and identifies its parts. Shows the quality of the signal between the transceiver and base station. More bars show a good signal, similar to a cell phone.

  • Page 56: Understanding The Challenge Activity Screen

    Core:Tx User Guide Understanding the Challenge Activity Screen After you configure the activity settings, you can start the activity. For more information, see “Setting Up an Activity” on page 31. Be sure to position the transceiver on the patient correctly. For more information, see “Positioning the Transceiver”...
  • Page 57 4: Performing an Activity Figure 7 shows the Challenge Activity screen and identifies its parts. Shows the quality of the signal between the transceiver and base station. More bars show a good signal, similar to a cell phone. To improve the signal, move anything that is between the Use to start and transceiver and base station.

  • Page 58: Understanding The Audio Feedback

    Core:Tx User Guide Understanding the Audio Feedback The audio feedback gives patients cues about how well they are doing, in addition to the visual feedback. When on, the audio provides feedback to the patient about the activity status. For example, the sound grows louder as the amount of error increases and softer as the amount of error decreases.

  • Page 59: Adjusting The Activity Settings

    You can recalibrate the range of motion if you adjust the transceiver’ s location or you want to change the range of motion. If Core:Tx is not responding to motion or you find that you have to recalibrate repeatedly while performing an activity, see “Motion Does Not Display Properly on the Computer Screen”...
  • Page 60 Core:Tx User Guide...

  • Page 61: 5:Viewing Results

    To view results: Use the arrow keys to select Results in the navigation bar and press space bar. • For information about navigating in Core:Tx, see “Navigating in Core:Tx” on page 14. • The Results panel displays. Use the arrow keys to select Start Date and press space bar.
  • Page 62 Core:Tx User Guide If you want to print the results displayed, use the arrow keys to select Print and press space bar, then select the printer you want and click Print.

  • Page 63: 6:Troubleshooting

    The following sections describe some of the issues that may arise as you use Core:Tx, along with solutions. If you cannot find a solution using this information, you can contact technical support for Core:Tx in the following ways: • Phone: 1.800.722.4749 •...

  • Page 64: Transceiver Light Blinks Or Does Not Come On

    • This typically takes less than 30 seconds, but may take as long as three minutes. For more information, see “Starting Core:Tx” on page 11, steps 1 and 2. Transceiver light blinks at Replace the batteries in the transceiver.

  • Page 65: Motion Does Not Display Properly On The Computer Screen

    40. 2 Make sure the base station is connected to the computer’s USB port. • If it is not connected, close the Core:Tx software, connect the base station, then restart the Core:Tx software. • For more information, see “Connecting the Base Station”...

  • Page 66: Linking Up The Transceiver And Base Station

    Activity graphics are Your computer may not have a graphics card that is jerky or do not have able to display the graphics that Core:Tx uses. The good detail. system will work properly, but the display on your screen will not look as good as it can.
  • Page 67 6: Troubleshooting In the Core:Tx software, use the arrow keys to select Admin in the navigation bar and press space bar. • For information about navigating in Core:Tx, see “Navigating in Core:Tx” on page 14. • The Admin. Login panel displays.
  • Page 68 Core:Tx User Guide...

  • Page 69: 7:Core:tx Exercise Instructions

    The uses of Core:Tx listed in this section represent only a portion of the possible applications. Use the templates starting on page 162 to document your own ideas for using Core:Tx. In addition, you can submit your Core:Tx solutions to Performance Health Technologies via e-mail at support@performancehealth.com.

  • Page 70: Shoulder Internal/External Rotation In 0 Degrees Abduction

    Preparation/Positioning: The patient may be seated or standing. Apply the Core:Tx transceiver to the patient’ s distal forearm, as shown above, with a dark gray strap. Instruct the patient in the desired movement and set up the activity as shown below.
  • Page 71 Challenge Calibration To available ROM To available ROM Set Position To preference Variations: • Use a weighted pulley system or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback to promote controlled movement during resisted exercise.

