PC-POD-FA-002-v01 - PERFORM Centre Booking
Contents
1. n 3 4 ADAPTATION TEST ADT 12 3 5 WEIGHT BEARING SQUAT WBS 13 3 6 UNILATERAL STANCE US 2 202 nnnnnnnnene mene LLL ere rer rer Len e enna nenenenenenennnns 13 3 7 LIMITS OF STABILITY LOS 7 7 77 13 3 8 DATA EXPORT CLINICAL MODULE 7 14 A RESEARCH IMO DU Beste aa ce cece acts 5 0 0 Seen a a ea 16 4 2 MOTOR SETTINGS en rere cere rer LL enna rer rer n n e enna rere Le Le LL Ll 17 4 3 RUNNING THE EXPERIMENT LLL rere rer Le nen n ence nen nenenenennnnenenes 20 4 4 DATA EXPORT RESEARCH MODULE 22 APPENDIX I PC POD FA 002 v01I Printed copies are not controlled Page 2 of 22 PC POD FA 002 v01 UNIVERSIT V Concordia UNIVERSITY PERFORM Centre l Definition of Terms OD PERFORM OperaingDocomene RWS Rhythmic Weight Shift SOT Sensory Organization Test SOP Standard Operating Procedure U Any trained person that is using instruments equipment at the dais PERFORM Centre Unilateral Stance WBS Weight Beari2. to your personal data device and delete the exported files PC POD FA 002 v0I Printed copies are not controlled Page 14 of 22 PC POD FA 002 v0I UNIVERSIT amp Concordia UNIVERSIT Y PERFORM Centre 4 Research Module Clicking Research Module will bring up the File Cabinet window where you will be able to either enter a new subject into the system or chose a previous subject file to continue testing with When you click on New Subject File a window allowing you to enter the subject s information will come up Fill out all the necessary information pertinent to your study Once finished click next to enter the Main Menu where you will be able to setup your experiment or export previously collected data Clicking Setup initializes the zeroing of the force plates therefore ensure nothing is on them After the force plates are zeroed the Motor Settings menu will appear To setup your experiments click on New Test Here again enter a descriptive and specific experiment name since this device is used by other users as well The experimental tests are divided into Conditions comprised of multiple Trials Begin by entering a descriptive name to Condition The options are shown in the figure below MOTOR SETTINGS Name CONDITION Trial Duration sec Number Of Trials 1 F Output Sync Pulse 1 000 Accessory Channels 0 iv Show Cursor M Show Trace F
3. by Joel A Goebel Lippincott Williams amp Wilkins Publishers 2000 To turn on the EquiTest flip the power switch on the bottom right hand side of the device You will know there is power to the machine when the lights in the EquiTest will turn on Then turn the operating computer on When the screen turns on it will display a System Initialization screen Ensure there is nothing on the force plates and that nothing is obstructing the path of the visual surround of the EquiTest Press Continue on the initialization screen to zero the force plates and visual surround To begin testing click on Clinical Module in the main screen From there you will be in the File Cabinet where you have the option of searching a previous subject or creating a new patient If this is a new subject click New Patient File to open the subject information window If it is a previously entered subject simply highlight the desired subject and click Continue The Quick Find function may also be used to quickly search for the subject Ensure the subject information is correctly filled height and age are important for calculating variables and normative comparisons Click on Assessment to bring up the different tests available on the EquiTest Click on Sensory Organization Test SOT Place the harness of appropriate size on the subject as is explained in section 2 2 and instruct them it is a precautionary measure in case of
4. Collect Sync Line Status Data F Test Trigger Ends Test Test Trigger MOUSE CLICK WEIGHT C SYNC PULSE ROTATE TRANSLATE VISUAL SWAY WAVEFORM FIXED PC POD FA 002 v0 Printed copies are not controlled Page I5 of 22 PC POD FA 002 v0 I UNIVERSITE V Concordia UNIVERSIT Y PERFORM Centre 4 1 Options Trial Duration This allows you to vary the length of time of all the trials in this condition Trial durations can be set to any value between and 600 seconds The default is I second Number of Trials Number of trials with the same settings that will be a part of this Condition Output Signal Pulse Selecting this option provides a trigger pulse to trigger an external device The transition of the sync pulse can be set as initial low active high or initial high active low A delay in seconds relative to the onset of data acquisition can also be specified For example if the delay is zero the state of the sync output will change at the moment the trial starts Show Cursor This will toggle the subject s COP on off which may be useful for the tester If the feedback LCD is on in the device this will provide the subject with feedback on where their COP is NOTE This setting does not apply to pre testing as the cursor is always shown prior to trial initiation Show Trace This will toggle the trace of the subject s COP Much like the Cursor this may be useful for bo
