BIODEX
Transcription
BIODEX
“The Clinical Advantage”™ Catalog 49 PHYSICAL MEDICINE AND REHABILITATION EQUIPMENT The World Leader in Neuromuscular Evaluation & Therapeutic Exercise la Ba rg er lan di sp ce la ys Sy an ste d en m ha SD nc ed an co d nn Bi ec oS tiv w ity ay PhysicalMedicine BIODEX Int’l 631-924-9000 N ow w ith www.biodex.com 1-800-224-6339 N EW I S O 9 0 0 1: 2 0 0 8 ISO 13485:2003 CERTIFIED “The Clinical Advantage”™ NEW FreeStep SAS Treadmill Stairs Length of straight track that extends over stairs for stair training and over a treadmill. An Overhead Track and Harness System for Patient and Therapist Safety Support weak or balance deficient patients without using additional floor space or requiring additional staff BIODEX www.biodex.com 1-800-224-6339 Int’l 631-924-9000 See pages 8-11 or contact Biodex to learn more about how to incorporate FreeStep SAS into your facility. www.biodex.com/freestep “The Clinical Advantage” ™ QUICK INDEX System 4 ............................................4-7 NEW FreeStep SAS Supported Ambulation System ............8-11 Balance System SD™ ........................12-15 NEW Larger 12" Display! Fall Risk Screening Program ............16-17 Biodex Medical Systems, Inc., has been providing customers with innovative products and service excellence for 60 years. Our dedicated employees work as a team to bring the promise of functional and elegant design to life. NEW Concussion Management Program....18-19 It all begins with our belief in science-based solutions. Once the Biodex development team isolates a problem or requirement in the field we begin exploring possible responses. After a review of the literature and feedback from field luminaries, our engineers use cutting-edge technology to create products that are exceptionally functional, durable and user-friendly. BioSway ........................................20-21 NEW Larger 12" Display! Having passed a design review and rigorous testing, the products are manufactured in our state-of-the-art, 120,000 sq. ft facility. We are committed to the continuous education of our employees. Our manufacturing team follows strict quality control guidelines in making each item ready for use. Biodex is certified for ISO 9001:2008, ISO 13485:2003 with specific products certified to UL 60601-1, EN 60601-1 and EN 60601-1-2, or other appropriate standards. RTM600™ Rehabilitation Treadmill ..................24-25 At Biodex, customer satisfaction drives every decision. Over 200 employees strive to keep our customers at the forefront of the art and science of medicine. No wonder so many world-class facilities call Biodex first. If you are an existing customer, we thank you for your support and promise to continue our tradition of excellence. If you are a new customer, we invite you to try our products and realize they are engineered and manufactured to the highest standards. Dependability and exceptional performance allow you to forget about the product and focus on the patient – that’s your “Clinical Advantage.”™ Gait Trainer 2™ ..............................22-23 Unweighing System™........................26-29 NEW Unweighing Harness! BioStep® Semi-Recumbent Elliptical ............30-31 Upper Body Cycle ..........................32-33 BIODEX Biodex Medical Systems, Inc. 20 Ramsay Road, Shirley, New York, 11967-4704 Tel: 800-224-6339 (Int’l 631-924-9000), Fax: 631-924-9338 Email: info@biodex.com, www.biodex.com Distinguish Yourself... 4 Biodex S4 The most popular and advanced dynamometer in the world just got better and easier to use. Over 25 years have passed since Biodex introduced the world’s first multi-mode computerized robotic dynamometer. That event and subsequent “firsts” have made the Biodex dynamometer the choice of the most distinguished clinics and research facilities around the world. Sports and orthopedic medicine, pediatric medicine, neurorehabilitation, older adult medicine, industrial medicine, and researchers depend on Biodex to provide consistent, accurate objective data. Objective data that provides the best outcome for their patients... objective data that supports their research... objective data that separates their facility from the rest. Our 200 employees strive to keep Biodex at the forefront of innovation, effectiveness, efficiency and reliability. That’s why so many world class facilities depend on Biodex. The System 4 • Advanced dynamometer technology for greater performance • Redesigned seat accommodates athlete to pediatric applications • Software interface, no other system is faster or easier to use • Software features include: - End by % of fatigue - in Biofeedback, an exercise bout can be completed when the work for a repetition has dropped below a threshold (such as percentage of work) - Rehabilitation Progress Report that plots strength, pain, ROM and other defined measurements ...and much more • Touch-screen… see it, select it, adjust it… - it’s that simple • Simplified patient positioning with on-screen audio and visual aids • Reduced floor space • Improved Work Simulation exercises • Wider Range of Normative Data athlete to pediatric • Expanded after-sale support, installation and continuing education programs S4… the only choice for those who know the difference To order, call Biodex BIODEX SYSTEM 4 ADVANCED TECHNOLOGY ADVANTAGE SOFTWARE™ 4.0 At Biodex we believe that true innovation in patient care starts with you, the clinician. Historically, rehabilitation professionals have viewed our clinically-driven products as technological extensions of their hands and as advancements that increased their clinical performance and improved their patients’ outcomes. These innovations represent a unique place in physical rehabilitation – where art and science meet to inspire technology. MORE RESPONSIVE, EASIER TO USE AND FASTER TO SETUP • Consider an isokinetic exercise mode that allows the limb to accelerate to a fixed speed without impact and decelerate into an electronic cushioned stop for the safest and most efficient form of exercise. • Consider a CPM exercise mode that allows the patient to comfortably exert forces but not exceed specified limits, permitting the earliest possible post-operative intervention to decrease joint effusion, increase range of motion and develop strength. • Consider an isotonic mode that provides resistance at a constant force while allowing velocity to vary, a mode that safely mimics functional activities while providing patients with quantitative biofeedback. Advantage Software™ 4.0 is the most comprehensive, easy-to-use, featurerich software that has ever been released for human performance testing and rehabilitation. Motivate patients with on-screen charts and graphics that track performance and encourage compliance. Powerful curve analysis allows you to conduct even more complex neuromuscular evaluations. Every step of the rehabilitation plan is captured and documented. System 4 makes a point of being easy to use for all skill levels, bringing the clinical advantages of this technology