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User Manual and Step-by-Step Guide

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1. Page 12 iii Global Reports And finally available is the innovative Global Report which is covered in detail in section 18 of this man ual To this end clicking the New button will start the automatic procedure to attach any files to our pa tient card At the end of the procedure a list of attachments that you have made will be displayed Patients list Main Data Clinical History Data Clinical Diary Global Report Compare Remote code Remote center Name Code Registration date Paziente Modella Cover Nothing M Historical reports generated Static Analysis Dynamic Analysis Postural Analysis Video Analysis Podoscanner 2D Pressure reports Open Delete Conclusion of report Analytic Text Both ww 12 19 1981 Height cm 170 Weight Ka 59 Shoes n 39 FreeStep v 1 2 04 DEMO From the patient data card or rather the main data card which carries the most significant details of the patient can be activated acquisition processes and or displays of instrumental tests On the right side of the screen is displayed a list of previous tests carried out and below the procedures Open New and De lete iv Compare This allows you to quickly compare 2 studies Multimedia files Patients list Main Data Clinical History Data Clinical Diary Global Report Compare Pressure examination Re
2. Scale1 1 v Prin 12 19 1981 Height cm 170 Weight Kg 59 Shoes n 39 FreeStep v 1 2 04 DEMO On completion of the data acquisition it is possible to make adjustments to the brightness contrast and the intensity of the image in order to obtain a good colour contrast between the footprint image and its surrounding environment Closing the data capture screen all data is automatically saved in the database f EMG If you have an electromyograph compatible with the FreeStep software turn on the capture page using the menu Before activating the capture screen place the electrodes directly on the patient and turn on the instrumentation The screen shows a preview of all the available electromyography channels It is therefore necessary to disable any channels that are not attached to the patient or the instrumentation So adjust the full scale depending on the type of acquisition required and according to the user s experience Insert the descrip tion of where the electrodes were positioned for each acquisition channel as this information will be extremely important during the display and evaluation of the data Clicking Start will begin sampling of all the selected EMG tracks The timer displays the time elapsed from the start of the recording To terminate recording click Stop then click Close to automatically save the data Page 21 7 Changing the Image view Within FreeStep you can choose
3. E Max Points vj Print Y FreeStep v 1 2 04 DEMO 12 12 1111 Height cm 174 Weight Kg 70 Shoes 42 Page 36 During each phase it is possible to evaluate not only the foot pressure but also the positioning of the body s centre of gravity which also contributes to the description of the resulting of forces on the im print this can be seen as a white line the momentary value on the surface area the point of maximum pressure the average pressure and the load expressed as a percentage relative to body weight that is imposed on the foot during examination Viewing the overall picture using button G the imprint can be represented in three different ways F z Average Represents the mathematical average of the pressure values for each video frame F z maximum Represents the maximum peak of pressure reached for each single point F z t Represents the value of pressure multiplied by the time spent in contact with the ground The central image represents the traces of the resulting forces In each phase by moving the mouse onto the dot that represents the centre of gravity in each specific phase numerical information referring to the centre of gravity at that particular moment is displayed The horizontal lines shown in different colours denote the following moments of the step Red line Initial contact 0 296 of the step duration Green line Loading Response 3 1096 of the step duration Blue
4. 1 Progressive Backup To make a backup after you have successfully configured the target drive in System Setup simply click the Backup button This may take several minutes depending on the amount of data to be copied and the speed of your computer When finished in the list of previous backups made you will see a new entry indicating the date time of the backup and data it contains To perform a Restore of a file previously saved select from the list the data sets of interest and click the Restore button Use extreme caution during the Restore as it is an irreversible procedure and could result in data loss Always make a backup prior to the first attempt at a restore to a previous situation During the operation Restore does not turn off the computer to complete the procedure Page 16 6 Instrumental acquisition a Static Analysis Through the quick menu on the left side of the screen in the section instrumental acquisition and once you have selected or created a new patient you can enable the Static pressure baropodometric acquisi tion platform by clicking the appropriate menu item PA FreeSTEP Static Acquisition File Modify Show Settings Bx EB G Quick menu nx Numerical values Geometric values iid weight Instrumental Acquisition Total LF RF P Max gr cm2 t 3 Static P Avg gr cm 171 up Surface om Load 9 9 posturographic Load Ka Forefoot Video Acquisition Surface
5. 14 Videography The initial video screen displays all the images acquired during the course of the analysis Through the scroll buttons 55 you can browse all of the images Turning on the Grid function images will be projected onto a thin grid reference which is particularly useful for objective assessments a Treatments and calculations For all images acquired by the software it is possible to in two different ways to make a series of geomet ric calculations and evaluations aimed at the structural study of the subject The methods of evaluation are principally two one through free measurements and the other guided by the measurements The free measurements allow the operator to trace directly onto the various images and segments to automatically obtain the calculation of the length area or angle of the plot In the absence of image calibration the measurements of lengths and areas are expressed in pixels On the other hand following the image calibration the measurements are converted into millimetres The measurements allow the operator guided through specific protocols to identify a range of indicators in a semi automatic mode To begin the automatic measurement procedure is essential to indicate through the appropriate drop down menu the type of image that you wish to analyse For example if we have the picture of the patient in front view select Anterior View from the drop down menu and confirm your choice
6. Le presenti condizioni generali si intendono integralmente conosciute ed accettate all atto dell apertura dell involucro contenente i supporti di memorizzazione o al momento j I accept the agreement I do not accept the agreement Pressing next again all previously selected settings are displayed In the case of an erroneous selection then simply navigate backwards to the required point in the program using the back button prior to car rying out any corrections Setup FreeSTEP Select Destination Location Where should FreeSTEP be installed A Setup will install FreeSTEP into the following folder To continue dick Next If you would like to select a different folder dick Browse Atleast 36 1 MB of free disk space is required Click next to start the installation Depending on the speed of the system this operation could last for a few minutes After installation you may be required to restart the computer an option which if necessary will be dis played automatically on screen Upon successful installation you can run the program directly from the FreeStep icon installed automati cally on your desktop or through the Windows program menu Compatibility and System Requirements The FreeStep program is compatible with the majority of personal computer systems notebooks and Page 6 netbooks with the following minimum requirements Personal Computer IBM compatible AMD or INTEL processor Hard Disk
7. Load R F Rearfoot Load L L Medial Load L L Lateral Left 3236 895 120 Right 2432 845 104 242 The average distribution of the load don t shows appreciable differences between the left and right foot average pressure LF 895 gr cm RF 845 gr cm The point of maximum pressure P Max on the left foot is 3236 gr cm and on the right is 2432 gr cm The load distribution between forefoot and rearfoot in the left foot is within the physiological values forefoot 64 rearfoot 36 while the right shows a rear forefoot ditribution not conform Rework 12 12 1111 Height cm 174 15 2D PodoScanner Weight Kg 70 Shoes 42 18 22 65 42 m Points v Print Close FreeStep v 1 2 04 DEMO The podoscanner or digital podoscope displays on the screen the most significant values calculated from the automatic analysis of the footprint The image can be displayed in natural couloirs shades of gray or a colorimetric palette it can is also be printed on a 1 1 scale in order to produce the podoscope imprint directly on paper Treatment and Calculations 12 19 1981 Height cm 170 Weight Kg 59 Shoes n 39 Normal Color scale aa n3 IN e Mi 66 m Den J we n3 Grayscale Scale1 1 Close FreeStep v 1
8. cm D Load 6 Weight ratio R F 55 id Rearfoot Surface 72 Tread Lond 0 33 Weight ratio R F e General Database Instrumental Acquisition 8 Chronology 3 ma Statistics amp Data Showing Active Hardware Notes Levels Numerical 3D Orthotic insoles sw System setup o close Paziente Modella 12 19 1981 Height cm 170 Weight 59 Shoes n 39 FreeStep v 1 2 04 DEMO To verify the selected patient watch the status bar on the lower screen from left to right displayed in real time is the key data of the patient selected On opening the Static acquisition screen the capture device is immediately activated in the Setup Appli cation Have the patient place both feet in the area designated for the acquisition of data Some multiple platform systems are active during the stance phase fixed other systems can be config ured as desired again using the appropriate Setup panel The same is true of the rotation of the image and then the positioning of the patient To correctly capture the imprint of the patient they must have their heels at the bottom of the screen and as far as possible they should be aligned with each other Two horizontal cursors visible at the centre of the screen will help in manoeuvring for correct alignment If you have the necessary components it is possible at this stage to activate the image capture device to perform simultaneously with the static