  • Page 72: Shoulder Internal/External In Abducted Position

    Preparation/Positioning: The patient may be seated or standing. Apply the Core:Tx transceiver to the patient’ s distal forearm, as shown above, with a dark gray strap. Instruct the patient in the desired position and movement and set up the activity as shown...
  • Page 73 Challenge Calibrate To available ROM To available ROM Set Position To preference Variations: • Use a weighted pulley system or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback to promote controlled movement during resisted exercise.
  • Page 74 Core:Tx User Guide • Use weighted balls. • Increase Challenge speed to 5 to have the patient work on advanced neuromuscular training throughout a larger ROM.

  • Page 75: Shoulder Flexion/Extension

    Preparation/Positioning: The patient may be seated or standing. Apply the Core:Tx transceiver to the patient’ s distal forearm, as shown above, with a dark gray strap. Instruct the patient in the desired movement and set up the activity as shown below.
  • Page 76 To preference Variations: • Use Core:Tx for rhythmic stabilization. Have the patient perform Monitor Mode with the speed at 0 (static.) Begin the activity with the patient in the desired position, and have them stabilize as you apply manual perturbation. Have advanced patients hold a weight in their hand during the exercise.
  • Page 77 7: Core:Tx Exercise Instructions • Use hand weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback to promote controlled movement during resisted exercise.

  • Page 78: Shoulder Abduction/Adduction

    Preparation/Positioning: The patient may be seated or standing. Secure the Core:Tx transceiver to the patient’ s distal forearm, as shown above, with a dark gray strap. Instruct the patient in the desired movement and set up the activity as shown below.
  • Page 79 Setting Monitor Challenge Calibrate To available ROM To available ROM Set Position To preference Variations: • Use hand weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback to promote controlled movement during resisted exercise.
  • Page 80 Core:Tx User Guide • Use the calibration function of Monitor Mode to address a specific portion of the patient’ s ROM. • Work in the scapular plane instead of the frontal plane.
  • Page 81 • Perform in the “empty can” position. • Use Core:Tx for rhythmic stabilization. Have the patient perform Monitor Mode with the speed at 0 (static.) Begin the activity with the patient in the desired position, and have them stabilize as you apply manual perturbation. Have advanced...
  • Page 82 Core:Tx User Guide • Use a cane or dowel rod for self-assisted ROM. To emphasize increased ROM, use progressive increases in the calibrated range in Monitor Mode. Begin by having patients work in their comfortable range, then recalibrate and repeat the activity with...

  • Page 83: Shoulder Horizontal Abduction/Adduction

    Preparation/Positioning: Position the patient so the patient is bent at the waist with proper alignment of the spine. A prone position may be substituted if necessary. Apply the Core:Tx transceiver to the distal forearm, as shown above, with a dark gray strap. Ensure that the transceiver axis is parallel to the targeted joint axis.
  • Page 84 Setting Monitor Challenge Calibrate To available ROM To available ROM Set Position To preference Variations: • Use hand weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback to promote controlled movement during resisted exercises.
  • Page 85 7: Core:Tx Exercise Instructions • Have the patient perform active scapular retraction prior to performing horizontal abduction/adduction. • Perform with bilateral upper extremities in a standing position with tubing for resistance.
  • Page 86 Core:Tx User Guide...

  • Page 87: Elbow Flexion/Extension

    Preparation/Positioning: The patient may be seated or standing. Apply the Core:Tx transceiver to the distal forearm, as shown above, with a dark gray strap. Instruct the patient in the desired movement and set up the activity as shown below.
  • Page 88 To preference Variations: • Use hand weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback to promote controlled movement during resisted exercises. • To emphasize increased ROM, use progressive increases in calibration range in Monitor Mode. Begin by having patients work in their comfortable range, then recalibrate and repeat the activity with slightly larger ROM.
  • Page 89 • Perform elbow flexion/extension in closed-chain, wall push-up position. For this application place the Core:Tx transceiver on the proximal forearm as shown below.

  • Page 90: Forearm Pronation/Supination

    Preparation/Positioning: The patient may be seated or standing. Apply the Core:Tx transceiver to the distal forearm, as shown above, with the light gray strap. Instruct the patient in the desired movement and set up the activity as shown below.
  • Page 91 To preference Variations: • Use hand weights, resistive bands, or hand tools for advanced patients. Core:Tx can provide the patient with constant feedback so that the patient uses controlled movement during resisted exercises. • To emphasize increased ROM, use progressive increases in calibration range in Monitor Mode.