to every application. Moving from treatment to analysis to report generation is just a click away. Only Advantage Software 4.0 features the Rehabilitation Progress Report. This on-screen chart and printable report tracks Pain, Range of Motion and Strength throughout the rehabilitation protocol. • Consider an isometric exercise mode for safe base line strength testing before and after surgery. Now consider out latest development: THE BIODEX SYSTEM 4, a rehabilitation tool with the simple ability to evolve – both intuitively and intelligently – to meet the ever-changing requirements of your patients. And your practice. From acute care, to advanced rehabilitation therapy and testing, Biodex keeps you, the clinician, in complete control. The Clinical Advantage™ BIODEX VERSATILITY AND MARKETABILITY SPORTS/ORTHOPEDIC MEDICINE PEDIATRIC MEDICINE NEUROREHABILITATION Biodex Multi-Joint Systems have been used to test and treat children worldwide. Isokinetic muscle testing helps clinicians by providing objective data for neuromuscular control and strength. Pediatric attachments and age-based normative data are available. The Biodex program for neurorehabilitation helps patients build strength, endurance and coordination. Spasticity management includes objective quantification at specific contraction velocities. The passive mode is used for repetitive exercise. The eccentric mode is especially useful for controlled strengthening. Whether your orthopedic and Sports Medicine practice is allowed only limited visits or you have the luxury of managing a complete recovery, Biodex is the tool that adapts to every environment. Evidence-based clinical protocols combine science with practical application to ensure that you provide the best outcomes. • Shoulder Dysfunction • Knee Osteoarthritis • Lateral Ankle Sprains • Patellofemoral Dysfunction • Anterior Cruciate Ligament Other capabilities include pre-season screening, injury prevention and athletic performance enhancement. Note: Additional Biodex based sports medicine protocols are available at www.cincinnatisportsmed.com 6 SYSTEM 4 PRO™ AN INTEGRATED SYSTEM TO MAKE SET UP FASTER AND EASIER The expanded array of on-demand audio and visual aids, color-coded setup icons and full color positioning posters make setup simple. Patterns and positions possible with the System 4 are virtually unlimited. FULLY ACCOMMODATES A WIDE VARIETY OF POSITIONS AND EXERCISES The Biodex System 4 Pro™ fully accommodates a wide variety of positions and exercises. It features a positioning chair with 360 degrees of rotation, motorized seat height adjustment and superior stabilization. Biodex System 4 Pro requires 64 sq-ft of operating space. Attachments are provided for the ankle, knee, shoulder, elbow, wrist and hip. A linear Closed-Chain Attachment, Back Extension Flexion Attachment, and an array of Work Simulation Attachments are also available. SYSTEM 4 QUICK-SET™ DESIGNED FOR KNEE, ANKLE, SHOULDER, ELBOW & WRIST If space and budget are primary concerns, the Biodex System 4 Quick-Set™ is what you need. This system requires only 32square feet of operating space yet still ensures maximum patient stabilization. It features a fixed-height positioning chair with 360-degree rotation and front/back travel for easy patient setups. Attachments are provided for the ankle, knee, shoulder, elbow and wrist. A linear ClosedChain Attachment is also available. Set the Range of Motion - need help? Simply refer to the on-demand audio and visual aids. INDUSTRIAL MEDICINE OLDER ADULT RESEARCH The Biodex Multi-Joint System has been used in over 1,000 published studies. Unique capabilities include: Analog Signal Access Interface This optional feature provides real time analog voltage representations of torque, position and velocity from the dynamometer. Customized Motor Control The "Researcher’s Tool Kit" provides the advanced investigator direct access to the embedded dynamometer system not otherwise available via the application software. The core of the Tool Kit is an extension to the System 4 firmware that exposes the motor controls to an external interface designed by the researcher. Curve Analysis allows the user to conduct complete neuromuscular evaluation. By employing the optional Work Simulation Tools and Back Attachments, the System 4 can perform: • Activity-specific assessment and rehabilitation capability • Functional capacity evaluation • Work hardening Biodex Fall Risk Programs have been employed by leading clinics for over ten years. They are the only fall programs that incorporates a complete array of objective tests. Isokinetic testing will identify weakness; exercise will improve ankle and leg strength. Note: Learn more about the Researcher’s Tool Kit and the Analog Signal Access Interface at www.biodex.com/S4 VISIT WWW.BIODEX.COM/S4 OR CALL FOR BROCHURE AND PRICE LIST. LEASING OPTIONS AVAILABLE. To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 7 “I need a method to support weak or balance deficient patients without using additional floor space or requiring additional staff.” 8 NEW FREESTEP SAS SUPPORTED AMBULATION SYSTEM An overhead track and harness system for patient and therapist safety FEATURES: • Provides patient support during rehab activities: - Sit-to-stand - Overground, treadmill walking - Climbing and descending stairs - Balance training • Reduces number of therapists needed to safely assist patient ambulation • Minimizes fear of falling that inhibits patient effort • Protects therapists and care givers from injuries when guarding patients • Accommodates concurrent use by multiple patients • Reduces liability risks for the facility by reducing patient falls as well as Worker’s Compensation claims Create a supported ambulation environment without using additional floor space The need is clear. NEW Biodex FreeStep SAS is an overhead track and harness system that provides a safe ambulation environment for both therapist and patient. Without the fear of falling, patients can focus more fully on their tasks of gait and balance. Likewise, therapists can focus on assisting, rather than supporting. According to an article in the American Journal of Occupational Therapy, 2009 May-Jun;63(3):351-62, a startling 62% of PTs and 56% of PTAs reported injury to the low back while assisting patients. And for stroke patients alone, as many as 39% were reported to have fallen during inpatient rehabilitation. Stroke, 1995;26:838-842 FREESTEP SAS IS SUITABLE FOR ANY FACILITY WORKING WITH WEAKENED OR BALANCE DEFICIENT PATIENTS: • Nursing Homes and Assisted Living Facilities • Stroke Rehabilitation, Parkinson’s patients • Head Injury, TBI and SCI patients • Amputee rehabilitation • Orthopedic patients, especially total hip/knee, where a fall could be a major set back Over ground walking is key to gait rehab and activities of daily living - but can be risky for patients and therapists. FreeStep SAS reduces the risk of falling, bolsters confidence and encourages patients to focus on the task at hand. Safe ambulation