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biodex 950-400 Operation Manual

Gait trainer 3
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GAIT TRAINER 3

APPLICATION/OPERATION MANUAL
950-400
950-401
950-402
950-403
950-404
950-405
950-406
950-407
950-408
B
IODEX
Biodex Medical Systems, Inc.
20 Ramsay Road, Shirley, New Y ork, 11967-4704, Tel: 800-224-6339 (Int'l 631-924-9000), Fax: 631-924-9338, Email: info@biodex.com, www.biodex.com
FN: 11-087 3/11

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  • Page 1: Gait Trainer

    GAIT TRAINER 3 APPLICATION/OPERATION MANUAL 950-400 950-401 950-402 950-403 950-404 950-405 950-406 950-407 950-408 IODEX Biodex Medical Systems, Inc. 20 Ramsay Road, Shirley, New Y ork, 11967-4704, Tel: 800-224-6339 (Int’l 631-924-9000), Fax: 631-924-9338, Email: info@biodex.com, www.biodex.com FN: 11-087 3/11...

  • Page 2: Gait Trainer

    GAIT TRAINER 3 This manual covers installation and operation procedures for the following products: 950-400 Treadmill, Gait Trainer 3, 115 VAC 950-401 Treadmill, Gait Trainer 3, 230 VAC 950-404 Treadmill, Gait Trainer 3, 100 VAC 950-402 Treadmill, Gait Trainer 3, 115 VAC, with Extended Handrails...

  • Page 3: Table Of Contents

    TABLE OF CONTENTS IntroductIon ..........................1-1 safety consIderatIons for General use ..............2-1 setup ..............................3-1 • Connecting the Printer ........................3-1 • Connecting the Safety Lanyard ....................3-2 • Handrail Installation (Optional) ....................3-2 • Leveling and Footfall Initialization ....................3-3 • Display Port Callouts........................3-2 GaIt traInInG Mode......................4-1 •...

  • Page 4: Introduction

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

  • Page 5: Safety Considerations For General Use

    2. SAFETY CONSIDERATIONS FOR GENERAL USE The following safety considerations should be observed for all patients who exercise on the Biodex Gait Trainer. Additional clinical considerations, specific to gait training, are provided in the chapter titled: Clinical Applications and References.
  • Page 6 Keyboard Adesso AKB-210 Keyboard Adesso WKB-4000US Keyboard Adesso ACK-540UB Keyboard Adesso AKB-110B Keyboard * Printers and other devices are subject to market availability. Please check with Biodex customer service if questions arise. CLINICAL CONSIDERATIONS FOR GENERAL USE — 2-2 —...
  • Page 7 2. CLINICAL CONSIDERATIONS FOR GENERAL USE Figure 2.1. 1. Reset Button 2. Remote CRT Monitor Connector 3. PS 2 Connector 4. Ethernet activity lights. Green indicates connectivity. Yellow indicates activity. 5. Auxiliary Com Port (Serial Port) 6. Ethernet Connector (RJ 45) 7.

  • Page 8: Setup

    3. SET-UP Attach Printer Cable (underneath display) Attach Safety Lanyard Figure 3.1. Attaching the Safety Lanyard, printer cable and printer. Included with the Gait Trainer are a printer, printer stand and Safety Lanyard. These should all be attached/installed prior to operation of the Gait Trainer. connectInG the prInter (wired) (See Section 13 for wireless printing information) (See Figure 3.1.)

  • Page 9: Handrail Installation (Optional)

    (See Figures 3.2 – 3.4.) Figure 3.2. Figure 3.3. Figure 3.4. The Biodex Gait Trainer comes with a sturdy support bar installed (Figure 3.2). Optional Standard (Figure 3.3) and Geriatric/Pediatric handrails (Figure 3.4) are also available. SET-UP — 3-2 —...
  • Page 10 CONTENTS The Biodex Gait Trainer 3 comes with a sturdy support bar, but optional Standard Rehab and Geriatric/Pediatric handrails are also available. Both optional handrails are installed as follows: Note: Do not fully tighten any screws until all the screws and hardware have been positioned and partially secured.
  • Page 11 CONTENTS situation 2: It is not required that the main power switch be turned on and off each day. The Gait Trainer display will actually go into a sleep mode when not in use. This is the “Screen Saver” function. This “Not in use time period”...
  • Page 12 If in the unlikely event, the Gait Trainer can not bring the strain gages into the necessary ranges, the Treadmill function is unaffected and use in the treadmill mode can continue. Please contact Biodex Customer service to resolve the Gait Trainer problem. — 3-5 —...