  • Page 92: Wrist Flexion/Extension

    Preparation/Positioning: The patient may be seated or standing with the forearm supported. Apply the Core:Tx transceiver to the dorsum of the hand, as shown above, with a dark gray strap. Instruct the patient in the desired movement and set up the activity as shown below.
  • Page 93 To preference Variations: • Use hand weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback so that the patient uses controlled movement during resisted exercises. • To emphasize increased ROM, use progressive increases in calibration range in Monitor Mode.
  • Page 94 • Limited wrist extension can be addressed in a closed-chain position. Place the Core:Tx transceiver on the distal forearm and place the patient’ s palm on a table. By moving patient’ s forearm over a fixed hand, the patient can achieve a localized...

  • Page 95: Wrist Radial/Ulnar Deviation

    Preparation/Positioning: The patient may be seated or standing with the forearm supported. Apply the Core:Tx transceiver to the ulnar aspect of the hand, as shown above, with a dark gray strap. Instruct the patient in the desired movement and set up the activity as shown below.
  • Page 96 To preference Variations: • Use hand weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback so that the patient uses controlled movement during resisted exercises. • To emphasize increased ROM, use progressive increases in calibration range in Monitor Mode.

  • Page 97: Lumbar Stabilization In Sitting Position On Therapy Ball

    Purpose of Exercise: To address neuromuscular control of the muscles stabilizing the lower back. Preparation/Positioning: Apply the Core:Tx transceiver to the patient’ s lower back at the level of L4-5 using the lumbar strap as shown above. Assist the patient into a seated position on the ball and instruct the patient in bilateral arm lifts.
  • Page 98 Core:Tx User Guide Activity Setup Screen Setting Monitor Challenge Speed (static) Time/Reps 1 minute Difficulty Activity Screen Setting Monitor Challenge Calibration To available ROM Set Position Neutral Spine Variations: • Have the patient perform alternating seated hip flexion. • Have the patient perform alternating contralateral hip and...
  • Page 99 • Use small hand weights, ankle weights, or tubing to resist UE/ LE movement while performing this exercise. • Have the patient maintain lumbar positioning while performing scapular retraction bilaterally with resistive bands.
  • Page 100 Core:Tx User Guide • Have the patient sit on the therapy ball and maintain proper positioning while you apply manual perturbation to the patient or the ball.

  • Page 101: Lumbar Mobility

    Lumbar Mobility Purpose of Exercise: To address decreased lumbar mobility. Preparation/Positioning: Apply the Core:Tx transceiver to the lower back at the level of L4-5 using the lumbar strap as shown above. Assist the patient into a seated position on the therapy ball and instruct the patient in the pelvic tilt motion.
  • Page 102 Core:Tx User Guide Activity Setup Screen Setting Monitor Challenge Movement Lumbar APT/PPT Mode Monitor Audio Angle Speed Time/Reps 1 minute Difficulty Activity Screen Setting Monitor Challenge Calibrate To available ROM Set Position Neutral Spine Variations: • Have the patient perform this activity in a quadruped position.

  • Page 104: Body Mechanics Instruction

    Preparation/Positioning: Begin with a thorough explanation of the principles of body mechanics using demonstration, discussion, and any available visual aids. Apply the Core:Tx transceiver to the lower back at the level of L4-5 using the lumbar strap. Instruct the patient in the selected functional activity. Perform the activity setup below, and assist the patient in finding a neutral position of the spine prior to starting the activity.
  • Page 105 Limitations: The Core:Tx cannot disassociate angular changes occurring at the hip from the lumbar spine. Core:Tx is best used with activities that do not include significant hip flexion in a closed-chain environment, such as a deep squat. Activity Setup Screen...
  • Page 106 Core:Tx User Guide – Have the patient simulate vacuuming or sweeping.
  • Page 107 – Have the patient simulate work activities (sorting mail or working with hand tools overhead).