and support over ground, stairs, parallel bars or equipment. Multi-user capacity optimizes equipment and staff in a safe environment. To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 9 Custom Configuration – to suit your facility and need Biodex FreeStep SAS can be custom configured to your facility, complimenting the existing equipment floor plan. Install as a simple loop for continuous ambulation over stairs or through parallel bars, or add side branches for equipment-specific stations to include treadmill exercise or balance training. Whatever material is behind your ceiling, FreeStep SAS can be installed… wood beam, steel or even concrete. Standard installation can support up to 800 lbs per 8-foot track. The construction of FreeStep SAS allows multiple users performing varying exercises to benefit from supported ambulation without increasing PT attention. Therapists can treat high-risk patients one-on-one, without adding a second therapist to assist. The Biodex Unweighing Harness improves comfort and prevents slippage without limiting lower extremity range of motion. FreeStep SAS is custom configured to your routines and space. Track support system over equipment that allows patients to exercise independently or with minimal assistance. 10 This simple pulley system provides a 3/1 mechanical advantage for quick and easy adjustment. The unique “cam-cleat” allows for a secure hold but can be released and adjusted when needed with a simple flick of the wrist. The system is extremely lightweight, which allows for rapid and dynamic changes in direction. NEW FREESTEP SAS SUPPORTED AMBULATION SYSTEM SAMPLE CONFIGURATIONS Treadmill Stairs Length of straight track that extends over stairs for stair training and over a treadmill. Mat Table Treadmill Track extended over Mat Table and over Treadmill. Turnable allows direction change from main oval to a specific activity. Large oval with two Turntables Treadmill Parallel Bars Large oval through Parallel Bars with a Turntable to redirect over Treadmill. The First Step toward FreeStep Determining the best layout for your track system begins with a basic drawing of your existing or future equipment floor plan. Detailing clear dimensions is essential. A Biodex Product Specialist will work with you to realize optimum utilization of your equipment, space and supported ambulation enhancements. To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 11 “Finally, a simple, efficient, versatile balance testing and training tool.” Color printer included SIX INTERACTIVE TRAINING MODES Featuring both Static and Dynamic capabilities POSTURAL STABILITY TRAINING – Emphasize specific movement patterns or strategies by placing markers anywhere on the screen. Score reflects how many times a target is hit. MAZE CONTROL TRAINING – This defined movement pattern encourages proprioception and motor control. Add or subtract sections to vary the challenge. LIMITS OF STABILITY TRAINING – Challenges the patient’s balance within their sway envelope. Progressively increase sway envelope over time. RANDOM CONTROL TRAINING – An undefined movement pattern where the patient is challenged to keep pace with a moving target. Target size and movement speed can be varied to match skill level. Ideal for motor control and vestibular training. WEIGHT SHIFT TRAINING Patients are challenged to shift and control their center of gravity within two parallel lines, in the medial lateral, anterior posterior and transverse planes of movement. Changing the width of the lines controls the degree of difficulty. Score is kept to track progress. PERCENT WEIGHTBEARING TRAINING – Target zones change color when within % weight bearing targets. NEW CATCH GAME is an opportunity to work on balance skills in a game-like setting and provides standardized training protocols, similar to traditional applications. THERE IS A DIFFERENCE…THE BIODEX ADVANTAGE. The only static and dynamic system that provides fast and accurate Fall Risk Assessment and Conditioning for older adults; plus closed-chain weight-bearing assessment and training for lower extremity patients. 12 BALANCE SYSTEM SD™ Static and Dynamic Balance Testing and Training NEW FEATURES: • Optional Audio Tone – An added audio tone option offers audio biofeedback for queuing successful target hits. STANDARD FEATURES: • Larger Display – The new 12.1" display is approximately 50% larger than the previous display and is powered by a Windows CE operating system. Windows CE offers greater processing power for enhanced software, graphic, audio and internet capabilities. • Expanded Connectivity – The new display provides the ability to connect to an external computer monitor, including larger monitors and LCD projectors. This enhances interaction for visually impaired patients. • USB Compatibility – Added USB ports now offer the ability to accommodate a USB keyboard, a mouse and printing devices for remote operation. The added USB ports also allow for data transfer and software upgrades via USB memory devices. • Ethernet Capability – New Ethernet capability allows for a direct network connection. • Upgraded Software – The software upgrade features a more intuitive user interface with a new look and feel. • Interactive CATCH Game for Balance Training – The CATCH game offers various progressive skill levels to promote interaction and help keep patients engaged. CATCH also offers the ability to create a custom protocol geared toward specific training activities. • Video and Audio Out – Added video and audio out bolsters connectivity options to other devices. • Visual Biofeedback - realtime biofeedback prompts patients into proper postural and balance control • Six Training Modes and Five Testing Protocols – for extreme versatility and standardized testing • Standardized Fall Screening and Athlete Knee Injury Screening Tests – simple, quick and accurate. Test results are compared to age-dependent normative data to help identify fall candidates and athletes predisposed to knee injury. • Twelve Levels of Platform Control as well as Static Force settings – allows testing, training and rehabilitation programs for diverse populations • Balance Training – includes proprioception and stabilization exercise, range of motion and weight shift exercises • Objective Documentation – printed color reports track progress and document outcomes – ideal for insurance reimbursement • Unlimited Patient Data Storage – added convenience of USB connectivity now allows for unlimited data storage using USB memory devices • Locking Surface – ensures safe “on and off” patient movement • Adjustable Support Handle – locks in place for safety or swings away for an unobstructed open environment allowing a variety of training activities • Mobility – transport wheels allow easy relocation between the clinic and communitybased fall screening programs and health fairs • Need. Progress. Outcome – All test results and training sessions can be stored and printed. Comparison to normative data helps to communicate need, progress