9. ried out with pressure platforms is the result of scientific research and statistics Each FreeStep program is connected to its own database in which all local statistics are calculated It is also connected to a unique centre where statistics are compiled internationally The user who decides to share their data does so totally anonymously and as such has access to world statistics in real time in order to see the results of global evaluations a Statistics and graphs The Statistics and Graphs page represents the results local and global where applicable of all the instru mental examinations The interface is divided into categories that represent mean values medians standard deviation and a series of numerical data appropriate to a greater understanding of the scientific data found within the software Page 24 b Clear data statistics This function allows you to completely reset the statistics calculated so far local remote or both This procedure does not clear the exams or the patient s instrumental data in the archive but only gener ates a new zero point from which to calculate statistics c Send and Receive The function when activated connects your database to an international centre for statistics and allows for the sending and receiving all the results saved To keep your records statistics constantly updated it is advisable to use the procedure at least once a week This feature requires a broadband Intern
10. 1s 12 12 1111 Height cm 174 Weight Kg 70 Shoes 42 FreeStep v 1 2 04 DEMO c Frameset View step by step the complete performance of left and right half steps in a single pane Depending on the number of frames available you can adjust the interval between each frame to get a full view in a single frame Select Footprints an Curves and Graphs Geometric analysis Video Acquisition Summary Gait Line Gait Cycle Frameset Average Footprint DL aw LOLO sa eae aes Average values Options Foot counter Foot counter Average Surface cm Average Speed mm s Average Surface cm Average Speed mm s Average Max P ar cm Average Force Kg Average Max P ar cm 1300 Average Force Kg Average Avg P gr cm Average Rotation mm Average Avg P gr cm Average rotation mm A Points iv Print v 12 12 1111 Height cm 174 Weight Kg 70 Shoes n 42 FreeStep v 1 2 04 DEMO Page 38 d Footprints Medium On the screen it is possible to evaluate the average of all recorded imprints not excluded from the calcu lation Each footprint indicated by the test number and the footprint number counted from left to right con tributes to the calculation of the displayed average The average image can also be viewed as an expression of the highest peaks of maximum pressure sim ply by turning on the display Maximum Values located in the t
11. Side Lateral Page 54 LAN Local computer network Lateral External portion of the plantar Logo Graphic image that represents the brand of a company or product M M see P Max Max Maximum value Medial Inner portion of the plantar Min Minimim value mm millimetres ms milliseconds O OA Eyes Opened OC Eyes Closed P Phases Frames that comprise an analysis P Max Point of maximum pressure P Med Average pressure per square inch Pixel Point formed element that makes up an image R Rapporto R A 96 Load ratio hindfoot forefoot expressed as a percentage taking into account only the load on the single limb Rendering Graphic performance Restore Restoring a backup RMS Mean Square root or root mean square or rms S S see CoF Skin defines the look feel and couloirs of the program Software Program or set of computer programs SX Left foot T TreD Three dimensional W Web service Web program that allows data exchange Z ZIP Compressed archive with the same name algorithm Zoom Magnification Annotations Page 55
12. by clicking on the button marked with a lock linking the image to the protocol Now following the sequence shown in the list below click directly on the image identifying the reference points detected by the software The greater the precision in the positioning of the virtual markers will produce greater accuracy and reli ability in the calculated responses As you place items in the list of results the calculated numerical values appear A correct and complete Videographic evaluation consists of acquiring images of the subject from the Front View Rear View ant the Right and Left Side Following the protocols of driven measurement the results obtained will be extremely reliable and com prehensive Each image measured manually or through the wizard can be printed as described in the chapter on Printing Page 43 b Setting up the Measurement settings To calibrate the length of the image in full or part use the Image Calibration function Drag the green lines to your upper and lower limit then put in your measurement in millimetres Free mexrements Heasurement4 Gamma 0 IK IAS Insert height measuremant hene hen apply To complete freehand measurements select from Single or Double line Altimeter or Triangle Drag and click on the patient photo to complete The measurement will appear in the list and you can edit the Description to your requirements
13. from 5 different views These can be found on each acquisition screen under the Hi Res tab found at the bottom right of the screen The Default option is High Res as shown below Select Footprints Curves and Graphs Geometric analysis Gait Line Gait Cycle Frameset Average Footprint Gait Line Curves m P Max gr cm P Avg gr cm Surface cm Speed mm s m Min Max 12 19 1981 Height cm 170 Weight Kg 59 x hi m AGA feme Global Syncro Play Global Print v dose FreeStep v 1 2 04 DEMO This shows the foot as a series of colours ranging for Red being high pressure to blue representing very low pressure a Points When points mode is active the image is covered in a series of dots making it much easier to visualise the high and low pressure areas Curves and Graphs Geometric analysis Gait Cycle Frameset Average Footprint Gait Line Curves N cwek ee faver _ Syncro Play Min Max 12 19 1981 Height cm 170 Weight Kg 59 Shoes n 39 FreeStep v 1 2 04 DEMO Page 22 b Numerical If you want to see the pressure presented on a scale from 0 to 100 choose this option The highest pressure is represented by 100 and lowest 0 Curves and Graphs Geometric analysis Summary Select Footprin
14. on the tangents of each podalic contact Through this representation it is possible to principally assess the interactions of the surface area and loading in the medial and lateral portions of each footprint In addition on the right side of the screen guidance is supplied which refers to the width and length of the footprint the length of the resultant forces the foot angle and the angle of the podalic axis Video acquisition If during the dynamic acquisition one or more cameras were activated the option will be automatically be available Videography Select Footprints Biomechanical analysis Curves and Graphs Geometric analysis Video Acquisition Summary AN Left foot Foot length mm CoF length mm F joint Max width footprint mm Podalic angle 14 Podalic axis 11 Medial Lateral Surface cm2 60 60 Load 95 Avg Right foot Foot length mm mm CoF length mm F E joint Max width footprint mm Podalic angle Podalic axis Surface cm Load 96 P Avg gr cm 0 50 100 150 200 mm 12 12 1111 Height cm 174 Weight Kg 70 Shoes 42 FreeStep v 1 2 04 DEMO On the left side of the screen there will be shown the main video captured during the test At the bottom of the screen you can see the scroll bar and buttons On the scroll bar a small red rectangle can be seen This marker represents the frame in whic
15. podolic footprints all numeric variables calcu lated during the examination For a detailed description of all parameters displayed refer to the relevant section of this manual Glos sary and Conventions In addition available at the bottom of the page is a pressure text report which is automatically generated by the system The software is able to analyse interpret and compare with a series of standard values a large amount of quantitative data These are then enhanced as text and associated to the examination in question The text modifiable by the user is saved automatically when the page is closed Geometric analysis Video Acquisition Foot analysis Points Numerical values Geometric values Numerical Weight Kg Hig Res Levels LF RF 3D P Max gr cm2 P Avg gr cm Surface cm 178 Load 25 51 Load Kg Forefoot Surface cm2 113 Load 265 Weight ratio R F Rearfoot Surface cm2 71 Load 265 21 Weight ratio R F Notes Automatic pressure report STATIC ANALYSIS gt m Static examination performed on the patient Galli Thomas the following is noted The body center of gravity is centered but forwarded The centers of pressure of the left L and right R leg are not on the same line Respect to the body center of gravity C the left one is forwarded and the right one is backwarded The point of maximum pressure M is positioned in the right forefo
16. will detail the measurement angles taken phone 1 6 Anterior view Paziente Modella Birth date Height Weight Shoe Size 2 6 Posterior view 12 19 1981 Patient code 00000001 170 cm Remote center 59 Kg Remote code 39 Measurements Description Anterior view Shoulder tilt Pelvic tilt Angle varus valgus knee rg Angle varus valgus knee If Trunk Inclination Leg tilt Posterior view Shoulder tilt Height of left shoulder mm Height of right shoulder mm Scapulae tilt Sips tilt Angle varus valgus knee rg Angle varus valgus rearfoot rf Angle varus valgus knee If Angle varus valgus rearfoot If 49 c Summary The screen can display two four or six of the captured and measured images These can be printed and or combined with each other in order to obtain a global summary report on a single page Select Footprints Biomechanical analysis Curves and Graphs Geometric analysis Automatic pressure report STATIC ANALYSIS Video Acquisition Points Levels Numerical Hig Res The dynamic examination performed on the patient Galli Thomas the following is noted The total area of the left foot 120 cm 2 is higher than the right 104 cm 2 The length of the left footprint is 244 mm that of the right of 242 mm ummar Numerical values P Max gr cm P Ava ar cm Surface cm Podalic angle Podalic axis Foot length mm Load R F Forefoot
