User Manual We move you
Contents
1. Maintenance of Valedo is straightforward Wipe the sensors with a damp cloth before and after training and store them in the Valedo case between trainings to protect them from excessive lint dust humidity or sunlight Take care to remove any residual adhesive should there be any Before use make sure the sensors are charged Firmware Updates The USB to micro USB cable supplied is used not only for charging but also for sensor firmware update The sensor firmware can be updated by inserting the data transfer micro USB plug into the sensor see Figure 2 and connect the USB end into a computer Check www valedotherapy com for firmware updates follow the instructions on the screen Please do NOT unplug the sensor from your computer while updating the firmware Reporting Adverse Events Adverse events with products of Hocoma which led or could have led to serious injuries to persons life threatening or serious injuries or death and or damage to objects must be reported immediately after the adverse event to Hocoma AG by going to www valedotherapy com or by telephone After an adverse event the product may only be used again following approval and release by Hocoma AG Chapter 1 Overview and Safety V_UM_en_1404 Chapter 2 Training Setup Initial Training Session Turn on your sensors and pair them to your computing device Now let s prepare the training space and learn where to put the sensors Preparing the Training Space2. The sensor s fall s off The avatar in the range of motion ROM settings screens does not show the correct movement During training exercises the avatar moves about rapidly The avatar does not move when doing the exercises The indicator LEDs show they are connected see Chapter 1 for LED modes but avatar does not move The movement required in the game is larger than what you can do After training you see reddening or irritation under where the sensors were attached to the skin Action Clean the back of the sensor with a soft damp cloth before placing a new strip of double sided tape Wipe the areas of the skin where you will attach the sensor s with a soft damp cloth before reattaching Dry your skin and sensor before attaching the tape and mounting the sensor to your body Reattach the sensor and press firmly for 5 seconds to make sure sensor sticks to your skin If all of the above suggestions do not work then you may have to consider acquiring the training belt from Hocoma Make sure that the sensors are still communicating with the computing device Redo the ROM settings making sure to stand very still while the sensors calibrate and only bow to confirm and proceed when indicated to do so Stop the exercise and redo the range of motion ROM settings Having a very small ROM will make for an exaggeratedly sensitive avatar movement during gameplay Turn sensors off and on a
3. IP22 The IEC Ingress Protection Rating Cp Symbol for nonionizing radiation Symbols on Packaging 00009 2 Sensors 100 pieces of medical tape 1 USB cable 1 Case Chapter 6 Legal Matter V_UM_en_1404 23 User manual and quick user guide Computing device not included Bluetooth compatible The Bluetooth word mark and logos are registered trademarks owned by Bluetooth SIG Inc and any use of such marks by Hocoma AG is under license Disclaimer All Hocoma products are medical devices and must be used in strict adherence to the User Manual failure to do so may result in serious personal injury It is strongly recommended that you regularly consult Hocoma s website www hocoma com legalnotes for the latest available information Please contact Hocoma should you have any questions Certain Hocoma products are marketed for home use and must be strictly used in accordance with the User Manual If you have any doubts how to use the product correctly you should ask your medical care provider who is knowledgeable about your specific needs Failure to follow the User Manual and or the recommendations of your medical care provider may result in serious personal injury None of this information shall be interpreted as a warranty of product characteristics A Failure to comply with the safety regulations and the instructions for using the device can result in serious injuries and damage to property Valedo shall not
4. The software will show you a pose to mimic you must hold that pose briefly and tap Capture the software then calculates your range of motion for that specific movement Then the software will show you the next pose There are multiple poses but setting the range of motion should not take more than a minute In the ROM screens the figure is doing a MIRROR image pose of the one you must do Imagine the movement tutor is a little mirror Chapter 3 Valedo Application V_UM_en_1404 Playing the Exercises Tap one of the buildings in a district to get started P 8 Z 4 Torso District PRECISION Difficulty 5 Minutes 1 44 b Your previous best for this game P High Score 0 Figure 9 Example of a training introduction screen In the introduction screen you ll have the chance to toggle the exercise mode e Precision e Isolated Precision e Stabilization e Isolated Stabilization e Relaxation Not all modes are available for all exercises Exercise modes are explained in the application Difficulty level is determined by the number of times vou ve done an exercise You can also change the duration of the exercise and you can see your previous bests e Accuracy rates how precise your movements were toward the exercise goal e Smoothness rates how smooth your movements were e Isolation only for isolation modes rates how well you moved one sensor while keeping the other still As you can see the
