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Bertec Balance Advantage Spark Systems User Manual

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80P-0091
2023-09
Bertec
Balance Advantage
®
®
Spark Systems User Manual
www.bertec.com

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  • Page 1 80P-0091 2023-09 Bertec Balance Advantage ® ® Spark Systems User Manual www.bertec.com...
  • Page 2 Spark Systems User Manual 80P-0091 2023-09...
  • Page 3 Fax: +1 614 430-5425 Information: info@bertec.com Sales: sales@bertec.com Support: support@bertec.com www.bertec.com Bertec’s authorized representative in the European Community: Emergo Europe Westervoortsedijk 60 6827 AT Arnhem The Netherlands Notice: Any serious incident that has occurred in relation to the Balance Advantage Static,...
  • Page 4 Bertec Corporation or its licensees. ® Balance Advantage, We Bring Balance to Lives, Bertec Corporation, and their logos are trademarks of Bertec Corporation. Other trademarks are the property of their respective owners. Printed in the United States of America.
  • Page 5 Software and Firmware License Agreement Bertec Corporation Software and Firmware License Agreement Clause 1 Subject of the Agreement The License granted pursuant to this Agreement pertains to any and all software and firmware contained on or in all associated hardware, equipment, and systems developed and produced by Licensor (“Product” or “Products”).
  • Page 6 Software and Firmware License Agreement Licensor warrants to Licensee that it is the legal owner of the Products and the same are delivered to Licensee free of any liens or restrictions. The Products are delivered to Licensee pursuant to the warranty terms and conditions set forth on Licensor’s Purchase Order documentation.
  • Page 7 Instructions for Use This manual covers standard operating procedures for the following products: - Bertec® Balance Advantage® CDP Spark System - Bertec® Balance Advantage® Essential Spark System WARNING: Federal law restricts this device to sale or on the order of a medical practitioner. When prescribed for therapeutic purpose, the prescriber should clearly define the parameters of use (i.e.
  • Page 8 - All Bertec CDP Spark systems are intended to remain in place after installation. Bertec® Corporation must be contacted if, for any reason, the Bertec CDP Spark system must be moved. Bertec Essential Spark units may be moved as necessary.

  • Page 9: General Maintenance

    General Maintenance Bertec® balance systems require only basic maintenance, performed on an as-needed basis. For more in-depth cleaning instructions see the Bertec Maintenance Manual. CDP Spark Systems - Wipe down the inner surface of dome with damp cloth or Windex-like solution.

  • Page 10: Preventative Maintenance

    Preventative Maintenance Bertec recommends and provides a preventative maintenance service to be performed yearly on your Bertec equipment. The preventative maintenance service includes the following procedures to ensure your system is performing as designed. - PC Performance Checkup - Balance Advantage Software Update...
  • Page 11 Table of Contents Welcome Training Fundamentals Setting Up a Training Session Bertec® Balance Advantage® CDP Spark Training/Test Options Visual Training Options Bertec® Balance Advantage® Essential Spark Saving, Loading, and Viewing a Training Report Compliance Score Fundamental Operations System Safety Turning on the CDP Spark System...
  • Page 12 Sections which are only applicable to certain packages are marked as such. Below is a brief overview of the two Bertec Balance Advantage Spark System Packages, along ®...
  • Page 13 Bertec Balance Advantage CDP Spark ® ® BERTEC® BALANCE ADVANTAGE® PACKAGES Standard Package - Bertec Balance Advantage® - Height adjustable clinician software workstation - Dynamic base with dual-balance - Dedicated computer plate - Touchscreen monitor - Immersive virtual environment - Wireless keyboard...
  • Page 14 Bertec Balance Advantage CDP Spark ® ® Specifiations Balance Plate Fz (Vertical Force) Sensitivity 0.05 lb Balance Plate COP Accuracy ± 0.08 in (forboth COP x and y) ± 10 deg rotational displacement Motion Base Rotation (AP) ± 50 deg/sec max rotational velocity ±...