  • Page 13: Gait Training Mode

    Note: It is recommended that the Biodex Unweighing System be used in conjunction with the Gait Trainer to provide a safe environment for the patient and clinician, and also to allow for proper patient positioning for weight distribution and coordination of balance.

  • Page 14: The Gait Trainer User Setup Information Screen

    CONTENTS the GaIt traIner user setup InforMatIon screen (See Figure 4.2) Figure 4.2. The Gait Trainer User Setup Information screen. The Opening Menu displays three icons: Gait Trainer, Treadmill and Utilities. Touch <Gait Trainer> to advance to the User Setup Information screen. This screen allows entry of patient information and parameters used for gait training.

  • Page 15: The Audio/Visual Biofeedback Screen

    CONTENTS • Name: Optional, touch the pop-up <Keypad> to enter the name. Touch <OK> to continue. • A/V Biofeedback Options: Touch <A/V Biofeedback> to enter biofeedback options from the Audio/Visual Biofeedback Options screen. • <Back>: Go back one screen. • <Next>: Advance to the next screen. the audIo/vIsual bIofeedbacK screen (See Figure 4.3.) Figure 4.3.

  • Page 16: The Footfalls/Histogram Screen

    CONTENTS the footfalls/hIstoGraM screen (See Figure 4.4 – 4.5.) Toggle by pressing yellow dot to display speed as cycles/sec, MPH, or meters/sec Real time (average of last 5 steps) display of step length Y axis – Step Length can be scales 0-60 cm, 0-80 cm, 0-100 cm or 0-120 cm.
  • Page 17 CONTENTS • Speed (mph): Located at the top right of the screen. Use the associated L and M icons to set this goal to match the desired cycles per second. Walking speed is displayed in MPH or KMH. The default value will be according to how the Gait Trainer is set up (English or Metric).

  • Page 18: Normative Data

    The normative values are based on age and gen- der so comparisons can be easily made. Note: Clarification of Normative Data for the Gait Trainer: The normative data presented in the Biodex Gait Trainer 3 id derived from the reference tables in Gait Analysis, An Introduction, 2nd. Edition, Michael W.

  • Page 19: Gait Training Operation

    6. GAIT TRAINER OPERATION GaIt traIner theory of operatIon Walking (gait) speed can be increased two ways: Increase step frequency (step cycle) or increase step length. Step cycle: A successive heel strike for the same foot, i.e. Right step, left step, right step. Set belt speed based on how many complete successive heel strikes occur within a second.

  • Page 20: Exercise Results

    7. EXERCISE RESULTS (See Figures 7.1, 7.2 and 7.3.) Exercise results can be reviewed from the Exercise Results screen only after touching <End> to end the exercise session and then touching <Results>. Figure 7.1. The Exercise Results screen. Note the Exercise Results functions available at the bottom of the screen.

  • Page 21: Exercise Results Screen Functions

    <OK> to proceed. To cancel and return to the Exercise Results screen, touch <Cancel>. Print Results: Touch the <Print Results> icon to print out a Biodex Gait Training Exercise Summary. Progress Report: Compare results over time. See section on progress report.
  • Page 22 CONTENTS Figures 7.2 and 7.3: Gait Trainer printouts include a Biodex Gait Training Exercise Summary and Biodex Gait Training Exercise Histogram. — 7-3 — EXERCISE RESULTS...

  • Page 23: Progress Report

    CONTENTS Gait trainer progress report A progress report is perfect for showing need, progress and outcome. Progress reports for specific parameters are available when a patient has multiple exercise reports. Select any of the patient records by touching the yellow dot. While viewing the exercise results, select Progress Report EXERCISE RESULTS —...
  • Page 24 CONTENTS Touch the parameter that you are interested in viewing and/or printing progress. Green indicates selected. Also, choose to have data points on the report and/or Normative data ranges. Total time same for each exercise session. — 7-5 — EXERCISE RESULTS...
  • Page 25 CONTENTS Average walking speed increased over two months. As the steps increased so did the distance over two months. EXERCISE RESULTS — 7-6 —...
  • Page 26 CONTENTS Step length became symmetrical and normal after two months. Step length variability decreased as the steps became symmetrical and approached normal after two months. — 7-7 — EXERCISE RESULTS...
  • Page 27 CONTENTS Equal time was spent on each foot after two months. EXERCISE RESULTS — 7-8 —...

