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EN-MOTION - ProTerapi A/S

1. Energy kcal BM aaae Borg score 6 20 94 APPENDIX 6 CLAUDICATION TEST SCORE FORM The Claudication test is a treadmill test with a progressive graded load used in order to provoke the symptoms of peripheral vascular disease often caused as a result of atherosclerosis The test is used to determine the pain free and maximum walking distance in people suffering from diabetes mellitus hypertension hyperlipidaemia physical inactivity and overweight The results of the treadmill test are related to what is required in terms of work household activities leisure activities and from the point of view of preventing cardiovascular diseases P E R SO N A L D E T A I L S LK cea pr aa FOCIENE M aaa Name UT dE C E S Address Town city Email na ins La ios Age essen years Weight kg Height cm Gender f m Total time min Distance max metres PF pain free time min PF pain free distance metres VO2max ml min kg min HR bpm max HR bpm average HR J bpm of max HR AV Speed J km h Energy kcal BM saicsesstbn Borg score 6 20 95
2. min Norm min metres Norm max metres Pace siisssshse m sec Fitness index 1min average metres em DD AV Speed J km h f VO2max ml min kg min HR bpm max HR bpm average HR J bpm of max HR Energy mami kcal BM aeexsseRsse Borg score 6 20 93 APPENDIX 5 COOPER TEST SCORE FORM The Cooper test is a fairly strenuous exertion test which is not suitable for people in poor health After a good warm up the person taking the test must walk as far as possible in 12 minutes at a steady pace At the end of the test the person must cool down properly The distance walked is compared with standard norm values P E Test date Name Address Town city Email Age desatada Gender T E O N A L D E T A I L S Patient ID e c LES 2 5 A p d prb War A ETA A EE A Height cm Time 12 00 min Distance walked metres Norm min metres Norm max metres Pace ss naar m sec Fitness index 1min average metres emm D AV Speed J km h f 4 VO2max ml min kg min HR bpm max HR bpm average HR J bpm ofmax HR
3. DD MM YYYY Stel datum in en druk op OK om door te gaan 9 7 2 e Quick start energy Standard Settings Enter the day using the central controller and press OK Enter the month using the central controller and press OK Then enter the year using the central controller and press OK You will automatically return to the Date amp time menu The modified date will be shown at the right of the menu bar Use the same method to change the time The default setting is Quick start Energy ON Auto Speed Sacha ad O This means that the Quick start function will Auto Stop 2 automatically calculate the energy consumed ma calories burned during the use of the treadmill based on the body weight of the Date amp Time user patient extra screen Quick Start E l l The automatic energy calculation can be Screen Brightness 60 deactivated by selecting Quick start energy Speaker Volume 60 Ana pressing O Select Setting and press OK to continue i 1 Then select the Off setting using the central controller and press OK On 2 Select Setting and press OK to continue ENRAF NONIUS E a Standard Settings Auto Speed 2 Auto Stop 2 Units Date amp Time Quick Start Energy O Screen Brightness 60 Speaker Volume 60 Select Setting and press OK to continue 9 7 2 1 Screen Brightness Standard Settings Auto Speed Auto Stop Units Date amp Time Quick Start Energy
4. Gender Enter the height cm using the central controller and press OK Enter the weight kg using the central controller and press OK All the personal details have now been entered Select Gender and press OK to continue r The list of Exertion tests will appear ist Conconi Test Select the Conconi test using the central controller and press OK Cooper Test 6 Min Walking Test UKK 2 km Walking Test Claudicatio Test Select Test and L press OK to continue E f n Please note the use of a heart rate meter is required The EN Motion will automatically detect Heart Rate Detected whether or not you are using one If this is not the case an information screen will alert you to this fact As soon as a heart rate meter has been connected and a heart rate signal has been detected this will be confirmed by means of a message on the screen Heart Rate Belt must be used eS ENRAF Connect Heart Rate Belt j NONIUS 5 L to continue L r Test Speed p a o pe de d F d o Set starting Speed km h and press OK to START test i 4 Conconi Test HA 15 40 220 180 mae le 100 S 10 12 14 16 18 time 14 sec distance H m heart rate 125 bpm Results HHH 14 26 220 192 Suo 109 E 10 12 14 16 18 Conconi HR br at speed 0 00 kt VO2 max 3 5 ml min time 8 02 m distance avg speed 0 00 kn Test completed Well done Press OK for Mai
5. It is therefore not necessary to manually increase or decrease the speed during the test A 5 Auto Speed Press OK and start walking 50 1 Speed will adjust automatically Press OK to START the test Comment this test can also be performed without Autospeed To do so you must set the test speed manually using the central rotary knob Do this before pressing OK During the test the most important parameters will be displayed e time remaining until the goal is reached e distance covered 5 38 min e current heart rate if a heart rate belt is worn 34 m e speed O 125 0 0 incline After the test has ended a screen which gives the user an indication of his or her fitness level will appear It is possible to distinguish between the following levels poor b e moderate reasonable average good very good Test completed Press OK to continue For a detailed overview of the test results 4 you must press OK After the test has ended the Results screen will appear 6 00 min Note the results and record them on the 52 5 results form see appendix so that they can m be added to the patient record at a later date time 3 18 min distance 0 m Allow the person taking the test to cool down norm min m and stretch norm max m fitness index Press OK to return to the Main menu gait speed 0 00 m s Test completed Well done Press OK for main menu K
6. Press OK and start walking g Speed will adjust automatically Comment this test can also be performed without Autospeed To do so you must set the test speed manually using the central rotary knob Do this before pressing OK UKK 2 km Walking Test HHH 10 49 During the test the most important parameters will be displayed e time which has expired e distance still to go until the goal is reached 25 sec e current heart rate if a heart rate belt is worn 2000 m spe incline ENRAF NONIUS E N NRAF ONIUS AAA ang After the test has ended a screen which gives the user an indication of his or her fitness level will appear It is possible to distinguish between the Fitness Level Indicator following levels moderate reasonable average good very good Test completed Press OK to continue For a detailed overview of the test results you must press OK K 4 After the test has ended the Results screen will appear 6 a 00 min Note the results and record them on the results form see appendix so that they can 525 m be added to the patient record at a later date time 3 18 min Allow the person taking the test to cool down dist 0 is zi m and stretch norm min nm norm max m Press OK to return to the Main menu fitness index gait speed 0 00 m s Test completed Well done Press OK for main menu guum m Comment pressing the STOP button will Results
7. ka Figure 7 8 2 3 PAUSE button The training can be paused temporarily for example to tie your shoelace or have a drink You can do this by pressing the PAUSE button 4 during the training session A message figure 9 will appear on the screen and the band will gradually come to a standstill To resume the training press the OK button 5 A screen figure 10 will appear showing that the training is being resumed The pause screen will also show the selected running speed and incline Sant Pine a A Pauze Resume Press OF to continue or STOP to cancel A 3 Emih zd 3 2 km h a 3 FAE ih speed Km d co AS 3 0 speed km h incline as 0 0 Figure 8 Figure 9 Figure 10 Comment if you press the STOP button once again while you are pause mode the training session will end permanently and the results screen will appear 8 2 4 OK button confirm button In order to confirm an action for example continuing to the next screen or entering personal details you must press the OK button 5 The information screen clearly states in text form which actions need confirming by means of the OK button The OK button is also the button used to start a training session with the exception of Quick start Once you have pressed the button the band will start moving The speed at which the band moves depends on the selected function and selected maximum speed In the case of Quick start the spe
8. this is indicated by means of an audible and visual 29 signal In this case the speed and or inclination must be reduced manually until the heart rate is below the maximum value For Exercise goals 4 and 5 a POLAR heart rate belt must be connected based on the formula 220 age Please note Exercise goals 4 and 5 involve heart rate controlled training HRT Heart Rate Training Read the instructions in point 9 4 4 thoroughly before using these cardio training programmes Warning it is your responsibility to ensure that the selected goal is appropriate for the health and condition of the user patient If you have any doubts first arrange for the patient to perform an exertion test or choose another form of training Failure to comply with this stipulation may cause serious injury and health risks and may even lead to death 9 4 1 Exercise goal time co E Select the Exercise goals function using the central controller and press OK Quick Start First enter your personal details before Protocol Lists selecting from the list of available Exercise Exertion Tests The details will be used for fine tuning your training and for calculating and presenting System Settings yst y your personal training results Select Mode and press OK to continue Select the gender m f using the central controller and press OK Enter the age using the central controller and press OK Enter the height cm using the central control
9. Enter the weight kg using the central controller and press OK All the personal details have now been entered Then enter the maximum speed km h using the central controller and press OK Comment do not enter an excessively high maximum speed You must be certain that the selected speed can be reached without the heart rate increasing too quickly In a medical environment the supervisor must ensure that this is adhered to KOR pg ONUSS Select the desired programme from the List using the central controller and press OK P The treadmill will now start automatically and E gradually accelerate until the desired speed 40 has been reached Endurance Ill 0 min After the warming up phase the inclination een Aemini will automatically increase uphill or Uphill Il 20 min decrease downhill Uphill II 18 min ll You can adjust the speed and inclination using the and buttons the inclination fisci N S can only be adjusted if the angle 0 k The ENDURANCE and VARIO SPEED programmes have speed changes Depending on the programme selected the initial speed will be up to 3096 lower than the chosen maximum speed Uphill II HH 15 32 As soon as the training session has started progress will be displayed by means of a me moving time bar at the top of the screen 4 ah 0 ZE The bar corresponds to the following time 40 intervals time 26 Sec e inthe first minute 1 minute block distance
10. GENERAL SCORE FORM This form can be used to record the results of a Quick start Protocol list or Exercise goal training session and to incorporate them at a later date into an electronic patient record for example P E R S O N A L D E T A I L S Test dat aaron Aent WD srta inn TIE IMITA LES TTT Address Town city Email M o o PH Q Age years Weight kg Height cm Gender f T m T R A N N G R E S U L T S Time min Distance metres AV Speed km h PACO sssiss si min km Energy kcal METS ane AV capacity W VO2 max ml min kg min HR bpm max HR bpm average HR bpm of max HR BMI sudselss s Borg score 6 20 91 APPENDIX 3 b N VW T SCORE FORM The 6 minute walking test is an intensive exertion test which can be used to chart and evaluate the functional exertion capacity of a patient The test can be used in patients with various conditions including heart and lung diseases as well as those with rheumatic diseases and the elderly P E R S O N A L D E T A I L S Test date c PAGNI MJ sisane ae Name O A Address Town city Email e VELA ia dai Age amena years Weight kg Height cm Gender m T E T R E S
11. e time which has expired e distance covered e current heart rate if a heart rate belt is worn e speed e inclination As soon as the test subject indicates that the pain has started 7 pain free walking distance and time press OK once The pain free distance PF distance and the pain free time PF time are now saved This is shown visually by the distance covered changing to orange The test must be ended manually as soon as the maximum time or walking distance has been reached the time distance at which the patient has to stop Press the STOP button to do so After the test has ended the Results screen will appear Note the results and record them on the results form see appendix so that they can be added to the patient record at a later date Press OK to return to the Main menu ENRAF NONIUS 9 6 Use of the AUTOSPEED function The Autospeed function can be used with the Quick start and Exercise goals functions with the exception of HRT programmes In the case of some exertion tests Autospeed is the default setting for implementing the test protocol unless the function has been deactivated entirely via the system settings menu There are 3 ways of activating the Autospeed function 1 Directly from the Welcome menu and or the Main menu i e before the training session starts The training has not yet been selected and the band is NOT YET IN MOTION 2 Likewise before the start of the training ses
12. this is indicated by means of an audible and visual signal In this case the speed and or inclination must be reduced manually until the heart rate is below the maximum value For targeted training using heart rate zones you must select one of the heart rate training programmes HRT See section 9 4 4 Based on the formula 220 age 9 3 1 Preprogrammed protocols You can choose from 14 preprogrammed protocols Each protocol consists of three phases warming up the actual training and cooling down Protocols available Downhill Interval programmes I II HI running or walking downhill Dual Hill Interval programmes I Il III two hills Endurance Interval programmes I Il 111 endurance with slight speed changes Uphill Interval programmes I Il III running or walking uphill Speed Interval programmes Vario and Vario II programmes with speed changes The difficulty level of the programmes is shown in the form of Roman numerals with being the easiest and III the hardest During the training the difficulty level can be adjusted at will by changing the speed and or angle of inclination Warning it is your responsibility to ensure that the selected programme is appropriate for the health and condition of the user patient Depending on the selected programme and the condition of the user certain programmes may involve quite significant exertion We therefore highly recommend the use of a heart rate m
13. Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 1 1 IEC 60601 test level 6 kV kV contact 8 kV air 2 kV for power supply lines 1 kV for input output lines 1 kV line s to line s t 2 kV line s to earth 5 U T gt 95 dip in U 1 for 0 5 cycle 40 U T 60 dip in UT for 5 cycles 70 UT 30 dip in U T for 25 cycles 595 UT gt 95 dip in U T 3 5 sec Compliance level 6 kV kV contact 1 kV for power t 1 kV line s to line s 2 kV line s to earth that of a Electromagnetic environment guidance Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 96 Mains power quality should be that of a typical computer room Mains power quality should be typical computer room Mains power quality should be that of a typical computer room If the user of the EN Motion requires continued operation during power mains interruptions itis recommended that the EN Motion be powered from an uninterruptible power supply Power frequency 3 A m 3A m Power frequency magnetic fields 50 60 Hz should be at levels characteristic magnetic field of a typical location in a typical IEC 61000 4 8 computer room NOTE UT is
14. Enter the desired time for programme phase 1 using the central controller Press OK and enter the speed using the central controller Press OK and enter the inclination using the central controller Press OK and specify whether you wish to programme the next phase yes no Select yes to programme the next phase The cursor will automatically jump to phase 2 Enter the desired time speed and inclination for programme phase 2 Press OK and specify whether you wish to programme the next phase yes no Select no if you do not wish to programme any further phases The cursor will automatically jump to save Press OK to continue The list of protocols will appear Select the desired programme position P1 to P30 using the central controller and press OK to save the programme Please note the Add function can only be used to add programmes You can use this function until all the available programme positions 30 have been filled This function can therefore not be used to edit or overwrite programmes this must be done using the Edit function A message on the screen will show that the programme has been saved You will automatically return to the Personal protocols menu ENRAF NONIUS I NONIUS 5 78 9 7 3 6 Editing protocols Personal Protocols Add Delete Select Setting and press OK to continue Press OK to select Program or STOP to abort Step Time min
15. Improving co ordination Absolute contra indications for cardiovascular training recent cardiac infarction suspected infarction pronounced resting stenocardia pronounced resting insufficiency serious dysrhythmia and asequence pronounced aortic stenosis active trombophlebitis recent embolism malignant hypertonia myocarditis endocarditis pericarditis major aneurysm of the heart or large vessels acute infectious disorders acute illnesses Relative contra indications for cardiovascular training serious exercise coronary insufficiency stimulus and conduction disorders metabolic derangement moderately severe aortic stenosis hypertonic regulatory disorders hypertrophia respiratory insufficiency minor aneurysm of the heart or large vessels Exercise testing Indications for exertion tests Measurement of sub maximal aerobic power Determination of the day to day function ascertaining whether the day to day activities fall within the level of physical functioning Identification of certain deficiencies in fitness stamina of the muscles and power may constitute a greater limitation to day to day living than the aerobic power The determination of a baseline before commencing an intervention programme The determination of the effectiveness of an exercise programme Assessing the progress of a progressive disease cystic fibrosis Duchenne muscle dystrophy p e Exertion as a provocation test Exertion as a diagnostic test Un
16. PSA ses 40078 Comment pressing the STOP button will Results bring the test to a premature end and the screen shown on the left will be displayed instead of the Results screen Test interrupted Press OK to return to the Main menu Time 4 16 min Distance om ENRAF NONIUS Press OK for Main Menu E N NRAF ONIUS 9 5 4 2 km UKK walking test The UKK walking test is a condition test which was developed at the UKK Institute in Finland with the goal of measuring the physical condition of adults It is a submaximal test This means that people taking the test do not have to exert themselves to the maximum The 2 km should be covered walking i e not running as quickly as possible and at a consistent pace at which the test subject is still able to talk The heart rate should be around 80 of the maximum heart rate i e 80 of 220 age If the test is carried out properly the heart rate will remain roughly constant during the test At the end of the test the heart rate and walking time will be recorded A different and better option is to measure the heart rate using a heart rate meter at different points during the test for example 500m 1000m 1500m and 2000m and to take the average of the readings Research at the UKK Institute has shown that the 2 km walking test is suitable for nearly everyone aged between 20 and 65 The test is not recommended for children People over 65 may take the test if they are h