17. with at least 500Mb of free space available 4GB RAM CD or DVD drive Graphics card with 256Mb of memory or on board graphics Microsoft Windows XP Vista Windows 7 in the 32 and 64 bit versions Windows 8 in the 32 and 64 bit ver sions DirectX 9 0c Colour or black and white printer Internet Connection essential for LiveUpdates and Technical support see the Live update paragraph Personal Computer IBM compatible AMD or INTEL processor with i5 or better or equivalent Hard Disk with at least 500Mb of free space available 8GB RAM CD or DVD drive 1GB Dedicated GPU Graphics card Windows 7 in the 32 and 64 bit versions Windows 8 in the 32 and 64 bit versions DirectX 9 0c Internet Connection essential for LiveUpdates and Technical support see the Live update paragraph Furthermore FreeStep is perfectly compatible with the latest version of Apple Mac equipped with a Win dows emulator such as Parallel or VMWare or in dual boot mode with a Microsoft operating system In the event of any incompatibilities between the PC and the software most cases can be resolved by adjusting the advanced video settings and reducing the hardware acceleration default setting For each adjustment in hardware acceleration attempt to access FreeStep so as to evaluate its correct functioning 2 First execution of the program When the program is first run with an Internet connection present whichever version of FreeStep is in stalled or being in
18. 04 DEMO We recommend testing various combinations to obtain the best possible result on your system Clicking the Test button you can get a preview of the camera set up ii Dynamic Video camera Select from the menu drop down the camera that is to be used for dynamic video capture Page 32 If the camera is the same as in the static section configure the same device It is however possible to change the devices characteristics such as resolution video channel acquisition frequency etc Then use the special test button to verify the correct setting Scanner The drop down lists on the scanner option lists all Twain compliant devices installed in the system If you have more than one device eg multifunction printers and table scanners use extreme care in selecting the scanner designated for the capture of footprint images In combination with the scanner it is possible to configure a specific camera that captures an image si multaneously Correct positioning of this service device will give you both a footprint image and a poste rior view of the subjects heel i Scanner This will allow you to add the 2D Podoscanner to your setup and make it available when acquiring infor mation 10 Footprint Analysis a Static The first panel displayed represents the foot pressure in the patient with numerical information that is divided into the four quadrants of the foot anterior posterior left and right Using the buttons P
19. 064 Elipse Center Geometric Center Avg X mm 415 Avg Y mm 969 Global a EWS JJ m Bipodaicoe 51 2sec E Conbined 12 19 1981 Height cm 170 Weight Kg 59 Shoes 39 FreeStep v 1 2 04 DEMO In the image posted high and to the left of the screen is a zoomed representation of the oscillations The eclipse inscribes 9096 of the movement and its relative chords On the right side of the screen displays the oscillations separating the two oscillatory components latero lateral movement and anterior poste rior movement In the lower part of the screen alongside the foot pressure imprints the table with the calculated nu merical values and a text field on the notes is displayed It can also display the speed graph the posture rectangle the oscillatory components Fourier analysis and the power spectrum The Fourier analysis red graph and power spectrum green graph are available for both the total oscila tions of the body s centre of gravity COP both for oscillations L L and A P All graphics are zoomable by performing a double click on the image you wish to enlarge a second test can be viewed and compared with the first examination Activate the Combine option located next to the Print button and select the second test from the drop down menu to obtain a comparative view During the comparison of the two tests the Romberg ratio indexes in numerical values will be calculated and displayed Page 42
20. 2 04 DEMO Page 50 In the treatment and calculations section and using the same modality of videography you can do free or guided valuations The measurement wizard image analysis is completed automatically however it can be changed by the operator who can fine tune the positioning of the markers Acquired Image Free measurements Measurements tours 12 19 1981 Height cm 170 Weight Ka 59 Shoes n 39 FreeStep v 1 2 04 DEMO 16 EMG The display interface for the electromyographic examination represents in graphic form muscle recruit ment recorded during the analysis Each individual graph zoomable and analysable separately and can be annotated and printed The image overlay function and trigger time allow you to compare the paths between individual graphs This feature is useful when comparing the same muscle left and right in order to obtain a comparison of analysis 17 Print Button The print button as well as printing out the analysis or chart visible on the screen provides access to a variety of functions relating to it which also assist routine work These functions are Setup OneTouch Preview and Print a Setup This function allows you to change the printing device to be used or its features print quality paper size etc without having to open another pane in windows Page 51 b OneTouch This feature is available when viewing certain analyses that feature multiple pr
21. Baropodometry Biomechanics Posture User Manual and Step by Step Guide FreeStep Standard Version 2 Te I x DM on oO o m N nmang ho OT o5 TABLE OF CONTENTS Introduction Installing FreeStep First execution of the Program Live Update Welcome to FreeStep The Program Menu The Text Based Menu Modify Show Settings Accessory Menu Main Menu Items Patients Database Patient List ii Clinical Diary iii Global Report Compare Event Calendar Import and Export Data User Management Backup and Restore data Instrumentation Acquisition Static Analysis Dynamic Analysis Postural or Stabilometric Analysis Video Acquisition 2D PodoScanner EMG Changing the Image View Hi Res Points Numerical Chronology Statistics and Data Statics and Graphs Clear data Statistics Send and Receive Orthotic Insoles Send to CAM Service 11 12 13 o o 12 P Setup Application Central details General Settings Preferences Print Quality Lan Configuration iii Bar Codes Software Settings Configuring Static Analysis Configuring Dynamic Analysis iii Configuring Postural Analysis Display Podoscanner i EasyCAD Temporary files Hardware Settings EMG Camcorders Static Dynamic Video Scanner Footprint Analysis Static Geometric Analysis Video Analysis iii Summary Dynamic Selecting Footprint Biomechanical A
22. Import and Export of data The Import and Export function allows you to extract or insert data into your computer one or more pa tients and their corresponding examinations allowing simultaneous management of multiple computers or sharing between various specialists Every patient whether imported or exported in addition to maintaining its identity will retain the range of information that will enable us to identify the specialist centre that sent the data traceability The export wizard is composed of three basic steps namely selection of patients to be exported the selection of examination for each individual patient to be exported and the destination path where to copy the data At the end of the wizard it produces a compressed single file which can then be sent to the destination computer Page 14 The import procedure is extremely simplified it allows us to select a file compressed in zip format from another FreeStep application after the selection there is a summary of data centre sender examinations contained and patients If you click on Import the entire contents of the compressed file will be copied in the database hence maintaining traceability y LO ZULI Search Select the patients to export 12 12 1111 Male 12 19 1981 Female Select the patients to export d User Management The user management allows you to configure FreeStep as a unified software platform while at the same time customized for each indivi
23. To use the auto measurement function select the Image type from the drop down list The options are Anterior Posterior Right Left Side Lower Limb Anterior Posterior Once selected click the padlock enter your calibration in Image Calibration then work through placing the marker points To go to the next point just select then click on the image to fix that point Page 44 Once complete the graphic markers will give you results in angle or distance depending on what it is measuring A guideline to the marker points is as follows ANTERIOR VIEW Free measurements Fieasurements Gamma Correction j lcge Type rjaja image calbrabon Page 45 POSTERIOR VIEW L imme cadbraton Bag popkteal losa the patient C7 vertebra B Fig shoulder C Left shoulder D Right scapula E Left vapula F Right sips G Lett sipa H marist Leit verit al fight greacrirachanter KK Left greater trochanter L M H a F Q H Page 46 LEFT RIGHT SIDE VIEW Raja Head center Oz zrxc romsmoonl Page 47 LOWER LIMB POSTERIOR Page 48 REVIEW OF MEASUREMENTS Once you have completed your measurements go to the summary tab Select to view as 2 4 or 6 image pane Choose the image you wish to review To print click on print and select Preview The report
24. ab menu Options Also shown are the values of standard deviation RMS for the main indicators calculated on the foot prints 12 Curves and Graphs All numerical values calculated during the course of the steps are represented in the form of curves and grouped in a single screen Depending on the chosen template display it is possible to display six two or a single graph at any one time Each graph can represent a specific curve of one or both feet When a graph represents a single foot display the data is as follows Select Footprints Biomechanical analysis Curves and Graphs Geometric analysis Video Acquisition Summary BEEN 12 12 1111 Height cm 174 Weight Kg 70 Shoes n 42 FreeStep v 1 2 04 DEMO The curve of the whole footprint a trail of translucent colour The average curve of all the footprints dashed curve The curve of the footprint under examination the most important curve The average standard deviation horizontal dotted line Exploring the curves with the mouse when you approach the curve an indicator appears that shows the exact value of the graph at that particular point Clicking on the curve at the top of the screen will display the corresponding phase in that particular stage Page 39 To display the global footprint image click the corresponding button G a Geometric Analysis The graphic representation shows the polygon constructed