and outcome. The most popular Balance System just …now even better The Biodex Balance System SD has been designed to meet the needs of everyone looking to improve balance, increase agility, develop muscle tone and treat a wide variety of pathologies. It is also an excellent tool in the growing field of Fall Prevention. Each Biodex Balance System is shipped with a comprehensive Fall Risk Screening and Conditioning Program to help the clinician begin a Fall Prevention Program. Featuring five test protocols, six training modes and intuitive “touch-screen” operation, the Balance System SD allows testing and training in both static and dynamic formats. Extremely versatile, it is the only system that provides fast, accurate Fall Risk Screening and Conditioning for older adults plus closed-chain, weightbearing assessment and training for lower extremity patients. Using this unique device, clinicians can assess neuromuscular control by quantifying the ability to maintain dynamic bilateral and unilateral postural stability on a static or unstable surface. Use any of five test protocols including Fall Risk Screening, Athletic Single-Leg Injury Screening, Dynamic or Static Limits of Stability, Postural Stability and Clinical Test of Sensory Integration of Balance (CTSIB). The Balance System SD also serves as a valuable training device to enhance kinesthetic abilities that may provide some degree of compensation for impaired proprioceptive reflex mechanisms following injury. An easy-to-follow touch-screen format makes the system simple to learn and operate, leading the user step-by-step through testing protocols and training modes. For sample reports, CPT codes, testimonials, applications, bibliographies and warranty information, visit us on the web at www.biodex.com/balance. FIVE STANDARDIZED TESTING ENVIRONMENTS Fall Risk Screening, Athletic Single-Leg Injury Screening, Dynamic or Static Limits of Stability, Postural Stability and Clinical Test of Sensory Integration of Balance (CTSIB) environments are included. STANDARDIZED FALL RISK SCREENING TEST PROTOCOL Biodex Balance System can identify a potential problem in just two minutes. Compares balance test results to agedependent normative data. Fall Risk Assessment Protocol is consistent with American Geriatrics Guidelines. ICD-9 Code V15.88 Personal History of Fall includes patients identified as “at risk of falling”. ATHLETE KNEE INJURY SCREENING TEST PROTOCOL Consistent with leading sports medicine programs including Cincinnati Sports Medicine, Cincinnati Children’s Hospital and University of Pittsburgh. To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 13 NEW SOFTWARE NOW INCLUDES CTSIB CAPABILITIES: The NEW software v1.32 provides a highly reliable, reproducible CTSIB assessment in which patient’s results for each sensory test condition are compared to an asymptomatic active population. This expands balance assessment capabilities to patients with possible underlying vestibular, visual or somatosensory conditions. The color report clearly communicates to the patient, referring physician or third party if a sensory dysfunction exists and the need for further testing. NEW 12.1" High resolution color touch-screen LCD display Auxiliary Serial and USB Printer Ports Adjustable height display to accommodate each patient Adjustable support handles Color printer with stand - included Features both static and dynamic balance capabilities Locking surface ensures safe “on-off” patient movement Transport wheels allow easy relocation Utilizing the CTSIB capabilities clinicians can test patients and compare results to normative data. For a detailed view of the CTSIB report visit us on the web at www.biodex.com/balance CTSIB SCREEN: The CTSIB test helps determine which sensory system (visual, somatosensory, or vestibular) the patient relies on to maintain balance. NEW Safety Step Stool (optional) – the non-slip surface assures stability and patient safety. 14 NEW CTSIB Indexed Pad (included) – standardizes foot positioning for improved consistency and result comparisons. Progress Report graphs overall stability scores for each test date. Recall patients from the database to repeat tests or rehab sessions. Prior foot position is displayed for standardization. BIODEX BALANCE SYSTEM SD SPECIFICATIONS: Versatile Applications FALL SCREENING AND CONDITIONING PROGRAM: With the Balance System SD, clinicians can now begin to identify and modify the factors that lead to falls… before the fall. Based on well established science, the Fall Risk Screening & Conditioning Program is a simple combination of balance testing and clinical protocols that include other evaluation and exercise techniques. While challenging and effective, the program is fun and encourages compliance. Older Adults can be tested for balance deficiencies, then trained to improve or restore their mobility. The Balance System SD has proven valuable to Nursing Homes, Senior Living Facilities, Post Surgical Rehabilitation Centers and Private Practice Community Outreach Programs. SPORTS MEDICINE AND ORTHOPEDIC PATIENTS: Orthopedic applications include treatment and testing of Joint Replacement, ACL, ankle sprain, fractures and amputee patients – safely and easily. Standardized BIODEX BALANCE SYSTEM SD CAN IDENTIFY A POTENTIAL PROBLEM IN JUST TWO MINUTES. Testing Environments, like Athletic Single-Leg Injury Screening, can be accomplished easily using the Biodex Balance System SD; other tests can help identify athletes who may be prone to injury before they are hurt. •Testing - Preseason baseline - Joint replacement, ACL, ankle sprain, fractures and amputee status - Post injury return to activity •Training - Proprioception and stabilization exercise - Range of Motion exercise - Weight Shift exercise CONCUSSION MANAGEMENT Play It S.A.F.E.®, our concussion management program, starts with preseason baseline testing using objective neuro-physical balance testing to compliment the neuro-cognitive testing tool of your choice. In addition, the Balance System SD adds vestibular and objective balance assessment, so important in concussion management. Athletes of all levels can test and train in both static and dynamic mode to improve proprioception and avoid injury or re-injury. Using the Balance System SD as part of a concussion management program helps answer the question “can this athlete return to play?” All test results and training sessions are documented on easy-to-read 8.5" x 11" reports which can be placed into the patient's file. Comparisons to normative data can be made for population-specific tests using the Fall Screening and Athlete Single Leg Stability protocols. • Dimensions: Base: 30" w x 44" depth x 8" h (76 x 112 x 20 cm) Platform: 21.5" diameter (55 cm) • Color Touch-Screen Display: Viewing Area:12.1” (30.7 cm) diagonal screen; 9.75” w x 7.25” h (24.8 x 18.4 cm) Angle: Adjustable from vertical back to approximately 45° • Display Height: Adjustable from 53" to 68" h above platform (135 x 173 cm); 76" h (193 cm) maximum from floor. • Stability Levels: 12 dynamic levels, plus locked for static measurements • Platform Tilt: 20° from horizontal in all directions • Support Rails: Adjustable from 25" to 36.5" above platform (64 to 93 cm). Rails can swing away from platform when not in use. • Printer: HP DeskJet • Printer Stand: 24" x 24" (61 x 61 cm) • Patient Capacity: 400 lb (136 kg) • Weight: 196 lb (89 kg) • Power: 115 VAC, 50/60 Hz, 15 amp line or 230 VAC, 50/60 Hz, 15 amp line • Power Rating: 350 watts • Certification: ETL listed to UL 60601-1 and CAN/CSA C22.2 No.:601-1-M90. CE conformity to EN 60601-1, EMC compliance to EN 60601-1-2. • Warranty: Two-years parts; one-year labor 0413 950-440 Balance System SD, 12.1" Display, 115 VAC ......