17. This may be carried out by your supplier or by another party authorised by the manufacturer It is also advisable to keep a record of all the maintenance activities which have been performed In some countries this is even compulsory Maintenance and repairs may only be carried out by an authorised party The manufacturer shall not be liable for the consequences of maintenance or repairs carried out by unauthorised parties The device may not be opened by unauthorised parties this will cause the guarantee to lapse 10 3 1 Alignment of the running surface If the treadmill has been set up correctly see 5 1 Installation and the band still runs out of alignment you will need to contact the supplier of the treadmill Users who have been instructed in the alignment of the running surface by a party authorised by the manufacturer may in this case adjust the band at their own risk 10 4 End of service life Your EN Motion and accessories contain materials which can be reused and materials which are harmful to the environment When it comes to disposing of the device and accessories at the end of their service life specialist companies can dismantle these articles in order to remove the harmful materials and the reusable materials This allows you to contribute to a better environment Please enquire as to the local rules for the disposal of the device and accessories 11 Troubleshooting Should your EN Motion treadmill develop a fault please
18. 2 Screen Brightness Speaker Volume 60 Select Setting and press K to continue y n Screen Brightness 09 U IA 1100 Adjust Screen Brightness and press OK to continue E j NONIUS 5 You will automatically return to the Default settings menu The icon at the right of the menu bar indicates that the Quick start energy function has now been deactivated The default setting is Screen Brightness 60 Select the Screen Brightness setting using the central controller and press OK to change the screen contrast Change the Screen Brightness using the central controller and press OK The screen clarity will be reset and you will automatically return to the Default settings menu 9 7 2 9 Speaker volume Standard Settings E Auto Speed 2 Auto Stop 2 Units Date amp Time Quick Start Energy 2 Screen Brightness 60 Speaker Volume 60 Select Setting and press OK to continue Speaker Volume 100 es 100 Adjust Speaker Volume and press K to continue 1 The default setting is Speaker volume 100 Select the Speaker volume setting using the central controller and press OK to change the volume of the built in loudspeaker Change the Speaker volume using the central controller and press OK The volume of the built in loudspeaker will be reset and you will automatically return to the Default settings menu KOR NONIUS 5 9 7 3 Personal protocols Ac
19. Clean beneath the treadmill by following the steps below e Switch off the treadmill using the On Off switch and unplug it from the wall socket Move the treadmill to a different position Remove the dust which has collected beneath the treadmill using a broom or vacuum cleaner Ditto for the running surface Return the treadmill to its original position 10 2 3 Regular maintenance The regular maintenance depends on the intensity of use Given an average use of 8 hours a day 5 days a week we would advise you to carry out the following maintenance on a regular basis monthly e Check that all the mounting bolts are tightened properly e Check the various visible parts such as the band and the running surface for wear e f necessary lightly lubricate the visible rotating parts with machine oil 10 2 4 Annual maintenance Each year you should arrange for your device to be examined by a service technician who has been authorised by Enraf Nonius see also point 10 3 In the event of possible damage or defects noted by you during one of the checks above you must ensure that the device can no longer be used until the said damage or defects have been completely rectified FA g NONIUS 5 E N NRAF ONIUS 10 3 Technical maintenance We would advise you to have the device examined on an annual basis The check and or maintenance must take place in accordance with the procedure described in the service manual for the equipment
20. HRT press OK to continue using the central controller and press OK ENRAF NONIUS E j NONIUS 5 F x Weight Loss Dn of HR max 65 755 Set Heart Rate Zone and press OK to continue F A E i Time 71 mm Set time in min and press OK to continue F n Maximum Speed Set max Speed km h and press OK to START Weight Loss HA 14 45 29 49 min Q 125 U m 0 0 incline Once the Heart rate detected message has disappeared the heart rate zone indicator will appear If desired adjust the heart rate zone of max HR using the central controller or press OK to continue Comment in principle the indicator should not be adjusted as the age of the user has already been entered in a previous screen and the displayed percentage of 70 and thus the zone is in accordance with the ACSM guidelines If required adjust the time min using the central controller or press OK The recommended training time and also the default setting is 30 minutes The minimum time which can be selected is 1 minute and the maximum is 1440 minutes in increments of 1 minute Enter the maximum speed km h using the central controller Press OK to START the band Comment The minimum speed which can be selected is 2 km h and the maximum is 18 km h Only select the maximum speed 18 km h if HRT without inclination is required The treadmill will now st
21. Protocols i MMS Set Zero Service ka System Info Wwa RAD Select Setting and press OK to continue F A X X Enter Access Code From the menu select the Standard settings function using the central controller and press OK First enter the access code by pressing the PAUSE and VIEW buttons simultaneously and holding them down for 2 seconds After 2 seconds this screen will automatically disappear and the screen with the following Standard settings will appear e Auto speed Auto stop Units Date amp time Quick start energy Screen clarity Loudspeaker volume N 9 7 2 a Auto speed Standard Settings Auto Speed O Auto Stop Units Date amp Time Quick Start Energy 2 Screen Brightness 60 Speaker Volume 60 Select Setting and L press OK to continue Function Auto Speed Protection 2 Hold Position 55 cm Reaction Profile 3 Select Setting and press OK to continue Off On 2 Select Setting and press OK to continue Select the Auto speed function using the central controller and press OK In the menu screen which opens you can change the settings which relate to the Autospeed function These are as follows e Function e Security e Zero position e Response profile The default setting is function ON However the Auto speed function can be completely deactivated under Function In this case the AUTO button will no longer have a fun
22. U L T S Time 6 00 min Distance walked metres Norm min metres Norm max metres Pace seis m sec Fitness index 1min average metres emm D Av speed km h VO2 max ml min kg min HM eit bpm max HR bpm average HR bpm of max HR Energy kcal BM aaen Borg score 6 20 92 APPENDIX 4 UKK 2 KM TEST SCORE FORM The UKK walking test is a submaximal condition test over a distance of 2 km which is suitable for nearly everyone aged between 20 and 65 The test is not recommended for children People over 65 may take the test if they are healthy and perform regular physical exercise The test is less reliable for overweight people and also for people with serious conditions or handicaps for whom strenuous walking would not be advisable Nor does the test offer accurate results for people who train a great deal as it tends to underestimate their condition This test makes it possible to establish a person s condition in a relatively safe and easy way P E R S O N A L D E T A L S Testda mec C1 9 1 7 11 Moe Name TTT O mr T Address Town city Email M LOL nro ea aos Age years Weight kg Height cm Gender f T m T E S T R E S U L T S Time
23. W For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Er I NONIUS E 13 Ordering details The EN Motion treadmill is available in the following 2 models 1 1665 901 EN Motion 230V fixed side supports 1665 911 EN Motion 115V fixed side supports 2 1665 902 EN Motion Plus 230V electrically height adjustable side supports 1665 912 EN Motion Plus 115V electrically height adjustable side supports Standard accessories 1665 750 EN Motion User Manual NL 1665 802 Safety belt amp magnetic contact Optional accessories 1665 800 Emergency stop 1665 801 50 cm ramp 1665 803 Side supports height 92 cm set of 2 side supports 3496 839 Polar 131 transmitter 3496 840 Elastic chest strap for Polar T31 14 Conclusion We hope that you will enjoy the use of your EN Motion treadmill for many years to come We would also like to refer you to the many other high quality products in our range If you
24. a technical fault or maintenance see the EN Motion Service Manual for further information about the use of this function Should your EN Motion treadmill develop a fault contact your supplier or Enraf Nonius B V the Netherlands 9 7 6 System information The System information menu contains information about the software versions of the various components firmware This function allows you to check quickly and easily whether your EN Motion treadmill has the latest version before installing a firmware update i 4 From the main menu select the System System Settings settings function using the central controller and press OK Language ENG Standard Settings E The System settings screen will appear The current software version will be displayed at Personal Protocols Es the bottom right of this screen MMS Set Z Sean Press OK Service E System Info v1 1 Select Setting and press OK to continue 10 Cleaning and maintenance This section covers the following subjects e Cleaning and maintenance tips e Calibration maintenance obligations e End of service life and disposal of the device 10 1 Cleaning the device First switch off the device and unplug it from the wall socket The frame the handles and the operating console including the buttons may be cleaned with a damp cloth Use lukewarm water possibly with a domestic cleaning product no abrasive products alcohol solution or other aggressive cleaning agents The
25. as the rollers running surface platform under running surface etc ENRAF NONIUS E N NRAF ONIUS 12 1 Supply voltage Input 230 V 50 60 Hz 12 2 Storage and transport conditions Temperature 10 to 50 C Humidity 10 9 without condensation Atmospheric pressure 500 1060 hPa Usage environment Temperature 5 to 30 C Humidity 10 9 without condensation Atmospheric pressure 500 1060 hPa The technical specifications are subject to changes 12 3 Classification The EN Motion treadmill satisfies the requirements of the Medical Devices Directive MDD 2007 47 EEC Medical Class Class lla Electrical safety IEC 60601 1 IEC 60601 1 A1 A2 IEC 60601 1 2 IEC 60601 1 4 A1 The device has an earth connection and must be connected to an earthed wall socket The leakage current and earth connection satisfy the requirements of IEC 60601 1 Safety class according to IEC 60601 1 class type B HR 12 4 Installation requirements for the EN Motion The installation requirements for the EN Motion are as follows Accessibility of the space e Doors at least 90 cm wide e Preferably no stairs depending on the model selected the treadmill can weigh up to 155 kg e With lifts before delivery check the lift dimensions and capacity the length of the treadmill is 212 cm For the installation the following is required e An earthed plug socket This product must be earthed If the treadmill is not w
26. contact the supplier of the device or Enraf Nonius B V the Netherlands Repairs and installations should only be carried out by a service technician who has been authorised by Enraf Nonius 11 1 LEDs and or displays fail to illuminate e Ensure that the plug is properly inserted into the wall socket e Check that the wall socket is working e Check replace the safety fuses in the power input e Check the clarity setting of the LED screen 11 2 Error code on the display The EN MOTION has an internal check which means that it is self monitoring Should an error code appear on the display you will need to contact the supplier of the device 11 3 Motor overload overheating The inclination motors have a thermal safety feature This will kick in if the angle of inclination is increased or decreased very frequently in a short period of time You will then need to wait until the motor has cooled down sufficiently before using the treadmill again Under normal circumstances and with normal use the thermal safety feature will almost never kick in 12 Technical specifications Power supply Frequency Permitted voltage deviation Drive Motor power Max current consumption Fuses Min max speed Max speed in Autospeed mode Positive angle of inclination Negative angle of inclination Other training parameters Time Distance Energy Heart rate Readout Heart rate detection Dimensions Effective running su
27. displayed at the bottom left of the information screen 1 and shows how fast you are running or walking The minimum band speed is 0 4 km h The maximum speed which can be set is 18 km h The speed can be set or changed by pressing the speed buttons 2 Pressing the button increases the speed in increments of 0 1 km h The button decreases the speed in increments of 0 1 km h If you press and hold down one of the speed buttons the speed will increase or decrease continuously The speed shown is the actual speed Speed buttons 2 Figure 5 You can increase or decrease the speed at any time However the change in speed will take place with a small delay For safety reasons the band speed will increase gradually A flashing arrow next to the speed displayed figure 6 indicates that the band has not yet reached the newly selected speed An increase in speed is indicated by an arrow pointing upwards A decrease in speed is shown by an arrow pointing downwards A flashing arrow indicates that the band is increasing 1 or decreasing W in speed Figure 6 8 2 2 VIEW button change screen button Apart from providing access to the Default settings see System settings the VIEW button 3 does not yet have a specific function This feature has been provided with future expanded functions in mind such as the ability to alternate between screens with different layouts and in order to show details of the current training session
28. easier to walk at the correct steady pace a heart rate meter is recommended e Walk normally for exactly 2 km at a consistent pace as quickly as you can without endangering your health Do not speed walk or run With the EN Motion the test is carried out using automatic speed adjustment This means there is no need to select or change the speed manually Stop the heart rate measurement after the test Cool down thoroughly and stretch The EN Motion treadmill records the walking time down to the nearest second and measures the heart rate immediately at the end of the test Because of the learning effect it is advisable to regard the first attempt as a practice test Test results With the EN Motion the following test results are generated automatically and shown in the results screen e Walking time shows how long you took to complete the test e Heart rate shows the heart rate in beats per minute at the end of the test e Fitness index this index shows the condition of the test participant compared to the average condition of others in the same age and gender group Fitness index Interpretation Result displayed as Less than 70 Much lower than average Between 70 and 90 A little below average Between 90 and 110 Average Between 110 and 130 A little above average Higher than 130 Much better than average Interpreting the test results The test results can be presented as maximum oxygen uptake ml min kg or as a fitne
29. for cardiovascular training sseee nns 12 7 1 3 Relative contra indications for cardiovascular training 12 T2 Exercise testin RE 12 7 2 1 Indications for exertion tests Measurement of sub maximal aerobic power cs ee 12 2 2 Explanation of contra indications iia ii 13 1 2 3 Absolute contra indications for exertion tests 13 7 2 4 Relative contra indications for exertion tests nnns 13 7 2 5 Absolute indications for terminating an exertion test 13 7 2 6 Relative indications for terminating an exertion test 14 8 OPERATION GENERAL unidad 15 8 1 Gontrol S COMPONeN iS iaa ia 15 8 1 1 Most important features figure 1 15 FA g NONIUS 5 E N NRAF ONIUS 4 ARA 2 011908 10 A cue MM OM Me EUM MEM D MER M UI IU M 15 8 1 3 Control panel figure 21 15 mm MEE eR MM uU 15 0 2 SA 16 0 2 Speed h lt T iaa iii dida iii dbz 16 8 2 2 VIEW button change screen button cra nano 16 8 2 3 PAUSE DITIOD cad tera eiue ccu eL ada M ADM I I M A MC rd EM LEM AM LES LIP M UE 17 8 24 OK button conim PUNON a as 17 OY ABT O ON 17 8 2 6 Central controller rotary KNOb iia dis 18 8 2 7 Autospeed button indicator lamp 18 620 A 18 0 2 9 Height adjustable side support buttons only EN Motion Plus model 19 0 2 10 Safety belt with magnetic contact enne rne tenerent tnit tete inna 19 8 2 11 Emergency stop DULONNODNONAl oue ne othe teks tate a taal ch mei de tp abit E 1
30. for use as a warm up Quick start training can also be used with automatic speed adjustment see section 9 6 for a detailed explanation of the AUTOSPEED function ENRAF NONIUS Main Menu 4 Select the Quick start function using the central controller and press OK Quick Start Protocol Lists The speed and or angle of inclination must be entered manually Exercise Goals Now adjust the speed and inclination using the and buttons System Settings The band will start to move Exertion Tests Comment pressing the speed button directly from the main menu will also activate the Quick start feature This is by far the quickest way to start your training session Select Mode and press OK to continue d 40 17 If you would also like the calories burned to be calculated automatically with the Quick start feature you must specify this in the System settings menu see section 9 7 2 6 The body weight of the runner patient will be used to calculate the energy consumption during the training session If this function has been activated the data screen displayed on the left will first appear arm before the training session can start Enter the weight of the runner patient using the central rotary knob and press OK Adjust Weight and press OK to continue Quick Start HH 13 48 As soon as the band starts to move the screen will change to Data View mode E With Quick start the values for time and Sa dist
31. into the power input figure 2 e Plug the mains cable into an earthed wall socket 5 4 Power up and self test ENRAF e Switch on the device using the On Off switch figure 2 gt e When it is switched on the device will perform a self test Check that the LCD screen illuminates and that a bleep is audible at the end of the test Contact your supplier if this is not the case 5 5 Checking the running surface After the treadmill has been switched on you must check whether the running surface is correctly centred As long as the band does not come into contact with the motor cover while it is moving the band is properly aligned Differences in the underlying surfaces may mean that it is first necessary to align the running surface see section 10 3 1 Aligning the running surface 5 6 System settings The factory setting for the instructions displayed in the information screen is English All the display values are set to Sl units metric in the factory The units and or language can be modified by changing the default settings in the system menu see section 9 7 System settings 5 Relocation and transportation When relocating or transporting the EN Motion for example in order to clean the floor beneath the treadmill pulling on the side supports where applicable and or the running surface is not permitted 5 8 Electromagnetic interference e fthe treadmill is used in the immediate vicinity i e at a distance of 2