25. alysis B mo Postural Analysis maaan Video Analysis Podoscanner 2D Pressure reports E Open Delete Conclusion Type of report Analytic Text Both Print 12 19 1981 Height cm 170 Weight Kg 59 Shoes n 39 FreeStep v 1 2 04 DEMO From the first drop down menu the type of cover page to print can be selected from the available op tions None Cover patient details and patient details only From the second drop down menu the patient s static analysis dynamic analysis and their postural study if available can be selected and printed In the text field at the bottom of the page findings automatically generated or modified are listed accord ing to the examination selected Add if necessary any conclusions in text form then select the type of report you wish to print The op tions are Analytical Text or Both By clicking on Print details will be saved automatically and a report printed which contains all of the selected global information The detailed report displaying numerical data relating to the examinations is equipped with a table featuring standard values and a tolerance range All the standard values featured in the reports are taken from important scientific work carried out using Page 53 pressure platform systems If any inconsistencies are found it is at your discretion not to use the function however we would appreciate it if you cou
26. appropriate keys 55 that are positioned in the centre and on the right of the screen to scroll the images Geometric analysis Video Acquisition Biomechanical analysis Curves and Graphs Summary General data Total number of walks 2 Number of footprint 5 Steps per minute 130 Average length of half a step cm 33 Average speed 42 90 Time on the ground left ms 0 Time on the ground right ms 0 Total duration of test s 5 Hi Res vj Print vj des 12 12 1111 Height cm 174 Weight Kg 70 Shoes 42 FreeStep v 1 2 04 DEMO To delete an imprint from the calculations use the right mouse button and select the Delete function This operation in addition to eliminating the footprint calculations will also prevent the operator print ing the selection Removed footprint images will be displayed in shades of gray instead of colour During the preliminary analysis of the footprint images it is possible to experience that the automatic identification system could have misinterpreted an image taken from the right with an image taken from the left or vice versa Page 35 If this occurs simply click the right mouse button then select either Left Right to change Select Footprints Biomechanical an Curves and Graphs Geometric analysis Video Acquisition Summary Gait Line Gait Cycle Frameset Average Footprint Gait Line Curves P Max gr cm P Avg gr
27. be done through the tab on the top menu marked Settings Setup application or through System Setup on the side menu ATTENTION Some choices in the setup can affect the operation of connected equipment and in some cases cause Page 25 damage For proper configuration of hardware devices please refer to the installation manual for the respective manufacturers a Centre details On the first screen displayed it is possible to enter the details of the user centre of the software Application Settings Enter your details in the spaces provided The data entered will be used in all stages of printing and for marking patients when sending files to remote centres To further customize the software and prints it is also possible to insert your own logo in the box The file format to use in this case is either JPG or BMP b General Settings On this screen it is possible to configure The language for the entire software interface the default setting is Italian however if you wish to change the language select the language you wish to use then click OK and restart the program to make the changes effective The backup location Select a disk drive or network location where you would like to make backup cop ies Then select the destination drive for backups The default mode for sending data used in the process of sending data to the service providers and in accordance with the company that provides the orthotic production servi
28. ces Page 26 Application Settings Centre data General Settings Preferences Software Settings Hardware Settings Camcorders Language EN ES BN CI um EN E Italian English Spanish Spanish German Portuguese Romanian Turkish Database backup Send mode Centre email Outlook Express MS Outlook Destination path _ Local path ftp Username Password ftp path Connection string Web Service c Preferences Print size Depending on the printer used it is possible that the print size produced by FreeStep exceeds the per mitted size This problem mainly occurs when the margin settings of your printer exceed one centimetre per side Through the percentage reduction option it is possible reduce the overall print size to overcome this problem Application Settings Centre data General Settings Preferences Software Settings Hardware Settings Camcorders Print size 100 a Printer quality Normal Graphics SAFE MODE LAN Configuration Barcode disabled Barcode with GST Code Barcode with patient code If during one or more print jobs can be seen that the document is incomplete gradually reduce the per centage until complete documents are obtained Page 27 i Print Quality The print quality option allows the print quality to be varied speeding up or slowing down the process to produce sharper high quality imag
29. cm Surface cm Speed mm s f z average f z max f z t gt i G lt lt gt gt gt Global Syncro Play Global Min E Max Hi Res x Print v Close FreeStep v 1 2 04 DEMO BOBO 12 12 1111 Height cm 174 Weight Ka 70 Shoes n 42 11 Biomechanical analysis a Gait Line The study of Gait Line and of the relative dynamic video frames allows step performance to be assessed moment by moment The sequence buttons placed below the podalic imprints allow you to explore the rolling of the foot step by step Select Footprints Biomechanical an Curves and Graphs Geometric analysis Video Acquisition Summary Gait Line Gait Cycle Frameset Average Footprint Loading Response 10 Terminal Stance 5026 Frames 1 Frames 6 Frames 18 Frames Duration ms 9 Duration ms amp Duration ms 9 Duration ms Avg speed mm s BB Avg speed mm s 5 Avg speed mm s Avg speed mm s Max surf cm 6 Max surf cm amp Max surf cm B4 Max surf cm Max load 4 Max load 96 j Max load Max load al CES SE To al 5t Frames Duration ms Avg speed mm s Max surf cm Max load Frames Duration ms Avg speed mm s Max surf cm Max load 96 4 Frames Duration ms Ava speed mm s Max surf cm Max load 96 Frames Duration ms Avg speed mm s Max surf cm Max load 22 5 cm 52cm BIO BOTE Global Close
30. dual operator that has access to the system The separate management of users with its own specific identity and password allows the utmost respect for patient privacy and extreme flexibility in the use of the program amp User profile management Man level Name sab led Administrator 0 Administrator Optional parameters JPrivate Patients Change password at next login Password never expires Password Change not allowed Disabled account Page 15 Each user can be inserted by the system administrator a user with the highest level of access and func tionality and can be managed privately or shared patients Depending on the level of access determined by the Administrator each operator may not be configured to enable access to certain program areas such as the System Setup the area of data backup etc To enter modify or delete users from the software act directly on the function bar showing the com mands New Edit Save Cancel Delete It is recommended for obvious safety reasons to set all users with different passwords to each other and at a lower level of access to the Administrator e Backup and Restoring data The page on the Data Backup and Restore automatically takes care to make a backup copy of all of the ar chive and all the instrumental examinations in it A frequent and proper use of Backup secures your data from any malfunction of the personal computer Backup and Restore data
31. e patient as suggested during the static examination and in respect to working protocols Before clicking the Start button check the suggestion of which type of acquisition is about to be carried out check the duration time of the acquisition and record any information in the text field After click ing Start the countdown will appear that will provide real time indication of the remaining time for the completion of the test At the end of this period the test performed will be highlighted in green and the software will display automatically the next test to be performed At the end of at least one full registra tion you can still break the cycle of selected acquisitions without losing the collected data In fact closing the Acquisition page saves all the completed tests even if a portion of the protocol is more complex d Video Acquisition Continuing through the instrumental acquisitions menu it is possible to activate the video acquisition panel providing that the correct hardware and software are installed The video capture panel will present in the centre of the screen an image taken by the camera in real time Clicking the Start button will then start one or more acquisition sequences Afterwards presented on the right side of the screen will appear all the captured images albeit in reduced size The videography is simply the recording of images or videos of the patients studied in positions that al low geometric calculations and meas
32. e the line will move toward the rear Application Settings Centre data General Settings Preferences Software Settings Hardware Settings Camcorders C Program Files x86 EasyCAD C Users RIPPLE 1 AppData Local Temp FreeTEMP ii Configuring Dynamic Analysis Depending on your type of hardware and in particular the performance of your computer you can en able or disable the preview function while capturing images of dynamic footprints Turning off the preview function of the computer saves resources while still allowing where possible samples of the larger images In some cases it can produce an increase of up to 3096 of the captured frames iii Configuring Postural Analysis Different methodologies regarding Stabilometric examinations or posturographic or specific data capture protocols necessitate the need to customize the sample rate in order to obtain consistent and homogeneous results The maximum frequency setting is closely linked to the type of baropodometric platform used The higher the quality of the system the higher the sampling rate can be set In some cases particularly on platforms of lower quality the frequency will not exceed the 15 20Hz iv Display Based on your personal experience and differing visual perceptions of pressure footprint imaging you can configure two types of colour palettes and two viewing methods It is advisable to try different com binations until you get the baropodometric ima
33. eneral Database General Database 3 Patients database 1 1 2013 v 7 18 2013 E Events calendar Registration Date Name Sex Birth date Height Veightt Shoes n 3 1 2013 Galli Thomas ale 12 12 1111 174 70 6 24 2010 Paziente Modella Female 12 19 1981 170 59 mma aaa Galli Thomas 12 12 1111 Height cm 174 Weight Kg 70 Shoes 42 FreeStep v 1 2 04 DEMO i Patient List Opening the patient s archive you can find a complete list of patients details entered into the pro gram The list of patients is ordered by name date of registration date of birth etc simply by clicking on the headers of the list the program has a sophisticated search engine that allows you to filter the list by date of registration by operator and the originating centre of origin To insert a new patient simply click on the Create New Patient at the bottom left of the screen and com plete the form to add the new patient The procedure automatically displays the index card of the patient Highlighted in yellow are the re quired fields to complete Remote code Remote centre Name Code Registration date Address City ZIP Code State HI Phone Mobile Fax Email Birth date Sex Height Weight Shoes n Job Lll lo