5. e f the sensors are in deep sleep mode push the button to wake them up e Toenter deep sleep mode manually press and hold the button for 4 seconds Sensors will enter standby mode after 30 seconds if they do not detect a computing device to pair to Sensors will enter deep sleep mode after approximately 5 minutes when they cannot connect to your computing device but they sense continual movement this is important during transport to save battery power Once awake the sensors will indicate with their LEDs that they are searching for a Bluetooth connection see table below when Bluetooth has appropriately been enabled on the computing device you can pair the sensors to it see The Computing Device below Charging the sensors 1 Plug the micro USB ends of the charging cable into the sensors 2 Plug the regular USB end of the charging cable into your personal computer OR into an IEC 60950 approved USB charger You may have a charger already many new mobile phones and other mobile products come with an IEC 60950 compliant USB charger Charge the sensors for at least 90 minutes for a full charge While the sensors are charging it is impossible to train Chapter 1 Overview and Safety V_UM_en_1404 The sensors are equipped with an LED that blinks and flashes to communicate what it s doing or if it needs charging Below is a table with the different LED modes and their explanations LED mode Sensor
6. Make sure you have plenty of space around you to safely train You have the option of training while holding the computing device or with it standing on a table in front of you Many tablet computing devices have covers that also function as stands With some computing devices it is possible to connect it to your television or computer monitor Consult the user manual of your computing device for information If you do connect your computing device to your television or computer monitor remember to keep the computing device nearby as the sensors are connected to it and you will have to tap buttons on the screen A Unplug your computing device from its charging cable for training A Clear the space around your feet from any cables or other items you may trip on during training A Be careful if you train on a rug the rug might bunch and become a tripping hazard We recommend either choosing a new training space or moving the rug for training A Make sure the sensors are kept at least 1 m 39 inches away from any electromagnetic ferromagnetic such as large speakers or appliances or metallic objects Mobile phones watches power adaptors for a laptop or other devices containing magnetic elements can distort sensor signals Keep these items an appropriate distance away from the sensors Walls and floors may also contain electrical cables metal pipes or reinforced frames Putting on the Sensors Placing the lower back
7. SESSION sse 20 Problems during the training session 00 0 21 PRU Scat Nes a nata Mat etika 22 Chapter 6 Legal Matter ss ssesenennnnnnnnznzonnnznnntinni 23 Explanation of symbols Sed c scacnstivassticenrtmremeinenatimnaeetce 23 Symbols on PacCkagiNGs sews teen teense Sentara eas 23 DISCIAINGR ita natal latin 24 Warranty terms seas cou inkriet aries 24 Introduction Welcome and thank you for purchasing Valedo If you re reading this that means vou re one of millions around the world who suffer from lower back pain The good news for you is that vou ve taken an important first step in treating this lingering epidemic Many people don t know that it literally only takes minutes a day to combat lower back pain Keep Valedo around for a quick workout before work during your lunch break or even while you travel For business or pleasure you ll find that Valedo is easy to use engaging and entertaining So what are you waiting for Let s get moving A Little Background Info At Hocoma we re known for our large physical rehabilitation products such as Lokomat Armeo and Erigo but we are also a pioneering company in the field of implementing sensor technology into functional therapy for lower back pain That s where Valedo and its clinical sister products Valedo Motion and Valedo Shape come in Find more information on all of our clinical products at www hocoma com and more information on Va
8. be operated for any indications or in combination with devices or software that are not expressly certified and set out in the user manual by Hocoma AG Warranty Terms Valedo is warranted to be free from defects in workmanship and materials within 24 months of the purchase date when used in accordance with the present user manual The warranty extends only to the end user Hocoma will at its own discretion refurbish or replace Valedo covered by the warranty free of charge Repair modification or replacement lies solely within the competence of Hocoma AG Hocoma AG does not warrant or guarantee any therapeutic result or success when using Valedo Chapter 6 Legal Matter V_UM_en_1404 24