  • Page 28: Treadmill Operation

    8. TREADMILL OPERATION Figure 8.1. The Quick Start feature allows the user to begin the exercise session with minimal input. QuIcK start operatIon (See Figure 8.1.) Although the Gait Trainer offers advanced programming capability, it also features a "Quick Start" function that allows the user to immediately begin exercise on the system with 1/4-mile scaled track views.

  • Page 29: Quick Start Track/Numeric Display Parameters

    CONTENTS QuIcK start tracK / nuMerIc dIsplay paraMeters Users can choose from a Quick Start Exercise Track or Numeric display during Quick Start exer- cise sessions. The following parameters are displayed for both choices. Note: To toggle between displayed parameters (i.e., to change measurement units for calories, pace or dis- tance) touch the yellow dot next to each parameter heading.

  • Page 30: Manual Treadmill Operation

    5. MANUAL OPERATION Figure 8.2. The RTM 600 Setup Options screen allows entry of patient-specific information and parameters. Manual treadMIll operatIon (See Figure 8.2.) Manual treadmill operation is easy. Like the Quick Start function, Manual Start allows the user to begin exercising quickly.

  • Page 31: Manual Mode Exercise Track And Numeric Display Parameters

    CONTENTS When all parameters are entered/selected, press <Start> on the display to activate the tread- belt and begin the exercise session. The treadbelt will ramp up to .1 mph. Use the <L> and <M> arrows on the Exercise Track or Numeric Display to adjust the speed setting to the desired value.
  • Page 32 CONTENTS Figure 8.3. The Exercise Track display. Figure 8.4. The Numeric display. — 8-5 — TREADMILL OPERATION...

  • Page 33: Treadmill Profiles

    9. TREADMILL PROFILES The Biodex Gait Trainer treadmill mode features five pre-loaded exercise profiles and the ability to create and select up to 12 custom exercise profiles. These programs allow the clinician to select pre-determined exercise format routines. Exercise profiles are divided into as many as ten segments each.
  • Page 34 CONTENTS Figure 9.1. The Select Profile screen allows the user to choose from five pre-defined profiles. Figure 9.2. At the Profile Setup Options screen, users can enter values for time, body weight and maximum elevation. TREADMILL PROFILES — 9-2 —...
  • Page 35 CONTENTS Figure 9.3. Ready to begin an exercise session with Profile 1, Anaerobic, selected. desIGnInG a custoM exercIse profIle (See Figure 9.4.) To design a custom exercise profile: At the treadmill Opening Menu touch <Profile>. The Select Profile Menu should now be dis- played Touch option six, <Custom>.
  • Page 36 CONTENTS Figure 9.4. At the Editing Profile screen, clinicians enter values for speed, elevation and time for each of up to ten stages for any profile. TREADMILL PROFILES — 9-4 —...

  • Page 37: Gait Trainer Utilities

    Patient Data Storage Usage is scaled to 6,000 exercise records. When storage reaches 85% of its capacity, it is suggested that patient tests be deleted or archived. You may archive patient data to a USB memory device or to a computer or network using the Biodex Patient Data Collection Software.

  • Page 38: Configuration

    CONTENTS confIGuratIon (See Figures 10.2 and 10.3.) Figure 10.2. The Configuration screen. To advance to the Configuration screen from the Utilities Menu, touch <Configuration>. Enter 781 at the “Access ID Code” prompt and touch <OK>. The Configuration screen should now be dis- played.
  • Page 39 Incline Range: Only an incline range of 0-15 should be used with the Gait Trainer. Measure Units: The Biodex Gait Trainer can be configured to display either U.S. or metric mea- surements. To change units, touch the displayed units and then touch the desired setting to select.