34. es SAFE MODE graphics FreeStep while being fully compatible with all personal computers equipped with new generation oper ating systems such as Microsoft Windows XP SP2 or higher it may occur that when processing high level graphic designs the system stops responding to commands or causes Windows errors Usually these errors are caused by the driver system not being fully updated or problems related to the poor maintenance of personal computers By activating the option SAFE MODE Graphics FreeStep can disable a range of graphics functions in or der to dramatically decrease the likelihood of reoccurring errors ii LAN Configuration FreeStep is fully compatible for network use meaning that you are able to share the use of the software throughout your company network as well as all the information contained within the database By activating the LAN configuration option each workstation can be configured with a user profile and with the respective hardware devices connected to it without interfering with the configuration of the other stations To correctly configure the FreeStep software on the network it is advisable to enable the LAN Configura tion option save settings and restart the program Repeat this process on all workstations on the net work then proceed to the configuration of each workstation iii Bar Codes If bar codes are already used in your activity then you can enable the FreeStep bar code option Choose the type
35. et connection and requires several minutes for data synchroniza tion 8 Orthotic Insoles Incorporated into the system is also the EasyCAD software CAD software for modelling and designing computerized orthotics If the appropriate entry in the System Setup has been configured this menu can be used for the design of a personalised insole When viewing a static or dynamic analysis using the EasyCAD menu automatically patient data and the baropodometric data are transmitted to the CAD software with which it is then possible to quickly produce the design a Send to CAM service The page Send Data Service is dedicated in all respects to all who use a service outside of their own organization for the production of orthotics J EasyCAD The functions in part similar to the Send and Receive page tests are used to select patients examinations and attachments add notes and information relating to the construction of the orthotic insoles to send in a single compressed file in the following ways email local disk or network drive FTP web services gf Send to CAM Service For the choice and configuration in which way to send the information x Historical Send please refer to the section on the system setup and service requirements for the production of the insoles 9 Setup Application Before you start using the FreeStep software it is essential to correctly set the parameters for the application This can
36. ges to your liking Page 29 v Podoscanner The Brightness parameter allows you to automatically correct the acquisitions made by the digital podo graphic scanner Set negative or positive values between 1000 to 1000 to obtain an automatic light correction of scanned images MaxH and MaxW are the size of the processed images Based on the performance of your PC change the values so as to obtain the best performance and image quality If during image capture your digital scanner does not produce sharp high contrast images ie clear black outline and visible footprint image activate the Shadow filter for automatic correction of the image vi EasyCad If your computer is installed with the EasyCAD software Light or Professional version for the design of computerized orthotics then configure appropriately the path to the program Configuring this setting correctly will permit the maximum interaction between the two softwares which can then communicate automatically e Temporary Files Displayed inside the field non configurable is the temporary file path used by the program Hardware settings The configuration of hardware section is dependant on the type of electronic components to be fitted to the system Therefore please refer to the hardware manufacturer s manual for each item of equipment being installed f Hardware Settings Through the drop down list select your baropodometric platform and the number of modules that i
37. gistration date General History See nm ORTHOPEDIC PATHOLOGY YES NO HYPERTENSION DYES O NO ACCIDENTS DIABETES YES NO FRACTURES O NO NEUROLOGICAL PROBLEMS OYES O No 259288 OYES no OTHER DISEASES GAST OYES O NO RESPIRATORY OYES O NO HEAD TRAUMA OYES O No Econo OTHER owsow RHEUMATIC OYES NO RENAL YES NO PROSTHESIS OYES O NO ALLERGIES OYES O No SURGERY OYES O NO OTHER YES NO PAIN OYES NO SURGERY ag ERNIE OYES O NO O OTHER YES NO Occupation STOMATOLOGY SYSTEM PHYSICAL ACTIVITY USE OF Orthodontics OYES O No SMOKING OYES O No qty SURGERY YES NO ALCOHOL OYES O NO qty 1 OTHER YES O No ff DRUGS YES ONO m cone KI 650 Ga 12 19 1981 Height cm 170 Weight Kg 59 Shoes n 39 FreeStep v 1 2 04 DEMO Categories include general history Orthopaedic history and other information ii Clinical Diary Within the clinical diary other than the ability to insert a history of the activities carried out by or on the patient at the bottom of the screen you can enter and link attachments of any type images text videos requirements etc Name Code Registration date Notes Documentation attached Title opn New Delete New Modify Save Cance Delete is lt lt gt gt gt I Print Close
38. h the first contact of the foot occurred with the baropodometric plate In addition there are two default switches located at the beginning and end of the scroll bar which allow you to set the working area of the video you wish to display this facility allows you to focus in on parts of particular interest To adjust them just simply drag the markers along the scroll bar Finally using the Speed slider you can adjust the playback speed of the movie On the right side of the screen are the menu functions for further information relating to motion analysis Page 40 b Baropodometry Displayed inside the baropodometry menu are all the calculated curves from the baropodometric plat form synchronized with the video c Tools The tools in this menu are designed to allow angular measurements and specific treatments for move ment analysis Each operation is available for each video and for each captured video frame d Frameset This is a representation of all the video frames in a single screen e EMG If a FreeStep compatible electromyograph is used during dynamic acquisition then the EMG option will be automatically made available The display represents the flow of analogue signals in synchronisation with the electromyograph and the baropodometric platform Each channel is zoomable simply by double clicking on the image The graphics are also stackable and droppable to facilitate quick comparisons between images f Summary T
39. he prede termined time the message will become fixed and After Acquisition the image will be an average of all the data acquired during the acquisition period If for any reason it becomes necessary to reactivate the preview pane in particular to repeat a previous acquisition then just press the Reset button to return to the real time display and then repeat the acquisi tion process Clicking the Close button will automatically save the data associated with the patient being examined b Dynamic analysis m Additional Information Walk Total 0 Frames last walk 0 Duration last walk ms 0 Frequency Hz 0 Showing Active Hardware Notes Points Levels Numerical 3D Hig Res Eus S PIO 12 19 1981 Height cm 170 Weight Kg 59 Shoes n 39 FreeStep v 1 2 04 DEMO Dynamic analysis can be made through the quick menu on the left side of the screen in the section instrumental acquisition and once you have selected or created a new patient You can enable the baro podometric acquisition platform for Dynamic pressure by clicking on the appropriate menu item Re gardless of the type of device configured in the system the capture window for dynamic analysis will be adjusted to display the entire sensitive area of the baropodometric platform Through the menu of commands such as in the static analysis you can change the display type and or enable hardware accessories such as cameras and or surface electromy
40. he summary page displays all of the most significant data regarding the examination In addition at the bottom of the page a pressure text report is available which is automatically prepared by the system The software is able to analyse interpret and compare with normal values a large amount of information which then converts the information from the examination into text format 13 Posturographical or Stabilometric Analysis According to the protocol adopted during the stabilometric analysis the software will display from one to six images relative to fluctuations in the patient a Footprint Analysis Is a summary of the examination with the indications of what kind of test was performed sampling frequency and duration of each test title and textual description of the type of test Page 41 The images represented are the average recorded pressures in the set time and are printable using the appropriate button b Oscillations analysis In the oscillations analysis it is possible to evaluate a single test at a time or two tests in order to formu late any comparisons Numerical values Speed Sway rectangle Fourier analysis Notes mE Numerical values Avg Value Bipodalic 51 2 sec Average speed mm s 17 15 RMS X mm 0 415 RMS Y mm 0 3 E Standard deviation X mm 2 987 Standard deviation Y mm 4
41. ints it displays a panel that allows the operator to quickly select a predefined set of prints and run them automatically with a single confirmation Geometric Analysis Pressure Report c Print preview View a true print preview with the option to confirm or cancel print W Print preview 38 B Sensor Mesi a freeSlep soliware Miulella Ririh dale 12 19 1951 Palicnl conde 1 EVALUATION Height 472 cm Remote center Weight 9 Kg Remote codc con Shoes n 79 Test 1 Curetion ms 1520 Frames 251 EE SS DYNAMIC ANALYSIS Lxarization of 26 04 2011 11 16 FreztTE 1 2 6 Print Close d Print Send the current display directly to the default printer The commands print and print preview are always available in the upper toolbar Page 52 Inside the System Setup it is possible to adjust the print quality and the predefined print margins For more details refer to the chapter on system setup 18 Global Reports Within the general archive and by simply selecting a patient it is possible to access the Global Report page In this section a summary report print can be printed which contains the basic baropodometric data analysis compared to standard values Remote code Remote center Name Code Registration date Paziente Modella Cover Nothing M Historical reports generated Static Analysis Dynamic An