  • Page 15: Specifications

    BERTEC® BALANCE ADVANTAGE® PACKAGES Standard Package Optional Components - Bertec® Balance Advantage® - Carrying case software - COBALT™ powered by Bertec® - Dual-balance force plate - Laptop computer - Power cable and USB cable - Wireless pointing device/mouse - Foam balance pad (18”...

  • Page 16: Fundamental Operations

    Note: The base, turned on, is shown in Figure 4. To turn off the entire base, press the opposite end of the switch marked with an “O”. Do not turn off the base unless Bertec Support recommends ®...
  • Page 17 2. The power button will illuminate once the system is turned on. 3. Log in to the desktop. 4. On the desktop, click on the Bertec® Balance Advantage® logo to load the software. 5. If prompted for a password, enter “password” in all lower-case letters, then press the Enter key on the keyboard (or click the “Login”...
  • Page 18 1. Push the computer’s power button. 2. Log in to the desktop. 3. On the desktop, click on the Bertec® Balance Advantage® logo to load the software. 4. Keep the plate clear of objects until the operator is successfully logged in to the system.
  • Page 19 Fundamental Operations Clinician Home Screen It is crucial that all operators learn to navigate the clinician home screen. The clinician home screen is the first screen seen immediately after the operator (or administrator) logs in. Upon logging in, the operator will automatically be shown the Patients tab and be able to see the system’s list of patients.

  • Page 20: Options Setup

    Fundamental Operations: Facility Setup and System Configuration Facility Setup and System Configuration In the initial setup, the administrative operator will need to configure the software to best suit the needs of the facility. Units of measurement, report headers, and facility information needs to be selected and entered. After initial setup, the configuration options area can still be accessed by operators granted permission to do so (see note above).
  • Page 21 Fundamental Operations: Facility Setup and System Configuration Test Settings The Test Settings configuration options, shown in Figure 9, are used to control how tests behave. One customizable setting is to turn the sounds used to indicate the start, stop, or test failure on or off. Additionally, the type of sound the system plays can be changed in this section to any .WAV file contained on the computer.
  • Page 22 Fundamental Operations: Facility Setup and System Configuration Additional Fields Additional fields allow the operator to attach information to each patient record. Any fields that have the “Required” column checked are must-have fields which must be filled in by the operator before the patient record can be saved.
  • Page 23 Fundamental Operations: Facility Setup and System Configuration Figure 10: Edit Additional Field Figure 11: Allow Multiple Selections Box. Figure 12: Values Editor Window Spark Systems User Manual 80P-0091 2023-09...
  • Page 24 Fundamental Operations: Establishing New Patients Establishing New Patients Note: It is recommended that a test patient, obviously named so, is created on the database for training purposes. To Create a New Patient 1. Click on the New Patient button in the center of the screen immediately after logging into the system and arriving at the clinician home screen or select New Patient from the patient list and then click on...
  • Page 25 Fundamental Operations: Recalling Existing Patients Recalling Existing Patients To Select a Patient who is Already in the System 1. Click on the Patients tab. 2. A list of patients will appear on the left side of the screen. By default, this list is sorted by the most recently used profile.
  • Page 26 Fundamental Operations: New Plate Configuration New Plate Configuration When an unrecognized plate is connected to the system, a pop-up window will appear immediately after the operator logs into the software, as shown in Figure 16. The operator should click on the image matching the plate that has just been plugged in and select OK.
  • Page 27 Fundamental Operations: Patient Assessment Patient Assessment To Start a Patient Assessment 1. Create a New Patient or access an Existing Patient. 2. To perform new assessments, click the Assessments tab, shown in Figure 17, then drag and drop the desired assessment(s) into the Test Series List, located on the left.
  • Page 28 Fundamental Operations: Patient Assessment Figure 19: Example Clinician Screen During Assessment. To View and Print Reports of Completed Assessments 1. Navigate to the patient tab and confirm the correct patient is selected. 2. Above the patient information is a timeline that displays a date for each day a record has been recorded for the patient.
  • Page 29 Fundamental Operations: Re-collecting Trials Re-collecting Trials Trials may be discarded and data re-collected in the event of patient non-compliance (ex. sneezes, asks a question, opens their eyes, etc. while a trial is being collected). To Repeat a Trial 1. Hold down the Control (Ctrl) button and press the Delete (Del) button. 2.
  • Page 30 Fundamental Operations: Saving and Loading a List of Assessments Saving and Loading a List of Assessments The Balance Advantage® software allows the operator to create a series of assessments and trainings that may be saved for future use with any patient. To Save the List 1.