5. Full Name Institution Contact email or phone number Signature Sign here Trainee Date Sign Here Functional Assessment Coordinator Date
6. PC POD FA 002 v0 I UNIVERSITE V Concordia UNIVERSIT Y PERFORM Centre PERFORM Operating Document NeuroCom SMART EquiTest Computerized Dynamic Posturography CDP PC POD FA 002 v0I Revision History Reason for Revision Date EM New POD Jan 15 2015 Summary The content of this PERFORM Operating Document POD provides guidelines for Operation of the NeuroCom SMART EquiTest device Safety measures to consider with patients Use of the Clinical and Research modules Data export PC POD FA 002 v0 Printed copies are not controlled Page of 22 PC POD FA 002 v0I UNIVERSIT V Concordia UNIVERSIT Y PERFORM Centre Table of Contents cura e C I DEFINITION OF TERMS 3 2 INTRODUCTION nnnm 4 2 GENERAL MAINTENANCE eere rer rer Len n eren rer ner n n rere re rere Le 5 2 2 HARNESS PLACEMENT LL ere rer n Lene LLL ere ner n I LLL e rere rere Le Le 5 3 CLINICAL MODULE COMPUTERIZED DYNAMIC POSTUROGRAPHY op T 6 3 OVERVIEW AND BASIC CLINICAL MODULE SETUP ere ree 6 3 2 SENSORY ORGANIZATION TEST SOT 9 3 3 MOTOR CONTROL TEST MCT
7. a loss of balance which is unlikely Also instruct them that the amount of movement on the device is minimal but that it may be disorienting The sizes are S M and L for people of various sizes All of them are rated for the PC POD FA 002 v01I Printed copies are not controlled Page 7 of 22 PC POD FA 002 v0I UNIVERSIT V Concordia UNIVERSITY PERFORM Centre same weight of 200kg 441 Ibs The carabineers must be fastened to the harness but must still allow for natural movement and sway A good way of ensuring the individual still has normal mobility is by loosening the top straps until the carbineers lay flat on the subject s shoulders Ask them to move side to side and front to back asking them if they feel the straps pulling If they do loosen them slightly and repeat the same test Place the person s feet as shown in the figure below First line up the subject s ankles with the thick horizontal line that passes through the axis of rotation of the force plates This can easily be achieve by using your hand line up your thumb with the subjects medial malleolus and your fingers with the horizontal line Then place the outside of the person s heels on the vertical line marked by a T Once the subject s ankles are lined up and their heels are in place they may splay their feet in a more comfortable position ensuring their heels remain in place See below Foot Placement Note the alignment of the Notice that th
8. be in the same direction as the subject s COP When a negative Sway Gain is specified the movement will be in the opposite direction as the subjects COG For example if the ROTATE motor Sway Gain is 1 0 the force plate will tilt toes down one degree when subject s COP moves forward one degree If the TRANSLATE Sway Gain is 1 0 when subject s COP moves one inch the platform will move one inch in the same direction as the COP Ramp Selecting the Ramp mode will display all supported settings Start Position End Position Ramp Time and Ramp Delay The range over which each of these parameters may be set varies as a function of the motor selected as shown in the following table Motor Rotate Translate Visual Rubeo ane ee 10 Toes up 6 35 cm Backward 10 Toward Subject 10 Toes down 6 35 cm Forward 10 Away from Subject Maximum Velocity 50 s 20 cm s 15 sec Position Error 0 01 0 01 cm 0 01 The Ramp Time determines the amount of time for the selected motor to achieve the maximum excursion as set by the absolute difference between the Start and End Positions This value is selectable from 0 sec to 65 seconds The minimum Ramp Time for a given excursion is limited by maximum performance capabilities of a given motor The Ramp Delay determines the time delay between the onset of data collection and the active movements of the selected motor s This variable is selectable from 0 to the maximu
9. e Start button The trial will wait in the pretest mode awaiting a preset test trigger The Auto Advance Conditions option is not available when running a single condition with one trial Selecting the Bypass Test Triggers option will display a warning message When using this option a concluded trial will advance to the next trial bypassing any preset test trigger Take caution when using this mode as trials will advance without pause or warning This mode can be terminated by simply interrupting any trial To use this option which is a near continuous data acquisition mode configure the following options in the System Settings uncheck Show Post Test Comment uncheck Show Review Graphs and check Auto Save Trials Pressing the Start button will start the pretest phase of the trial If waveform operations have been selected a brief moment preceding the pretest phase will occur at which time waveform data will be transferred to the system Also if the motor starting positions are off center the motors will initialize to the starting position before the test can be started A blinking label Moving motors to starting position will be displayed during this process The test cannot start until all motor initializations have been completed Once in pretest the real time cursor updates will occur and the system will await the test trigger to begin the trial If at any time during testing the detected we