42. l lol 1 F GST code Insurance Code Doctor Hospital Prescription Examinations performed Appointments Insole M Examen type Date Time Notes Age Pathology Notes m 2 After completing all the fields click the Save button to insert all the data into the archive then proceed with the other functions In support of data relevant to patient support is however possible to com plete optional cards relative for assessing medical history and the clinical diary Page 11 After clicking the Save button all fields previously modifiable will now be blocked to prevent acciden tal changes To re enable the functionality of the fields and therefore the possibility to alter or add con tent you must click on the Modify button at the bottom of the Main Data Tab After modifying the data use the Save button or the Cancel button to validate or discard the changes incorporated To permanently delete a patient select the name from the list you wish to delete position the cursor into the personal data file and checking carefully that you have selected the correct name then click the De lete button The program will ask for confirmation twice to confirm deletion Please be aware that this procedure is irreversible For each patient you can complete a clinical history Simply click the tab at the top and add the various observations Name Code Re
43. ld still inform us about your observations in order to optimise our software product Glossary A A P Anteroposterior Angle Podalic Angle formed by tangents to the foot Axis Podalic Positioning angle rotation of the foot compared to normal B Backup to make a copy of computer data to keep in case anything goes wrong with the original C C see CoP Clipboard a part of computer memory where cut or copied data is stored temporarily cm centimetres CoF Centre of Force centre of force of a single limb or more commonly the centre of effort of each limb CoP Centre of Pressure centre of pressure or more commonly the body s centre of gravity D D see CoF DX Right foot E EasyCAD Program for the design and production of computerized orthotics through CNC machines EMG Electromyograph Evaluation Copy Evaluation Copy demonstration purposes F fps frames per second frames per second that are sampled played by the system Frame see Fasi ftp file transfer protocol between two pcs G gr grams H Hardware the equipment and devices that make up a computer system as opposed to the programs used on it Hires High resolution Romberg Index surface The ratio of the surface of the ellipse of confidence with eyes closed and eyes open multiplied by 100 Romberg Index long track Romberg Index speed Calculated as above but on medium speed K Kg Kilograms L L L
44. line Mid Stance 11 3096 of the step duration Yellow line Terminal Stance 31 5096 of the step duration Grey Line pressure 51 6096 of the step duration More information relating to the step phases are available in the Gait Cycle section b Gait Cycle The table at the top of the screen represents all numerical values divided into all the main phases during the resting of the plantar both of the left and right foot At the bottom of the screen all the tests carried out are displayed in succession If the platform allows the acquisition of multiple steps for each test ie a platform longer than 60 cm you can also evaluate the tim ing of the complete cycle of the pass and as such The duration of the first foot semi step The duration of double rest The duration of swing phase requires the presence of at least 3 supports The duration of the second rest semi step Page 37 oe T TE SS S S S B B B B B B B B B B B B 88 29 Select Footprints Biomechanical an Curves and Graphs Geometric analysis Video Acquisition Summary Gait Line Gait Cycle Average Footprint 7 4 lt Frame 0 35 Frame 1 35 Frame 2 35 Frame 4 35 est 2 2 Footprint 2 Frame 9 35 est 2 2 Frame 7 35 est 2 2 ap Footprint 2 a Frame 10 35 Frame 11 35 Frame 12 35 Frame 13 35 Frame 14 35 lest 2 2 Footprint 2 Frame 18 35 7 lt Frame 17 35 Lal Frames interval
45. mental role in all phases of the study Additional Information Static Image Acquisition 5 Examinations without shoes 6 Podoscanner 1 Examinations with shoes 0 1 Examinations with shoes and orthotics f 12 12 1111 Height cm 174 Weight Kg 70 Shoes n 42 FreeStep v 1 2 04 DEMO 12 12 1111 Height cm 174 Weight Kg 70 Shoes n 42 Dynamic analysis Load distribution oad distribution oP position Bj Centered Bl anterior B Left forefoo Br Right Rearfoo Poste Left hindfoo Right hindfo Bl Left Rearfo ed to the left ft Forefo Moved to the righ Total dynamics 3 iS Foot type left LF RF ina Bl Neutral Yo hindfoot load Bl Pronator Supinator Load L L Medial Yo 53 58 Lateral load P Max gr cm 3236 Foot type right P Avg gr cm 895 845 a Bl Neutral Su 2 Podalic axis 11 9 Supinator annla o Na Naa Close Close Weight Kg 70 Shoes n 42 FreeStep v 1 2 04 DEMO 12 12 1111 Height cm 174 Weight Kg 70 Shoes n 42 For example all the standard data that exists today in the field of baropodometry and examinations car
46. ms from left to right are File Edit View Settings File The sub menu below File is as follows Patients database Quick access to patient records Calendar Display of appointments calendar Import and Export Instant access to the transfer of data functions to Other PC s Printer setup Allows you to change your default printer Operator Logout Block program access with password required screen Exit Quick closure of the program c Modify Modify Show Settings Patients database Calendar Import Printer setup User logout The sub menu under the command modify in line with all other windows based programs allows the use of the clipboard memory Copy Memory copy of the contents of a text field or an Image Cut Cut the content of a text field Paste Paste text or image held on the clipboard File Coli Show Settings 3 Copy seneral Database pa Patients database Events calendar _ 8 m ug Page 9 d Show The sub menu under the command is as follows File Modify show Settings View side menu bar T 2 y Show lateralr Activate and deactivate the main side menu bar Das A Eam Quick men Patient Data Patient index card General I Upper toolbar View the patient s index card M Normal Value Upper tool bar Activate and deactivate the upper tool bar commands panca e Settings Even
47. n to execute the examination Further more its seamless compatibility with many baropodometric platforms cameras surface electro myography 2D and 3D optical scanners make it a uniquely universal tool This manual will guide you step by step through learning all of the features found in the program 1 Installing FreeStep To launch the FreeStep installer simply double click on the SetupFreeSTEP exe After starting the program a pop up box for the preparation of the installation and license to use this product will appear Choose language and click OK Select Setup Language Select the language to use during the installation Clicking on the Next button you will be given some important information about the program Read the information carefully about the installation options the automatic installation process will then lead you step by step through the correct installation of the product Page 5 Clicking on the Next button again opens a dialogue box where you can specify the installation path Setup FreeSTEP License Agreement Please read the following important information before continuing Please read the following License Agreement You must accept the terms of this agreement before continuing with the installation Condizioni Generali di Licenza d Uso di Software Applicativo FreeSTEP Copyright Sensor Medica s a s http www sensormedica com Leggere con attenzione le seguenti condizioni generali
48. nalysis Gait Line Gait Cycle Frameset Footprint Medium Curves and Graphs Geometic Analysis Baropodometry Tools Page 25 26 26 27 28 28 28 28 28 29 29 29 30 30 30 30 3 32 32 32 33 33 33 33 34 34 35 35 36 36 37 38 39 39 40 41 41 13 14 15 16 17 18 Framsets EMG Posturographical and Stabilometric Analysis a Footprint Analysis Oscillations Analysis Videography a Treatment and Calculations an T O Setting up the Measurement settings Anterior View Posterior View Left or Right Views Lower Limb Posterior View Review of Measurements Summary 2D Podoscanner EMG Print Button Setup OneTouch Print Preview Print Global Reports Glossary Page 41 41 41 41 42 43 43 44 45 46 47 48 49 50 51 52 52 52 53 53 53 54 55 Introduction Congratulations on purchasing FreeStep FreeStep is the latest innovative generation software for baropodometry stabilometry and biomechani cal examinations and integrates all the functions necessary for completing a clinical investigation of the patient FreeStep is not simply a baropodometric analysis software but a comprehensive tool for storing manag ing sharing and printing of static dynamic stabilometric videographic radiographic and podoscopic examinations Through an intuitive Outlook style user interface the user can activate the functionality very quickly thus optimizing the time take
49. of encoding that you wish to be displayed this can be generated by unique codes generated by the program or generated by the patients tax code On each patient record card there will be displayed and printed their individually configured barcode d Software Settings Some key functions relating to the use of the devices used and configured in the software see Hardware Settings section are manageable through this page i Configuring Static Analysis Depending on your preferences the software allows you to change the position and orientation of static analysis If you have a large baropodometric platform this feature allows you to change the position of the static analysis previously obligatory for example to the start of the platform The rotation feature instead allows you to direct the patient to the position you feel most appropriate with The R A96 divider acts directly on the automatic calculation in the positioning of the dividing axes of the two feet The dividing horizontal static axes allow you to calculate the values of the forefoot and hind foot It is therefore of fundamental importance that the axes are properly positioned on the podalic figures usu ally the position corresponds to the Chopard frame line The default setting is 4096 which starting from the point of the heel 4096 of the total length of the plantar support Page 28 Increasing the value will move the line toward the front and therefore reducing the valu