  • Page 31: Assessment Reports

    Fundamental Operations: Assessment Reports Assessment Reports Assessment results may be presented through a variety of report types: Individual Test Reports, Combined Reports, Daily Training Reports, and Progress Reports. Additionally, the report legend is discussed in this session, as well as exporting ASCII data. Individual Test Reports Individual Test Reports present the results from a single assessment performed on a specific day.
  • Page 32 Fundamental Operations: Assessment Reports Daily Training Reports This report is a cumulative record of the patient’s exercises performed throughout the training session. The exercise, the difficulty settings, the parameters, and the patient’s score may be printed with this report. Figure 25 is an example Leftward VMS Daily Training Report.
  • Page 33 Fundamental Operations: Patient Screen Layout Patient Screen Layout In general, the patient screen will display either relevant target information, such as the Limits of Stability circle, or picture examples of how the test should be performed during assessments. Some patient screens will display starting cues or other instructions.

  • Page 34: Database Maintenance

    Fundamental Operations: Database Maintenance Database Maintenance Note: Only operators granted the role of super operator/system admin can access these configuration options. To Access the Database Configuration Page 1. Click on the Gear System icon (located in the top right corner of the screen). 2.

  • Page 35: Backup/Restore Database

    2. Select a folder to save the archive in. This includes removable media, so long as the device is not removed until the archiving process is finished. The default folder location is: C:\ProgramData\Bertec\BalanceAdvantage. 3. The archiving process can be canceled at any time by clicking the Cancel button. Canceled archives will not be saved.
  • Page 36 Fundamental Operations: Database Maintenance Merge Options A merge can be performed through a one-way (from a database archive) operation. The Database Configuration page is used for one-way merging. Merging from an Archive When merging from a database archive file – a one-way merge operation – an existing database archive will need to be selected by the operator.

  • Page 37: Turning The System Off

    Yes to confirm the logout. Figure 35: Software Logout Button 2. From the Bertec® login screen, click on the [X] button in the upper right cor- ner of the screen (Figure 36). 3. Select the power button (or power options button, depending on the version of Windows), and click on the option to Shut Down.
  • Page 38 Essential Spark Assessments Each assessment is described in-depth and contains the following: 1. a figure of the assessment’s icon, as it appears in the Assessment tab on the Balance Advantage® software 2. an image of the clinician’s screen before testing 3.