  • Page 108: Lumbar Stabilization During Bridge

    Preparation/Positioning: Instruct the patient in the desired bridge position. Apply the Core:Tx transceiver to the patient’ s abdomen with the strap lying across the iliac crests. Perform the activity setup below, and assist the patient in finding a neutral position of the lumbar spine while bridging.
  • Page 109 Activity Setup Screen Setting Monitor Challenge Audio Angle Speed (static) Time/Reps 1 minute Difficulty Activity Screen Setting Monitor Challenge Calibrate To available ROM Set Position Neutral Spine Variations: • Have the patient perform this activity with both feet on a foam roller or rocker board.
  • Page 110 Core:Tx User Guide • Have the patient perform this activity and lift alternating feet.
  • Page 111 • Have the patient perform this activity with both UE’ s flexed to 90° and hands clasped. Provide manual perturbation to the patient’ s hands. • Provide manual perturbation to the patient’ s hips. • For a dynamic activity, set the speed at 5, calibrate the start and end point of the bridge, and have the patient move in and out of the bridge position with controlled movement.

  • Page 112: Lumbar Stabilization In Quadruped Position

    Purpose of Exercise: To guide a patient in stabilizing the lumbar spine during a quadruped exercise. Preparation/Positioning: Apply the Core:Tx transceiver to the patient’ s low back at the level of L4-5 with the lumbar strap. Assist the patient into a quadruped position. Perform the activity setup, as shown below, and assist the patient in finding a neutral position of the lumbar spine.
  • Page 113 Activity Setup Screen Setting Monitor Challenge Movement Lumbar APT/PPT Mode Monitor Audio Angle Speed (static) Time/Reps 1 minute Difficulty Activity Screen Setting Monitor Challenge Calibrate To available ROM Set Position Neutral Spine Variations: • Have the patient perform alternating LE lifts. •...
  • Page 114 Core:Tx User Guide • Have patients utilize cuff weights on their ankles/wrists for increased challenge. • Have the patient stabilize in the presence of manual perturbation that you apply.

  • Page 115: Lumbar Stabilization During Prone Walk-Outs With Therapy Ball

    Purpose of Exercise: To guide a patient in achieving proper stabilization and neuromuscular control of the trunk. Preparation/Positioning: Apply the Core:Tx transceiver to the patient’ s low back at the level of L4-5 with the lumbar strap. Instruct the patient in the desired lumbar positioning during a therapy ball walk-out.
  • Page 116 Core:Tx User Guide Activity Setup Screen Setting Monitor Challenge Movement Lumbar APT/PPT Mode Monitor Audio Angle Speed (static) Time/Reps 1 minute Difficulty Activity Screen Setting Monitor Challenge Calibrate To available ROM Set Position Neutral Spine Variations: • Have patients progressively work farther out onto the therapy ball as their ability to stabilize improves.

  • Page 118: Lumbar Stabilization In Plank Position

    Purpose of Exercise: To guide a patient in achieving proper stabilization and neuromuscular control of the trunk. Preparation/Positioning: Apply the Core:Tx transceiver to the patient’ s low back at the level of L4-5 with the lumbar strap. Instruct the patient in the plank position. Perform the activity setup below, and assist the patient in finding a neutral position of the spine while in the plank position.
  • Page 119 Activity Setup Screen Setting Monitor Challenge Movement Lumbar APT/PPT Mode Monitor Audio Angle Speed (static) Time/Reps 1 minute Difficulty Activity Screen Setting Monitor Challenge Calibrate To available ROM Set Position Neutral Spine Variations: • Have the patient perform a plank and alternately lift each foot in a steady rhythm.
  • Page 120 Core:Tx User Guide • Have the patient perform a side plank, then perform continuous active abduction of the top leg for a set duration of time.

  • Page 121: Hip Hike

    Preparation/Positioning: The patient should stand in a unilateral stance on the affected lower extremity. Apply the Core:Tx transceiver to the lateral iliac crest of the unaffected lower extremity, as shown above, with the lumbar strap. Instruct the patient in the hip hike movement and set up the activity as shown below.

  • Page 122: Hip Abduction/Adduction

    Core:Tx User Guide Activity Screen Setting Monitor Challenge Calibrate To available ROM To available ROM Set Position To preference Variations: • Have the patient stand on a step to permit additional range of motion. • Perform this activity with an ankle weight on the unaffected lower extremity for additional challenge.
  • Page 123 Preparation/Positioning: The patient should be in a standing position. Apply the Core:Tx transceiver to the distal lower leg, as shown above, with a dark gray strap. Instruct the patient in the movement of hip abduction/adduction, and set up the activity as shown below.
  • Page 124 Core:Tx User Guide • Use ankle weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback so that the patient uses controlled movement while performing resisted exercises.