32. not restart until the magnet has been placed in position once again 8 2 11 Emergency stop button optional The emergency stop 2 is an optional accessory which is used to quickly bring the band to a standstill In principle the emergency stop can be attached to the handles at any desired location see the installation and instruction manual for the emergency stop Pressing the red button will activate the emergency stop At the same time a message will appear on the information screen see figure 18 The band can only be restarted by first returning to the Main menu and reselecting the desired training The emergency stop is connected to the sensor unit via the input at the bottom of the sensor unit F Emergency activated ENRAF NONIUS Press OK for Main Menu Figure 17 Figure 18 E N NRAF ONIUS 8 2 12 The AUTOSTOP function The AUTOSTOP function is an extra safety feature which uses the sensor 2 built into the sensor unit The sensor detects whether the user is on the running surface of the band If the user steps off the band while it is still moving the sensor will also detect this and the band will automatically come to a temporary standstill A message will also appear on the screen stating that the AUTOSTOP function is active see fig 19 If the user returns to the running surface of the treadmill within 30 seconds the training can be resumed by pressing the OK button The user can also bring the tr
33. of the 6MWT can be interpreted by expressing the patient s result as a percentage based on their age gender height and weight A score below 82 of the predicted result is regarded as deviant Wasserman e a 1999 Sample calculation In the case of a 55 year old female height 168 cm weight 75 kg walking 420 metres in 6 minutes we can use these details to calculate a standard value This gives us a result of 654 metres She therefore scores 64 of the predicted result Performing the 6MWT on the EN Motion treadmill The test can be carried out with or without a Quick Start heart rate meter see below Protocol Lists Select the Exertion tests function using the Exercise Goals central controller and press OK Exertion Tests Now enter your personal details before System Settings selecting from the list of available exertion tests These details are used to calculate and Select Mode and present the personal test results press OK to continue Select the gender m f using the central controller and press OK Enter the age using the central controller gud and press OK Enter the height cm using the central controller and press OK Enter the weight kg using the central i pS controller and press OK ONIS Female Female All the personal details have now been entered Select Gender and press OK to continue E x The list of Exertion tests will appear List Select the 6 minut
34. running surface may be cleaned with a damp sponge again use lukewarm water for this After cleaning allow to dry thoroughly before using the treadmill once again The EN Motion has a maintenance free band It is therefore not necessary to wax the deck and running surface of your treadmill 10 2 Maintenance Taking good care of your treadmill and its surroundings minimises maintenance problems and servicing requirements We recommend the following preventive maintenance schedules 10 2 1 Daily maintenance e Switch off the treadmill using the On Off switch and unplug it from the wall socket e Wipe down the running surface deck motor cover and console with a damp cloth Never use solvents as these can damage the treadmill e Check the mains cable If the cable is damaged contact your supplier e Make sure that the cable does not pass beneath the treadmill or anywhere else it could get damaged e Check the tension and alignment of the running surface Make sure that the running surface is not damaging other parts of the band through misalignment e Check the running surface and all other moving parts for wear or perceptible defects such as damage or small tears e Polar chest strap after use carefully clean the transmitter with a mild soap solution and rinse with clean water then dry thoroughly 10 2 2 Weekly maintenance Clean the control panel and the exterior of the treadmill Check that the emergency stop function is working
35. safety reasons and in order to present essential test parameters such as max HR VO2max etc we would always advise you to use a heart rate meter UKK 2 km Walking Test Select Test and L press OK to continue To perform the test with heart r n Claudicatio Test Claudicatio Test rate measurement first connect the chest strap The EN Motion Heart Rate Detected will automatically detect whether a heart rate meter is connected and whether a heart 4 V rate signal has been detected Heart Rate Belt can be used To perform the test without heart rate measurement press OK Connect Heart Rate Belt or press OK to continue without HR monitoring ENRAF NONIUS es erp ege i Test Speed Press OK to START test k dl Claudicatio Test HA 17 04 Claudicatio Test HHA 17 18 14 43 min Om Q 125 Hesults HHH 17 20 time 25 19 min distance U m PF time 14 39 min PF distance U m VO max 3 5mlI min kg HF min 125 bpm HF max 125 bpm HF avg 125 bpm avg speed 0 00 km h nnnrmr Q 17 kral Test completed Well done Press OK for Main Menu The Claudication test will be performed at a speed of 3 2 km h However the speed can be adjusted using the central controller Press OK to START the test The band will start to move Every 2 minutes the inclination will automatically increase by 2 The speed remains constant During the test the following parameters will be displayed
36. statement which deserves more attention than the general text but which does not signify the danger implicit in Warning or Caution The order in which the steps of a procedure are carried out is important for the safe operation of the device and for preventing injury or harm It is therefore important not to change the specified order in which the steps of a procedure are carried out 4 1 Legal aspects This manual and the information contained therein are the property of Enraf Nonius B V Rotterdam the Netherlands Enraf Nonius cannot be held liable for personal injury or damage to equipment caused by Ignoring or failing to comply with actions such as those marked Warning or Caution for example Any deviation from the procedures described The performance of actions which are not described in this manual Ignorance of general safety precautions which apply when working with equipment and electricity The use of the equipment other than as described in this manual 4 2 Warnings general e The safety belt with magnetic contact must be worn by the walker runner during the use of the treadmill Your treadmill will not start unless the magnetic contact is placed in the holder e lf you are experiencing any pain you must not train on the device and must consult the relevant therapist In addition should you experience pain in your chest or nausea dizziness or shortness of breath immediately stop the training session and consult your doctor
37. test is performed in order to establish whether there is an objective decrease in the maximum walking distance The results of the treadmill test are related to what is required in terms of work household activities leisure activities and from the point of view of preventing cardiovascular diseases The literature describes 2 types of treadmill tests e treadmill test with a constant load constant speed of 3 2 km per hour and a fixed inclination of 7 5 e treadmill test with a progressive load the inclination is gradually increased while the speed remains constant for example the inclination is increased by 3 5 every 3 minutes or by 2 every 2 minutes while the speed is set at 3 3 5 km h Tests of this kind are also referred to as graded tests Cachovan et al investigated the reliability of the treadmill test when determining the pain free walking distance and the maximum walking distance A distinction was made between treadmill tests with a constant load and those with a progressive load The reproducibility of both types of tests appears good Research by Gardner et al has shown that the progressive load test on the treadmill is more reliable when it comes to determining the seriousness of the peripheral arterial obstruction In order to provoke the claudication symptoms a treadmill test with a progressive graded load is used in practice The Claudication test is performed at a constant speed of 3 2 km per hour and an inclinat
38. the exercise room The programme is quick and easy to implement taking just a few seconds I 1 From the main menu select the System System Settings settings function using the central controller and press OK Language EHG standard Settings amp Then select the Calibration function using the Personal Protocols 8 central controller and press OK MMS Set Zero Service m ystem Info V R amp D Select Setting and press K to continue i Start the calibration procedure by pressing OK Press STOP to return to the previous menu without implementing the programme Press OK to set Zero or STOP to cancel K Al S As soon as the calibration procedure is MMS Set Zero OK complete a message will appear on the screen Zero is set E The message will disappear after a few seconds and you will automatically return to the System settings menu Then press STOP or select back arrow at the top left to return to the main menu The treadmill is now ready for use Comment if an error message appears check that the adjustable feet have been correctly aligned and that no objects for example mains cables are located under the treadmill After checking carry out the calibration procedure once again ENRAF NONIUS E N NRAF ONIUS 9 7 5 Service The Service setting is a secure setting which may only be accessed by a service technician who has been authorised by the manufacturer in the event of
39. 0 m 2 to 12 minute 3 min blocks 12 to 60 minutes 6 min blocks 60 to 300 minutes 30 min blocks after 300 minutes 5 hours blocks of 60 minutes 1 hour will follow The maximum session time is 24 hours energy 0 43 kcal After the last phase cooling down has been completed an audible signal will sound and the Results screen will appear The training has now ended Note the results and record them on the results time 3 07 min form if desired see appendix distance Dm avg speed 0 00 km h Press OK to return to the Main menu pace 0 00 min km energy 3 01 kcal MET s 1 0 Program completed Press OK for main menu 9 3 2 Personal protocols As well as working with fixed protocols you can define and save a maximum of 30 personal exercise protocols see System settings point 9 7 3 These protocols can then be retrieved using the Protocol lists personal protocols menu ENRAF NONIUS Main Menu H 15 47 Select the Protocol lists function using the central controller and press OK An option menu will appear Quick Start Protocol Lists S Then select the Personal list using the central controller and press OK Exerc Protocol Lists Exert Preprogrammed First complete the Personal details screens and press OK Syste Personal The list of saved personal protocols will appear P1 to P30 Select desired List and press OR to continue Select the desired programme from the
40. 5 Speed km h 6 5 Inclination nl b Next Step yn yes Save Total Program Time 15 00 min i Time min 5 Speed km h 6 5 Inclination w MIN Next Step yn yes Save Total Program Time 15 00 min Select the Edit function using the central controller and press OK Use the central controller to select the programme to be edited and press OK The cursor will automatically jump to Phase Select the programme phase to be edited using the central controller and press OK Change the time speed and or inclination using the central controller and press OK Under Next phase y n select no and press OK The cursor will automatically jump to Save Press OK to save the programme The list of protocols will appear You now have 2 options 1 Press OK to save the programme in the dile same position overwrite or 2 Use the central controller to select a different empty position in which to save the programme and press OK P 20 min P3 0 min P4 Empty If you have chosen to save the programme in the same position overwrite a message on Select Program and Press OK to save or STOP to abort l the screen will alert you to this fact S Press OK to confirm this action Select lt back gt and press OK to cancel the procedure You will then return to the previous screen the Programme list Program will be overwritten Press OK to continue or select lt back
41. 9 8 2 12 TES ACERO STOP TUI HORA A otros esate deters taceat cud sumone o 20 8 3 The LCD information SCFeQh eicere een ioo Soupe enen eee 20 9 OPERATIONASTEP BY STEP lidad cuv cob a 22 9 1 Overview of training therapy options eeeeeeeeseee eee nennen nennen nnn nnns 22 9 1 1 Initial screen standby screen ote eie uoce tree eh den e rte do eue cet 22 S PME RT TTT 22 92 QUICK SIdlT obi ae ee de dd o tae alee de a dd do 22 9 2 4 Useofihe PAUSE DUO sn iio 24 9 2 2 Endnote tann Guo RO Ce esL RED POT re e HR ME iem oL ER ION EUR dd 25 93 PFOCOCOI Lace 25 95 Preprogrammed protocol Didi 25 SES MEE o 28 94 Exercise goals E 29 Sede Eker eodd Mero 30 9 4 2 Exercise goal distance oo esset lioet iio 32 94 3 Exercise goal eN m 33 9 4 4 Heart rate training HRT programmes a ect amie lite aie D gene eta 35 9 4 4 a Weight loss HRTT nnnm nnt teniente innere sites set 37 9 4 4 D Condition improvement HRT eseeeeeeennenennennnnnnn nennen nennen ran 39 9 9 EXGFICISB ESS O o tios oe E tUa S a e Ea 41 Soc 019 010 9 AA tU Lc tra Ee aM Rte etie A AE EET 41 SE P MEN Geo TUNER RT 44 9 5 3 6 minute walking test 6MWT Dic ii 48 OO 2km UKK walking tes uentos ce merenti atia noes tacto toD sete uti oases oboe Eu Le ae eae UE 52 9509 Claudicati n T EN ee eee re 56 9 6 Use of the AUTOSPEED function sss sss sees cesse eee eee eee 60 9 6 1 Directly from the We
42. Absolute indications for terminating an exertion test e Drop in systolic blood pressure gt 10 mmHg with respect to the rest value despite an increase in load in combination with other signs of ischemia Moderate to severe angina Increase in symptoms of the nervous system ataxia dizziness or near fainting ENRAF Signs of poor perfusion cyanosis or becoming pale NONIUS Technical difficulties in the measurement of ECG or systolic blood pressure The test person wishes to stop Chronic persistent ventricular tachycardia ST elevation gt 1 0 mm without the occurrence of diagnostic Q waves 7 2 6 Relative indications for terminating an exertion test e Drop in systolic blood pressure gt 10 mmHg with respect to the rest value despite an increase in load without other signs of ischemia e Changes in ST or QRS complex for example a significant ST segment depression gt 2 mm or horizontal or downwards ST segment depression or a clear axis change e Arrhythmia other than chronic ventricular tachycardia e Tiredness shortness of breath cramps in leg muscles heavy breathing or claudication e Development of a bundle branch block or intraventricular conduction disturbance which cannot be distinguished from ventricular tachycardia e Anincreasing pain in the chest e Hypertensive response during exertion with a systolic blood pressure of gt 250 mmHg and or a diastolic blood pressure of gt 115 mmHg Source Gibbons et al 1997 T Ta
43. EN MOTION C ES NONIUS y Copyright FENRAF I gNONIUS 1 Enraf Nonius B V Postbus 12080 3004 GB Rotterdam The Netherlands Tel 31 0 10 20 30 600 Fax 31 0 10 20 30 699 info enraf nonius nl www enraf nonius com Article number 1665751 40 February 2010 EN MOTION Treadmill User Manual for version V001 ENRAF NONIUS Contents 1 PRODUCT DESCRIPTION cosa anida 7 2 PRODUCTELIABIL Piscinas 7 3 GENERAL INSTRUCTIO N Sacado 7 4 SAFETY INSTRUCTIONS iia diia 8 At Eegalias peca aa ido 8 4 2 WarniGs general a es a tei inde eee eae 8 4 3 Warnings with regard to extertion tests sss sss sss sss sss ss sees enen 9 44 CIUN 9 49S Please NO lia 9 5 INSTALLATION gt paa 10 351 Installation general 5d Ea 10 52 Connecting the device eno da dos 10 5 3 Connecting the mains Cable ascii toi 10 5 4 Power up and Selena 10 5 5 Checking the running surface sss sese css esec eee esec eee eenn neee 11 90 Systeli Selllllgs ciere tei iere i uium eie iita od eiae idas 11 5 7 Relocation and transportation ini 11 5 8 Electromagnetic interference cesses cesses esec eee eee eee enen 11 O INTENDED USE ii LEE 11 7 INDICATIONS AND CONTRA INDICATIONS eee eee eee 12 7 1 Cardiorespiratory training leeeeeeeeeeeeieee sienne ene n nnns n nnn anna hne sa sua ansa nasa nnus 12 FEA Indications forcardiovascular Tania denia 12 7 1 2 Absolute contra indications
44. List using the central controller and press OK The treadmill will now start automatically and gradually accelerate until the desired maximum speed has been reached You can adjust the speed and inclination using the and buttons the inclination can only be adjusted if the angle 0 After the training has been completed an audible signal will sound and the Results screen will appear Note the results and record them on the results form if desired see appendix time 3 07 min Press OK to return to the Main menu distance Dm avg speed 0 00 km h pace 0 00 min km energy 3 01 kcal MET s 1 0 Program completed Press OK for main menu 9 4 Exercise goals This function allows you to offer your patient a range of targeted training options You can choose from the following Exercise goals Time for example training to improve your performance in the Cooper test a 12 min endurance test Distance for example a training session with the goal of increasing the distance covered Energy training session goaled at burning 300 Kcal for example Weight loss for example helping an obese patient to lose a few kilos ENRAF Condition improvement for example to improve the physical condition of a patient after a period of NONIUS immobilisation gres IU With Exercise goals 1 2 and 3 a POLAR heart rate belt may be connected in order to display the current heart rate If the heart rate exceeds 85 of the max HR
45. OK to START k Sample Navigation screens a Running Speed k Data screens may be displayed in the window both during and after the termination of the training session A data screen contains relevant information parameters about the selected training session or test Quick Start Results TT 13 29 Results HH 14 15 S m 6 00 min time 49 2 distance time 20 00 min Pu p E Distance 0 000 km ee m energy norm min 380 m avg speed 0 00 Km h inum mae heartrate Step 0 00 minkm l 20 00 kcal fitness index 3 0 y T qait speed 2 17 m s MEE x 1 min average 82 16 m incline lo Program completed Test completed Well done Press OK to continue Press OK for Main Menu K 4 kh Sample Data screens Warning screens alert the user both before and during the training session to any errors and critical situations A warning screen with a red bar indicates that special attention is required A screen with a blue bar on the other hand is less urgent seinl C4 nana 4 P ng Conconi Test Auto stop Emergency Heart Rate Belt must be used a e 30 No Heart Rate signal detected qom Emergency activated Autastop actis e Connect Heart Rate Belt and press OK to continue Press OK to resume or STOP to abort Please check Heart Rate Belt Press OK for Main Menu Sample Warning screens Ea NONIUS 9 Operation step by step 9 1 Overview of tra