10. e grabs the walls asks to stop or falls mark the trial as a fall At the end of the session you will be asked to write a comment regarding the session This is where the details of a missed trial must be elaborated Go on to the next condition and follow the same steps as before describing each new condition to the subject EquiTest will provide you with a brief description of the condition type before every trial Once all the trials and conditions have been completed click on Assessment Menu The software will prompt you and ask if you want to continue Click Yes It will then prompt you to add a comment do so if necessary then click OK The subject data will automatically be saved under the subject s name with the current date PC POD FA 002 v01I Printed copies are not controlled Page 10 of 22 PC POD FA 002 v0I UNIVERSIT amp Concordia UNIVERSIT Y PERFORM Centre 3 3 Motor Control Test MCT The MCT assesses the patient s ability to quickly and automatically recover from unexpected external provocations Sequences of small medium or large scaled to the patient s height platform translations in forward and backward directions elicit automatic postural responses Measurements include onset timing strength and lateral symmetry of responses Follow the instruction to position the participant s feet A P correctly Once in the MCT the first practice trial of the MCT will be selected by d
11. e ankle and heel are still ankle and the force plate axis of rotation as properly aligned but the feet are in slight well as the heel and the line labeled T external rotation for patient ergonomics PC POD FA 002 v0 Printed copies are not controlled Page 8 of 22 PC POD FA 002 v0I UNIVERSIT amp Concordia UNIVERSITY PERFORM Centre 3 2 Sensory Organization Test SOT The SOT protocol objectively identifies abnormalities in the patient s use of the three sensory systems that contribute to postural control somatosensory visual and vestibular During the SOT useful information delivered to the patient s eyes feet and joints is either eliminated or rendered unreliable to the patient by sway referencing of the support surface and or visual surround What this means is the patient s anterior posterior sway directly affects the movement of the force plates they are standing on or the visual surround By controlling the usefulness of the sensory visual and proprioceptive information through sway referencing and or eyes open closed conditions the SOT protocol systematically eliminates useful visual and or support surface information and creates sensory conflict situations These conditions isolate vestibular balance control as well as pressure the adaptive responses of the central nervous system In short patients may display either an inability to make effective use of individual sensory systems or inappropriate adaptiv
12. e responses due to the use of inaccurate environmental information The SOT protocol is comprised of six sensory conditions Eyes open stable support and surround 2 Eyes closed stable support 3 Eyes open stable support sway surround 4 Eyes open sway support stable surround 5 Eyes closed sway support 6 Eyes open sway support sway surround PC POD FA 002 v0I Printed copies are not controlled Page 9 of 22 PC POD FA 002 v0I UNIVERSIT V Concordia UNIVERSIT Y PERFORM Centre Once in the SOT ensure that Condition Trial is selected and instruct the individual to keep their eyes opened and to stand still Tell the individual that the trials last 20 seconds and that if at any time they would like to stop to simply raise their hand Ensure the screen inside the EquiTest is turned off otherwise the subject will receive feedback on the position of their center of mass CoM Ask the participant if they are ready to start Once they are ready alert them that the trial will start on Go Click Start the screen will prompt you to instruct the subject Begin the countdown 3 2 and go and then press any key or right click the mouse to begin When the trial has finished a chime will become audible Instruct the subject the trial is over and that trial 2 will begin shortly Repeat the same as before If at any point during a trial the participant takes a step to regain their balanc