  • Page 40: Patient Management

    CONTENTS patIent ManaGeMent (See Figures 10.4 and 10.5.) Figure 10.3. The Patient Management screen. Figure 10.4. The Stored Patient Exercise screen. To advance to the Patient Management screen from the Utilities Menu, touch <Patient Management>. Enter 781 at the “Access ID Code” prompt and touch <OK>. The Patient Management screen should now be displayed.
  • Page 41 CONTENTS Patient Management functions include the ability to delete an individual patient file, multiple patient files, print a stored exercise report, print a stored patient histogram and export patient data. A description of each feature follows. deleting patient files To Delete An Entire Page of Patient Files: Touch the <Delete Page>...

  • Page 42: System Maintenance

    CONTENTS systeM MaIntenance The System Maintenance screen is hidden from normal view. This screen, when active, allows the user to select the treadmill type (Gait Trainer or RTM 600), perform speed and elevation calibra- tion, and perform strain gauge calibration. To access the System Maintenance screen: Touch <Utilities>.

  • Page 43: Maintenance

    11. MAINTENANCE Your Biodex Gait Trainer 3 should provide trouble-free operation as long as the following maintenance procedures are performed. To verify hours of operation, simply touch <Utilities> button (see Figure 11.1). At the bottom of screen, hours of use will be indicated (see Figure 11.2).

  • Page 44: Daily Maintenance

    Quarterly MaIntenance lubricate treadbelt and slider deck The Biodex Lubricant Kit is designed to reduce friction between the treadbelt and the slider deck. It is required for all institutional treadmills. Proper and timely application of the lubricant will prevent premature failures due to excessive wear and load. Items affected by inadequate lubrica- tion are the treadbelt, slider deck, motor, and motor controller.

  • Page 45: Annually Or Every 1,000 Hours

    Allow the Gait Trainer 3 to dry for approximately 10 minutes. Note: Use only the Biodex lubricant kit with your Gait Trainer 3. Most standard greases, waxes and sil- icon sprays will build up on the rollers, causing belt slippage and affecting tracking.
  • Page 46 CONTENTS treadbelt adjustment 1. Remove the 6 Phillips head screws from the cover. Lift the cover off the treadmill. (See Figure 11.5) Figure 11.5. Treadmill Cover 2. Touch Treadmill icon on main screen and adjust the speed to 1.0 mph. (See Figure 11.6) Figure 11.6.
  • Page 47 CONTENTS 3. Walk on the treadmill at 1.0 mph and stop the treadbelt with your foot. Front roller should slip under the treadbelt. (See Figure 11.7 and 11.8) Figure 11.7. Treadmill shown without cover. Note the location of front roller. Front roller Figure 11.8.
  • Page 48 CONTENTS 4. Adjust the two belt tensioning bolts evenly at the back of the treadmill so that the front roller slows down but continues to turn when you stop the treadbelt with your foot. (See Figure 11.9) Figure 11.9. Back of Treadmill shown for tensioning bolt location. treadbelt alignment Adjust the two hex bolts so that the distance between the end of...

  • Page 49: Troubleshooting

    Note: The above faults indicate an issue with your treadmill. For fault 64-Safety Lanyard Removed, verify lanyard is still attached in its proper location. For all other faults, please contact Biodex Support Services department and provide the fault code. You will be instructed on how to proceed.

  • Page 51: Electromagnetic Compatibility

    EN 60601-1-2 when used with the Gait Trainer 3 Treadmill. cable description part no. cable length USB Printer Cable Biodex # C12086 15ft Table 1.2 Gait Trainer 3 Treadmill cable — 13-1 — ELECTROMAGNETIC COMPATIBILITY...
  • Page 52 CONTENTS declaration of conformity emissions Manufacturer’s declaration electromagnetic emissions The Gait Trainer 3 Treadmill is intended for use in the electromagnetic environment specified below. The customer or the user of the Gait Trainer 3 Treadmill should assure that it is used in such an envi- ronment emission test compliance...
  • Page 53 CONTENTS Continued from previous page Immunity test Iec 60601-1-2 Iec 60601-1-2 electromagnetic test level compliance level environment – guidance Voltage dips, short < 5% UT (> 95% of dip < 5% UT (> 95% of dip Mains power quality should interruptions and in UT for 1/2 cycle) in UT) for 1/2 cycle...
  • Page 54 CONTENTS recommended separation distances Recommended separation distances between portable and mobile RF communications equipment and the Gait trainer 3 treadmill. table 6 The Gait Trainer 3 Treadmill is intended for use in the electromagnetic environment in which radiat- ed RF disturbance are controlled. The customer or the user of the Gait Trainer 3 Treadmill can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and the Gait Trainer 3 Treadmill as recommend- ed below, ac¬cording to the maximum output power of the communication equipment.