50. ography All activated devices will perform independent recordings and in synchrony to each other Page 18 Also to enable recording of the patient s gait the program will wait for the Start command It is advisable to start recording only after having the subject repeatedly walk on the pressure platform Both during the preview and during recording you can walk the patient continuously in both directions only paying attention to that between the forward steps and return steps that the patient gets off the system completely for at least a second During this period the software temporarily suspends the re cording calculates the footprint data and prepares for a new acquisition The summary panel will update the statistics for each pass of the acquisition running providing meaning ful data on the quantity and quality of acquired data Many low quality platform systems provide a frequency of acquisition below 20Hz from the pressure sen sors this makes imprints appear extremely small and of reduced quality Although there is no real limit to the number of steps recorded by the system it is recommended not to exceed twenty acquisitions per examination in order to not produce excessively long processing times When you have finished click Stop and then Close The program will automatically save and compress the data in the file which is then ready to be viewed and printed c Postural or Stabilometric Analysis Showing Active Hardware Note
51. oints Numbers Hires Levels and 3D it is possible to change the modality of the display and therefore the pressure image Rolling the mouse over the image you can see the weight in grams for each point of support To print the image and the displayed values refer to the section on the Print button i Geometric Analysis Foot analysis Geometric analysi Video Acquisition Summary Left foot Right foot Podalic angle Surface LF cm Podalic axis Surface RF cm Misalignment C urface RF cm Misalignment L R 12 12 1111 Height cm 174 Weight Kg 70 Shoes 42 FreeStep v 1 2 04 DEMO Activating the Geometric Analysis section you can evaluate the polygon of support reconstructed around the podalic imprint The reconstruction of the polygon of support the podolic axis angle the junction line of the COF center of foot and the positioning of the CoP centre of pressure are described both visually and through a numerical table On the right side of the screen each area of support is also assessed and displays information relating to surface and the load ii Video If during the static data capture the camera is activated it becomes automatically accessible through the Videography section For more information regarding the management of static images video graphics then please refer to the appropriate sections of this manual iii Summary The summary section displays in addition to the captured
52. ot not in conformity with normal range The distribution of load between right and left leg shows an even distribution of body weight 5196 on the left 4996 on the right The percentage of load between forefoot and rearfoot on both feet Rework Hi Res v Print vj Close 12 12 1111 Height cm 174 Weight Ka 70 Shoes n 42 FreeStep v 1 2 04 DEMO Page 34 Clicking on the revise button any changes will be lost in favour of the automatic report facility Within the system an elaborate algorithm of synonyms allows automatic reports to be individual even when treating concepts and results similar to each other b Dynamic i Selecting Footprints The first dynamic examination summary screen allows a complete view of all the captured footprints For a correct analysis of the dynamic examination it is essential to ensure that the best footprint image sample is selected and that incomplete or incorrect samples are deleted In fact during repeated tests carried out on the patient it is highly likely to encounter partial prints nor mally at the beginning or end of the sensory part of the platform or imprints that conflict with the true support of the patient this can be due to momentary fluctuations or pauses when walking Therefore carefully examine all of the recorded footprint images to evaluate which could possibly cause problems during the calculation of the averages To view all the tests carried out use the
53. please refer to the Setup Applica tion section see chapter 10 3 LiveUpdate The introduction of the LiveUpdate feature into the software updates automatically in real time render ing the product always up to date reliable and in line with all new developments and features that are regularly introduced into the product We really wanted to include the LiveUpdate feature into our product so as to create the first automatic update process in this type of product This ensures you always get the most out of your FreeStep and never need to contact the service centre to have the latest version of the program LiveUpdate runs automatically each time you open the program Daily LiveUpdate checks the availability of newer versions of the program by connecting anonymously to the web server and by only transmitting the licence number To ensure the proper functioning of the program it is essential to check the system settings so that the program opens in Administrator mode Moreover it is also essential to check the configuration of the systems installed antivirus and firewall soft ware to ensure proper operation If you need to allow access to programs and services create exceptions both in your Firewall and Anti Virus for FreeStep LiveUpdate allowing direct access to the Internet in particular for ports 80 and 21 protocol TCP IP For more details on configuring firewall and antivirus settings then please refer to the manuals of the respec
54. port and notes Multimedia files Pressure examination Report and notes Surface cm Surface cm Surface cm Load Load 96 Load 96 Weight ratio R F Weight ratio R F Weight ratio R F Surface cm Surface cm Surface cm Load Load 96 Load 96 Weight ratio R F Weight ratio R F Weight ratio R F Surface cn Surface cm Load Lond P Max gem 7 P Max gem P Avg gren P Avg gren CI Pada angle NI Pada angle Podalic axis C Podalic axis Surface cm Load Weight ratio R F Surface cm Load Weight ratio R F 3 12 19 1981 Height cm 170 Weight Kg 59 Shoes n 39 FreeStep v 1 2 04 DEMO To make a new instrumental acquisition click the New button To view an analysis previously carried out select from the list the records of interest and click the Open button To delete a specific analysis repeat Page 13 this last operation clicking the Delete button instead In addition to the list of tests carried out there is also a list of patient appointments available While view ing the list of appointments using the appropriate buttons Open New or Delete and you can access the main commands b Event Calendar Clicking on the Event Calendar button on the main menu on the left of the page or via e Appointments list within the patient data card of each individual patient will activate the graphic calendar Thursda
55. s Selected test Sway Test lan Freq 25Hz Test Duration Bipodalic OE 21 2 Bipodalic CE 51 2 10 0 10 0 10 0 10 0 kaka Monopodalic LF OE Monopodalic RF OE Monopodalic LF CE Monopodalic RF CE Bipodalic OE 51 2 sec L L oscillation A P oscillation Showing Points Levels Numerical Hig Res 12 19 1981 Height cm 170 Weight Kg 59 Shoes n 39 FreeStep v 1 2 04 DEMO The third option on the instrumental acquisitions menu introduces us to the instrumental acquisition panel for a Postural or Stabilometric survey Although there is more than one method protocol in the acquisition of postural data passing through the shortcut menu the Sway Test is selected automatically by the system and is considered to be a com plete test The Sway Test as well as in other methods of acquisition posture is composed of several moments In Page 19 the upper right corner of the screen is displayed a list of the tests that will be executed and their relative acquisition times Also shown is the sampling frequency set in setup Not all systems support the selected frequencies so before you start to fully utilize this function do some tests to evaluate the real limits of your system As in other acquisition screens the software allows other hardware devices to be activated for example a surface electromyography for the evaluation of muscle induction during stabilometric recording Position th
56. stalled the system will automatically check for updates or newer program versions see the LiveUpdate section At the end of any system check or of the eventual installation of any newer versions you will be required to enter the activation code from the product user licence To obtain a valid user licence contact your product vendor After entering the activation code click on the Ok button We recommend that you write down the activation code and store it in a safe place the code may only be reused on the same computer only in the event that you need to format the hard drive or reinstall the product On subsequent executions of the program there is no further need to enter the activation code In compliance with privacy laws relating to sensitive data which could be entered into the soft Page 7 ware the program will display the user authentication screen after starting This will prevent unauthor ised access to the software functions until the correct password is entered The default setting after the first installation of the product provides the user name Administrator with no preset password It is therefore advisable to set a password immediately or create a user profile user name and pass word in order to ensure security and the protection of data When creating or editing a user profile see the section Managing Users of this manual see chapter 5 4 Before proceeding with any further activities within the software
57. t is comprised of Interfaces connected to the PC Normally depending on the system selected all other parameters associated with it are configured automatically Clicking on the Test button you can check for proper functioning of the device The test page with regards to the platform also allows you to adjust the advanced settings of the system such as Threshold Zeroing Calibration and Calibration Since these parameters act directly on the device and that they determine the quality of the input signal you should configure them only with the help of a qualified technician Page 30 Application Settings Centre data Platform USB Interface IP Server TreadMill Interface Module 0 1x Threshold HP OD OD V Calibration un Calibration Scanner Rotation EMG g EMG General Settings DEMO B Lpt address Forms Cam port Preferences Modules Module 1 2x Threshold V Calibration Calibration Software Settings Hardware Settings Camcorders Repeater Range Reverse Connections a TM Lenght x 10 mm TM Counter x 10 Conversion factor dm Minimum level Le 30 EJ 50 o Strategy Camera 5124 La CE dH When installing an electromyograph that you are considering using always configure the model correctly and in accordance with the type of hardware that is connected to you computer Click Apply to save