46. Severe stenosis of the aorta Suspected or diagnosed with aneurysm ready to explode Active or suspected myocarditis or pericarditis Venous thrombosis or intracardial thrombi Recent systemic or pulmonary embolism Acute infection Severe emotional angst Tightness of the chest at rest or a forced expiratory volume FEV1 or a peak expiratory flow less than 6096 of the expected value Acute renal disease or hepatitis Insulin dependent diabetes without taking the prescribed medications or children with a high concentration of ketone bodies e Acute rheumatic fever with carditis e Severe vascular pulmonary disease e Poorly compensated heart failure e Severe aorta or mitral stenosis e Hypotrophic cardiomyopathy combined with unconsciousness 7 2 4 Relative contra indications for exertion tests e Diastolic blood pressure at rest gt 115 mmHg or systolic blood pressure gt 200 mmHg e Moderate valvular heart condition e Diagnosed with abnormalities in the electrolytes hypokalemia hypomagnesia e Fixed rate pacemaker e Frequent or complex ectopia e Ventricular aneurysm e Uncontrolled metabolic disease diabetes mellitus thyrotoxicosis or myxoedema e Chronic infectious disease mononucleosis hepatitis aids for example e Neuromuscular disease conditions of the locomotor apparatus or rheumatic conditions that are exacerbated by movement e Advanced or complicated pregnancy Source Kenney 1995 Zwiren amp Manos 1998 T Takken 2004 7 2 5
47. ace with automatic speed adjustment Autospeed The band will now start to move Exertion Tests System Settings Start Walking Select Mode and press K to continue Comment if Calories burned has been activated see 9 2 Quick start a screen in which you must enter the user s weight will first appear after you have confirmed the selection of the Quick start function Then press OK to start the training session 9 6 2 Likewise before the start of the training session but this time from a submenu The training for example Quick start or Exercise goals has therefore already been selected but the band is NOT YET IN MOTION This means first SELECT TRAINING SESSION AND ENTER SETTINGS then SELECT AUTOSPEED and only then START THE BAND using the Autospeed function Step 1 SELECT TRAINING SESSION AND ENTER SETTINGS From the Main menu select the desired function for example Quick start and press OK The so called data screen will appear unless Calories burned has been activated in this case first enter the weight Do NOT yet start the band Step 2 SELECT AUTOSPEED Press the AUTO button The indicator lamp will now start to flash green If the security function is switched off the response profiles screen will also appear If the security function is activated however the padlock screen will first appear In this case first enter the code Then select the desired profile and press OK Now enter the desired m
48. ad increases the heart rate does not in other words the energy for the extra work is supplied anaerobically With the modified Conconi test as performed on the EN Motion the increase in heart rate is continuously examined in relation to the increase in speed during the test instead of afterwards The heart rate is measured every 40 metres and compared with the heart rate of 60 seconds previously i e in a virtual window If the difference between these two values is less than 3 beats per minute it is regarded as a potential Conconi point If three of these points are measured in succession the first point is regarded as the definitive Conconi point The advantage of the modified Conconi test is that a point is found during the test rather than afterwards ENRAF NONIUS Performing the Conconi test on the EN Motion treadmill OLEO Ensure that the user has warmed up properly and that the heart rate belt is connected Quick Start Prot List i s i delo ti Select the Exertion tests function using the central Exercise Goals controller and press OK System Settings Now enter your personal details before selecting from the list of available exertion tests These details are used to calculate and present the personal test results Select Mode and press OK to continue j Select the gender m f using the central controller and press OK 5 n Enter the age using the central controller and oa press OK
49. admill If this person is unable to maintain a previously selected speed and is therefore at risk of ending up at the back of the running surface the band speed will automatically decrease If the person is able to walk or run faster the band speed will automatically increase A green LED to the left of the AUTO button indicates that the Autospeed sensor is activated figure 14 For certain programmes and exertion tests Autospeed forms part of the standard test protocol See 9 6 for a detailed description of the Autospeed function LA Indicator lamp LED Figure 14 8 2 8 Inclination buttons The buttons for adjusting the incline fig 15 are on the right of the control panel The selected incline can be either positive uphill or negative downhill The range is expressed as a percentage with max 15 positive and max 10 negative The selected incline is displayed at the bottom right of the information screen For safety reasons the treadmill will adjust gradually to the selected incline A flashing arrow indicates that the band has not yet reached the selected angle An increasing angle of inclination is indicated by an arrow pointing upwards A decreasing angle of inclination is indicated by an arrow pointing downwards During the gradual adjustment process the current angle of inclination will be shown 4 Inclination buttons 10 inclina Figure 15 The incline can be selected or changed at any time using
50. aining to a permanent end by pressing the STOP button within 30 seconds As soon as the 30 second period has expired the treadmill will automatically display the Results screen You can activate or deactivate the AUTOSTOP function in the System settings menu see section 9 7 Comment during Fitness tests even though the AUTOSTOP function is active it is not possible to resume the training session The band will immediately come to a definitive standstill and a message will appear on the information screen fig 21 rr oe Test interrupted L 3 2 km h 3 30 Time 4 16 min Distance 0m Sutostop active Fress OF to resume 3 0 or STOP to bort incline ki Press OK for Main Menu Figure 19 Figure 20 Figure 21 8 3 The LCD information screen During the operation of the treadmill various information screens are displayed in the window These can largely be divided into 3 groups according to function navigation screens daa screens and warning screens Navigation screens guide the user through choosing between the various functions and entering details such as length or weight Text at the bottom of each navigation screen clearly states which action is required Navigation screens will only appear while the band is not yet moving Main Menu HA 13 04 Quick Start Exercise Goals l Exertion Tests System Settings Select Mode and Enter Body Length Set Speed km h press OK to continue and press OK to continue P and press
51. ally be shown a message once a heart rate signal has been received figure 23 ee Goal Weight Loss Goal Weight Loss Heart Rate Belt must be used Heart Rate Detected V Connect Heart Rate Belt to continue Figure 22 Figure 23 HRT Heart Rate controlled Training means that the heart rate is automatically kept within the same Target Training Zone by means of adjustments to the speed and or inclination The user s current heart rate is shown continuously on the display The Target Training Zone is calculated on the basis of the formula 220 age This provides the max HR theoretical maximum heart rate The heart rate training will be carried out at a specific percentage of the max HR This percentage depends on the selected training goal weight loss or condition improvement For weight loss the zone is between 65 and 75 of the max HR see figure 24 For condition improvement the zone is between 75 and 85 see figure 25 The indicator orange arrow shows the centre of the zone and can be adjusted at will up or down using the central controller EA NONIUS 5 Generally speaking the indicator should not be adjusted as the age of the user has already been entered in a previous screen and the displayed percentage of 70 weight loss and 80 condition improvement is in accordance with the ACSM guidelines F a 7 Weight Loss Improve Condition of HR max of HR max 65 7550 756 95 Set He
52. ance will increase during the training session 10 IK time sec A heart rate belt may be used to display the distance m user s current heart rate energy U kcal ENRAF NONIUS A mit 40 time O sec distance O m energy U kcal 9 2 1 Use of the PAUSE button EE Pauze Press OK to continue or STOF to cancel Z 3 0 km h Ah 2 0 Resume X 3 2 km h wa 3 3 0 tH 3 0 speed kmih incline During the training session the variations in speed and angle of inclination are displayed graphically at the top of the screen The current values for the parameters time distance energy and heart rate are also displayed The current speed and selected incline are shown at the bottom of the screen Comment if no weight has been entered and or no Polar heart rate belt is worn before the Quick start training commences these values will not be displayed In this case energy and heart rate will be greyed out Press PAUSE to temporarily interrupt the training session The screen shown on the left will appear and at the same time the speed of the band will gradually decrease until it comes to a complete standstill Comment from the pause mode pressing the STOP button once again will bring the training session to a permanent end and the results screen will be displayed Resuming the training session Press OK to restart the band A screen showing that the band speed is gra
53. and your heart rate must be at the same level as during the walking test If your fitness index is 90 110 you should train every other day for 30 minutes to 1 hour at a heart rate which is 10 20 beats per minute higher than it was during the walking test If your fitness index is above 110 you may continue with your current training regime Performing the 2 km UKK walking test on the EN Motion treadmill Main Menu Ensure that the user has warmed up properly and that the heart rate belt is connected see Quick Start below Protocol Lists Select the Exertion tests function using the Exercise Goals central controller and press OK Exertion Tests Now enter your personal details before System Settings selecting from the list of available exertion tests These details are used to calculate and present the personal test results Select Mode and press OK to continue ENRAF NONIUS Select the gender m f using the central controller and press OK z Enter the age using the central controller EMEN EN and press OK Enter the height cm using the central controller and press OK 4 Enter the weight kg using the central controller and press OK All the personal details have now been entered Select Gender and press OK to continuae F 1 The list of Exertion tests will appear List Select the UKK 2 km walking test using the central controller and press OK Conconi Test Conpe
54. art Rate Zone Set Heart Rate Zone and press OK to continue and press OK to continue Figure 24 Figure 25 As defined by the American College of Sports Medicine ACSM in Guidelines for Exercise Testing and Prescription Example for a 40 year old user who has selected the HRT programme weight loss in this case the indicator will be at 70 a lower limit of 117 bpm will be used This corresponds to 65 per cent of the max HR and is calculated as follows 220 40 65 117 The upper limit of 7596 corresponds to a target heart rate of 135 bpm Comment the width of the zone is always kept at 10 Conclusion if the indicator is set to 65 the zone will be between 60 and 70 We therefore refer to the heart rate value between the minimum and maximum selected heart rate as the heart rate zone The HRT programmes consist of a warm up interval training and a cool down During the warm up the treadmill will start at a speed of 2 km h and the heart rate will gradually be increased to the lower limit of the zone After the warm up the treadmill will automatically accelerate to ensure that the user reaches the desired heart rate zone If the maximum selected speed has been reached but the user is not yet in the heart rate zone the inclination will automatically increase If the heart rate zone is exceeded during the training session the inclination will automatically be decreased and the speed reduced placing less strain on the user and allo
55. art at a speed of 2 km h warm up and gradually accelerate until the heart rate zone has been reached The speed and or inclination are then automatically adjusted in order to keep the heart rate within the zone During the training session the most important parameters will be displayed e time which has expired distance covered current heart rate speed inclination avg speed 0 00 km h pace 0 00 min km energy 5 93 kcal MET s 1 0 avg power 3 9 W VO max 3 3ml min kq HF min 1 bpm HE may 17 hnm Press OK for Main Menu 9 4 4 b Condition improvement HRT Exercise Goal Time Distance Energy Weight Loss ART Improve Condition HRT Select Goal and press OK to continue Improve Condition n of HR max 80 Set Heart Rate Zone and press OK to continue After the goal has been reached an audible signal will sound and the Results screen will appear The training has now ended Note the results and record them on the results form if desired see appendix Press OK to return to the Main menu First connect a heart rate monitor POLAR chest strap Select the Exercise goals function from the main menu using the central controller and press OK Then enter the Personal details gender age height and weight and press OK The list of Exercise goals will appear Select the Exercise goal Condition improvement HRT using the central controller and press OK Once the Hea
56. aximum Autospeed speed Step 3 START THE BAND ENRAF Press OK to start the band automatically A screen showing the flashing text START WALKING Mase indicates that the training session will take place with automatic speed adjustment Autospeed The band will now start to move The indicator lamp will now illuminate constantly to show that the Autospeed function has been activated 9 6 3 During the training session Here you will already have selected a training session from the main menu and entered the speed manually The band is therefore IN MOTION This means first SELECT TRAINING SESSION AND ENTER SETTINGS then manually START THE BAND START and while you are walking or running ACTIVATE AUTOSPEED Step 1 SELECT TRAINING SESSION AND ENTER SETTINGS Quick start example Select the desired function for example Quick start from the main menu and press OK The so called data screen will appear unless Calories burned has been activated in this case first enter the weight Step 2 START THE BAND Start the band by pressing the speed button Press the button until the desired speed has been reached and then release it Step 3 ACTIVATE AUTOSPEED While you are walking or running press the AUTO button If the function is secured the access code must first be entered see 9 7 2 The indicator lamp will illuminate continuously and the treadmill will immediately enter Autospeed mode The user will be shown a flashing message on the
57. ay range from very intensive to maximal Amongst the elderly the 6MWT tends to be a submaximal rather than a maximal exertion test The exertion required usually corresponds to the performance of daily activities The test has proved reliable in a large number of patient groups Sadaria and Bohannon 2001 The 6MWT has mainly been validated and tested for reliability in COPD patients and patients with heart failure Sadaria and Bohannon 2001 Solway e a 2001 In patients with better functional status other walking or cycling tests are more suitable as these reflect the maximal aerobic exertion capacity better than the 6MWT However the 6MWT can still be used for example as is the case with rheumatic diseases such as fibromyalgia arthrosis and rheumatoid arthritis Gowans e a 1999 Pankoff e a 2000a b Foley e a 2003 Lelieveld e a in print Takken e a 2003 Minor and Kay 1997 but the test then becomes more of a functional exertion test than a maximal exertion test The reliability of the 6MWT makes it a widely applicable tool for establishing the functional exertion capacity of a patient A guideline has even been drawn up for this test by the American Thoracic Society ATS 2002 The test can be carried out in the physiotherapy sector safely easily and in a properly standardised manner A guideline exists for the implementation of the test as well as the encouragement provided during the test The results of the 6MWT can b
58. before continuing Incorrect training may cause injury supervision by a competent medical practitioner is therefore required The correct biomechanical position of the user is essential The use of automated functions such as Heart Rate Training Autospeed and Fitness tests is prohibited if the health and condition of the runner patient do not allow for them and if the therapist doctor has not authorised the function in question Non compliance with this rule may lead to serious injury and health risks and may even result in death e Do not wear clothing which may become trapped between parts of the treadmill such as the rollers of a moving band e Special attention is required during the use of the inclination system and the electrically height adjustable side supports ensure that parts of the body or items of clothing cannot become caught between the moving parts of these systems Never allow children to use the treadmill without supervision Never start the treadmill at a high speed and then try to jump onto it e The EN Motion may only be used or operated by one person at any one time During use no more than 1 person may stand on the treadmill at any one time The maximum permitted user weight is 235 kg Unplug the device from the electricity supply before moving the treadmill to a different location Do not remove the covers of the motor or the rollers The device must be serviced by a service technician who has been appointed or auth
59. bring the test to a premature end and the screen shown on the left will be displayed instead of the Results screen Fr Test interrupted Press OK to return to the Main menu Time 0 sec Distance Om Press OK for Main Menu 9 5 5 Claudication test Claudicatio intermittens is a peripheral vascular disease often caused as a result of atherosclerosis The modifiable risk factors which may influence the prognosis for cardiovascular diseases are smoking diabetes mellitus hypertension hyperlipidaemia physical inactivity and excess weight Non modifiable risk factors include gender and age If several risk factors are present at the same time their influence is increased In the case of claudicatio intermittens the patient experiences pain or an unpleasant sensation in the legs often unilaterally The symptoms cramp a burning or constricted feeling tiredness usually occur in the calf They tend to occur after the patient has walked a certain distance walked quickly or walked uphill they tend to disappear once again when the patient is at rest The symptoms are caused by poor arterial blood circulation to the working muscles during physical activity The localisation of the arterial obstruction determines the muscles in which the arterial blood supply is insufficient The consequence is that the walking distance decreases significantly leading to the restriction of the pain free and maximum walking distance and time The treadmill
60. ce e energy Auto Stop 2 e weight e speed Date amp Time Quick Start Energy O To view or change the selected units select Units using the central controller and press Screen Brightness 60 OK Speaker Volume 60 Select Setting and press K to continue The default settings are e TENE Distance m REE Energy kcal Weight kg u Height cm Wolgnt Speed km h Length Speed Select the desired unit using the central controller and press OK Select unit and press OK to continue ENRAF NONIUS Select the desired unit using the central controller and press OK Distance You will automatically return to the Units menu The modified unit in this case metres will be displayed at the right of the menu bar In the same way you can change the units for e energy kcal or KJ e weight kg or lbs e height cm or inches e speed km h or mph Select Unit and press OK to continue 9 7 2 d Date amp time l To view or change the selected date and time select Date amp time using the central Aio Speed O controller and press OK Auto Stop 2 Units Quick Start Energy 2 Screen Brightness 60 Speaker Volume 60 Select Setting and i press OK to continue y The selected date and time will be displayed Date 8 Time at the right of the menu bar neu To change the date select Date using the central controller and press OK Select Setting and press OK to continue ENRAF NONIUS