13. efault Instruct the individual to keep their eyes opened and to stand still Tell the participant that the platforms will shift 4 backward at a slow speed and to try and remain as well balanced as possible Forward and backward translations For every condition small medium and large perturbations there will be a total of 3 trials If the participant falls during the test this will count toward there score but if they fall twice the test will be terminated After the backward conditions are completed the test will continue in the same fashion 3 trials per condition in the forward direction As before when the test is complete you will be prompted to provide any additional comments you think are clinically relevant for the participant Subject data is automatically saved under the subject s name with the current date PC POD FA 002 v01I Printed copies are not controlled Page II of 22 PC POD FA 002 v0I UNIVERSIT V Concordia UNIVERSIT Y PERFORM Centre 3 4 Adaptation Test ADT The ADT assesses the patient s ability to modify motor reactions and minimize sway when the support moves unpredictably in the toes up or toes down direction For each platform rotation a sway energy score quantifies the magnitude of the force response required to overcome induced postural instability This adaptive test simulates daily life conditions such as irregular support surfaces Follow the instruction to position the part
14. hey must keep their feet firmly planted on the ground If they step with their feet the trial must be discarded and started over PC POD FA 002 v01I Printed copies are not controlled Page 13 of 22 PC POD FA 002 v0I UNIVERSIT V Concordia UNIVERSIT Y PERFORM Centre 3 8 Data Export Clinical Module In the main menu of the Balance Master click on Data Analysis on the left hand side to bring up the NeuroCom System Data Analyzer window In the Clinical Module you have 2 options for data export Clinical Report format or Raw data To generate a Clinical Report select a subject and the click Analysis This will open the patient s file which contains all of the tests performed in chronological order From here you can select the kind of results that will be generated in your report and you can chose to create a PDF or print it right away To export a particular subject s raw data in the Data Analyzer window select the subject you wish to export the data for and then click Export You will be prompted to select the Export Destination and to rename the file if desired users should export to the Desktop to facilitate downloading and deleting of exported data Of note when exporting data from the Clinical Module all data that from all dates that have been for that particular subject will be exported regardless of the trial type or trial date Once the files have been exported you can save them on
15. iated when a signal state change is detected on the Master In line of the I O Switch box If the Test Trigger Ends Test option is set a signal state change on the Master In line will terminate the trial In all cases the occurrence of the selected trigger event will advance the trial from the pretest phase to the test phase at which time all motor parameters will be executed and data acquisition will begin Randomize Conditions Selecting this option will randomize the sequence of predefined conditions Note All trial settings will remain unchanged 4 2 Motor Settings The Motor Settings menu has a tree like structure with the ROTATE TRANSLATE and VISUAL motors being the roots This structure allows the operator to select and set the parameters for each motor to run independently Selecting any one of the three motors will display the supported test modes SWAY RAMP WAVEFORM and FIXED The default mode for each motor is FIXED so that the motor will remain stationary during the test Hence there are no settings associated with the FIXED mode The SWAY RAMP and WAVEFORM modes are described in detail below PC POD FA 002 v0 Printed copies are not controlled Page 17 of 22 PC POD FA 002 v0I UNIVERSIT V Concordia UNIVERSIT Y PERFORM Centre Sway This option sets the selected motor to the sway referenced mode such that its movement will follow the subjects COP When a positive Sway Gain is specified the movement will
16. icipant s feet correctly Once in the ADT the first practice trial of the ADT will be selected by default Instruct the individual to keep their eyes opened and to stand still Tell the participant that the platforms will rotate around their ankles in such a way to make their toes point upward Forward and backward translations There will be 5 trials of an 8 degree rotation about the ankle joint for both the Toes Up condition and the Toes Down condition The test does not get progressively more difficult i e it is the same perturbation every trial After the first 5 trials instruct the participant that the platform will now move in the opposite direction rotating downward As before when the test is complete you will be prompted to provide any additional comments you think are clinically relevant for the participant Subject data is automatically saved under the subject s name with the current date PC POD FA 002 v0 Printed copies are not controlled Page 12 of 22 PC POD FA 002 v0I UNIVERSIT V Concordia UNIVERSIT Y PERFORM Centre 3 5 Weight Bearing Squat WBS Position the participant as indicated in the diagram with their medial ankles aligned with the dark bar and the outer edge of their heels lined up with the line marked by a T Instruct the participant that for this test the will perform a slow squat stopping at 30 60 and 90 You may want a practice trial instruct