  • Page 125: Hip Flexion/Extension: Standing Flexion

    “Lumbar Stabilization in Plank Position” on page 108. Hip Flexion/Extension: Standing Flexion Purpose of Exercise: To promote neuromuscular control and strengthening during hip flexion. Preparation/Positioning: The patient should be in a standing position. Apply the Core:Tx transceiver to the distal thigh, as...
  • Page 126 Core:Tx User Guide shown above, with a dark gray strap. Instruct the patient in the movement of hip flexion, and set up the activity as shown below. Activity Setup Screen Setting Monitor Challenge Movement Hip flex/ext Hip flex/ext Mode Monitor...
  • Page 127 • Use ankle weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback so that the patient uses controlled movement while performing resisted exercises.

  • Page 128: Hip Flexion/Extension: Standing Extension

    Preparation/Positioning: The patient should be in a standing position. Apply the Core:Tx transceiver to the distal lower extremity, as shown above, with a dark gray strap. Instruct the patient in the movement of hip extension, and set up the activity as shown below.
  • Page 129 Activity Setup Screen Setting Monitor Challenge Difficulty (beginners) Activity Screen Setting Monitor Challenge Calibrate To available ROM To available ROM Set Position To preference Variations: • Perform this activity in prone position, quadruped, over a therapy ball, or bent at the waist over a treatment table.

  • Page 130: Hip Internal/External Rotation

    Core:Tx User Guide • Use ankle weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback so that the patient uses controlled movement while performing resisted exercises. Hip Internal/External Rotation Purpose of Exercise: To promote neuromuscular control and...
  • Page 131 Preparation/Positioning: Patients should be in a seated position with their hips and knees flexed to 90 degrees. Apply the Core:Tx transceiver to the distal lower extremity, as shown above, with a dark gray strap. The Core:Tx transceiver should be placed on the lateral leg with an anterior-posterior axis.
  • Page 132 Core:Tx User Guide • Perform this exercise in hooklying or quadruped position by placing the Core:Tx transceiver on the lateral distal thigh with the same orientation as previously.

  • Page 133: Knee Flexion/Extension: Laq

    Preparation/Positioning: The patient should be seated in a chair. Apply the Core:Tx transceiver to the distal lower leg, as shown above, with a dark gray strap. Instruct the patient in the required movement and set up the activity as shown below.
  • Page 134 To available ROM Set Position To preference Variations: • Use ankle weights, resistive bands or a knee extension machine for advanced patients. Core:Tx can provide the patient with constant feedback so that the patient uses controlled movement while performing resisted exercises.
  • Page 135 • To help your patients achieve greater extension AROM, utilize progressive increases in calibration range in Monitor Mode. This can help emphasize terminal knee extension.

  • Page 136: Knee Flexion/Extension: Seated Hamstring Curl

    Preparation/Positioning: The patient should be seated in a chair. Apply the Core:Tx transceiver to the distal lower leg, as shown above, with a dark gray strap. Apply resistive tubing to the patient’ s lower leg distal to the Core:Tx transceiver.
  • Page 137 Activity Setup Screen Setting Monitor Challenge Movement Knee flex/ext Knee flex/ext Mode Monitor Challenge Angle Speed (static) Time/Reps 2 minutes 1 minute Difficulty (beginners) Activity Screen Setting Monitor Challenge Calibrate To available ROM To available ROM Set Position To preference Variations: •...
  • Page 138 Core:Tx User Guide • For greater emphasis on increasing knee flexion ROM, have the patient in supine position with both feet sliding on a wall for gravity-assisted flexion stretch. You can utilize audio feedback if the patient cannot comfortably view the screen.

  • Page 139: Knee Flexion/Extension: Standing Hamstring Curl

    Preparation/Positioning: The patient should be in a standing position. Apply the Core:Tx transceiver to the distal lower leg, as shown above, with a dark gray strap. Instruct the patient in the required movement and set up the activity as shown below.
  • Page 140 Core:Tx User Guide Activity Setup Screen Setting Monitor Challenge Speed (static) Time/Reps 2 minutes 1 minute Difficulty (beginners) Activity Screen Setting Monitor Challenge Calibrate To available ROM To available ROM Set Position To preference Variations: • For an increased challenge, utilize ankle weights or resistive...