9. screen On the screen P 440 Points earned 2 10 Time until level is over A Point multiplier Get energy by following the path jumping through N 4 eT Energy bar Shows how much energy you have hoops and morel Pause button in game Allows vou to calibrate quit the exercise or simplv take a breatherl Movement tutor button in game Tapping this icon in the bottom right hand corner during gameplav will expand an in game hint on how to properly execute the move for the game It will shrink back down after two seconds invert Hip X Invert left right and up down Hip District Pa only tapping Pause during any Hip District exercises will allow you to toggle the hip movement control Chapter 3 Valedo Application V_UM_en_1404 Chapter 4 Technical Specifications The Sensors General Dimensions L x W x H Weight Expected service life Electronics Power supply Wireless Transmission Frequency Radiated Output Power Accuracy Gyroscope Range Accelerator Speed Digital Compass Orientation Operating Range 42 mm x 32 mm x 16 mm 1 65 in x 1 26 in x 0 6 in 18 grams each 3 years Integrated Recharging Solution polymer Li ion 3 7V 160mAh 2 4 GHz band Bluetooth Low Energy Max 1 mW Max 2 000 degrees per second Max 16 g 1 to 2 degrees accuracy 360 degrees on all axes 20 meters with a clear line of sight to the computing device However precise opera
10. sensor Placing the chest sensor x 4 N i U 4 9 ki l i Figure 4 Correct placement of lower back Figure 5 Correct placement range of the chest sensor sensor 1 Wipe the sensors with a damp cloth 2 Place a piece of double sided tape on the back of the sensor 3 Remove the backing of the double sided tape 4 Place the sensor Make sure micro USB port is pointing down Wearing a belt for your pants could cause the sensor to fall off or could lead to sensor signal distortion It may be easier the first few times to place the chest sensor without a shirt and in front of a mirror Always unplug sensors from charging cable before placing them on yourself We recommend wiping the backside of both sensors and the areas of your body where the sensors go with a damp cloth and then drying This will help the double sided tape to stick better to the sensor and to your skin Chapter 2 Training Setup V_UM_en_1404 Both sensors are interchangeable and can be used either on the chest or the lower back Take care to place the sensors correctly If the sensors are placed incorrectly it may cause different visual feedback and may lead to exaggerated movements on the screen Using the Belt Placing sensor in the belt and putting belt on Click sensor into the belt see Chapter 1 Pull belt around your chest or pelvis Hook buckle into loop Pull loose end of belt to tighten a Aa Ww N gt Move unti
11. If you are unsure if you are at risk consult with your medical expert Valedo is one therapy tool that can help treat lower back pain and improve trunk stability mobility and overall balance Please observe the following risk factors e Recent serious accidents e g whiplash spinal contusion without prior consultation with a medical expert e Acute spinal disc hernia e g disc herniation e Severe cardiovascular or cerebrovascular disease e g recent myocardial infarction aortic aneurysm recent stroke within three months of last incidence e Severe neurological disability including compression of the spinal cord or cauda equine nerve root compression etc e Severe balance deficits with increased fall risk e Cognitive deficits which prevent comprehension of exercises e Pregnancy e Epileptic seizure within the past 2 years which are not controlled medically or patients who are photosensitive e Retinal disease which may be exacerbated by watching video games Adverse Effects Hocoma AG has exercised great diligence in selecting the materials that are in contact with our clients in the clinic or at home These materials have been assessed for their biological compatibility and are continuously monitored by the manufacturers Nevertheless there is always a small chance that some materials may lead to allergic reactions in individuals under exceptional circumstances Chapter 1 Overview and Safety V_UM_en_1404 Maintenance
12. Mode explanation status On Charging The sensors are plugged in and are fully charged fully charged Inverted pulse Charging The sensors are plugged in but are Long on short not fully not yet fully charged off charged Off Standby The sensors are not actively searching for a Bluetooth signal Shake to turn sensors back on Off Deep Sleep The sensors have turned themselves off This happens after 48 hours in standby mode Press button to turn sensors back on Pulse Short on Awaiting The sensor is on and waiting for the Long off connection Bluetooth connection with the computing device Slow flash 1 Connected The sensor is on and correctly second on 1 connected via Bluetooth with the second off computing device Fast flash 0 5 Connected The sensor is on and connected with second on 0 5 alert the computing device but there is a second off warning message Triple flash 3x Battery low The sensor is running low on battery per second and needs to be charged Warning messages and low battery alerts will also appear on the computing device A Do not soak or submerge the sensors in any liquid Use a damp cloth to wipe surfaces The Cable The cable that ships with Valedo is a standard USB to dual micro USB cable Use this cable for both charging and firmware updates of the sensors Both micro USB connectors can be used to charge but only one can be used for firmware updates Si