  • Page 55: Specifications

    14. SPECIFICATIONS Dimensions: 86" l x 27" w (218 x 69 cm) Walking Area: 64" l x 20" w (160 x 51 cm) Printer Stand: 24" l x 24" w (61 x 61 cm) Motor: 2 HP with 4Q-Pulse Width Modulation Control Speed Range: Forward: 0-10 mph (0-16.9 km/h) Reverse: 0-3 mph (0-4.8 km/h) in...

  • Page 56: References And Bibliography

    BARBEAU, H, et al. WALKING AFTER SPINAL CORD INJURY: EVALUATION, TREATMENT, AND FUNCTIONAL RECOVERY Arch Phys Med Rehabili (80) 225-235, February 1999 Biodex #91-132 BEHRMAN, AL, et al. LOCOMOTOR TRAINING AFTER HUMAN SPINAL CORD INJURY: A SERIES OF CASE STUDIES Physical Therapy / Vol. 80 (7):688-700 / July 2000 Biodex #91-174 BOND, JM, et al.
  • Page 57 DEFICT AND CHANGE IN GAIT VELOCITY DURING REHABILITATION AFTER STROKE Arch Phys Med Rehabil, Vol. 77:1074-1082 / Oct 1996 Biodex #91-142 PREDICTION OF GAIT VELOCITY IN AMBULATORY STROKE PATIENTS DURING REHA- BILITATION Arch Phys Med Rehabil, Vol. 80:415-420 / April 1999 Biodex #92-215 HESSE, S, et al.
  • Page 58 STRATEGIES FOR IMPROVING MOTOR CONTROL Rehabilitation of the Head-Injured Adult – Chpt. 22: 313-334 Biodex #91-135 USING THE BIODEX UNWEIGHING SYSTEM, BALANCE SYSTEM AND GAIT TRAINER IN AN INTEGRATED REHABILITATION PROGRAM Abstract, May 2001 Biodex #92-217 NIAM, S, et al.
  • Page 59 SHARP, SA, et al. ISOKINETIC STRENGTH TRAINING OF THE HEMIPARETIC KNEE: EFFECTS ON FUNC- TION AND SPASTICITY Arch Phys Med Rehabil, Vol 78 / Nov 1997 Biodex #91-148 STAMER, MH TREATING GAIT DYSFUNCTION IN KIDS WITH CP Advance for Directors in Rehabilitaton: 59-62 / June 1997 Biodex #91-133 SUZUKI, K, et al.
  • Page 60 CONTENTS WOLFF, M, et al. BEYOND STRIDE – OTHER CONSIDERATIONS WHEN DECIPHERING GAIT OF PEOPLE WITH AMPUTATION Advance for Physical Therapists: 28-32 / March 9, 1998 Biodex #91-140 Rev. November 20, 2007 — 15-5 — REFERENCES AND BIBLOGRAPHY...

  • Page 61: Assembly Drawings And Schematics

    16. ASSEMBLY DRAWINGS AND SCHEMATICS — 16-1 — ASSEMBLY DRAWINGS AND SCHEMATICS...
  • Page 62 CONTENTS ASSEMBLY DRAWINGS AND SCHEMATICS — 16-2 —...
  • Page 63 CONTENTS — 16-3 — ASSEMBLY DRAWINGS AND SCHEMATICS...
  • Page 64 CONTENTS ASSEMBLY DRAWINGS AND SCHEMATICS — 16-4 —...
  • Page 65 CONTENTS — 16-5 — ASSEMBLY DRAWINGS AND SCHEMATICS...
  • Page 66 CONTENTS ASSEMBLY DRAWINGS AND SCHEMATICS — 16-6 —...
  • Page 67 Certified Quality Management System IODEX Biodex Medical Systems, Inc. 20 Ramsay Road, Shirley, New Y ork, 11967-4704, Tel: 800-224-6339 (Int’l 631-924-9000), Fax: 631-924-9338, Email: info@biodex.com, www.biodex.com...

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