58. t the time of the exami nation By double clicking on an examination or after selecting it clicking the Open button will open the specific section of the survey h Camcorders l Static Select the camera configured to capture Still Video images during static analysis or with the patient stood still during Video capture In the drop down menu will display all video capture devices configured on your system Additionally configure the desired resolution of the video source for multi channel capture devices image rotation and the capture rate fps The type of rendering and the Swap option in clipboard permit better performance in terms of speed greater compatibility and stability of the image depending on your personal computer Geometric analysis Video Acquisition Summary 5 6 Surface cm 107 Surface cm 113 Load 30 Load 30 Weight ratio R F Weight ratio R F 60 61 P Max gr cm 457 P Max gr cm 473 P Avg gr cm P Avg gr cm Surface cm 70 Surface cm 71 Load 21 Load 19 Weight ratio R F 96 Weight ratio R F 40 39 P Max gr cm P Max gr cm 457 457 P Avg ar cm P Avg gr cm Total Left Total Right Surface cm Surface cm 183 178 Load Load 51 49 Hi Res x Print vy dose 12 12 1111 Height cm 174 Weight Kg 70 Shoes n 42 FreeStep v 1 2
59. test a picture of the patient In the command menu at the bot tom right of the screen in Active Hardware select the camera A preview image from the camera will also appear in the black box During the preview stage which precedes the actual data acquisition numerical information can be monitored in real time numerical values can be seen in the upper right side of the screen By selecting from the menu of commands you can also select the display mode in Points dots of variable size and colour depending on the pressure exerted on pressure sensors Numerical expressed as a percentage Page 17 where the point of maximum load is 10096 Levels simplified colour palette of colours that are only 3 points higher load points red medium load green mild load blue HiRes high resolution graphics processing points and 3D three dimensional reconstruction of the plantar stance After checking carefully the position of the patient and also depending on the protocol to be followed Click Start to proceed with the acquisition of the data During the following five seconds the software will sample at regular intervals the information pressure of the patient During this period a message will appear intermittently Acquisition in progress During the following five seconds the software will sample the pressure information at regular intervals in the patient During this time a message is displayed intermittently during acquisition After t
60. tive software vendors When LiveUpdate identifies the availability of a new version of the software it will notify the user with a simple dialogue box Clicking on Update the system will begin the process of downloading the new program version that will be installed automatically and without the need for any user input This may take several minutes de pending on the size of the update and the speed of your Internet connection Do not turn off the computer during the download process or during the upgrade process as this may cause failure of the application During the update process the program will create automatic security copies of the previous version of the software and if necessary could be quickly restored After upgrading the software automatically FreeStep will start routinely and will display a summary screen that displays all the new features introduced in the newly installed version Please print out these notes before saving as this will allow you to check out all the new product features Page 8 4 Welcome to FreeStep a The program menu The FreeStep software is equipped with three working menus The text based menu at the top of the program The graphics accessory menu positioned under the text menu The main menu located on the left side of the screen b The text based menu The text menu positioned at the top of the program allows you to activate and deactivate the key fea tures of the program The menu ite
61. ts Biomechanical an Gait Cycle Frameset Average Footprint Gait Line Curves P Max gr cm P Avg gr cm Surface cm Speed mm s z max Syncro Play 8 Chronology Recent examinations In the history menu there can be seen a list of the last ten tests carried out or displayed Galli Thomas 3 1 2013 14 24 The Use of the history menu therefore allows the user to t 5 Cali Thomas quickly switch between views held in the memory and also 3 1 2013 11 00 facilitates search operations 4 5 aziente Modella 20 03 2012 19 17 To clear the history open the text based menu then click on Settings Clear history a nA Paziente Modella 25 07 2010 10 06 amp Paziente Modella 26 04 2011 11 16 T Paziente Hodella 09 03 2011 11 28 as Paziente Hodella 25 07 2010 10 06 Paziente Modella 16 08 2010 10 16 Page 23 9 Statistics and Data The FreeStep software includes a brand new and revolutionary concept of statistics aimed at understand ing the values baropodometry Until now there has been little importance given to the volume of data stored in your archive On the contrary through the study and analysis of this data in a statistical way it is possible to obtain a great deal of quantitative information aimed at building knowledge decision and the prediction of events phenomena and many other situations In this light statistics play a funda
62. ts calendar The sub menu under the command is as follows Clear history Clears the history content File Modify Show Settings 3 ot db Application Setup Quick menu Application Setup Opens the software setup menu General Data 1 Gadis Tomiie General Database Graphics Template Allows you to personalise the software skin 2 cc dd Events calendar f Accessory menu The accessory menu can be deactivated from the text based menu offers some of the most used com mands 5 Main Menu The main menu interface makes operation of the program quick and easy Mfter a few minutes of use in fact even the less experienced operator can navigate the main functions of the product without the help of the user manual The program s functions grouped by categories are activated with a simple mouse click The categories and relative functions are grouped as follows General Database Chronology Instrumental Acquisition mace Chronology 47 Statistics amp Data Statistics and Data Orthotic insoles System setup 2 System setup Close 6 orthotic insoles You can reduce the tabs thus increasing your screen real estate by hovering over the row of dots and slid ing the list to the bottom of the page This action will convert the list to a row of Icons Page 10 a Patients Database ick cc Quick menu G
63. urements to be take in order to obtain an extremely reliable assess ment of the symmetry of the segmental superstructure of the subject It is also possible both during the examination and data acquisition to link additional patient data such as images videos x rays or other stored media via the CD ROM drive At the end of the required data acquisition sequence all data will be compressed and linked to the pa tients records by closing the capture screen e 2D Podoscanner By using a digital podoscope available for users of Podoscan 2D or basic analogue instruments the soft ware can capture the true footprint image through the use of a digital scanner by placing the patient on the device and then by clicking on the Start button When the software has performed the data capture the screen will display a preview of the scanned image We recommend that the acquisition environ ment be lit with soft lighting as direct light may cause interference with the data capture Page 20 pA cr yy y ry y y yy y y y yby q id ODD DDDD D DDPDRDDDDPPDPD D UR DPDDDDDDDDDPDDDDDDPDDDDDDPDDDDDDDDDDDDDTDD ODDS D UD J idiii i qdfduodiijilijqdqjVjqdddiqdq JiVWJQuJJJQdiijj Jt JQJQJJJJJJJvyvyvyyjyjyj jv Treatment and Calculations D na yAn emo OS a Glo a Na Win oA e Normal Color scale Grayscale
64. y July 18 2013 p Week Month July 2013 MTWTFSS 21234567 3 8 9 1011121314 15 16 17 819 20 21 1 22 23 24 25 26 27 28 21 29 30 31 3 July 18 2013 August 2013 MTWT F S S 2 1234 25 678 91011 23 12 13 14 15 16 17 18 24 19 20 21 22 23 24 25 35 26 27 28 29 30 31 September 2013 MTWTFSS 35 1 1122345678 9 10111213 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 lt 2 123456 4 7 8 9 10111213 22 14 15 16 17 18 19 20 43 21 22 23 24 25 26 27 4 28 29 30 31 m o a lt H 3 m 12 19 1981 Height cm 170 Weight Ka 59 Shoes ne 39 FreeStep v 1 2 04 DEMO Within the calendar you can select the type of current view by clicking Day Week or Month tabs on top of the calendar Through the use of the scroll arrows or by direct selection of the perpetual panel right side of the screen you can easily scroll through the days and months to find the dates of interest Whether to insert a date or to make an appointment change just double click the mouse on the appoint ment date required a selection screen will then appear and allow you to quickly manage the details of the appointment To change the date or duration of an appointment it is sufficient to drag the old appointment directly from day to day on the calendar using the mouse The change is automatically stored in the root folder and also updated on the patient s index card c
65. your data and stay within the System Setup Click Cancel to cancel changes made in the setup and return to the software It is a good idea after making changes in the setup to close the application completely before starting to work with the new settings Application Settings Centre data Camera none Resolution Use Clipboard Dynamic Camera Resolution Use Clipboard Camera Resolution Use Clipboard Video Film Videocamera none Resolution Use Clipboard General Settings Preferences Rendering Mux mne _ m Rendering Mu one Rendering o Rendering Software Settings Hardware Settings Camcorders Rotation Video source Compression Rotation Video source Compression Rotation Video source Compression Rotation Video Source Compression gt 2 lo Settings Test Settings Test Settings Test Settings Test Page 31 Displaying Tests After registering a patient and capturing their data you can visualise and analyse all the saved data Inside the patients records archive and after selecting the patient whom you wish to analyze it is possi ble to see on the main record card a list of all the examinations performed The list of exams in addition to describing the type of examination indicate the date and time in which the patient was tested age height weight and details of the patient s footware a

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