13. Reporting adverse events ccsescsssesssssesesseresseesessaees 10 Chapter 2 Training Setup c csssscsssessesesseesneaes 11 Initial Training Session iii iii 11 Preparing the training space 2 s msinsensizinzenzen ena 11 Putting on the Sensors isa ka l e etal anal receded 11 Using the BS UU cc cra cas cess seca ccussabascsavatsecasia fecpuenssccasiaisecreen peervinabeasteeabes 12 Hiecllallie A tterere en yen 12 Chapter 3 Valedo Application sssssmeennnznnnnzznnzinn 13 Getting started it 13 First timeinstallatioh sessen 13 Home sree eli hare e a era e att a Ea 13 Setting range of motion ROM ccctcseccseessesssesseseeceesseeesseseesseteees 14 Playing the CXGICISES a resi ar b i o in 15 Chapter 4 Technical Specifications ccsssesee 17 TRG SENSORS octets Eee ice erl sc crehcee cele Aces te a 17 TCC L E AT 17 The Double Sided Tape i iiiiniietieti seats e se d 17 The Belt optional sesssaznnnzzznnnnzzanezznnzennazeninnenznnznnzzzanenezztanzenaztetenz 18 General Operating Conditions sse ssseeenenennzzznnnznnnne 18 Electromagnetic Compatibility sse emenenznznnnnzznnn 18 RISK iana emE ta 19 Chapter 5 Troubleshooting ssssesennennznnnnnznnznnznzzz 20 TrOLibIeskOOUN U as erzzsfieie ag redirra tatni fetu ka a ela 20 Problems with the sensors 2 smssninnznnznnzanznznzameenenanzzanenzenznnzznzezzzznzzn 20 Problems while preparing for a training
14. Village is pretty empty save a few build sites in the various districts Help build up the houses at the sites by completing exercises For example you are at the Torso district The one house on the left represents the first exercise you can do Unlock other houses in that district and others buy completing exercises Build up houses and unlock new districts by training regularly but watch out your houses will shrink if you don t train regularly For each exercise take the robot out to gather gems When you ve returned you ll have the resources to build up the house and unlock new movements and districts Take note of the white dots under the movement icon see Figure 7 These indicate how close you are to building the next level of the house You get a white dot when you complete an exercise when you have enough the house will grow Tapping Play will bring you right into the exercise There will be a quick calibration and then a brief introduction of the movement After that away you go Do the movements as demonstrated to correctly move the robot and if vou re not moving correctly it ll let you know Some exercises require you to follow a path some to fly through hoops and some have completely different goals Make sure to read the instructions at the start of each exercise so you know what you re to do Chapter 3 Valedo Application V_UM_en_1404 SVVIVOTTT 4 ow lt a ay V 7 YVO i Figure 10 Example of in game
15. a com X O A do Ie g V The content of the User Manual including all figures and drawings is copyright protected information belonging to Hocoma and or third parties and is provided solely for the purpose of operating and maintaining the device Using the content for other purposes or copying the content is prohibited unless prior written consent has been obtained from Hocoma This manual applies to Valedo Manufacturer unl Hocoma AG Industriestrasse 4 CH 8604 Volketswil Switzerland Tel 41 43 4442200 Fax 41 43 4442201 info hocoma com www hocoma com Subject to technical modifications Copyright Hocoma AG Last revision 2014 04 25 jgir etelike le perm en ta rt RI 4 A Little Background NiO isissecssisstes eezzotu Mekka b dieta sebeidazt tara 4 Chapter 1 Overview and Safety s sseseeemeensnnenzzni 5 Getting to know Valedo9 ssssessnesnzznznnznnzaninzannannninzza 5 TS SCI SORS al 5 Te Oo eee penn rnp ann Ore nnana a RERE RRE 6 THE Belt optional dati tel abet onie 6 The Computing DEVICE essar nie goers etait 7 The Valedo GaSe ie T The Valedo Application sec sea ei ek rin Sibna 7 Safety regulations i ski ir a 7 intended USC 1 sa beet t eater trt E 8 Indications 42 cients ats hapten a A a biel otal auld 8 Contraindications iii a 8 RISKTACIO S 2 e e a 9 Adverse G EDS iii hae E eet E tenet 9 Maintenance idi isir deiiritsar e a i ome tata 10 Firmware UP ALE Sta 10
16. ases to avoid causing you any harm The following contraindications must therefore be observed in particular e Bone cancer including spinal tumors or vertebral metastasis e Instability of the spine such as unstable vertebral fractures or in spondylolisthesis grade Il or higher particularly with neurological signs e Acute inflammation of bones or joints e g acute rheumatoid arthritis acute spondylarthritis etc e Infection of bones or joints e Acute sacral lumbar or thoracic nerve root entrapments leading to sensorimotor function deficits Chapter 1 Overview and Safety V_UM_en_1404 e Severe level of osteoporosis or bone loss e g osteomalacia with latent risk of fracture e Implanted ferromagnetic materials or active devices within the body e Spinal fusions within the first 3 months postoperative e Skin disease or lesions in the vicinity of sensor placement including skin cut broken skin eczema etc e Patients who have been subjected to long term bed rest The above list does not claim to be exhaustive If you are unsure if you have a contraindication consult with your medical expert If you have a contraindication but feel like you still want to train with Valedo you must first check with your medical expert The decision whether a particular treatment is suitable in cases of contraindications always lies within the competence of your medical expert He is required to evaluate the possible risks and side effec