61. cessing the secure menu E 4 System Settings Language ENG Standard Settings E Personal Protocols m MMS Set Zero Service amp System Info VZ RAD Select Setting and press K to continue Code Required X X Enter Access Code 9 7 3 a Adding protocols Personal Protocols Edit Delete Select Setting and press K to continue E j NONIUS 5 You can define and save a maximum of 30 personal exercise protocols programmes Secure access to the Personal protocols menu prevents changes being made by unauthorised parties From the System settings menu select the Personal protocols function using the central controller and press OK First enter the access code by pressing the PAUSE and VIEW buttons simultaneously and holding them down for 2 seconds Once the correct access code has been entered a menu which you can use to e add e edit e delete programmes will appear Select the Add function using the central controller and press OK Time min 5 Speed km h Inclination n U Next Step y n yes Save Total Program Time 35 00 min Time min 5 Speed km h Inclination w U Next Step yin yes Save Total Program Time 4 00 min 18 I8 A a 44 PA Empty P3 Empty P4 Empty Select Program and Press OK to save or STOP to abort Program saved under P1 The cursor will mark programme phase 1 Press OK to go to time
62. cover changes that are not observed at rest The strengthening of pathophysiological changes A non invasive exertion test may be used to determine whether an invasive test is required Determination of the severity of heart abnormalities Determination of the functional success of a surgical correction Measurement and differentiation of symptoms Pain in the chest asthma after heart infarct Shortness of breath coughing Rapid tiredness Maintaining motivation and therapy belief during an intervention programme Source Zwiren amp Manos 1998 en T Takken 2004 7 2 2 Explanation of contra indications Absolute contra indication means that an exertion test cannot be performed responsibly A relative contra indication means that performing a test may produce possible complications The benefits of the test must be weighed against the risks These contra indications have been drafted by the American College of Sports Medicine Source Kenney 1995 Zwiren amp Manos 1998 T Takken 2004 7 2 3 Absolute contra indications for exertion tests A recent significant change in the ECG at rest that suggests an infarct or an acute heart condition A recent complicated heart infarct experienced except if the patient is without pain and stable Non stable angina Uncontrolled ventricular arrhythmia An uncontrolled arterial arrhythmia which adversely affects heart function A third degree AV heart blockade without pacemaker Acute congestive heart failure
63. ction To deactivate the function select Function and press OK Then select the Off setting using the central controller and press OK KOR NONIUS 5 E N NRAF ONIUS F K Auto Speed Select Setting and press OK to continue Protection k F K a Auto Speed Function 2 Protection Hold Position 55 cm Reaction Profile 3 Select Setting and press OK to continue a al E x n Select Setting and press K to continue Auto Speed Function 2 Protection Hold Position 55 cm Reaction Profile 3 Select Setting and press OK to continue al x You will automatically return to the Auto Speed menu The icon at the right of the menu bar indicates that the Autospeed function has now been completely deactivated The other settings which relate to this function will also no longer be selectable greyed out The default setting is Protection ON The purpose of the protection function is to ensure that patients clients are unable to use Autospeed by themselves i e not without the therapist having authorised the use of Autospeed However the protection function can also be deactivated This means that Autospeed can be activated directly by each patient client To deactivate the security function select Protection and press OK Then select the Off setting using the central controller and press OK The protection function has now been deactivat
64. d time which has expired distance covered speed inclination current heart rate if a heart rate belt is worn Results After the goal has been reached an audible signal will sound and the Results screen will LT LEE min appear istance n The training has now ended avg speed 0 00 km h pace 0 00 min km Note the results and record them on the energy 10 30 kcal results form if desired see appendix MET s 1 0 avg power 3 9 Ww Press OK to return to the Main menu VO max 3 5ml min kg HF min 0 bpm HE mar H hnm Press OK for Main Menu 9 4 4 Heart rate training HRT programmes Read the instructions in sections 4 and 7 thoroughly Ensure that the heart rate monitor POLARQ belt is fitted properly If you experience nausea dizziness or increasing chest pain immediately stop the training and consult a doctor Before a heart rate training session the doctor therapist must instruct the patient in the use of this function With the use of the POLARO chest strap there must be sufficient distance min 1 5 m between different users If this is not the case the heart rate shown may not be accurate as a result of interference Do not activate a HRT programme if interference is noted or suspected For heart rate training a heart rate belt MUST be connected see Use of the chest strap If this is not the case a message on the screen will draw the user s attention to this fact see figure 22 The user will automatic
65. der the supervision of the doctor therapist in charge of the patient the EN Motion treadmill may also be operated by the patient The EN Motion may only be used with heart rate control for training purposes this requires special attention from the doctor therapist in charge of the patient see comments in section 4 and section 7 The EN Motion can be used for e Improving the gait training Improving endurance and increasing energy levels Improving the cardiorespiratory system Improving the muscle functions muscles which are used when walking and running Prevention of cardiovascular diseases hypertension and high cholesterol Prevention of type 2 diabetes Prevention of osteoporosis Reducing the risk of falling in the elderly Reducing symptoms of depression and anxiety disorders and improving the patient s state of mind gsm Reducing the body fat percentage I NONUS y Weight loss and weight control ENRAF NONIUS 12 Indications and contra indications The section describes the indications and contra indications for cardiorespiratory training and for measuring cardiorespiratory endurance exertion or fitness tests 7 1 1 1 1 Cardiorespiratory training Indications for cardiovascular training Cardiovascular training is indicated if the following goals are set N N N L 7 2 7 2 1 Increasing maintaining muscle strength Increasing maintaining stamina Increasing maintaining mobility flexibility
66. dually increasing will appear This screen will automatically disappear as soon as the band has reached the selected speed ENRAF NONIUS 9 2 2 Ending the training Press STOP to end the training session The band will gradually come to a standstill and the Results screen will appear A Please note the details displayed will not be saved You can record the details on the results form see appendix if you wish This allows the details to be entered later in an electronic patient record for example time 09 24 min distance 2 26 km energy 150 Kcal Pressing OK will return you to the Main menu Please note an incline if selected will Press OK to continue automatically be brought back to 0 at the same time 9 3 Protocol lists The Protocol lists training programmes menu function allows you to offer the user a complete range of interval training programmes These include changes of speed and or inclination which automatically follow a fixed pattern An extremely effective training session also involves climbing going uphill This is more effective than running jogging on a flat terrain and easier on your joints The Protocol lists function is divided into 2 groups preprogrammed and personal protocols Please note the protocols do NOT HAVE heart rate training programmes However if a POLAR heart rate belt is connected the current heart rate is nonetheless shown If the heart rate exceeds 85 of the max HR
67. e fear of exertion may inhibit the physical capacity The treadmill test also offers the possibility of measuring the ECG blood pressure and subjective pain ACSM scale for pain in peripheral vascular disease also known as the four point scale during the test Performing the Claudication test on the EN Motion treadmill The test can be carried out with or without a heart rate meter see below Quick Start Protocol Lists Select the Exertion tests function using the central controller and press OK Exercise Goals Exertion Tests Now enter your personal details before System Settings selecting from the list of available exertion tests These details are used to calculate and present the personal test results Select Mode and press OK to continue ENRAF NONIUS Select the gender m f using the central controller and press OK Enter the age using the central controller and press OK Enter the height cm using the central controller and press OK Enter the weight kg using the central controller and press OK All the personal details have now been entered Select Gender and press OK to continuae F 71 EE ee The list of Exertion tests will appear List Select the Claudication test using the central controller and press OK Conconi Test Cooper Test 6 Min Walking Test Comment the Claudication test can be performed both with and without a heart rate Claudicatio Test meter For
68. e used for both evaluation and training advice and provide a good picture of the amount of ADL activities carried out by patients Based on the results it is possible to effectively estimate the correct training intensity for endurance training This intensity expressed as the walking speed or heart rate is a useable training intensity to be maintained during training sessions Carrying out the test frequently every 4 to 6 weeks allows you to ensure that a patient s training intensity is tailored to his or her capacity The training incentive becomes more geared towards to the patient s exertion tolerance as a result Performing the 6MWT The patient must walk for six minutes at a speed which he or she has chosen on the EN MOTION this takes place with automatic speed adjustment trying to cover as great a distance as possible without running During the test a heart rate meter and pulse oximeter can be used to establish the physiological response during the test The distance achieved is the total distance covered measured at the end of the six minutes After six minutes the results will appear in the results screen The result partly depends on the motivation of the person taking the test the encouragement must therefore be standardised so that it is the same for each patient and each measurement ATS 2002 Guyatt e a 1984 Standard values exist for the 6MWT for healthy adults aged between 40 and 85 Using these standard values the outcome
69. e walking test using the central controller and press OK Conconi Test Cooper Test 6 Min Walking Test a 55T Comment the 6MWT test can be performed Ciandicatin Tesi both with and without a heart rate meter For safety reasons and in order to present essential test parameters such as max HR VO2max etc we would always advise you to use a heart rate meter Select Test and press K to continue 1 To perform the test with heart 6 Min Walking Test 6 Min Walking Test rate measurement first connect the chest strap The detect whether a heart rate meter is connected and whether a heart rate signal has a _ been detected To perform the test without heart rate measurement press OK Heart Rate Belt can be used Connect Heart Rate Belt or press K to continue without HR monitoring ad The 6MWT test is performed F 9 F Code Required Code Accepted using Autospeed If the Autospeed function is set to secured in the default settings the access code must first be entered before the Autospeed function becomes active see S 9 6 and 9 7 If it is not secured the Autospeed function will be activated immediately L Enter Access Code l i A screen will then appear stating that the test will be performed in Autospeed mode z The advantage of this is that the patient user is able to concentrate fully on walking and the band speed will automatically adjust to the pace of the walker
70. eaction Profile 5 average can be changed by selecting reaction profile and pressing OK Select Setting and press OK to continue E x Then select a different profile for example profile 5 very fast using the central 1 Very Slow controller and press OK 2 Slow 3 Average 4 Quick 5 Very Quick Select Auto Speed Reaction Profile and press OK to continue f You will automatically return to the Autospeed menu Ent MM 9 The number of the new default response Protection 2 profile will be displayed at the right of the Hold Position 55 cm menu bar Reaction Profile 5 Select Setting and press OK to continue E j NONIUS 5 9 7 2 b Autostop f Select the Auto Stop function using the Standard Settings central controller and press OK Auto Speed 2 In the menu screen which opens you can Auto Stop change the settings which relate to the Units Autostop function These are as follows e function Date amp Time e shutdown time Quick Start Energy 2 Screen Brightness 60 Speaker Volume 60 Select Setting and press OK to continue l Function y x The default setting is function ON e Mnr However the Autostop function can be completely deactivated under Function Timeout 50 sec This means that the band will no longer stop automatically if a user who is not wearing a safety belt with a magnetic contact steps or falls off the band To deactivate the function select Functio
71. ealthy and perform regular physical exercise The test does not offer accurate results for very active people in good shape as it tends to underestimate their condition This test makes it possible to establish a person s condition in a relatively safe and easy way The test is less reliable for overweight people and also for people with serious conditions or handicaps for whom strenuous walking would not be advisable The test is also less useful for people who do a lot of training UKK stands for Urho Kaleva Kekkonen the Finnish president from 1956 1981 The institute in Tampere was named after him Performing the 2 km UKK walking test When performing the UKK walking test for the first time it is advisable to do so under the supervision of qualified personnel After this the test may also be performed independently Before carrying out the test the health of the participant must be assessed For realistic reliable results you must ensure standardised test conditions the right supervision the right measuring technology and accurate test data Follow the instructions below to prepare for and perform the walking test e Before the test it is better not to smoke eat a heavy meal or carry out strenuous physical exertion Do not use alcohol or stimulants before the test Do not eat anything during the 2 to 3 hours before the test Wear suitable clothing and sturdy shoes Warm up before the test e Measure your heart rate As it makes it
72. ecord them on the results form if desired See appendix Press OK to return to the Main menu First select the Exercise Goals function from the main menu using the central controller and press OK Then enter the Personal details gender age height and weight and press OK The list of Exercise Goals will appear Select the exercise goal Energy using the central controller and press OK ENRAF NONIUS Set Calories kcal to burn and press OK to continue Running Speed Set Speed km h and press OK to START Energy HA 16 77 5 7 2 03 min Om 192 7 kcal Q ENRAF NONIUS Enter the number of calories to be burned kcal using the central controller and press OK The minimum unit is 1 kcal and the maximum is 10 000 kcal in increments of 1 kcal Enter the desired speed km h using the central controller Press OK to START the band Comment do not enter an excessively high speed You must be certain that the selected speed can be reached without the heart rate increasing too quickly In a medical environment the supervisor must ensure that this is adhered to The treadmill will now start automatically and gradually accelerate until the selected speed has been reached You can adjust the speed and inclination using the and buttons During the training session the most important parameters will be displayed e calories still to be burned until the goal is reache
73. ed You will automatically return to the Autospeed menu The icon at the right of the menu bar indicates that the security function has been deactivated Hold position Auto Speed 5 The default setting is hold position 55 cm Function O The hold position specifies the distance from the sensor to the position of the patient on eee enon the band This determines the zone in which Hold Position 55 cm no speed changes faster or slower take place Reaction Profile 3 i ae It is also referred to as the zero position The hold position can be changed nearer the sensor or further away from the sensor To change the distance from the sensor select hold position and press OK Select Setting and press OK to continue F 7H Hold Position Then adjust the distance using the central controller and press OK 53 cm Adjust Hold Position and press OK to continue f 1 You will automatically return to the Autospeed menu Function 2 The modified hold position distance will be eee displayed at the right of the menu bar Reaction Profile 3 Select Setting and press OK to continue ENRAF NONIUS Reaction profile A Reaction profile determines how fast and to what extent the band speed will automatically increase and decrease Speed changes vary PIER from very slow to very fast as the user Protection requires Hold Fosition 55 cm The default profile response profile 3 R
74. ed must be selected manually using the speed buttons 2 lt OK confirm button 5 Figure 11 8 2 5 STOP button The treadmill can be stopped by pressing the STOP button 6 once The band speed will gradually decrease until it comes to a standstill The training session will then come to a permanent end The Results screen showing the relevant parameters such as distance covered calories burned etc will then appear If desired the results may be recorded on one of the score forms see appendices 2 to 6 The details can then be entered at a later date into an electronic patient record for example ENRAF NONIUS E N NRAF ONIUS 1x press stop end Figure 12 Comment the treadmill can also be brought to a standstill by activating the Safety belt with magnetic contact see 8 2 10 Emergency stop optional accessories see 8 2 11 Autostop function see 8 2 12 8 2 6 Central controller rotary knob Using the central controller 7 e you can select the desired menu functions for example Quick start e you can enter the values for the various parameters for example Weight e you can choose between several different options available in a screen for example Male Female Central rotary controller 7 Figure 13 8 2 7 Autospeed button indicator lamp The activation of the Autospeed function 8 means that the band speed will automatically adjust to the pace of the person using the tre
75. elerate until the selected speed has been reached 1 1 a 52 You can adjust the speed and inclination min using the and buttons Om During the training session the most important parameters will be displayed e time remaining until the goal is reached KO e distance covered d e speed e inclination e current heart rate if a heart rate belt is worn avg speed 0 00 km h pace 0 00 min km energy 3 36 kcal MET 1 0 avg power 3 9 Ww VO max 3 5ml min kg HF min 0 bpm HF mav ni hnm Press OK for Main Menu ail 9 4 2 Exercise goal distance Exercise Goal Time Energy Weight Loss ART Improve Condition HRT Select Goal and press OK to continue LE a 1 LJ Set distance in km and press OK to continue n k Running Speed ENRAF NONIUS Set Speed km h and press OK to START After the goal has been reached an audible signal will sound and the Results screen will appear The training has now ended Note the results and record them on the results form if desired see appendix Press OK to return to the Main menu First select the Exercise Goals function from the main menu using the central controller and press OK Then enter the Personal details gender age height and weight and press OK The list of Exercise Goals will appear Select the exercise goal Distance using the central controller and press OK Enter the desired distance km using the ce