$11,995.00 950-441 Balance System SD, 12.1" Display, 220 VAC ......$11,995.00 950-444 Balance System SD, 12.1" Display, 100 VAC ......$11,995.00 Includes printer, printer stand and CTSIB Indexed Pad Optional 950-446 Play It S.A.F.E.® Concussion Management Program ..............................$250.00 950-306 Step Stool, Balance System SD..$195.00 ATTENTION Existing Balance System SD Customers: Display and Software Upgrades are available. Contact Biodex Customer Service for details. To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 15 FALL RISK SCREENING AND Patient Education Brochures Designed to educate older persons and family members on the benefits of screening for potential risk of falling. Adhere your own facility label and place brochures in referring physician offices in the community. 945-355 Brochures, Patient Education, Fall Risk Screening, 100/pkg......$75.00 Fall Risk Screening Posters Generate awareness within your facility or community. These colorful posters regale the benefits of fall screening to patients and family members. ATTENTION OLDER ADULTS AND THEIR FAMILIES ARE YOU OR SOMEONE YOU CARE ABOUT AT RISK OF FALLING? ✔Have you recently fallen? ✔Have you recently developed a BIODEX fear of falling, even though you have never fallen? ✔Do you take precautions while walking to avoid falls? Do you take smaller steps than ✔you used too? ✔Has going downstairs recently become more frightening? ✔Do you look for a handhold before closing your eyes in the shower? ✔Do you have pain in your knees, hips or feet that make it necessary to put more weight on one foot? ✔Have family or friends said they are worried that you might fall? Fall Risk Screening can identify a potential problem in just two minutes. This quick and easy test could save a life... If you or someone you care about has one or more of these risk factors ask your doctor about the FALL RISK SCREENING & CONDITIONING PROGRAM today. Ask your healthcare professional about being tested today... before the fall! FN:09-129 5/09 Copyright © 2009 Biodex Medical Systems, Inc. Reprint with permission only. Facility contact information here The Biodex Fall Risk Screening and Conditioning Program is based on well established science and uses technology to create an objective and efficient program. The program is a simple combination of risk factor screening including analytical balance testing in conjunction with universally accepted normative data and medical protocols. Intervention is supported by patient education and exercise plans. 945-357 Poster, Fall Risk Screening Awareness, 2/set ....................$25.00 Balance Index Poster – Screening B I O D E X F A L L P R O G R A M Balance Index Compare your score to the age group of healthy active people. Fall Risk Predictive Values Joan A. Finn, D.P.E., Exercise Science Department, Southern Connecticut State University, New Haven, CT – May 2010 Testing Protocol: The testing protocol consisted of three 20 second trials using the postural stability testing feature within the BSD software. During each test trial, the platform gradually became less stable at four second intervals. The initial stability level was set at level 12 and ended at level 8. Participants were given a 10 second rest between each of the three trials. FN: 06-186 Rev B 1/11 BIODEX Comparative index poster lets patients identify how they scored compared to healthy, active people in their own age group. Poster measures 17" w x 11" h 945-345 Poster, Balance Index, Screening, each ......................$10.00 Note: Posters do not include frames Biodex Balance System SD ICD-9 Code: V15.88 Personal History of Fall The Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS) have created a code, V15.88 History of Fall, on the list of diagnostic codes implemented on October 1, 2005. They also listed At Risk for Fall as an inclusion term. Both terms will be indexed to direct the user to the code V15.88. A specific fall code should heighten health care provider awareness of the importance of falling as a manageable medical problem, and enhance the likelihood that fall risk evaluation and management services would be considered medically reasonable and necessary services, and therefore covered. 16 “Our patients love the system because they can see their progress and receive objective scores...” “The majority of our patients are over the age of 70 and most have balance issues, so the Biodex Balance System SD gets a lot of use here. We like it for balance assistance and training, and find it works especially well with hip and knee replacement patients as well as those with back problems. The display and printouts help us prove to patients that they aren't putting equal weight on one leg vs. the other and that they do, indeed, have balance problems. After an initial balance assessment, we use the system to train each patient to balance properly, which helps avoid additional back and lower extremity problems down the road - as well as decreasing their risk of falling. Our patients love the system because they can see their progress and receive objective scores, which lets them know they are getting better or what they need to do to improve upon the last visit. I would highly recommend the Balance System SD to other facilities - especially those working with elderly populations.” - Clif Rizer, MSPT, ATC, CSCS Formerly of Boynton Sport and Back Physical Therapy - Boynton Beach, FL “The Biodex has improved our patients’ balance dramatically. We’ve been using the Biodex with patients that have Parkinson’s disease, stroke and hip replacements.” Mercy Rehabilitation Hospital in Daphne, Alabama now offers a high-tech approach for identifying risk factors for falls among older adults. The Biodex Balance System provides fast, accurate fall risk screening and conditioning for older adults. In addition, the system offers closed-chain, weight-bearing assessment and training for lower extremity patients. According to Jeff Nobles, director of rehabilitation services at Mercy, “The Biodex Balance System has improved our patients’ balance dramatically. We’ve been using the system with patients that have Parkinson’s disease, stroke and hip replacements.” The CONDITIONING PROGRAM WHAT PEOPLE ARE SAYING ABOUT THE BALANCE SYSTEM SD FALL RISK SCREENING PROGRAM system challenges the neuromuscular system in an effort to minimize disability and maintain functional performance. Clinicians, like Nobles, can assess neuromuscular control by measuring a patient’s ability to maintain dynamic bilateral and unilateral postural stability on a static or unstable surface.The Biodex Balance System SD features a large, color, touch-screen display with visual biofeedback. Six interactive training modes provide both static and dynamic capabilities. Training modes emphasize specific movement patterns or strategies by placing markers anywhere on the screen. ...