17. cates that there is no signal with the computing device turn sensor off and then back on again with the application still running 22 Chapter 6 Legal Matter Explanation of Symbols Used lem S IE A fan bt Qi Qi lt 6 amp Indicates potentially dangerous situations or actions Symbol in accordance with ISO 7010 W001 Highlights useful tips recommendations and information needed to operate the device correctly and efficiently Step by step explanation of tasks for proper use of the product Manufacturer and year of manufacture Symbol indicates the manufacturer s reference number of the device Symbol indicates manufacturer s batch number of the device Complies with MDD93 42 EEC Requirements Type BF applied parts Double sided medical tape is only for single use It cannot be used for a second time Symbol indicates temperature limits for operation transport and storage Symbol indicates humidity limits for operation transport and storage Symbol indicates atmospheric pressure limits for operation transport and storage Protect the environment When disposing of this unit or the batteries it uses do so in an environmentally friendly way The unit must not be disposed of in normal household waste Dispose of old products in accordance with pertinent local regulations at an appropriate collection point If you have any questions contact your local competent waste management authority
18. ce Remove the sensors Remove the double sided tape from you or the sensors Dispose of the double sided tape Wipe the sensor with a damp cloth O oa Aa WwW N gt a Store the sensors in the Valedo case Chapter 2 Training Setup V_UM_en_1404 Chapter 3 Valedo Application Getting Started A NAF Start up the Valedo application by tapping the icon 7 Understand Tap as tap or click depending on your computing device For alist of supported computing devices go to www valedotherapy com First Time Installation Before you can begin training you ll need to set up Valedo Tap on the start screen and if your sensors aren t on yet the software will ask you to turn them on and create your profile Enter your name date of birth and sex You can also import your information from Facebook tap the Facebook icon and follow the instructions on screen You can always come back and edit your information or add new profiles which gives you the chance to share Valedo with others on the same computing device After you ve entered your information the Valedo application will guide you through the first sensor calibration and the Range of Motion ROM measurements Calibration is easy with your sensors in place stand still and then bow when indicated to continue Measuring your range of motion is also easy in the ROM screens you will be instructed to mimic the pose in the example Accurately assessing your ran
19. ces containing wireless or magnetic components more than 1 m 39 inches from the Valedo sensors 2 The beltis an optional accessory available for purchase from Hocoma Go to www valedotherapy com for details Chapter 4 Technical Specifications V_UM_en_1404 Risk Management Connection of Valedo to a computer network that includes other equipment could result in previously unidentified RISKS identify analyze and control such RISKS refer to IEC 60601 1 2005 Subsequent changes to a computer network could introduce new RISKS and require new analysis Changes to the computer network include e Changes in computer or data network configuration e Connection of additional items to computer network e Disconnecting items from computer network e Update of equipment connected to computer network e Upgrade of equipment connected to computer network The term computer network used here corresponds to the term network data coupling in IEC 60601 1 2005 Chapter 4 Technical Specifications V_UM_en_1404 Chapter 5 Troubleshooting Troubleshooting If you are experiencing difficulties with the system please refer to the following website www valedotherapy com This section enables Valedo users to check against the technical problems listed below and take relevant measures If you have any queries or need further clarification of issues for which we have not provided a satisfactory solution first contact your local Hocoma service cente
20. d without fail A Valedo sensors are not toys and can present choking hazards Keep out of reach of children and pets A Do not use Valedo if any of the components are damaged or modified A Take note of indications contraindications and risk factors before use Chapter 1 Overview and Safetv V UM en 1404 A When using tape use medical tape only A You must wipe the sensors off before and after use We recommend a soft damp cloth Intended Use Valedo is a personal therapy system that aims to improve back health and aid in the prevention of non specific lower back pain Valedo offers mobilization stretching strength stabilization balance and movement awareness exercises for patients to do in the comfort of their own home In general we recommend training 20 minutes daily Trunk and pelvis movements are measured from two wireless sensors attached to your body and transferred to a personal computing device such as a tablet These movement signals are analyzed and provide accurate real time functional feedback in a game setting Augmented Performance Feedback of how you are moving and if you are moving correctly Augmented Performance Feedback gives you a motivating and safe way to do movement training The system monitors your movement performance and guides you through exercises specifically designed for general lower back pain therapy Indications e Non specific low back pain e Affections of the iliosacral joint e g pe