  • Page 39: Patient Instructions

    Essential Spark Assessments: mCTSIB Modified Clinical Test of Sensory Interaction on Balance (mCTSIB) IMPORTANT! - Please make sure you are in a position to help the patient if they begin to lose their balance, as the clinician is responsible for the safety of himself or herself, the patient, others in the surrounding area, and the equipment.
  • Page 40 Essential Spark Assessments: mCTSIB Eyes Open on Firm Surface - Click on the Eyes Open button on the clinician screen. - Instructions for proper foot alignment are given on the clinician screen, as the patient’s feet need to be placed apart at specific lines on the balance plate.
  • Page 41 Essential Spark Assessments: mCTSIB Caution/General Assessment Information Trials may be interrupted at any time by selecting the Stop button on the clinician screen or the third button on the wireless remote (see Appendix E). When a trial is stopped, the software will prompt whether the operator wants to keep or discard the data.
  • Page 42 Essential Spark Assessments: mCTSIB Test Analysis Generated Reports will Include: - Center of Gravity (COG): Indicates the sway velocity in degrees per second. - Mean Center of Gravity Sway Velocity for each condition. - Composite Sway Score: Average over the trials. - Center of Gravity Alignment: Indicates the patient’s Center of Gravity position in relation to the center of the base of support at the start of each of the trials.
  • Page 43 Essential Spark Assessments: mCTSIB Practical Considerations Abnormal Sway or Fall Implications None Normal individuals have minimal sway on the firm surface either with eyes open or closed. Also, normal individuals have increased sway on the foam surface, but they do not usually lose balance or fall. C1 and C2 (plus C3 and C4) Abnormal sway on the firm surface indicates that the patient has difficulty incorporating somatosensory information in balance control.
  • Page 44 Essential Spark Assessments: LOS Limits of Stability (LOS) IMPORTANT! - Please make sure you are in a position to help the patient if they begin to lose their balance, as the clinician is responsible for the safety of himself or herself, the patient, others in the surrounding area, and the equipment. Goal The goal is to determine the maximum distance that the patient is able to displace his/her center of pressure from the primary vertical position in...
  • Page 45 Essential Spark Assessments: LOS Test Sequences A total of 8 different directions are tested during the assessment. - Trial 1: Forward - Trial 2: Forward – Right - Trial 3: Right - Trial 4: Backward – Right - Trial 5: Backward - Trial 6: Backward –...
  • Page 46 Essential Spark Assessments: LOS Test Completion Protocol - At the completion of the task(s), the test may be closed or the next test may be initiated. - It is recommended that final comments are added at this time. - Click on a test in the list (i.e. Forward) to perform it. Test Analysis Generated Reports Will Include: - Directional Control (DCL): A measurement of how much of the patient’s movement was in the target direction.
  • Page 47 Essential Spark Assessments: LOS Practical Considerations The LOS test provides information about the volitional motor control in dynamic conditions. Abnormalities in the LOS test indicate an increased risk of falling. Abnormalities in the LOS test can be caused by: Abnormality Implications Reduced EPE or MXE or DCL Limited range of motion, weakness, and other musculoskel- etal...
  • Page 48 CDP Spark Assessments Caution! The CDP Spark System should only be operated by a user who has been trained on both the system’s functionality and safety protocols. Information regarding dynamic plate assessments can be found on the following pages. Each assessment is described in-depth and contains 1.
  • Page 49 CDP Spark Assessments: Sensory Organization Test (SOT) Sensory Organization Test (SOT) IMPORTANT! - Please make sure you are in a position to help the patient if they begin to lose their balance, as the clinician is responsible for the safety of himself or herself, the patient, others in the surrounding area, and the equipment.
  • Page 50 CDP Spark Assessments: Sensory Organization Test (SOT) Protocol Performance - The screen for the patient will display one of three virtual reality environments (Oval, Simple Room, or Infinite Tunnel); any patient specific instructions will be displayed on this screen. - The screen on the clinician’s monitor will display trial history and control the start (or stop, if needed) of a trial. - A total of eighteen trials are available for completion: three for each sensory condition.
  • Page 51 CDP Spark Assessments: Sensory Organization Test (SOT) Caution/General Assessment Information Trials may be interrupted at any time by selecting the Stop button on the clinician screen or the third button on the wireless remote (Appendix E). When a trial is stopped, the software will prompt whether the operator wants to keep or discard the data.