“the Balance System helps show the patients their instability... IT PROVES IT TO THEM in black and white, which allows us to begin working with them before they fall.” The Gardens Court is a 120 resident facility located on the east coast of Florida, part of the Life Care Centers of America. Besides The Gardens Court, Life Care operates more than 200 skilled nursing, assisted living, retirement, home care and Alzheimer’s centers in 28 states - from Boston, Massachusetts to Hilo, Hawaii. The Garden Court has the Biodex Balance SD, as do sister facilities Darcy Hall Nursing and Rehabilitation in West Palm Beach and Lakeside Health Center also in West Palm Beach. A patient’s score reflects how many times a target is hit. Training modes include maze control training, stability training, random control training, weight shift training, weight bearing and game-like balance training. A fall screening test protocol compares balance test results to age- and gender-dependent data consistent with American Geriatrics Guidelines for Fall Risk Assessment. The athlete knee injury screening test is consistent with leading sports medicine programs. One of Mercy’s rehabilitation patients who utilizes the balance system said, “The Biodex Balance System is simple, versatile and flexible.” The Balance System has successfully been integrated into the rehabilitation /wellness programs. We use the Biodex Balance System in conjunction with the aquatic training and standard rehabilitation protocols as a cohesive rehab program. The Balance System helps show the patients their instability... IT PROVES IT TO THEM in black and white, which allows us to begin working with them before they fall. The Biodex Balance System is used for patients with a number of common diagnoses including fall risk in older adults as well as sports/orthopedics injuries, ankle sprains and fractures, amputation and joint replacement. In addition, the system is useful in treatment of movement and neurological disorders including stroke, head injury, Parkinson’s disease, muscular dystrophy, multiple sclerosis, balance/coordination /postural weaknesses and cerebral palsy. Advantages of the Biodex Balance System over traditional balance therapy include biofeedback, objective documentation, measurement and reporting of postural stability and limits of stability, fall risk assessment and normative data. Another advantage is the system’s ability to offer both static and dynamic capabilities. “The degree of recovery a patient can achieve is greater on a dynamic system than on a static system,” Nobles added. “Traditional low-tech methods can’t compare to the benefits of Biodex.” The Biodex Balance System is available to patients on an inpatient and outpatient basis. Mercy Rehabilitation Hospital, Mobile, AL One of our patients, Josephina, a spunky resident of 65+; had a severely broken leg caused by an accident with two large dogs. She underwent surgery in January 2008 where doctors inserted pins and a plate into Josephina’s leg and released her to The Gardens Court for rehabilitation. Josephina was non-ambulatory for over 8 weeks prior to beginning rehab; she was depressed and anxious to “get better”… to quote Josephina “I can walk again, this machine is amazing, a miracle...it is hard sometimes, but that is good, it makes me work and I can see myself getting better.” The Gardens Court Palm Beach Gardens, FL “Jasen puts the focus of his practice on preventing the injuries that often send people to nursing homes, robbing them of their independence.” At The Beltrone Living Center in Colonie, NY, an independent living facility operated by Colonie Senior Services, a new model for physical therapy has been in business for about four months. Physical therapist Hector Jasen operates HectorPT, a fullservice physical therapy office that offers Beltrone residents, and the public, a fully-equipped physical therapy facility that features traditional PT services, and a Balance System that no one else in the Capital District has to offer. “In-house therapy is unique,” says Jasen, “It’s definitely the new trend in retirement communities. Therapists can follow up with clients, and keep track of changes. Sometimes it does not take much for the elderly to decline and this way, things are taken care of right away and a problem does not escalate,” he explained. Neary and Jasen also stressed that the services offered at HectorPT are available to the public, not just to those residing at the Beltrone. Having an office located within an independent living facility is not the only thing that makes HectorPT unique. Jasen puts the focus of his practice on preventing the injuries that often send people to nursing homes, robbing them of their independence. Jean Myers, a Beltrone resident, has fallen three times, and the last one was a bad one. It left her with polyneuropathy, a loss sensation in her feet, and a lot of fear. Three weeks after that fall, she stands on Jasen’s balance machine, and is learning how to become stabilized and strong. Because she does not have good control of her feet, the ability to see how she stands enables her to learn how to correct her balance, and what proper balance feels like. Jasen will then help her to translate that feeling to real-world walking. Already, after only a couple of sessions with Jasen, Myers said she feels steadier on her feet than she has dependent. Excerpted from an article by Ellen Gelting in the Capital District Senior Spotlight November 2007 To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 17 Play It S.A.F.E. ® The Play It S.A.F.E.® Program consists of: Step 1: Concussion Management Education • Support materials to educate athletes, coaches, parents, administrators, doctors and clinicians, including the CDC “Heads Up” Concussion in Youth Sports Materials.* The Play It S.A.F.E.® Concussion Management Program brings together cognitive and functional assessment using accepted tools and methods to afford you a “single source” concussion management program. Even for those facilities that have a concussion program in-place, Play It S.A.F.E.® adds the vital vestibular and objective balance assessment recently found so important in concussion assessment. BENEFITS of the Play It S.A.F.E.