  • Page 141: Knee Flexion/Extension: Terminal Knee Extension

    Preparation/Positioning: The patient should be positioned in a supine position with a bolster supporting the distal thigh. Apply the Core:Tx transceiver to the distal lower leg, as shown above, with a dark gray strap. Instruct the patient in the desired movement and set up the activity as shown below.
  • Page 142 Variations: • For closed-chain emphasis on terminal extension with resistance, have the patient stand and place the Core:Tx transceiver above the knee as shown below. With resistive tubing secured posterior to the distal thigh, have the patient emphasize full extension.

  • Page 143: Knee Flexion/Extension: Closed-Chain Squat

    Preparation/Positioning: Patients should be in a standing position with their feet shoulder width apart. Apply the Core:Tx transceiver to the distal thigh, as shown above, with a dark gray strap. Instruct the patient in proper squatting form, and set up the activity as shown below.
  • Page 144 Core:Tx User Guide Activity Setup Screen Setting Monitor Challenge Time/Reps 2 minutes 1 minute Difficulty (beginners) Activity Screen Setting Monitor Challenge Calibrate To available ROM To available ROM Set Position To preference Variations: • Have patients perform a squat with their back against a wall.
  • Page 145 • Use resistive tubing to add a resistive component to neuromuscular reeducation. Have the patient stand on a long section of tubing with the ends in either hand. Pull the tubing taut to increase resistance with hip/knee extension. • Perform the squat while on a rocker board, dynadisc, or foam pad.
  • Page 146 Core:Tx User Guide • Have patients squeeze a ball between their knees while performing a squat.

  • Page 147: Knee Flexion/Extension: Unilateral Squat

    Knee Flexion/Extension: Unilateral Squat...
  • Page 148 Preparation/Positioning: The patient should stand in unilateral stance on the affected lower extremity. Apply the Core:Tx transceiver to the distal thigh, as shown above, with a dark gray strap. Instruct the patient in the desired movement and set up the activity as shown below.
  • Page 149 • Use resistive tubing to add a resistive component to neuromuscular reeducation. Have the patient stand on a long section of tubing with the ends in one hand. Pull the tubing taut to increase resistance with hip/knee extension. • Perform the unilateral squat while on a rocker board, dynadisc, or foam pad.
  • Page 150 Core:Tx User Guide • Have the patient perform a unilateral squat while moving a medicine ball with bilateral upper extremities.

  • Page 151: Knee Flexion/Extension: Squat And Hold

    Purpose of Exercise: To address neuromuscular control and strengthening during a closed chain squat. Preparation/Positioning: The patient should be in a standing position. Apply the Core:Tx transceiver to the distal thigh, as shown above, with a dark gray strap. Instruct the patient in proper...
  • Page 152 Core:Tx User Guide squatting form. The patient will then perform a long-duration static squat activity with feedback from the static Monitor Mode. Activity Setup Screen Setting Monitor Challenge Movement Knee flex/ext Mode Monitor Audio Angle Speed (static) Time/Reps 30 seconds...
  • Page 153 • Utilize this same activity in multiple positions; require the patient to hold each squat for 60 seconds at 15, 30, and 45 degrees of hip flexion, for example. • Utilize a rebounder for ball tossing while performing this activity.

  • Page 154: Knee Flexion/Extension: Step-Up

    Preparation/Positioning: The patient should stand on the affected LE on a step. Apply the Core:Tx transceiver to the distal thigh, as shown above, with a dark gray strap. Instruct the patient in proper step-up form, and set up the activity as shown below.
  • Page 155 Activity Setup Screen Setting Monitor Challenge Time/Reps 1 minute 1 minute Difficulty (beginners) Activity Screen Setting Monitor Challenge Calibrate To available ROM To available ROM Set Position To preference Variations: • Perform this activity with hand support initially and progress to hands free.

  • Page 156: Knee Varus/Valgus

    Explain the definition of varus/valgus and why controlling this aspect of movement is important. Apply the Core:Tx transceiver to the anterior distal thigh, as shown above, with a light gray strap for a horizontal orientation. For additional strap length, use the extension strap. Ensure that the patient is in a desirable position of varus/valgus prior to starting the activity.
  • Page 157 Activity Setup Screen Setting Monitor Challenge Audio Angle Speed (static) Time/Reps 1 minute Difficulty Activity Screen Setting Monitor Challenge Calibrate To available ROM Set Position Desired varus/valgus...
  • Page 158 Core:Tx User Guide...