  • Page 52: Practical Considerations

    CDP Spark Assessments: Sensory Organization Test (SOT) Reports Summary Reports: Summary of patient’s performance during one trial or trial series. - A graphic depiction of each of the three areas of analysis with numeric data given above each bar in the bar graphs.
  • Page 53 CDP Spark Assessments: Sensory Organization Test (SOT) Figure 47: SOT Report Information. Spark Systems User Manual 80P-0091 2023-09...
  • Page 54 CDP Spark Assessments: Motor Control Test (MCT) Motor Control Test (MCT) IMPORTANT! - Please make sure you are in a position to help the patient if they begin to lose their balance, as the clinician is responsible for the safety of himself or herself, the patient, others in the surrounding area, and the equipment.
  • Page 55 CDP Spark Assessments: Motor Control Test (MCT) Figure 49: MCT Clinician Screen Caution/General Assessment Information Trials may be interrupted at any time by selecting the Stop button on the clinician screen or the third button on the wireless remote (Appendix E). When a trial is stopped, the software will prompt whether the operator wants to keep or discard the data.
  • Page 56 CDP Spark Assessments: Motor Control Test (MCT) Test Completion Protocol - At the completion of the task(s), the test may be closed or the next test may be initiated. - It is recommended that final comments are added at this time. - Click on a test in the list (i.e.
  • Page 57 CDP Spark Assessments: Motor Control Test (MCT) Manually Marking Latency Values - At times, latency scores must be manually marked. Within the MCT report, click on the “Manually Mark Latencies” button. - The popup window contains the available trials for re-scoring, the COP line charts for the left and right leg, and the Save/Close buttons.
  • Page 58 CDP Spark Assessments: Adaptation Test (ADT) Adaptation Test (ADT) IMPORTANT! - Please make sure you are in a position to help the patient if they begin to lose their balance, as the clinician is responsible for the safety of himself or herself, the patient, others in the surrounding area, and the equipment. Goal The goal is to assess the patient’s ability to reduce sway and increase postural stability in response to repeated rotations of the support surface.
  • Page 59 CDP Spark Assessments: Adaptation Test (ADT) Figure 53: ADT Clinician Screen. Caution/General Assessment Information Trials may be interrupted at any time by selecting the Stop button on the clinician screen or the third button on the wireless remote (Appendix E). When a trial is stopped, the software will prompt whether the operator wants to keep or discard the data.
  • Page 60 CDP Spark Assessments: Adaptation Test (ADT) Test Completion Protocol - At the completion of the task(s), the test may be closed or the next test may be initiated. - It is recommended that final comments are added at this time. - Click on a test in the list (i.e.
  • Page 61 CDP Spark Assessments: Adaptation Test (ADT) Practical Considerations Abnormality Implications None Normal individuals can quickly adapt to the repeated support rotations. The sway is reduced and the postural stability improves progressively after each exposure to the support disturbance. Abnormal ADT Abnormal ADT scores indicate failure to adapt to repeated rotations for the support surface.
  • Page 62 Additional Assessment Protocols Additional protocols are available on each system which can assist in the evaluation of highly athletic patients or those with head injury. Protocols available on the Essential Spark include: - COBALT Protocols available on the CDP Spark include: - Head-Shake Sensory Organization Test (HS-SOT) To add one of the above assessments onto a system, speak with your sales representative.
  • Page 63 Additional Assessment Protocols: COBALT™ COBALT ™ IMPORTANT! - Please make sure you are in a position to help the patient if they begin to lose their balance, as the clinician is responsible for the safety of himself or herself, the patient, others in the surrounding area, and the equipment. Goal COBALT is a trademarked protocol for functional balance testing related to head injury.
  • Page 64 Additional Assessment Protocols: COBALT™ Figure 57: COBALT Setup Figure 58: COBALT Clinician Screen. Patient Instructions Patients are instructed to stand still with their eyes open (or closed) and with their hands placed on their hips. Shoes, socks, and any athletic taping should be removed prior to the start of the evaluation. The following are considered errors: - Stepping off the plate/foam during testing - Moving one’s feet on board/foam during testing...
  • Page 65 Additional Assessment Protocols: COBALT™ Condition 3: Normal Stance Head Shake + Eyes Closed - Patient is instructed to stand still with their feet placed according to the on-screen instructions, hands placed on their hips, and eyes closed (same as Normal Stance: Eyes Closed). - The patient is then asked to move their head in sync with a metronome (120 beats/min).
  • Page 66 Additional Assessment Protocols: COBALT™ Condition 8: Narrow Stance Visual Motor Sensitivity (VMS) on Foam - Place foam on the balance plate. - Performed exactly the same as the VMS test on the firm surface. - At the conclusion of the trial, allow for 10-20 seconds of rest before starting the next trial. - Errors are recorded by the clinician as before.
  • Page 67 Additional Assessment Protocols: COBALT™ Figure 59: COBALT Report Information Spark Systems User Manual 80P-0091 2023-09...
  • Page 68 Additional Assessment Protocols: Head-Shake Sensory Organization Test (HS-SOT) Head-Shake Sensory Organization Test (HS-SOT) IMPORTANT! - Please make sure you are in a position to help the patient if they begin to lose their balance, as the clinician is responsible for the safety of himself or herself, the patient, others in the surrounding area, and the equipment.
  • Page 69 Additional Assessment Protocols: Head-Shake Sensory Organization Test (HS-SOT) Figure 61: HS-SOT Clinician Screen. Protocol Performance - The screen for the patient can display one of two virtual environments: neutral or oval. - The screen on the clinician’s monitor will display trial history and control the start (or stop, if needed) of a trial. - The clinician will decide how many trials to complete.
  • Page 70 Additional Assessment Protocols: Head-Shake Sensory Organization Test (HS-SOT) Test Analysis The report will present the following: - Equilibrium Score Ratio: Ratio comparing the equilibrium balance control score with head movement to the same scores calculated with the patient’s head fixed. - SOT Equilibrium Scores - The score provides quantitative evaluation of the person’s sway during the SOT trial.
  • Page 71 Additional Assessment Protocols: Head-Shake Sensory Organization Test (HS-SOT) Hygienic Bouffant Cap should be worn underneath the headband when performing this protocol. Practical Considerations: Abnormality Implications None Normal individuals have modest increase in sway during HS- SOT especially with eyes closed. However, they can usually maintain postural stability and avoid falling.
  • Page 72 Training Fundamentals A wide variety of balance training exercises are available on each balance package. All of the systems implement versions of Quick training. Setting up a Training Session Training screen templates are designed to be easy to use. To begin setting up a training session, follow these steps from the BBA program: 1.
  • Page 73 Training Fundamentals Training/Test Options: Additional Training options allow for the training conditions to be tailored to a patient’s needs. Possible options are included below. Limits of Stability (LOS) The patient may progress from 25% through 100% for additional levels of difficulty. Changing the percent of difficulty adjusts how far a patient must move to reach a target.
  • Page 74 Training Fundamentals Visual Training Options The training types listed below are only available on the CDP Spark system. Sway Gain Controls how much the plate moves while performing a training protocol. - A setting of 0 means the plate does not move at all. - A setting of 2 rotates the plate twice the amount the patient is leaning.
  • Page 75 Training Fundamentals Saving, Loading, and Viewing a Training Report Saving: any list of trainings that has been selected may be saved for use with multiple patients. To save the list - Select the trainings by placing them in the left column. - Set the options for each of the training exercises.