17. ight on the platform falls below the minimum weight limit 10 Ibs default the COP cursor will disappear and a label LOW WEIGHT will be displayed This label will in turn disappear when detected weight exceeds the low weight limit and COP cursor will reappear If the Show Cursor option was not selected the COP cursor will be hidden throughout the trial and a label CURSOR OFF will be displayed The test will stop under two conditions the trial duration elapses or the operator interrupts the test In PC POD FA 002 v01I Printed copies are not controlled Page 21 of 22 PC POD FA 002 v0I UNIVERSIT amp Concordia UNIVERSIT Y PERFORM Centre either case the active motors will stop and return to their respective center position s otherwise known as level position A review screen will appear graphing the target motor movement with the actual motor positions for all motors that are not in Fixed mode unless this option is deselected in the System Settings menu After each trial you will be prompted to write a comment and save the trial unless this option has been deselected in the System Settings menu Following all the Conditions and Trials have been completed you can click Main Menu to exit the testing window 4 4 Data Export Research Module In the main menu of the Balance Master click on Data Export on the right hand side to bring up the Data Export window In this menu you can click
18. in the test Press the Clear All button and click on the Previous arrow To delete a test simply choose the test from the drop down list and click on Delete Test When the confirmation dialogue box appears choose Yes to delete the test or choose No to cancel 4 3 Running the Experiment When all motor settings have been set as desired ensure nothing is on the force plates before pressing the Continue button to advance to the test screen as shown in figure bellow Once initialized the program will advance to the test screen Default Test Motor Settings Test Settings m Position subiect Cek on Start button when ready i T PC POD FA 002 v01I Printed copies are not controlled Page 20 of 22 PC POD FA 002 v0I UNIVERSIT V Concordia UNIVERSIT Y PERFORM Centre In the Motor Settings window you will be able to see the current CONDITION and TRIAL number which are indicated at the top of the screen The trial duration Trial Timer is displayed in seconds and will count down until the trial time elapses The area in the middle of the screen is used for displaying the real time COP cursor if that option has been selected Selecting Show Reference Point will display a crosshair signifying a fixed point of centered COP relative to the force plate Selecting the Auto Advance Conditions option will advance from one trial to the next bypassing a required click on th
19. ing the individual where 30 60 and 90 are in their range of motion Once the participant has gone through the squat the test is finished and you can add any supplementary comments to the test If it was too fast for the participant simply perform the test again 3 6 Unilateral Stance US Position the participant as indicated in the diagram with their medial ankles aligned with the dark bar and the outer edge of their heels lined up with the line marked by a T This test involves standing on one leg first the left and then the right with eyes opened EO followed by eyes closed EC There will be 3 10 second trials for each condition If standing on one leg for 6 consecutive trials is too demanding for the participant you may begin with the left leg EO and then go to right leg EO before switching back to left leg EC and finishing with right leg EC At the end of the test you will be asked to provide additional comments which may be of clinical relevance All data is automatically saved under the subject s file 3 7 Limits of Stability LOS Position the participant as indicated in the diagram with their medial ankles aligned with the dark bar and the outer edge of their heels lined up with the line marked by a T Esure that the This test involves the participant controlling their COP and moving it to the required target Instruct the participant that they must sway with their hip knees or ankle as they want but that t
20. m value of the Duration Ramp Time in seconds i e the sum of Ramp Time and Ramp Delay cannot exceed the total Trial Duration PC POD FA 002 v0I Printed copies are not controlled Page 18 of 22 PC POD FA 002 v0I UNIVERSIT amp Concordia UNIVERSIT Y PERFORM Centre Selecting the Sync Pulse Trigger option will initiate a preset motor profile by detecting a signal state change on the corresponding motor input line Waveform If a given waveform has been associated with the displayed trial for a given condition it will be displayed on the screen along with the associated wave function Otherwise that portion of the screen will be blank Selecting the Waveform Setup button will advance to the waveform setup screen which will allow the operator to specify a wave function to model the motor movement Each waveform setup screen applies to the selected motor only To graph a function enter the corresponding math function in the text box labeled F t and select the Graph Function button The function will be drawn in green This graph then represents a movement model for the selected motor The accepted ranges of movement functions are most recognized mathematical functions Different functions can also be specified for different time segments within a trial Only functions of time t will be correctly calculated Any other variables will result in a calculation of zero for all instances of that variable However the predefi