  • Page 159: Ankle Dorsiflexion/Plantarflexion

    Preparation/Positioning: The patient should be seated in a chair with the lower leg supported and the ankle/foot unsupported. Apply the Core:Tx transceiver to the plantar aspect of the foot, as shown above, with a dark gray strap. Instruct the patient in the required movement of plantarflexion/dorsiflexion and set up the activity as shown below.
  • Page 160 To preference Variations: • Use ankle weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback so that the patient uses controlled movement while performing resisted exercises. • To emphasize increased ROM, use progressive increases in...

  • Page 161: Ankle Inversion/Eversion

    Preparation/Positioning: The patient should be seated in a chair with the lower leg supported and the ankle/foot unsupported. Apply the Core:Tx transceiver to the plantar aspect of the ball of the foot, as shown above, with a light gray strap. Instruct the patient in the required movement of inversion/eversion, and set up the activity as shown below.
  • Page 162 To available ROM To available ROM Set Position To preference Variations: • Use ankle weights or resistive bands for advanced patients. Core:Tx can provide the patient with constant feedback so that the patient uses controlled movement while performing resisted exercises.
  • Page 163 • To emphasize increased ROM, use progressive increases in calibration range in Monitor Mode. Begin by having patients work in their comfortable range, then recalibrate and repeat the activity with slightly larger ROM. Associated Exercises: • See the knee exercises starting on page 123 for closed-chain, neuromuscular reeducation exercises.
  • Page 164 Core:Tx User Guide...

  • Page 165: Core:tx Creative Solutions

    Core:Tx Creative Solutions showcases some innovative approaches to common rehabilitation problems. However, the uses listed in this chapter represent only a portion of the possible Core:Tx applications. Use the templates in “Exercise Templates” on page 162 to document your own Creative Solutions. You can also send your ideas to Performance Health Technologies via e-mail at support@performancehealth.com.
  • Page 166 Instruct patients in the goal of the treatment session: to achieve and maintain midline orientation. Apply the Core:Tx transceiver to the lateral trunk using the lumbar strap. Set up the activity, as shown below, and assist the patient into correct midline orientation before beginning the activity.

  • Page 167: Avoiding Knee Hyperextension With Weight Shifting

    The patient should understand that the goal of this intervention is to prevent excessive knee hyperextension. Apply the Core:Tx transceiver to the patient’ s knee with a dark gray strap. Utilizing audio and visual feedback, encourage the patient to move freely into flexion, but not to move past the targeted amount of extension.
  • Page 168 Core:Tx User Guide Activity Setup Screen Setting Monitor Challenge Movement Shoulder flex/ext Mode Monitor Audio Angle Speed 0 (static) Time/Reps 5 minutes Activity Screen Setting Monitor Challenge Calibrate To available ROM Set Position Desired Extension Variations: • Once the patient has mastered the ability to weight-shift without hyperextending, have the patient step in place with the opposite foot.

  • Page 169: Foam Roller Exercises

    Preparation/Positioning: Secure the Core:Tx transceiver directly to a half-round roller using the light gray strap and the strap extension. The Core:Tx transceiver should be positioned on the top of the roller. Assist the patient into a standing position on the roller.
  • Page 170 Core:Tx User Guide Activity Setup Screen Setting Monitor Challenge Movement Any movement Mode Monitor Audio Angle Speed (static) Time/Reps 1 minute Activity Screen Setting Monitor Challenge Calibrate To available ROM Set Position Roller level Variations: • Have the patient balance on the half-round foam roller while tossing a ball.
  • Page 171 • Have the patient use Monitor Mode with speed set to 5 for an eversion/inversion AROM exercise in sitting position with the foot positioned on the foam roller.