  • Page 76: System Safety

    The requirement applies in the European Union. Do not dispose of these products as unsorted municipal waste. You can return your device to Bertec or to any Bertec supplier. you can also contact you local authorities for advice on disposal.
  • Page 77 Your remote has been programmed to work with a static system. Your remote has been programmed to work with a dynamic system. Your remote has been programmed to work with Bertec Vision Advantage (BVA). Catalog Number (used in compliance with ISO 15223-1)

  • Page 78: Warning Notes

    Note 9 None of the Bertec system parts are user servicable. For the sake of safety, and in order not to void the warranty, the system should only be serviced by authorized service personel. In case of defects, please make a detailed description of the defect(s) and contact your supplier.
  • Page 79 Bertec Balance Advantage Dynamic System. According to IEC 60601-1 standards, this system will only be connected wirelessly to the internet. If your facility is a hospital or university setting, please contact Bertec support to discuss your specific enviornment and conditions so that we may provide the best solution for syncing databases.

  • Page 80: Responsibility Of The Manufacturer

    System Safety: Responsibility of the Manufacturer Responsibility of the Manufacturer The manufacturer is to be considered responsible for the effects on safety, reliability, and performance of the equipment only if: - All assembly operations, extensions, re-adjustments, modifications, or repairs are carried out by the equipment manufacturer or personel authorized by the manufacturer.