21. ent screen For initial operation you must go through steps 1 5 for subsequent use the Bluetooth connection will automatically pair the sensors to the computing device upon opening the Valedo application The Valedo Case The case Valedo came in did not just keep it safe during its journey to you the case will also keep Valedo safe when you store or transport it See case in Figure 1 above We recommend always keeping the Valedo sensors in the case between training sessions The Valedo Application The standard Valedo application for lower back therapy is available for free download Additional features or applications may be made available for purchase The computing device you have will dictate where you need to go to download the Valedo application when there search for Valedo For example iPad users can go to the App Store For complete details on the Valedo software application see Chapter 3 A Protect your computing device from viruses The Valedo application stores only a minimum amount of information including the profile information given for each user and their performance on the exercises they have done Regularly check www valedotherapy com to see if there are available updates for the Valedo application Safety Regulations You must comply with the security precautions listed below and those found throughout the manual to ensure safe use of Valedo A Every and all warning messages must be observe
22. gain Restart computing device Restart Valedo App Make sure that the sensors are still on and communicating with the computing device Turn sensors off and on again Restart computing device Restart Valedo App Make sure that the sensors are still communicating with the computing device Turn sensors off and on again Restart computing device Restart Valedo App Reset Exercise ROM values Setting up correct and accurate ranges of motion during the Exercise ROM is critical therefore do not compensate or overexert when setting up these parameters This will ensure that the in game movements required do not exceed what you are physically capable of doing See Chapter 3 for info on setting the ROM This might indicate an allergic reaction to the double sided tape Stop training immediately and consult with your dermatologist before continuing Valedo training Chapter 5 Troubleshooting V_UM_en_1404 21 Alerts The following alerts may appear on the screen during exercises If so follow the instructions below Alert Ca GEF Chapter 5 Troubleshooting V_UM_en_1404 Action In the top right hand corner you will see the sensor signal and battery icons As you can see here a sensor is not communicating properly with the computing device and the battery is depleted Remove the depleted sensor from your body and recharge see Chapter 1 for charging information If the sensor is charged and still indi
23. ge of motion is important because the application must know the limits of your ability to move in order to precisely recreate your movements on the screen For more info on ROM setting see Setting Range of Motion ROM below If you need additional assistance visit www valedotherapy com to learn more about the movements and ROM After the initial setup you ll be directed to the Home Screen from there you re free to explore the Village Home Screen an NARA s ka a bp ib Figure 7 Home screen Notice the lonely house in the Torso District Here you are on the home screen There s not much yet because the villagers are waiting for your help Visit the different neighbors to see what exercises they re working on Swipe left or right to move through the neighborhood On the screen In the top left hand corner of the Home Screen you ll see this ribbon with the name you entered in your profile This does not only indicate who s playing it s also a button This is a shortcut to the Profile Management section Chapter 3 Valedo Application V_UM_en_1404 13 f Stretching This is an unlockable section of the Valedo 4 application Here you will learn and be instructed on how to do different stretching exercises Badges As you play and progress through the various exercises you will earn badges Here you can see what you ve earned and what s still missing Reporting Curious as to your p
24. ing Environment Temperature Air humidity Air pressure Packaging and Transportation Temperature Air humidity Air pressure 15 C to 35 C 59 F to 95 F 30 to 75 700 to 1060 hPa 20 C to 45 C 4 F to 113 F 1 month maximum 45 to 85 no condensation 700 to 1060 hPa Valedo must only be stored inside buildings Storage Temperature Air humidity Air pressure 20 C to 35 C 4 F to 95 F 6 months maximum 45 C 104 F 1 month maximum 45 85 no condensation 700 1060 hPa For the technical specifications of the computing device consult its user manual Electromagnetic Compatibility Medical electrical devices are subject to special precautions with regard to electromagnetic compatibility EMC and must be installed and operated only according to the information specified in this document Wireless communications equipment such as wireless home network devices mobile phones cordless phones and their base stations walkie talkies may interfere with Valedo Only converters and cables supplied by or obtained from the manufacturer as spare parts may be used Other cables and accessories not provided by the manufacturer may affect EMC performance and result in increased emissions or decreased immunity of Valedo Only the following parts are compliant with Valedo e Sensor part number 30814 e Cable part number 30813 Keep mobile phones and other devi