® Concussion Management Program • Easy-to-follow algorithm allows coaches, ATC's and PT's to take full advantage of the program. • Evidenced-based protocol facilitates medically supported “return-to-play” decision process. • Instrumented objective balance testing utilizing the Biodex Balance System SD or the portable BioSway allows quick and objective comparisons of test scores. Step 2: Preseason Baseline Testing The ability to quantify balance and cognitive function in athletes before an injury occurs is an important consideration in a comprehensive athletic program. The objective data provided by computerized assessments provides a performance baseline against which post-injury performance can be compared. • Neuro-physical Testing: Get important baseline balance data on all athletes using the Biodex Balance System SD or portable BioSway. The tests are quick and easy to perform. The Clinical Test for Sensory Integration of Balance (CTSIB) helps to determine which sensory system (visual, vestibular, or somatosensory) an athlete relies on to maintain balance. Research has shown that Mild Head Injury (MHI) populations rely more on visual cues from the environment than an able body population. 4 • Neuro-cognitive Testing: Fully complimentary to any computerized cognitive software testing program including: ImPACT™, Axon Sports CCAT, CNS Vital Signs™, CSMI SportsWare™ Concussion, HeadMinder™, SAC, SCAT2** or any program of choice. Step 3: Sideline Assessment Follow the Play It S.A.F.E.® Algorithm and Sideline Assessment to screen for a concussion and remove the athlete from play if needed. (See inset for details.) • HIPPA compliant post-injury Summary Report shows status, progress and outcomes of tests. • Ongoing education and support with print-on-demand protocols, graded symptom checklist and educational materials round out the program and keep you up to date. NOTE: The CDC Heads Up Concussion Materials are included, but are also available free at http://www.cdc.gov/concussion/headsup/youth.html. **The SCAT2 is a free tool for evaluating concussion in athletes, included with the Play It S.A.F.E.® program. It was developed by experts at the 3rd International Consensus on Concussion in Sport in Zurich, Switzerland in November 2008. It is also available online. DISCLAIMER: The information provided is not intended to be a substitute for professional medical advice but as a guideline to assessing athletes following a concussion. Always seek the care of a physician or other qualified healthcare provider with any questions or concerns you may have about a medical condition. If there is any question/concern about the athlete’s status then recommend not returning to play. 18 • Fully complimentary to any computerized cognitive software testing program including: ImPACT™, Axon Sports CCAT, CNS Vital Signs™, CSMI SportsWare™ Concussion, HeadMinder™, SAC, SCAT2** or any program of choice. Step 4: Follow-up Evaluation • Repeat neuro-physical balance testing and neurocognitive testing in the days following injury to track recovery using preseason baseline testing as a reference. Step 5: Return-to-Play Decision • Doctors, athletes, parents, coaches and administrators feel confident as decisions are based on best practices objective data and clinical protocols. Objective balance testing is critical Research shows that athletes demonstrate decreased stability up to three to five days post injury. This can be the result of ineffective use of one or more of their sensory systems.1 Signs and symptoms will vary following head trauma. With some individuals, signs and symptoms may resolve immediately after a mild head injury (MHI) while others have persistent symptoms. In either case, the recovery period related to MHI appears to coincide with recovery of postural stability as well as normalization of eye-head coordination and return of cognitive function. 1 Recently, there is strong evidence demonstrating the impact of balance deficits on functional performance and increased risk of re-injury. (2,3,4) Play It S.A.F.E.® Sideline Assessment Guide Includes: • Graded Symptom Checklist • Cognitive Test • Functional Testing • Oculomotor (Eye Movement) • Dynamic Visual Acuity Testing • Physical Tests • Romberg • 20-yard Jog • Follow-up Evaluation (Repeat of Sideline Assessment) References: 1. Guskiewicz, KM, et al (1997). Alternative approaches to the assessment of mild head injury in athletes. Med Sci Sports Exerc, Vol 29, No 7 Supplement, pp S213-221. 2. Kauffman, et al. Balance is a critical parameter in orthopedic rehabilitation. Orthopedic Physical Therapy Clinics of North America; New Technologies in Physical Therapy 6:1 1059-1516, 1997 3. Goldie, et al. Postural Control following inversion injuries of the ankle. Arch Phys Med Rehab 75:969-975, 1994 4. Lehmann J.F. et al Quantitative Evaluation of Sway as in Indicator of Functional Balance in Post-Traumatic Brain Injury. Arch Phys Med Rehab 1990;71: 955-962 Concussion Management Program Biodex Play It S.A.F.E.® Concussion Management Program Follow the athlete's progress from baseline testing through post-injury evaluation. • Balance testing using either the Biodex Balance System SD with software version 1.3 or higher (the version with the CTSIB test) and ideally the indexed foam pad, or the Biodex BioSway (which includes an indexed foam pad). • A computerized cognitive software testing program of your choice, e.g.: ImPACT™, Axon Sports CCAT, CNS Vital Signs™, CSMI SportsWare™ Concussion, HeadMinder™, SAC and SCAT2**. • A Windows-based PC to operate the Play It S.A.F.E.® Software program. 1. Administer the test(s). 2. See the results. 3. Enter the data and document progress with Summary Report. Play It S.A.F.E.® Pro Play It S.A.F.E.® Varsity 1. 2. 3. Biodex Medical Systems, a leader in sports medicine and rehabilitation, has teamed up with Bridgett Wallace, a Certified Vestibular Therapist and President of 360° Balance, to develop the Play It S.A.F.E.® Concussion Management Program - a “turn-key” solution to the assessment and management of concussion. Play It S.A.F.E.® Concussion Management Program developed by Biodex Balance System SD™ Biodex BioSway - Printer and Printer Stand sold separately. Play It S.A.F.E.® Pro features the versatile Biodex Balance System SD for static and dynamic balance testing and training. The Balance SD, not only serves your concussion management needs, but standardized fall screening and athlete knee injury screening tests. Plus six interactive training modes to provide valuable and effective proprioceptive and neuromuscular training. Includes Balance System SD, Indexed Foam Pad and Play It S.A.F.E.® Concussion Management Program. Play It S.A.F.E.® Varsity utilizes the Biodex BioSway portable static balance training and testing device. The BioSway features a lightweight portable instrumented platform easy to-use color touch screen display, standardized testing, interactive training, plus a hard shell travel case – perfect for when testing has to be brought to an athlete. Includes BioSway, Travel Case, Indexed Foam Pad, Display Stand and Play It S.A.F.E.® Concussion Management Program. 950-500 Play It S.A.F.E.® Pro ........$12,245.00 950-510 Play It S.A.F.E.