  • Page 81: Operating Environment

    System Safety: Operating Environment Operating Environment These systems are suitable for use in the patient environment. Temperature: +15° C to +35° C (+59° F to +95° F) Rel. Humidity: 30 to 90%, non-condensing Air Pressure: 600 hPa to 1060 hPa Operations at temperatures below -20°...
  • Page 82 Guidance and manufacturer’s declaration - electromagnetic emissions for all equipment and systems Bertec Balance Advantage Static Systems are intended for use in the electromagnetic environment specified below. The user of Static Systems should ensure that it is used in such an environment.
  • Page 83 Guidance and manufacturer’s declaration - electromagnetic immunity - for equipment and systems that are NOT life-supporting Bertec Balance Advantage Static Systems are intended for use in the electromagnetic environment specified below. The user of Static Systems should ensure that it is used in such an environment.

  • Page 84: Accessories And Cables

    Webcam 500 5MP Camera 80P-0002 Balance Advantage Dynamic System User Manual 80P-0009 Balance Advantage Static System User Manual 80P-1091 Balance Advantage Spark Systems User Manual 30P-0238 Head Tracker for HS-SOT Protocol 30P-0239 Receiver for HS-SOT Protocol 97P-0051 Headband for HS-SOT Protocol...

  • Page 85: Appendix A: Abbreviations And Glossary

    Appendix A: Abbreviations and Glossary Acoustic Neuroma: (Also called a vestibular schwannoma) A benign tumor growing on the vestibule-cochlear nerve. As it grows, it compresses the nerve. It may cause hearing loss, tinnitus, dizziness and loss of balance. Adaptation Test (ADT): The protocol quantifies impairments in the patient’s ability to adapt automatic responses to minimize sway when exposed to surface irregularities and unexpected changes in support surface inclinations.
  • Page 86 Appendix A: Abbreviations and Glossary Forward Lunge (FL): The assessment quantifies the patient’s ability to control body weight while lunging forward with one leg. The patient is instructed to, on command, lunge/step forward onto one leg, then push backward with that leg to the original standing position.
  • Page 87 Appendix A: Abbreviations and Glossary Modified Clinical Test of Sensory Interaction on Balance (mCTSIB): A modification of the original CTSIB or “Foam and Dome”, the mCTSIB eliminates the “dome” and adds objective analysis of a patient’s functional balance control to quantify postural sway velocity. Eyes open firm, eyes closed firm, eyes open foam, and eyes closed foam. Motor Control Test (MCT): The protocol assesses the ability of the automatic motor system to quickly and effectively recover following unexpected support surface disturbances.
  • Page 88 Appendix A: Abbreviations and Glossary Saccades: Abrupt rapid eye movement of both eyes utilized to change the point of fixation. Saccule: The saccule is a bed of sensory cells situated in the inner ear. The saccule translates head movements into neural impulses which the brain can interpret.
  • Page 89 Appendix A: Abbreviations and Glossary Torsion: Rotation of the eye around a roll (anterior-posterior) axis. Turn Sway: Calculated for the Step Quick Turn assessment. This is the total distance traveled by a patient’s center of gravity while making a turn. Turn Time: Calculated for the Step Quick Turn assessment.

  • Page 90: Appendix B: References

    Appendix B: References 1. Jacobsin GP, et al (1993). “Posturographic Testing.” Handbook of Balance Function Testing 259-334. 2. Branstater M, DeBruin HA, Sahrmann SA (1983). “Himparetic gait: Analysis of temporal variables.” Arch Phys Med Rehab 64: 583-587 Hassid E, et al (1997). “Improved gait symmetry in hemiparetic stroke patients induced during body weight- supported treadmill stepping.”...

  • Page 91: Appendix C: Frequently Asked Questions

    The computer is attached to the base of the CDP Spark. This base protects against electrical surges and other electrical issues. While protecting the computer and system, the base’s breaker probably flipped––keeping the system safe, but turning it off in the process. Contact Bertec® Support for instructions on how to turn the system back on.