25. l sensor is in the correct position either chest or pelvis See above for sensor position 6 Tighten again until sensors do not shift position while you move Training Once you have put on the sensors training can begin Training involves various exercises in a game environment each exercise is designed for you to execute specific movements Start training Training is done through the Valedo application on your computing device Tap the icon to enter the application N o Figure 6 Icon on computing device example from iPad icon may look slightly different across computing devices All training exercises are designed to target a specific lower back movement each movement will be demonstrated before starting the exercise Take care to mimic the movement exactly this will minimize the risk of improper movements and injuries stemming therefrom A Take care not to overtrain especially during your first sessions with Valedo While motivation in training is always positive prolonged or overtraining can result in muscle fatigue which may cause further injury when undertaking daily tasks A If the exercise requires a movement that is outside of your capabilities do not push to make the correct movement The best way to avoid this situation is to redo the Range of Motion settings to reestablish the limits of your personal movement range Ending the training session Close the software application on your computing devi
26. ledo at www valedotherapy com This user manual describes the safe and correct use of Valedo Follow the safety information and instructions in the user manual and general safety and hygiene norms When you are training with Valedo you are medically considered a patient For all other activities with Valedo you are considered the operator Keep this manual handy for quick reference and read through again from time to time In the interest of ease of reading we use the male form he him his when referring to both male and female Introduction V_UM_en_1404 Chapter 1 Overview and Safety Getting to Know Valedo Figure 1 Overview of Valedo Valedo is understood to mean the following components e Sensors e Double sided medical tape e Cable for charging or firmware updates e Valedo case for transport and storage The Valedo System is understood to mean all components with the computing device The Sensors The two sensors that come with Valedo are lightweight and easy to operate They are equipped with one button one LED and one micro USB port for charging and firmware updates The LED is only visible when illuminated Turning the sensors on and off If used on a regular basis awaking the sensors from standby mode is as easy as gently shaking them If the sensors are in standby mode for more than 48 hours they will enter deep sleep mode e f the sensors are in standby mode gently shake them to wake them up
27. lvic girdle pain blocking e Fibromyalgia e Benign hypermobility syndrome e Spondylolisthesis grade without neurological signs e Requiring stability training of trunk and spinal musculature e Requiring mobility training of spinal column and pelvic girdle e Requiring improved training of body balance and posture e Stroke or neurological patients requiring improved trunk stability and body perception with little or no apraxia If you are unsure if you have an indication consult with your medical expert this may be a doctor physical therapist chiropractor or physician Valedo can be used with patients with the following conditions but only in consultation and under supervision of your medical expert e Herniated disk including post operative state e Spinal stenosis including post operative state e Stable vertebral fractures e Ankylosing spondylitis previously Bechterew s disease with painful limitation of spinal movement e Osteoporosis light or middling level with pain consequences e Multiple Sclerosis non progressive stage with disturbed body perception e Parkinson s disease with disturbed body balance and posture e Stroke or neurological patients lt 3 months after last incidence requiring improved trunk stability and body perception with little or no apraxia Contraindications Functional training with Valedo is not possible or indicated in every case In general Valedo must not be used in the following c
28. mply put you can charge both sensors simultaneously but you can only update one sensor at a time For information on updating the sensors see the Maintenance section below Figure 2 USB head on the left two micro USB heads on the right Micro USB head in the middle can be used for both charging and firmware updates The Belt optional If you wish to train without using the double sided medical tape consider our specially designed belt The sensor simply snaps into the belt buckle Easily adjust the size by pulling the loose cord 1 The belt is an optional accessory available for purchase from Hocoma Go to www valedotherapy com for details Chapter 1 Overview and Safety V_UM_en_1404 Figure 3 Training belt Hand wash and hang dry The Computing Device All training requires a computing device For a list of supported devices consult www valedotherapy com Take care of your computing device by regularly updating your operating system On the computing device you will need to download and install the Valedo application see Chapter 3 Pairing sensors and computing device via Bluetooth 1 Enable Bluetooth on your computing device usually in settings or configuration 2 Turn on sensors 3 Open the Valedo application 4 Create new profile making sure to indicate that you have sensors See Chapter 3 for more information on creating a profile 5 Connect sensors in the Sensor Managem