76. eter If you have any doubts first arrange for the patient to perform an exertion test or choose another form of training Failure to comply with this stipulation may cause serious injury and health risks and may even lead to death ENRAF NONIUS Select the Protocol lists function using the central controller and press OK Quick Start Protocol Lists Exercise Goals An option menu will appear Exertion Tests System Settings Select Mode and press K to continue k a E Select the Preprogrammed list using the central controller and press OK Preprogrammed Personal Select desired List and E press K to continue Now enter your personal details before selecting from the list of preprogrammed protocols The details will be used for fine tuning the training and for calculating and presenting the personal training results F x 3 61 Select the gender m f using the central controller and press OK Select Gender and press OK to continue E j NONIUS 5 Adjust Age and press OK to continue Em qn i Enter Body Length and press OK to continue F z EET Weight LO m a E 2n gt Adjust Weight and E press OK to continue F x Maximum Speed T Baan EN gt l i i j e Set max Speed km h and press OK to continue Enter the age using the central controller and press OK Enter the height cm using the central controller and press OK
77. gt to cancel A message on the screen will indicate that 4 the programme has been saved You will automatically return to the Personal k protocols menu Program saved under P1 N ENRAF ONIUS Select the Delete function using the central controller and press OK 9 7 3 c Deleting protocols g Personal Protocols Add Edit Select Setting and press OK to continue i Select Program and Press OK to save or STOP to abort L F Program will be deleted Press OK to continue or select lt back gt to cancel 4 k Program deleted P4 E j NONIUS 5 Use the central controller to select the programme to be deleted and press OK A message on the screen will alert you to the fact that the programme will be deleted permanently Press OK to confirm this action Select lt back gt and press OK to cancel the procedure You will then return to the previous screen the Programme list A message on the screen will indicate that the programme has been deleted You will automatically return to the Personal protocols menu 9 7 4 Calibration The treadmill has a calibration programme which guarantees to the user i e business owner a correct and accurate angle of inclination in respect of the underlying surface A surface which is not 100 level could cause a slight deviation in the inclination readout at 0 The treadmill must therefore be calibrated at its definitive location in
78. have any questions or would like to receive our catalogue please call your Enraf Nonius representative or visit www enraf nonius com ENRAF NONIUS Appendix 1 Sample PAR Q Physical Activity Readiness Questionnaire PAR Q For most people physical exertion will not present any problems or risks The Physical Activity Readiness Questionnaire PAR Q has been developed to identify the small number of people for whom physical activity is less suitable or for whom it would be sensible to seek medical advice about the most suitable type of activities ACSM 1991 Sie IM 6 T Has a doctor ever said that you have any type of cardiovascular disease Do you regularly suffer from chest pain Do you regularly suffer from shortness of breath or dizziness Has a doctor ever said that you have high blood pressure Has a doctor ever said that you have a bone or joint problem such as arthrosis arthritis or rheumatism which could be made worse by physical exertion Do you know of any other good reason why you should not take part in an activity programme Are you older than 65 and not used to strenuous physical exercise If someone answers yes to one or more questions the physical activity or test must be postponed Medical consent must first be obtained Source E Hulzebos amp H van der Loo 2002 Physical Activity Readiness Questionnaire PAR Q revised 2002 Canadian Society for Exercise Physiology 90 APPENDIX 2
79. ime it is important for you to read this manual thoroughly Above all you must ensure that this manual is always available to all the relevant staff When using the EN Motion pay particular attention to the following 1 You must acquaint yourself with the safety instructions section 4 and contra indications section 7 2 The device may not be used in the vicinity i e at a distance of less than 2 metres of a short wave device 3 The patient must always be in full view of the therapist 4 The device may not be used in so called wet rooms hydrotherapy rooms ONIS 5 Do not use the treadmill out of doors E N NRAF ONIUS Repairs not carried out by service technicians authorised by Enraf Nonius and or the use of non original spare parts and or ancillary materials will cause the guarantee to lapse and may even be hazardous The manufacturer shall not be liable for the consequences of the use of the device other than as described in this manual 4 Safety instructions The safe implementation of the procedures described requires sufficient knowledge of the human locomotor system and physiology alongside technical experience and knowledge of the safety precautions The terms Warning Caution and Please note are used in this manual to bring important issues to the attention of the reader Warning means danger to the user or the technician Caution means an action which may damage the device Please note indicates a
80. in ba be added to the patient record at a later date HF min 110 bpm HF max 110 hpm Allow the person taking the test to cool down HF avg 110 bpm and stretch awn gnap 17 17 km h Press OK to return to the Main menu Test completed Well done Press OK for Main Menu Test Interrupted Comment pressing the STOP button will bring the test to a premature end and the screen shown on the left will be displayed instead of the Results screen Press OK to return to the Main menu Time 4 16 min Distance U m Press OH for main menu 9 5 3 6 minute walking test 6MWT Exertion tests are no longer reserved for top athletes but are also useful for patients with chronic diseases For example the 6MWT can be used with the elderly and patients with rheumatic diseases but is mainly suitable for patients with a poor functional status such as patients with serious heart and lung diseases The 6MWT is an intensive exertion test which can be used to establish and evaluate the functional exertion capacity of a patient The six minutes are derived from halving the well known Cooper test which lasts twelve minutes Butland e a 1982 Cooper 1968 Walking has been selected as the intensity level as this is already fairly intensive for many chronically ill patients Paap e a 2002 In most cases the 6MWT is a submaximal test In some patients however mainly patients with serious heart and lung diseases you must bear in mind that the test m
81. ining therapy options In principle the treadmill session should be configured by the therapist However the treadmill is so easy and intuitive to use that after sufficient instruction and checking by the therapist this can also be done by the user The treadmill is operated via buttons on the operating console see figure 3 The bottom section of the LCD window displays step by step instructions stating which action is required 9 1 1 Initial screen standby screen After the treadmill has been switched on the Welcome screen will appear Press OK to continue to the Main menu Comment if the Main menu is called up and no further action is taken the Welcome screen will automatically appear after 30 seconds Press OK to continue P 9 1 2 Main menu The Main menu provides access to all the functions of the device Select the desired function or therapy using the central controller A selected function can be delia identified by an orange bar Confirm the Exercise Goals selected function by pressing OK ERC You can choose from the following 5 System Settings functions 1 Quick start 2 Protocol lists 3 Exercise goals 4 Exertion tests Select Mode and 5 System settings g press OK to continue 9 2 Quick start The easiest and quickest way to start the treadmill is to use the Quick start function The Quick start function is also highly suitable for getting your patients used to working on a treadmill or
82. ion which is increased by 2 every 2 minutes The Claudication test focuses on measuring e the pain free time and or distance the time distance at which the pain starts e the maximum time or distance the time distance at which the patient has to stop These parameters provide an indication of the seriousness of the condition When performing exertion tests it is advisable to carry out a practice test on a different day before the actual test This practice test allows the patient to become familiar with the test procedure test protocol and the implementation of the test Carrying out a practice test can considerably increase the reliability of the result During the test the physiotherapist must remain alert to the occurrence of any complications such as cardiac strain and leg pain without a vascular cause Physiotherapists are expected to recognise the signs of excessive exertion without a cardiac or vascular cause The treadmill test is not only a tool for establishing whether there is an abnormal reduction in the exertion capacity The test is also used to examine how the patient deals with the symptoms and whether a subjective reduction in the exertion capacity exists on the basis of inadequate pain coping or on the basis of fear of physical activity In the case of inadequate pain coping the patient is afraid of the harmful consequences of the pain In addition to inadequate pain coping a fear of exertion may also exist Th
83. is important to run at a steady pace For this reason on the EN Motion the Cooper test is carried out with automatic speed adjustment Autospeed The Cooper test is a reasonably strenuous exertion test and is not suitable for people in poor health The person must cool down properly at the end of the test The distance run is compared against standard values see the tables below Cooper test table ADULTS lt 1600 lt 1500 lt 1400 lt 1300 Bad lt 1500 lt 1400 lt 1200 lt 1100 1600 2000 1500 1900 1400 1700 1300 1600 Moderate 1500 1800 1400 1700 1200 1500 1100 1400 2000 2400 1900 2300 1700 2100 1600 2000 Average 1800 2200 1700 2000 1500 1900 1400 1700 2400 2800 2300 2700 2100 2500 2000 2400 Good 2200 2700 2000 2500 1900 2300 1700 2200 gt 2800 gt 2700 gt 2500 gt 2400 Very Good gt 2700 22500 22300 22200 DB Cooper test table BOYS Ref Condition 12 years 18 years Moderate 2075 2275 2125 2300 2350 2550 Average 2300 2425 2325 2450 2575 2725 Good 2450 2550 2475 2600 2750 2900 Cooper test table GIRLS Ref Condition 12 years 13 years 18 years Moderate 1675 1775 1700 1800 1725 1825 1750 1850 1775 1900 1825 1925 1850 1975 i Average jon 1658 2000 2100 Good 1925 2125 521 2125 2275 EE ENRAF NONIUS 44 Based on the distance covered during the Cooper test a rough estimate of the maximum oxygen uptake VO2max can be made The maximum oxygen uptake capacity determines ho
84. ity of the results it is important to increase the speed by the same increment at each load level The EN Motion treadmill is an excellent tool for keeping the speed at the right level The progression of the test must be planned with care the initial speed the increase in speed and the maintenance of the speed A good warm up before the test is crucial the warm up must be the same for each test Before you perform the test you must determine the starting speed of the test Using your best 10 km time the Conconi Test Pace Calculator can determine the starting speed of the test Before the test it is better not to smoke eat a heavy meal or carry out strenuous physical exertion Do not use alcohol or stimulants before the test Do not eat anything during the 2 to 3 hours before the test Wear suitable clothing and sturdy shoes Warm up before the test The test starts at 115 BPM Measure your heart rate End the test when you have reached your maximum heart rate or when you cannot continue any longer Cool down after the test and stretch your muscles At the end of the test the results screen will show the relevant measured values With the traditional method of determining the Conconi point the heart rate and the load running speed are compared after the completion of the test The point at which the relationship between the heart rate and the increase in load exertion ceases to be linear is then determined From this point onwards although the lo
85. kken 2004 ENRAF NONIUS 8 Operation general This section summarises the various components and controls 8 1 and explains the function buttons S 8 2 and different information screens S 8 3 8 1 Controls components 8 1 1 Most important features figure 1 1 Control panel 2 Emergency stop moveable optional n FY Da 7 3 Handles 4 Height adjustable side supports Plus model only 5 Adjustable feet 6 Running surface 7 Ramp optional 8 Side supports optional HE 9 Sensor unit magnetic belt with magnetic contact ws al 10 Motor compartment a Figure 1 8 1 2 Front figure 2 1 On off switch 2 Connection for 230V mains cable fuse holder 3 Data plate Figure 2 8 1 3 Control panel figure 3 1 LCD information screen 2 Speed buttons 3 VIEW button change screen button 4 PAUSE button 5 OK button confirm button 6 STOP button 7 Central controller rotary knob 8 AUTOSPEED button indicator lamp LED 9 Slot for SD card 10 Inclination buttons 11 Smart card reader 8 1 4 Sensor unit figure 4 1 Buttons for operating height adjustable side supports only EN Motion Plus model 2 Sensor 3 Magnetic contact for safety belt Figure 4 E N NRAF ONIUS 8 2 Use of the function buttons 8 2 1 Speed buttons The speed buttons are on the left hand side of the control panel The speed is
86. l Lists Exercise Goals Exertion Tests System Settings Select Mode and press OK to continue h d System Settings Language ENG Standard Settings e The list of available languages will appear in alphabetical order n Select the Language setting using the central controller and press OK Personal Protocols e MMS Set Zero Service a System Info V X XXXX Select Setting and press OK to continue ENRAF NONIUS E N NRAF ONIUS F x Deutsch DEU English ENG Espa ol ESP Fran ais FRA Italiano ITA Nederlands NLD Press OK to select language or select lt back gt to cancel 9 7 2 Default settings Select the desired Language using the central controller and press OK The language you have chosen will be selected and you will automatically return to the System settings menu Then press STOP or select lt back gt arrow at the top left to return to the main menu Comment It is not necessary to restart the system The following functions settings can be found under Default settings e Autospeed Autostop Units Date amp time Quick start energy Screen clarity Loudspeaker volume Access to the Default settings menu is secured to prevent changes being made by unauthorised parties After the correct access code has been entered the default settings menu will appear Accessing the secure menu F System Settings Language ENG Standard Settings Personal
87. l must be set up where it is to be used on a level surface To ensure optimal use the treadmill must be stable This can be achieved by first rotating the six adjustable legs at the bottom of the frame figure 1 no 5 inwards If the treadmill is still not stable start unscrewing one of the four outer adjustable feet As soon as the outer adjustable feet are making good contact with the underlying surface lock them into position by tightening the nuts Then unscrew the small inner adjustable feet until they touch the ground and lock them into position Connect the mains cable ensuring that it will not end up under the adjustable feet when the treadmill is used at an inclination The device must then be calibrated e Todo this the service technician will perform several procedures from the service menu see System settings e The device must be set up in a place where no liquids can enter the treadmill Should any liquids nonetheless penetrate into the housing unplug the device from the electrical socket where applicable Have the device checked by an authorised expert Do not set up the device near a source of heat such as a radiator The use of the EN Motion must not be obstructed by other objects Keep a distance of at least 1 m free around the appliance Avoid exposure to direct sunlight excessive dust moisture vibrations and impacts The device may not be used in so called wet rooms hydrotherapy rooms Always use original acces
88. lcome menu and or the Main menu non n conc c non nnne 60 9 6 2 Likewise before the start of the training session but this time from a Submenu 61 90 90 Dutmnathetraining Sessi nia iii 62 9 6 4 Changing the Autospeed settings during the training session ne 62 2r ONIS UNOS uci irte cbe scr nner Ra re ener ame err a 63 S B AN A A EE 63 A PP 0 E O ee 64 SA A SS tees ee ensceae 65 S 2D Ao CA 69 Sco Saa De Pe a r a Pe a 71 ETA O IR TR 72 TRA A a 73 Qu 2 e T IG NNO So idea dla alas 74 JELO Speaker olmeca 75 93 Personal protocol cR RT Rm ETT 76 Ee ec E DIDEOCOIS pe ee ne ei ee ne ne LL L LEE EE 76 PRAD io A a 78 A Deleting protocol REO 80 Er TITI A 81 Del a o oer o e ce os o nd a de e Ud OOO Lal de 82 LLO SNS IMM TORTE 82 10 CLEANING AND MAINTENANCE c ococcoccocconconconnoncnononconcnnnonnonacanonacancnnrnnranrnnranrnnranrnaronananos 83 101 Cleaning the OBVICO o a DU 83 T02 aad Rel EET OO L 83 10 2 1 SIDE Tet EST ANC reas dt dio 83 10 2 2 WeeklyiMaltenancO rusticas fou ali 83 10 2 3 Regular eT TT eina ce E S elut ath AU Me Dc Le dis 83 10 2 4 DTE T os 83 10 3 Technical maintenance iii ci 84 10 3 1 Alignment of the running Surface rca rara 84 TOA End or Service Me ibid 34 TT TROUBLESHOOTING enmendar raza s uEE spas e e aav tears Eds 84 11 1 LEDs and or displays fail to illuminate eere eee eee 84 11 2 Error code on ING CISDIAY aurora 84 11 3 Motor overload ove
89. ler and press OK Enter the weight kg using the central controller and press OK All the personal details have now been entered Female Select Gender and press OK to continue ENRAF NONIUS Main Menu HA 15 47 The list of Exercise Goals will appear Quick Start You can select from Protocol Lists e Time endurance session for a selected number of minutes MEROS Distance covering x no of km Energy burning x no of calories Weight loss fat burning Condition improvement improving the physical condition or preventive training Exertion Tests System Settings Select the Exercise goal Time using the central controller and press OK Select Mode and press OK to continue k a f 7 Enter the desired time min using the central controller and press OK The minimum time is 1 minute and the maximum is 1440 minutes 24 hours The time can be entered in increments of 1 minute Set time in min and press OK to continue f 1 Enter the desired speed km h using the Running Speed central controller Press OK to START the band Comment do not enter an excessively high speed You must be certain that the selected speed can be reached without the heart rate increasing too quickly In a medical environment the supervisor must ensure that this is adhered to Set Speed km h and press OK to START Time HH 15 54 The treadmill will now start automatically and gradually acc