  • Page 92: Appendix D: Passwords And Security

    Appendix D: Passwords and Security Security Concerns It is recommended that operators routinely change their Balance Advantage® account’s password routinely (i.e. every few months) for security measures. For an operator to change their own password, follow the steps listed below. 1.

  • Page 93: Appendix E: Wireless Remote

    Appendix E: Wireless Remote A wireless remote is included with every package to assist clinicians in managing the Balance Advantage program while they assist patients. The ® remote generally serves the functions below; however, these functions may change for some specific tests. Refer to specific trials for more information regarding modified functions.

  • Page 94: Appendix F: Plate Taring

    Appendix F: Plate Taring Bertec Corporation’s balance plates have a reputation for rarely, if ® ever, requiring re-calibration. The balance plates in the Bertec Balance ® Advantage system perform a self-calibration diagnostic each time the ® system is turned on. However, the plates cannot be disturbed during this process.

  • Page 95: Appendix G: Cdp Spark Alignment

    Appendix G: CDP Spark Alignment The CDP/IVR System can be aligned using our built-in alignment pattern found in the Balance Advantage software. This alignment pattern can be used to determine the optimal position of both the image from the projector as well as the balance plate for your system.
  • Page 96 Appendix G: CDP Spark Alignment Figure F3: System Alignment Pattern Figure F4: Dome Alignment Figure F5: Balance Plate Alignment Spark Systems User Manual 80P-0091 2023-09...

  • Page 97: Appendix H: License And Support Features

    Anonymous Program Reports to Bertec®, Schedule a Remote Support Session, Conduct a Remote Support Session. About Bertec® Balance Advantage®: This option will open a new window, shown in Figure H1. The new window contains five different tabs: Version, Addons, System, License Agreement, and Support. These tabs are described below and on the following page.

  • Page 98: License Agreement

    2. Close the window by clicking the Close button. Note: Bertec® only collects data related to how the program is used by clinicians; all collected data is encrypted. No patient information is collected. Note: If the system cannot be accessed, support contact information is also included in Appendix I.
  • Page 99 8. Once the representative attempts to connect to the computer, select the Allow button within 30 seconds. Note: If the Bertec® Remote Support window disappears once the operator clicks away from the screen, click on the Windows key (between the Ctrl and Alt keys) to reveal the computer’s open programs.

  • Page 100: Appendix I: Error Messages

    For more information or was not assigned a license key. The key should either click here. be recovered or a new key can be requested from Bertec Support. You have multiple plates connected. Both plates must be of When using the Functional Option with the CDP system, two the same type and size.
  • Page 101 Please contact Bertec version. This can happen immediately upon performing a Technical Support at support@bertec.com for assistance. major update, but is uncommon. The Bertec Support team should be contacted to provide assistance. The license for Balance Advantage has been changed. In...
  • Page 102 There was an error with the Security Role that you attempted to create/modify and save. Please try again. If you continue having problems, consult the manual and then contact Bertec Attempting to save the Security Role “XXXX” failed because Support.
  • Page 103 If that your key be entered into a specific field. If there is any you believe that you have, then please contact Bertec Corpo- error in the key entry, this error will occur. If you believe this ration at support@bertec.com to obtain a valid License Key.
  • Page 104 Operator that logs into the system. This in- formation is still in the database, but will not ever be available again unless you contact Bertec Support for Delete Patient assistance in retrieving it.

  • Page 105: Appendix J: Contact Bertec

    Appendix J: Contact Bertec ® If this manual does not satisfactorily answer a question, or if additional information or purchases are desired, contact Bertec via email or phone. Our office hours are Monday-Friday 8am to 5pm Eastern Standard Time. ®...
  • Page 106 Bertec Corporation ® 2500 Citygate Drive Columbus, OH 43219 U.S.A. t + 1 614 543-8099 f + 1 614 430-5425 www.bertec.com...

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