21. mic Posturography CDP considered the highest standard available for diagnosing the functional impairments underlying balance disorders CDP is a unique assessment tool used to objectively quantify and differentiate among the wide variety of possible sensory motor and central adaptive impairments to balance control As such CDP is complementary to clinical tests designed to localize and categorize pathological mechanisms of balance disorders CDP can identify and differentiate the functional impairments associated with the pathological processes By itself CDP cannot diagnose pathology or site of lesion it simply provides a score of which system demonstrates a deficit PC POD FA 002 v01 Printed copies are not controlled Page 6 of 22 PC POD FA 002 v0I UNIVERSIT amp Concordia UNIVERSIT Y PERFORM Centre Because of the complex interactions among sensory motor and central adapting processes CDP requires separate protocols to adequately differentiate among impairments To quantify the deficiency of adaptive mechanisms to select appropriate sensory inputs and movement response patterns CDP exposes the patient to a variety of controlled visual and support surface conditions The contribution of CDP information to positive treatment outcomes has been demonstrated in numerous controlled studies A thorough overview of CDP methodology and clinical applications can be found in Practical Management of the Dizzy Patient edited
22. ned constant PI can be used with any function for example Cos 2 PI 0 5 t If a syntax error is detected a descriptive error message will be displayed for guidance The graph conforms to the amplitude specification for each motor as shown in the previous table If the specified function exceeds the operational limit of the selected motor the motor movement amplitude will saturate and the position will remain at this maximum value throughout the time the function value remains above the functional limit of the motor To set the entire function to the operational limits of specified motor select the Full Scale Function button The full scale function will be drawn in blue and the graph legend will show the scaling factor This auto scaling is based on the value of the function that is furthest away from the operational limits of the motor This point is used to find the base scaling factor that is applied to the complete function This feature allows for all functions to be scaled down or up in order to take advantage of the maximum performance of the system PC POD FA 002 v01I Printed copies are not controlled Page 19 of 22 PC POD FA 002 v0I UNIVERSIT amp Concordia UNIVERSIT Y PERFORM Centre Pressing the Save Settings button will save current settings for all defined conditions Pressing the Clear All button will reset all motor settings to their default values To delete a condition it has to be the last condition
23. ng Squat PC POD FA 002 v0 Printed copies are not controlled Page 3 of 22 PC POD FA 002 v0 I UNIVERSITE amp Concordia UNIVERSITY PERFORM Centre 2 Introduction The SMART EquiTest provides objective assessment of balance control and postural stability under dynamic test conditions to reflect the challenges of daily life The SMART EquiTest includes the full battery of tests that comprise Computerized Dynamic Posturography CDP The System provides assessment and retraining capabilities with visual biofeedback on either a stable or unstable support surface and in a stable or dynamic visual environment Overhead support bar for harness Feedback LCD monitor Moveable visual surround System cart with operating computer Force plate foam pad 46 x 46 x 13 cm Power switch A Moveable force plates Rocker board Rotation and A P translation Step up blocks Heel toes wedges Inversion eversion wedges 10 cm 6 and 12 A P 3 and 6 M L 15 cm PC POD FA 002 v0 I Printed copies are not controlled Page 4 of 22 PC POD FA 002 v0I UNIVERSIT amp Concordia UNIVERSIT Y PERFORM Centre 2 1 General Maintenance Operational safety and efficacy of your NeuroCom Balance Manager system depends not only on clinical expertise but also on the care and maintenance of the device Regular cleaning inspection and maintenance will assure continued performance and safety of the sys