90. metres or less of short wave equipment which is in operation instability of the information in the operating console of the EN Motion may occur e n order to avoid electromagnetic influence we would advise connecting the EN Motion and the short wave equipment to different mains supply groups e Ensure that the mains cable of the short wave equipment does not pass near the EN Motion or the patient In the case of persistent disturbance caused by electromagnetic interference contact your supplier 6 Intended use The EN Motion treadmill is a device for medical training therapy and can be used in the rehabilitation sector for post operative training and for the treatment of diseases such as COPD Obesity and CVA The EN Motion can also be used for the prevention of cardiovascular disease diabetes and osteoporosis Regular physical activity can also help with weight loss and weight control The EN Motion is not suitable for diagnostic purposes Supplementary equipment must be used for this such as an ECG unit blood pressure meter cardiac monitor and pulsimeter If the treadmill is used for training less physically able people a qualified person doctor physiotherapist must be present He or she must be familiar with the principles advantages and limitations of Medical Training Therapy MTT and must be capable of interpreting the relevant values properly and supervising the person using the equipment After sufficient instruction and un
91. n and press OK Select Setting and press K to continue 1 F a Off On 2 Then select the Off setting using the central controller and press OK Select Setting and press K to continue ENRAF NONIUS E N NRAF ONIUS F Function O Select Setting and l press OK to continue Shutdown time Function 2 Select Setting and press OK to continue Timeout 40 sec 1 EHE 33 00 Adjust Timeout and press OK to continue A x a 71 You will automatically return to the Autostop menu The icon at the right of the menu bar indicates that the Autostop function has now been completely deactivated The other setting shutdown time is also no longer selectable greyed out The default setting is shutdown time 30 Sec The shutdown time specifies the time within which the user may decide to resume the training session after the band has come to a standstill using Autostop The shutdown time can be changed increased or decreased To change the time select shutdown time and press OK Then adjust the time using the central controller and press OK L 3 You will automatically return to the Autostop Function 3 The modified shutdown time will be displayed at the right of the menu bar Select Setting and press OK to continue 9 7 2 c Units r The Units submenu features the following Standard Settings parameters Auto Speed O e distan
92. n Autospeed mode The advantage of this is that the patient user is able to concentrate fully on running and the band speed will automatically adjust to the pace of the user It is therefore not necessary to manually increase or decrease the speed during the test Auto Speed Press OK and start running Speed will adjust automatically e Comment this test can also be performed without Autospeed To do so you must set the test speed manually using the central rotary knob Do this before pressing OK During the test the most important parameters will be displayed e time remaining until the goal is reached e distance covered Press OK to START the test 11 33 min e current heart rate if a heart rate belt is worn 0 m e speed ENRAF NONIUS O 125 0 0 incline E N NRAF ONIUS f a After the test has ended a screen which gives the user an indication of his or her fitness level will appear E A It is possible to distinguish between the du DD following levels poor D we wm moderate reasonable average good very good Test completed Press OK to continue K Pe B For a detailed overview of the test results you must press OK After the test has ended the Results screen time 12 00 min will appear distance 3434 m norm min 2300 m Note the results and record them on the am mar in results form see appendix so that they can nness INGES Fi Gace 64 7 ml m
93. n Menu Enter the starting speed km h using the central controller This is the speed at which the band will start Do not enter an excessively high speed You must be certain that the selected speed can be reached without the heart rate increasing too quickly This is because the test begins at 115 BPM n a medical environment the supervisor must ensure that this is adhered to Press OK to START the test The band will now begin to move at the starting speed Every 200 metres the speed will automatically increase by 0 5 km h Every 200 metres the heart rate and speed will be displayed in the graph During the training session the most important parameters will be displayed e time which has expired e distance covered e current heart rate e speed End the test by pressing the STOP button as soon as the maximum heart rate anaerobic threshold Conconi point has been reached or when the person can no longer maintain the required speed Allow the person taking the test to cool down and stretch After the test has ended the Results screen will appear Note the results and record them on the results form See appendix so that they can be added to the patient record ata later date Press OK to return to the Main menu ENRAF NONIUS 9 5 2 Cooper test This test was developed by the American Dr Kenneth Cooper After a good warm up the person taking the test must run as far as possible in 12 minutes It
94. n concerned e There must be sufficient attention to the standardisation of the conditions Temperature 16 24 C and humidity 40 60 e he paramedic must be adequately trained in field of exertion physiology the recognition of signs of overload cardiocirculatory cardiorespiratory and orthopaedic He or she must possess a resuscitation certificate including the periodic refresher lessons The presence of a disaster plan is recommended e The person involved may only participate in the test if medical screening has taken place both cardiocirculatory and cardiorespiratory as well as orthopaedic For maximum exertion tests an anamnesis physical examination and ECG at rest and under exertion are recommended as screening beforehand For healthy people the completion of a Physical Activity Readiness Questionnaire PAR Q may be sufficient The screening with this questionnaire must be undertaken again at the start of each testing day For an example of the PAR Q see Addendum A e The equipment used must be well maintained and calibrated to obtain reliable measurements e Prior to the test a proper standardised warming up activity must be performed if this has not been included in the measurement protocol of a test e During and after a test has finished there must be a proper check of the tested person The person involved must at all times be able to break off from the test 4 4 Caution The device is mains powered Only use parts sup
95. ng session will resume with automatic speed adjustment Autospeed The band will start to move once again 3 DEACTIVATING THE FUNCTION WHILE USING THE TREADMILL e Press the AUTO button The indicator lamp will go off e The current band speed will be retained and can be adjusted manually using the speed buttons ENRAF NONIUS 9 7 System settings The System settings function allows you to change some of the values set by the manufacturer These are the settings e Language Default settings Personal protocols Calibration Service System information If you would like to change the values presets selected by the manufacturer you can use this menu to change the settings The following settings can be called up and changed without an access code e Language e Calibration e System information The other settings are secured and can only be changed by the therapist or supervisor You must carry out a special procedure to open the presets menu this is to prevent changes being made by unauthorised parties e Default settings e Personal protocols e Service In principle the latter setting may only be called up by a service technician authorised by the manufacturer in the event of a technical fault or maintenance Secured settings are indicated by means of an icon padlock 9 7 1 Language From the main menu select the System settings function using the central controller and press OK Quick Start Protoco
96. ntral controller and press OK The minimum distance is 0 1 km and the maximum distance is 100 km in increments of 0 1 km 100 m Enter the desired speed km h using the central controller Press OK to START the band Comment do not enter an excessively high speed You must be certain that the selected speed can be reached without the heart rate increasing too quickly In a medical environment the supervisor must ensure that this is adhered to Distance HA 16 11 2 43 min 1500 m Q Results HHH 16 17 time 3 22 min distance 0 m avg speed 0 00 km h pace 0 00 min km energy 3 360 kcal MET s 1 0 avg power 3 9 W VO max 3 5ml min kg HF min 0 bpm HE may rn hnm Press OK for Main Menu 9 4 3 Exercise goal energy Exercise Goal Time Distance Energy Weight Loss HRT Improve Condition HRT Select Goal and press OK to continue The treadmill will now start automatically and gradually accelerate until the selected speed has been reached You can adjust the speed and inclination using the and buttons During the training session the most important parameters will be displayed e distance remaining until the goal is reached time which has expired speed inclination current heart rate if a heart rate belt is worn After the goal has been reached an audible signal will sound and the Results screen will appear The training has now ended Note the results and r
97. orised by the manufacturer e Always remain at a sufficient distance from a device which is being used by others for training purposes The therapist must ensure that children who are not using the treadmill are kept at a minimum distance of 3 metres from the treadmill e Good air circulation is required to prevent the build up of excessive heat within the device for this reason no items of clothing etc may be placed on the cover of the motor compartment e The EN Motion is subject to special EMC regulations and must be installed and maintained in accordance with the EMC information as specified elsewhere in this user manual see section 12 technical specifications e Portable and mobile radio frequency devices may affect your EN Motion e Your EN Motion may not be used in the immediate vicinity of other equipment Should this nonetheless prove necessary the proper functioning of the treadmill must be demonstrable and evident e Maintain your EN Motion treadmill in accordance with the stated guidelines see section 10 4 3 Warnings with regard to extertion tests Before performing a test under paramedical training supervision a number of important conditions must be met These conditions are e The participant must receive clear information about the test The paramedic states the purpose of the test how long the test is going to take what clothing and footwear the person must wear what is going to happen and what is expected of the perso
98. orking properly or breaks down the earth forms the path of least resistance for the current and reduces the risk of electric shock This product has an earthed electrical cable and an earthed plug The plug must be inserted into the correct type of socket which is properly earthed installed in accordance with local rules and regulations 12 5 Installation requirements for EN Track function available in mid 2010 In order to use the EN Motion treadmill in combination with EN Track software programme you must have access to a computer on which the EN Track software programme is installed A smart card reader is required in order to read and write to the smart cards You will need a printer in order to print out documents reports EN Track PC configuration e operating system Windows XP Vista e hardware requirements CD ROM drive S VGA monitor USB interface e EN Track host PCs must be connected by means of cables no WLAN The EN Track installation kit art no 1411 801 contains a CD Rom with the EN Track programme a smart card reader and a set of 10 smart cards Consult your EN Track manual for further explanation regarding the use of the EN Track programme 12 6 Guideline and manufacturer s declaration electromagnetic immunity The EN Motion is intended for use in the electromagnetic environment specified below The customer or the user of the EN Motion should assure that it is used in such an environment Immunity test
99. pagation is affected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the EN Motion is used exceeds the applicable RF compliance level above the EN Motion should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the EN Motion Over the frequency range 15 kHz to 8 MHz field strengths should be less than 3 V m 12 8 Recommended separation distances between portable and mobile RF communications equipment and the EN Motion The EN Motion is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the EN Motion can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the EN Motion as recommended below according to the maximum output power of the communications equipment output power m of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz
100. plied or recommended by Enraf Nonius An incorrect supply voltage may damage the device or lead to increased emissions from or reduced immunity for the EN Motion Damage may result if this instruction is not followed 4 5 Please note e Emergency stop optional accessories the treadmill will stop automatically as soon as the emergency stop button is pressed In this case the programme can only be resumed by first returning to the main menu and resetting the training programme in question see also 8 2 11 Emergency stop e Should your EN Motion treadmill develop a fault please contact your supplier or Enraf Nonius B V Rotterdam the Netherlands Repairs and installations may only be carried out by a service technician who has been authorised by Enraf Nonius e Repairs not carried out by service technicians authorised by Enraf Nonius and or the use of non original spare parts and or ancillary materials will cause the guarantee to lapse ENRAF NONIUS 5 Installation 5 1 Installation general e Remove the packaging also unpacking any extra parts Check the entire unit for possible damage caused during transit e Before using the treadmill first carefully read the information in this manual and the installation manual which is included in the packaging e Place the treadmill on a level hard surface If a soft surface cannot be avoided measures must be taken to prevent the treadmill from wobbling during use e The treadmil
101. r Test 6 Min Walking Test UKK 2 km Walking Test Claudicatio Test Select Test and press OK to continue K dl Please note the use of a heart UKK 2 km Walking Test UKK 2 km Walking Test rate meter is required The EN Motion will automatically detect Heart Rate Belt must be used Heart Rate Detected whether or not you are using one If this is not the case an information screen will alert you to this fact As soon as a heart n _ rate meter has been connected and a heart rate signal has been detected this will be confirmed by means of a message on the screen Connect Heart Rate Belt to continue ENRAF NONIUS a 7 The UKK 2 km walking test is Code Required Code Accepted performed using Autospeed If the Autospeed function is set to secured in the default settings the access code must first be entered before the Autospeed function becomes active see S 9 6 and 9 7 If it is not secured the Autospeed function will be activated immediately X X Enter Access Code i K k f ony A screen will then appear stating that the test will be performed in Autospeed mode The advantage of this is that the patient user is able to concentrate fully on walking and the band speed will automatically adjust to the pace of the walker s It is therefore not necessary to manually p increase or decrease the speed during the test Auto Speed Press OK to START the test
102. rface Height of fixed side supports Height of adjustable side supports Plus model Range Step up height Treadmill weight Max permissible weight on running surface Display Training profiles fixed programmes Training profiles user defined Guarantee 230V 50 60 Hz 10 DC motor 2 5 Hp 2000 W 10A 2 x 10 A T 0 4 18 km h in increments of 0 1 km h adjustable up to 18 km h 0 to 15 in increments of 0 5 0 to 10 in increments of 0 5 1 1440 min in increments of 1 minute 0 1 100 km in increments of 0 1 km 100 m 1 10 000 kcal in increments of 1 kcal 60 to 220 bpm beats per minute in increments of 1 bpm current heart rate readout Polar transmitter and receiver built in receiver 212 x 86 x 148 cm L x W x H height includes console 150 x 50 cm 76 cm distance from running surface to bottom of side supports 93 5 cm distance from running surface to top of side supports min 61 cm distance measured from running surface to bottom of side supports max 108 5 cm distance measured from running surface to top of side supports 30 cm electrically adjustable 11 5 cm Standard and Plus models 140 kg Standard model 155 kg Plus model 235 kg see figure below kg 260 235 200 160 140 hoek incl LCD TFT colour display with backlight 14 30 2 years except parts which are subject to wear such
103. rheating citadas 84 12 TECHNICAL SPECIFICATIONS sss e s e sene ennenen nenen ennenen ee 85 12 11 SUPpIV oie o seat eecieade ca 86 12 2 Storage and transport conditions ss ssss sese ss sss es esse sees essen 86 QE Lube TT ET 86 12 4 Installation requirements for the EN Motion eere eee 86 12 5 Installation requirements for EN Track function available in mid 2010 86 12 6 Guideline and manufacturer s declaration electromagnetic immunity 87 12 7 Guidance and manufacturer s declaration electromagnetic immunity 87 12 8 Recommended separation distances between portable and mobile RF communications equipment and the EN Motion eeseesee eee nennen 88 13 ORDERING DE aS aati n 89 14 CONCLUSION coa iaa 89 FA g NONIUS 5 Er I NONIUS E APPENDDE T m 90 APRENDI Za iE II 91 APPENDIX GC A a a a ciod 92 APPENDIX Atilio ia 93 7d CTR ee ar o Senne een ee een a en emer eee ee 94 P S ci BP Gsm Ee ee eee a eee ere ae eee ee 95 1 Product description We greatly appreciate your purchase of the EN Motion treadmill This device incorporates cutting edge technologies Extra attention has been paid to reliability safety ease of use and durability The EN Motion is a training device which can be used for rehabilitation and fitness purposes The EN Motion i
104. rt rate detected message has disappeared the heart rate zone indicator will appear If desired adjust the heart rate zone of max HR using the central controller or press OK to continue Comment in principle the indicator should not be adjusted as the age of the user has already been entered in a previous screen and the displayed percentage of 80 and thus the zone is in accordance with the ACSM guidelines ENRAF NONIUS ENRAF NONIUS 40 mm l mE Time Set time in min and press OK to continue F ES Maximum Speed Set max Speed km h and press OK to START Improve Condition HA 14 54 20 29 min Om O 125 0 0 incline Results He 14 55 time 556 min distance U m avg speed 0 00 km h pace 0 00 min km energy 5 43 kcal MET s 1 0 avg power 3 9 W VO max 3 5ml min kg HF min 125 bpm HE may 125 hnm Press OK for Main Menu If required adjust the time min using the central controller or press OK The recommended training time and also the default setting is 30 minutes The minimum time which can be selected is 1 minute and the maximum is 1440 minutes in increments of 1 minute Enter the maximum speed km h using the central controller Press OK to START the band Comment The minimum speed which can be selected is 2 km h and the maximum is 18 km h Only select the maximum speed 18 km h if HRT without inclination is required The treadmill will now