29. r See copyright page at beginning of manual for contact information Problems with the Sensors Issue Action The sensors are not e Gently shake the sensor to turn it on turning on e f that does not work push the button to turn on e f both actions above do not work that means the batteries are depleted and must be charged e f you suspect sensor failure check on www valedotherapy com for sensor diagnostics and procedures for replacement under warranty Problems While Preparing for a Training Session Issue Action The computing device e Make sure the computing device has been does not start charged or is plugged in e For further troubleshooting tips for the computing device please consult its user manual Valedo sensors are not e Make sure your computing device is running connecting to the the latest version of its operating system computing device e Make sure the sensors are charged before connecting to the computing device software e Make sure the sensors are not connected to a power source via the USB cable e Make sure Bluetooth is enabled on your computing device e Make sure you are close enough to the computing device sensor icon on computing device will indicate if sensors and computing device are connected e Turn sensors off and on again e Restart computing device e Restart Valedo application Chapter 5 Troubleshooting V_UM_en_1404 20 Problems During the Training Session Issue
30. rogress Here you can see how long you ve played the number of pick ups collected and more aN Range of Motion Re establish your ROM here The screen is A identical to what you had to do for your initial setup though it might be a good idea to revisit this section as you progress in the game You might find yourself able to go a bit farther Valedo Button Button to take you to www valedotherapy com c am Sensor Button Indicates batterv level and sensor connection z strength It is also a shortcut button to the Sensor Management screen Information Clicking this will bring up information regarding Valedo On the Home Screen the Info button is in the bottom right hand corner Setting Range of Motion ROM 2 RANGE OF MOTION eo Movement Tutor On Ke Q mar CAPTURE 3 CANCEL Figure 8 Example range of motion screen Fa During the initial installation or if vou tap the A button on the Home screen you can set update and track your range of motion ROM Setting the correct ROM is important for accurate gameplay and safe training The purpose of establishing your individual ROM is simple with the ROM values the software can adjust the exercises to your personal movement ability so they re not too difficult or too easy If the games are too difficult it can stint motivation or increase chance of injury due to overcompensated movements If the games are too easy they quickly become boring How it s done
31. ting range of sensors depends on training environment The Valedo application will not recognize non Hocoma sensors Do not attempt to use third party sensors with Valedo Further complications of trying to use non Hocoma sensors may include but are not limited to corruption of your saved info within the Valedo application corruption of information on your computing device outside of the Valedo application environment damage to the third party sensors and personal injury The Cable General Main cable dimensions L Extension dimensions L Weight Revision Expected service life The Double Sided Tape General Dimensions two pieces L x W Expected service life 900 mm 35 4 in 300 mm 11 8 in 30 grams USB revision 2 3 years 39 x 38 mm 1 53 x 1 49 in 3 years when stored at temperatures of 10 to 27 C 50 to 80 F and a relative humidity of 40 to 60 Chapter 4 Technical Specifications V_UM_en_1404 The Belt optional General Dimensions L Weight Expected service life 60 to 120 cm 23 6 to 47 2 in exact dimensions on website 50 grams 3 years General Operating Conditions The device must only be used in clean dry rooms with level floors Make sure you have plenty of space around you while you train and keep large ferromagnetic equipment e g stereo system or large speakers or devices at least 2 meters 6 feet from you We recommend that the device be used indoors Operat
32. ts of the treatment against the benefit gained from it in each individual case Your individual situation and the general risk assessment for specific patient groups are of equal importance in this regard Increased development of osteoporosis in chronic patients also has to be taken into account As severe osteoporosis is a contraindication it is your responsibility to stay within the recommendations of your competent medical expert and follow the treatment plan as laid out by him If you are a chronic patient or have been immobile for a long period of time short training sessions are recommended to begin with A tendency to overtrain at the beginning is common and can lead to muscle fatigue soreness or joint discomfort if initial training sessions are too long Just like with any other training program small steps at the beginning are critical in order to avoid overtraining and consequent injuries With time your body will adapt to the training and you will be able to train longer and do more strenuous exercises A Do not continue training if you are feeling fatigued Training when you are tired may lead to overcompensated or incorrect movements A Examine yourself regularly for any possible skin irritations or signs of allergic reactions If a skin complication from the medical tape arises discontinue training and consult a dermatologist Risk Factors Valedo is not meant to replace the expertise or experience of your medical expert
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