24. on Options to bring up the export settings In this menu you can change the variables reported units number of digits passed the decimal point and whether or not the all the trials will be exported in a single large file or exported as one file per trial To export a particular subject s data in the Data Export window select the subject you wish to export the data for and then click Export You will be prompted to select the Export Destination and to rename the file if desired users should export to the Desktop to facilitate downloading and deleting of exported data Of note when exporting data from the Research Module all data that from all dates that have been for that particular subject will be exported regardless of the trial type or trial date Once the files have been exported you can save them on to your personal data device and delete the exported files PC POD FA 002 v01I Printed copies are not controlled Page 22 of 22 PC POD FA 002 v0I UNIVERSIT amp Concordia UNIVERSIT Y PERFORM Centre APPENDIX I POD Training Record Form PC POD FA 002 v0I Printed copies are not controlled APPENDIX I PC POD FA 002 v0 UNIVERSITE V Concordia UNIVERSIT Y PERFORM Centre POD Title NeuroCom SMART EquiTest amp Computerized Dynamic Posturography CDP SOP Code Ownership Document type Area SOP Number Version PC POD FA 002 01 Training Record
25. t the fit of all the straps until the harness feels snug but comfortable Follow steps through 4 to ensure the buckles of the harness are properly fastened and double back If the Harness is not properly fastened the risk of the participant injuring themselves during a fall greatly increases Ensure you are comfortable putting on and taking off harnesses on a multitude of body types before beginning your testing PC POD FA 002 v0 Printed copies are not controlled Page 5 of 22 PC POD FA 002 v0I UNIVERSIT V Concordia UNIVERSIT Y PERFORM Centre 3 Clinical Module Computerized Dynamic Posturography CDP 3 l Overview and Basic Clinical Module Setup The strength of the EquiTest is that it allows clinicians an objective and systematic way of manipulating somatosensory and visual information The precise test data accurately identifies and differentiates underlying sensory and motor impairments and enhances the ability to diagnose and treat problems of imbalance and postural instability especially for those patients who previously proved difficult to diagnose The SMART EquiTest includes the following standardized assessment protocols Sensory Organization Test SOT Motor Control Test MCT Adaptation Test ADT Limits of Stability LOS Rhythmic Weight Shift RWS Weight Bearing Squat WBS Unilateral Stance US SOT MCT and ADT comprise the core battery of tests recognized as Computerized Dyna
26. tem Inspect the operation of the force plate rotate and translate functions as well as the function of the visual surround for smooth quiet operation Verify that all computer peripherals are plugged into the NeuroCom supplied plug strip or accessory plugs on the back of the dynamic system base The plug strip must also be connected to one of the accessory plugs on the back of the dynamic system base Qualified service personnel should check the system for loose fasteners brackets plugs and panels Repairs should be made if problems are detected Refer to the service manual for additional service related information 2 2 Harness placement Participant safety depends on the performance of the safety harness Inspect the harness for frayed material straps and damaged buckles If replacement is required contact NeuroCom Technical Support Participants who are running through any kind of testing whether there are large movements anticipated or no movement at all must wear a safety harness while on the NeuroCom EquiTest device The sizes are S M and L and the guidelines for each size are for persons between 10 5 4 5 4 6 0 and 6 0 respectively All harnesses are tested to 200kg 441 Ibs Have the patient put on the harness as if it were asmall backpack Fasten the plastic buckle in front at the patient s waist Pull the leg straps forward between the patient s legs and fasten the plastic buckles Adjus
27. th the tester and subject NOTE This setting does not apply to pre testing Test Trigger End Test Selecting this option will terminate the trial by a state change of the initiating trigger For example if Weight test trigger is selected the trial will end when the weight on the force plate falls below the specified threshold If this option is not selected the end of a trial is determined by the value entered for the trial duration Accessory Channels Number of accessory channels 0 8 enabled for data collection from external devices Collect Sync Line Status Data Selecting this option will result in sync line status data collection PC POD FA 002 v01 Printed copies are not controlled Page 16 of 22 PC POD FA 002 v0 I UNIVERSITE V Concordia UNIVERSIT Y PERFORM Centre Test Triggers The following options allow the operator to choose the type of trigger that initiates a trial Mouse click a trial is initiated during the pretest when the operator clicks the mouse button Weight a trial is initiated during the pretest when the weight detected on the force plate equals or exceeds the specified weight trigger threshold The operator can specify the weight threshold once the weight trigger is selected Once a trial is initiated by the weight trigger it will be terminated if the Test Trigger Ends Test option is set and the detected weight falls below the specified weight threshold Sync pulse a trial is init
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