  • Page 172: Exercise Templates

    Core:Tx User Guide Exercise Templates Exercise: _____________________________________________ Purpose: ______________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Position: ______________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Activity Setup Screen Setting Monitor Challenge Movement Mode Monitor Challenge Audio Angle Speed Time/Reps Activity Screen Setting Monitor Challenge Calibrate Set Position...
  • Page 173 Exercise: _____________________________________________ Purpose: _____________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Position: _____________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Activity Setup Screen Setting Monitor Challenge Movement Mode Monitor Challenge Audio Angle Speed Time/Reps Activity Screen Setting Monitor Challenge Calibrate Set Position Notes:...
  • Page 174 Core:Tx User Guide Exercise: _____________________________________________ Purpose: ______________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Position: ______________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Activity Setup Screen Setting Monitor Challenge Movement Mode Monitor Challenge Audio Angle Speed Time/Reps Activity Screen Setting Monitor Challenge Calibrate Set Position Notes:...
  • Page 175 Exercise: _____________________________________________ Purpose: _____________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Position: _____________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Activity Setup Screen Setting Monitor Challenge Movement Mode Monitor Challenge Audio Angle Speed Time/Reps Activity Screen Setting Monitor Challenge Calibrate Set Position Notes:...
  • Page 176 Core:Tx User Guide Exercise: _____________________________________________ Purpose: ______________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Position: ______________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Activity Setup Screen Setting Monitor Challenge Movement Mode Monitor Challenge Audio Angle Speed Time/Reps Activity Screen Setting Monitor Challenge Calibrate Set Position Notes:...
  • Page 177 Exercise: _____________________________________________ Purpose: _____________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Position: _____________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ Activity Setup Screen Setting Monitor Challenge Movement Mode Monitor Challenge Audio Angle Speed Time/Reps Activity Screen Setting Monitor Challenge Calibrate Set Position Notes:...

  • Page 178: Abbreviations

    Core:Tx User Guide Abbreviations APT: anterior pelvic tilt Abd: abduction Add: adduction AROM: active range of motion CVA: cerebrovascular accident DF: dorsiflexion ER: external rotation Ev: eversion Ext: extension FA: forearm Flex: flexion Inv: inversion IR: internal rotation LAQ: long arc quad...

  • Page 179: Limited Warranty

    CORE:TX UNIT: PERFORMANCE HEALTH TECHNOLOGIES will warranty the Core:Tx base station & transceiver and components for a period of one (1) year from original date of purchase. DURATION OF WARRANTY: LABOR:...
  • Page 180 PERFORMANCE HEALTH TECHNOLOGIES AND ITS REPRESENTATIVES OR AGENTS SHALL IN NO EVENT BE LIABLE FOR ANY GENERAL, INDIRECT OR CONSEQUENTIAL DAMAGES ARISING OUT OF OR OCCASIONED BY THE USE OR THE INABILITY TO USE THIS PRODUCT.

  • Page 181: Index

    Angle button 34 selecting 32 angle, selecting for the activity 34 Change Password button 23 ankle exercises changing the Core:Tx password 23 dorsiflexion/plantarflexion 149 cleaning the Core:Tx 6 inversion/eversion 151 closing the Core:Tx software 18 arrow keys, using to navigate in...
  • Page 182 14 End Date button 51 overview 2 exercises setting up the hardware 8 abbreviations for 168 starting the software 11 defined as used with Core:Tx terminology 16 troubleshooting 53 instructions for use with understanding the Core:Tx Core:Tx 59 window 14...
  • Page 183 8 walk-outs with therapy installation, troubleshooting 53 ball 105 installing the Core:Tx software 7 stabilization in plank position keyboard, using to navigate in stabilization in quadruped posi- Core:Tx 14 tion 102...
  • Page 184 Core:Tx User Guide an activity movement 31 buttons 14 package contents 2 functions in the navigation bar password changing 23 items in a list 14 re-creating 53 the activity angle 34 troubleshooting 53 the activity difficulty 37 patient data the activity mode 32...
  • Page 185 33 Start button 44 typographic conventions 2 Start Date button 51 starting viewing results 51 the activity 39 the Core:Tx software 11 warranty 169 static activities wrist exercises defined 35 flexion/extension 82 setting the position for 42...
  • Page 186 Core:Tx User Guide...
  • Page 188 Performance Health Technologies 6654 Gunpark Drive Second Floor Boulder, Colorado 80301 1.800.722.4749 www.performancehealth.com Part number 40-C01-1004...

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