105. s not suitable for diagnostic purposes Supplementary equipment must be used for this such as an ECG unit blood pressure meter cardiac monitor and pulsimeter If the treadmill is used for training less physically able people a qualified person doctor physiotherapist must be present He or she must be capable of interpreting the relevant values properly and supervising the person using the equipment The EN Motion may only be used with heart rate control for training purposes To ensure the correct safe use of your EN Motion it is important for you to read the instructions in this manual thoroughly before using the treadmill The following typographic conventions are used in this manual Italics are used for text which appears in the display Bold is used to refer to menu options and the names of buttons You have chosen wisely with your purchase of the EN Motion treadmill We are sure that you will enjoy working with the treadmill for many years to come Should you have any further questions after reading this manual please consult your supplier This manual describes the basic functions of the standard version of the EN Motion treadmill As regards functionality the EN Motion Plus is the same as the standard version The Plus version differs only in respect of the electrically height adjustable side supports 2 Product liability A law on Product Liability has become effective in many countries This Product Liability la
106. sappear automatically and the Response profiles screen see below will appear f Screens if security OFF om The response profiles screen will i appear immediately after the AUTO 2 Slow button has been pressed Select the desired profile using the 4 Quick central controller you can choose from profiles 1 to 5 factory setting 5 Very Quick profile 3 and press OK Comment select the back arrow at the top left of the screen to return to ENRAF j NONIUS Select Auto Speed the Main menu Reaction Profile and press OK to continue F x Maximum Speed A new screen Maximum speed for Autospeed will appear The maximum speed is an extra safety feature a kind of speed limiter which prevents the band accelerating unintentionally to the maximum speed 18 km h Enter the desired maximum speed using the central controller and press E OK default setting 5 km h The Main menu will appear and the indicator lamp will now illuminate set max Speed km h constantly to show that the Autospeed and press OK to continue function is ready on stand by Steps 2and 3 SELECT TRAINING SESSION AND START THE BAND Quick start example Main Menu A 12 14 Auto Speed From the Main menu select the Quick start function and press OK to start the training session Protocol Lists Exercise Goals A screen showing the flashing text START WALKING indicates that the training session will take pl
107. screen Autospeed active for a few seconds This message will disappear automatically after a few seconds Please note it is not possible to select a response profile Speed changes will take place automatically in accordance with the factory setting for the response profile see 9 7 2 9 6 4 Changing the Autospeed settings during the training session During the training session the following Autospeed settings can be changed 1 the maximum Autospeed speed the speed limit 2 the response profile 3 the function can be activated and deactivated 1 CHANGING THE MAX AUTOSPEED SPEED DURING THE TRAINING SESSION The maximum speed speed limiter can be adjusted increased or decreased while walking or running on the treadmill by manually pressing the speed buttons button to increase the speed and button to decrease the maximum speed 2 SELECTING A DIFFERENT RESPONSE PROFILE DURING THE TRAINING SESSION For safety reasons it is not possible to change the response profile while walking or running on the treadmill The band must first be brought to a standstill e Todo so press the PAUSE button The pause screen will appear and the band will come to a standstill e Then press the AUTO button The indicator lamp will flash and the response profiles screen will appear e Selecta different profile and press OK to resume the training session e Ascreen showing the flashing text START WALKING indicates that the traini
108. sion but this time from a submenu The training for example Quick start or Exercise goals has therefore already been selected but the band is NOT YET IN MOTION 3 During the training session therefore after having selected the training from the main menu and entered the speed manually the band is therefore IN MOTION 9 6 1 Directly from the Welcome menu and or the Main menu i e before the training session starts The training has not yet been selected and the band is NOT YET IN MOTION This means first SELECT AUTOSPEED then SELECT TRAINING TYPE training session from the main menu and only then START THE BAND using the Autospeed function Step 1 SELECT AUTOSPEED Press the AUTO button The indicator lamp will start to flash green Depending on the security mode see System settings the following will appear a a screen showing a padlock if security on b a screen with 5 response profiles if security off F 1 F Code Required Code Accepted A response profile determines how fast and to what extent the band speed will Enter Access Code automatically increase and decrease Speed changes vary from very slow to very fast as the user requires Screens if security ON First enter the access code by pressing the AUTO button and VIEW button simultaneously and holding them down for 2 seconds A pop up window will appear stating that the code has been accepted After 2 seconds this screen will di
109. sories and parts stipulated by the manufacturer for this device Installation of optional accessories e Emergency stop optional for less physically able users an extra large emergency stop article number 1665 800 is available Attach the emergency stop to one of the handles using the clamp connection at any desired location Then connect the emergency stop to the operating console by inserting the cable connector into the input underneath the sensor unit e Side supports to make it easier to step on and off the rear of the treadmill optional side supports can be supplied set of 2 article number 1665 803 For further details see the installation manual for the side supports e Mounting assistance a ramp optional has been developed for wheelchair patients This can be ordered using article number 1665 801 The ramp can quickly and easily be slotted into the relevant recesses at the rear of the treadmill while it is at a negative angle of inclination For further details see the installation manual for the ramp Warning only fit the ramp when the band is at a standstill i e is NOT in motion 5 2 Connecting the device e The incoming electrical supply must satisfy the local requirements for rooms used for medical purposes e First check that the mains voltage and frequency as stated on the data plate correspond to those of the mains supply 5 3 Connecting the mains cable e Insert the connector of the mains cable supplied
110. ss index The results are based on age body mass index walking time and heart rate at the end of the test A fitness index of 100 corresponds to the average maximum oxygen uptake in the age and gender group of the test participant Values below 100 mean that the condition is below average values above 100 mean that the condition is above average lf you perform the test on a regular basis you will be able to measure your progress The less good your condition the more easily and quickly your condition will improve when you train regularly The test result provides an indication of how you should alter your training routine The table below provides an overview of the recommended training frequency and duration for each condition level Index Index classification Training frequency Duration Considerably below average 2 5 times a week 20 30 min 70 89 Below average 3 4 times a week 30 40 min 90 95 A little below average 3 4 times a week 30 40 min 96 105 3 4 times a week 30 40 min 106 110 Alittle above average 3 4 times a week 30 60 min 111 130 Every other day 45 60 min Considerably above average Every other day As the UKK walking test measures the condition of the heart and the blood circulation the recommendations above refer to aerobic training If your fitness index is lower than 90 you will need to increase your training frequency to 3 4 times a week Your training session should last around 30 40 minutes
111. start at a speed of 2 km h warm up and gradually accelerate until the heart rate zone has been reached The speed and or inclination are then automatically adjusted in order to keep the heart rate within the zone During the training session the most important parameters will be displayed e time which has expired distance covered current heart rate speed inclination After the goal has been reached an audible signal will sound and the Results screen will appear The training has now ended Note the results and record them on the results form if desired see appendix Press OK to return to the Main menu 9 5 Exercise tests This part of the user manual describes the implemented cardiorespiratory test protocols for the EN Motion treadmill During the implementation of these tests a great deal of attention has been paid to reliability safety and ease of use In order for you to use your EN Motion treadmill correctly and safely it is important for you to read the instructions in points 4 3 and 7 2 before use Exercise tests form an essential component of personalised training programmes They contribute to the proper evaluation of the training results and good coordination between load and load capacity makes the training more effective This increases the patient s confidence in the therapy as well as the motivation of the user You can choose from one of the following tests 1 Conconi test 2 Cooper test 3 6 min
112. the a c mains voltage prior to application of the test level 12 7 Guidance and manufacturer s declaration electromagnetic immunity The EN Motion is intended for use in the electromagnetic environment specified below The customer or the user of the EN Motion should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance Electromagnetic environment level guidance Portable and mobile RF communications equipment should be used no closer to any part of the EN Motion including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms d 3 5 3 VP IEC 61000 4 6 150 kHz to 80 MHz d 3 5 3NNP 80 MHz to 800 MHz Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz 7 3NP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as deter mined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol e KOR E NONIUS 5 NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic pro
113. the inclination buttons 10 Pressing the button increases the angle by 0 5 The button decreases the angle of inclination Starting from O zero a negative angle of inclination downhill can be selected by pressing the button Pressing and holding down an inclination button will change the incline continuously i e more quickly 8 2 9 Height adjustable side support buttons only EN Motion Plus model Using the two buttons 1 on the sensor unit you can easily adjust the height of the side supports Pressing the left hand button up arrow will automatically raise the side supports electrically The right hand button will lower the side supports The side supports can be adjusted over a distance of 30 cm Figure 16 8 2 10 Safety belt with magnetic contact This safety feature consists of a belt with an attached cord 3 A magnet has been placed at the end of the cord In the event of danger for example if the patient stumbles or is in danger of falling the contact between the magnet and the control panel will be broken The treadmill will then stop automatically The safety belt must be worn by the runner when using the treadmill A message on the screen will draw the attention of the user or therapist to the fact that the band has been stopped by means of an emergency stop Please note the magnetic contact has been designed to interrupt the power supply of your treadmill when it is activated The treadmill will
114. the weight kg using the central controller and press OK E The list of Exertion tests will appear List Select the Cooper test using the central Conconi Test controller and press OK Cooper Test 6 Min Walking Test UKK 2 km Walking Test Comment The Cooper test can be performed both with and without a heart rate meter For Claudicatio Test safety reasons and in order to present essential test parameters such as max HR VO2max etc we would always advise you to use a heart rate meter Select Test and press OK to continue ENRAF NONIUS f 1 To perform the test with heart rate measurement first connect the chest strap The EN Motion Heart Rate Detected will automatically detect whether a heart rate meter is connected and whether a heart rate signal has been detected a e To perform the test without heart rate measurement press OK Heart Rate Belt can be used Connect Heart Rate Belt or press OK to continue without HR monitoring A The Cooper test is performed F x 7 Code Required Code Accepted using Autospeed If the Autospeed function is set to secured in the default settings the access code must first be entered before the Autospeed function becomes active see S 9 6 and 9 7 X X If it is not secured the Autospeed function will be activated immediately Enter Access Code j 1 A screen will then appear stating that the test will be performed i
115. ts it to the receiver During the training session the heart rate value will appear at the bottom of the information screen Fitting the chest strap 1 Attach the transmitter to the elastic band 2 The chest strap must fit comfortably and firmly around the chest 3 Moisten the grooved rear surface of the transmitter where the electrodes are located 4 Check whether the transmitter section is properly positioned i e straight and with the Polar logo in the centre The chest strap works best if the transmitter is worn next to bare skin If you would prefer to wear the chest strap over a top you will also need to moisten the section of the top beneath the grooved areas A heart rate monitor POLARO belt MUST be used with the following functions e Exercise goals Condition improvement and Weight loss HRT programmes e Conconi test exertion test With all other functions a heart rate monitor POLAR belt MAY be connected if desired The POLAR belt allows the current heart rate to be shown during the training session 9 4 4 a Weight loss HRT First connect a heart rate monitor POLAR Time Select the Exercise goals function from the A main menu using the central controller and Energy press OK Weight Loss HR Lbs Then enter the Personal details gender age e On D height and weight and press OK The list of Exercise goals will appear Select Coal and Select the Exercise goal Weight loss
116. ute walking test 6MWT 4 2 km UKK walking test 5 Claudication test 9 5 1 Conconi test The Conconi test is a simple way of measuring the heart rate and speed of the anaerobic threshold as well as the maximum heart rate and speed This test usually takes the form of a running test but other sports such as cycling are also suitable The speed and exertion levels are gradually increased during the Conconi test The heart rates are detected using a heart rate meter Based on the speed increase and the heart rates the relationship between these factors is determined The test begins at the speed which you have entered see below The initial speed is low At the beginning of the test the heart rate increases in proportion to the increase in speed Every 200 metres the speed is gradually increased by 0 5 km h until the person is no longer able to maintain the required speed According to Conconi an Italian professor the anaerobic threshold is reached at the point at which this linear relationship between the heart rate and the speed changes You can estimate the aerobic threshold on the basis of the anaerobic threshold Research has shown that the aerobic threshold is around 20 beats below the anaerobic threshold You can continue with the test until the maximum heart rate has been reached Performing the Conconi test You must perform the test in an environment in which the speed can be increased in a controlled manner To ensure the reliabil
117. w implies amongst other things that once a period of 10 years has elapsed after a product has been brought into circulation the manufacturer can no longer be held responsible for possible shortcomings of the product To the maximum extent permitted by applicable law in no event will Enraf Nonius or its suppliers or resellers be liable for any indirect special incidental or consequential damages arising from the use of or inability to use the product including without limitation damages for loss of goodwill work and productivity computer failure or malfunction or any and all other commercial damages or losses even if advised of the possibility thereof and regardless of the legal or equitable theory contract tort or otherwise upon which the clgoal is based In any case Enraf Nonius s entire liability under any provision of this agreement shall not exceed in the aggregate the sum of the fees paid for this product and fees for support of the product received by Enraf Nonius under a separate support agreement if any with the exception of death or personal injury caused by the negligence of Enraf Nonius to the extent applicable law prohibits the limitation of damages in such cases The opposing party product s user or its representative shall disclgoal Enraf Nonius from all clgoals arising from third parties whatever nature or whatever relationship to the opposing party 3 General instructions Before using the EN Motion for the first t
118. w much oxygen a person is able to utilise during maximum exertion The higher this figure the better the oxygen supply to the muscles The better the oxygen supply the lower the energy consumption and the more efficiently the person will move Maximum oxygen uptake tables Below is an overview of the VO2max capacity for men and women VO2max MEN Age Very bad Bad Reasonable Average Good Very good Excellent EF E NN QE V 21 24 25 28 29 32 33 36 37 40 41 VO2max WOMEN 20 24 a 27 31 32 36 37 41 42 46 47 51 gt 51 FA g NONIUS 5 Performing the Cooper test on the EN Motion treadmill CT Ensure that the user has warmed up properly The test can be carried out with or Quick Start without a heart rate meter see below Protocol Lists Select the Exertion tests function using the Exercise Goals central controller and press OK Exertion Tests Now enter your personal details before System Settings selecting from the list of available exertion tests These details are used to calculate and present the personal test results Select Mode and L press OK to continue F Select the gender m f using the central EE NNNM e controller and press OK EEE Rn Enter the age using the central controller mr namo zt 3 All the personal details have now been Enter the height cm using the central entered controller and press OK Female Select Gender and press OK to continue Gender Enter
119. wing the heart rate to fall In principle to use an HRT programme without an incline the maximum speed must be set at maximum i e 18 km h The programme will then mainly be controlled by speed adjustments The HRT programme ends with a cooling down phase during which the heart rate is brought down to the lower limit of the zone once again If no heart rate signal is detected during the training a message will appear on the display see figure 26 As soon as the heart rate signal is detected once again a message figure 27 will first appear on the screen after which the current heart rate will be shown on the display as normal If no signal is received for 30 seconds the speed will drop back to 2 0 km h After 2 minutes without a signal the training will come to an end Goal Weight Loss Heart Rate Detected 71 No Heart Rate signal detected Sa Please check Heart Rate Belt ENRAF NONIUS Figure 26 Figure 27 Comment do not enter an excessively high speed You must be certain that the selected speed can be reached without the heart rate increasing too quickly In a medical environment the supervisor must ensure that this is adhered to Use of the chest strap The Polar heart rate monitor system consists of a lightweight transmitter belt worn round the chest and a receiver which is mounted in the control panel of the EN Motion By means of two electrodes the transmitter detects each heart beat and transmi

EN-MOTION - ProTerapi A/S

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