® Varsity ......$7,195.00 Play It S.A.F.E.® Upgrade for existing Balance System SD owners If you already have a Balance System SD with 1.3 or higher software, then all you need is the Indexed Foam Pad and the Play It S.A.F.E.® Concussion Management Program. Play It S.A.F.E.® Upgrade for existing BioSway owners 950-446 Play It S.A.F.E.® Concussion Management Program ............$250.00 950-335 Display Stand ........................$450.00 950-446 Play It S.A.F.E. Concussion Management Program ............$250.00 ® 950-303 Pad, CTSIB Indexed ................$175.00 Contact Biodex Customer Service to upgrade Balance System SD software if necessary. www.biodex.com/concussion To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 19 “I need a portable Balance device that I can bring to the patient, performs both testing and training and is easy to transport.” SIX TRAINING MODES POSTURAL STABILITY TRAINING – Emphasize specific movement patterns or strategies by placing markers anywhere on the screen. Score reflects how many times a target is hit. MAZE CONTROL TRAINING – This defined movement pattern encourages proprioception and motor control. Add or subtract sections to vary the challenge. LIMITS OF STABILITY TRAINING – Challenges the patient’s balance within their sway envelope. RANDOM CONTROL TRAINING – An undefined movement pattern where the patient is challenged to keep pace with a moving target. Target size and movement speed can be varied to match skill level. Ideal for motor control and vestibular training. WEIGHT SHIFT TRAINING Patients are challenged to shift and control their center of gravity within two parallel lines, in the medial lateral, anterior posterior and transverse planes of movement. Changing the width of the lines controls the degree of difficulty. Score is kept to track progress. NEW CTSIB Indexed Pad (included) – standardizes foot positioning for improved consistency and result comparisons. Adjustable stand, printer and printer stand sold separately THERE IS A DIFFERENCE…THE BIODEX ADVANTAGE. PERCENT WEIGHT-BEARING TRAINING – Target zones change color when within % weight bearing targets. NEW CATCH GAME is an opportunity to work on balance skills in a game-like setting and provides standardized training protocols, similar to traditional applications (included). The only portable, fixed platform balance system for therapists in-clinic or on the go when working with older adults/fall screening, neurological, vestibular, post-surgical or trauma patients. 20 NEW PORTABLE BIOSWAY Portable Balance assessment and training NEW FEATURES: • Larger Display – The new 12.1" display is approximately 50% larger than the previous display and is powered by a Windows CE operating system. Windows CE offers greater processing power for enhanced software, graphic, audio and internet capabilities. • Expanded Connectivity – The new display provides the ability to connect to an external computer monitor, including larger monitors and LCD projectors. This enhances interaction for visually impaired patients. • USB Compatibility – Added USB ports now offer the ability to accommodate a USB keyboard, a mouse and printing devices for remote operation. The added USB ports also allow for data transfer and software upgrades via USB memory devices. • Ethernet Capability – New Ethernet capability allows for a direct network connection. • Upgraded Software – The software upgrade features a more intuitive user interface with a new look and feel. • Interactive CATCH Game for Balance Training – The CATCH game offers various progressive skill levels to promote interaction and help keep patients engaged. CATCH also offers the ability to create a custom protocol geared toward specific training activities. • Video and Audio out – Added video and audio out bolsters connectivity options to other devices. • Optional Audio Tone – An added audio tone option offers audio biofeedback for queuing successful target hits. • Display Stands – The BioSway includes a tabletop stand (a) that can also be used to wall mount (b) the display. A telescoping Adjustable Stand (c), available separately, is compact and portable with its own travel bag. The new display can even attach to compatible display mounts (d). a b c d STANDARD FEATURES: • The lightweight, portable instrumented platform and easy-to-use, easy-to-read, high resolution color touch-screen display, sets up in minutes to provide patients with a choice of interactive training modes or standardized testing environments including the Clinical Test for Sensory Integration of Balance (CTSIB). • Fully Portable - BioSway is conveniently portable within a facility for in-resident care. For satellite locations, the optional hard-shell Travel Case provides added protection when transporting to community-based health fairs or school settings for athletics. The case fits easily into small car trunks. • Easy to follow touch screen format - Is simple to learn and operate, leading the user stepby-step through testing and interactive training protocols. • Immediate Biofeedback This allows the clinician to easily monitor the patient and acts to motivate the patient during interactive testing/training. • Need. Progress. Outcome. All test results and training sessions can be stored and printed. Comparison to normative data helps to communicate need, progress and outcome. STANDARDIZED TESTING ENVIRONMENTS Postural Stability, Limits of Stability and Clinical Test for Sensory Integration of Balance are all included. CTSIB - Clinical Test for Sensory Integration of Balance. The Clinical Test for Sensory Integration of Balance (CTSIB) is a more complex sensory strategy balance test. It is administered by: 1. manipulating the support surface (ie, firm vs compliant), 2. visual conditions (ie, eyes open,eyes closed), and COLOR REPORTS – Easy-to-read 8.5" x 11" reports. Comparisons to normative data can be made for the CTSIB and Limits of Stability Tests. See page 14 for detailed view of the CTSIB report or click to www.biodex.com/biosway SPECIFICATIONS: • Patient Weight Capacity: 500 lb (227 kg) • Power: 115V/ 230VAC, 50/60 HZ, 15 amp line • Dimensions: Platform Dimension: 21.25" w x 19.00" l x 2.56" h (54 x 48 x 7 cm) Weight: 19 lb (8.6 kg) Color Touch-Screen Display Dimension: Viewing Area:12.1" (30.7 cm) diagonal screen; 9.75" w x 7.25" h (24.8 x 18.4 cm) Angle: Adjustable from vertical back to approximately 45° • Hard Case Dimension: 23.75" w x 22.75" l x 10.75" h (60 x 58 x 27 cm) • Total Weight (including case): 44 lb (20 kg) • Certification: ETL listed to UL 60601-1 and CAN/CSA C22.2 No.:601-1-M90. CE conformity to EN 60601-1, EMC compliance to EN 60601-1-2. • Warranty: one year parts and labor 0413 3. postural system sway reference by using the computerized sway platform, while an individual is asked to maintain their standing balance. CTSIB SCREEN - The CTSIB test helps determine which sensory system (visual, somatosensory, or vestibular) the person relies on to maintain balance. Note: ICD-9 Code V15.88 Personal History of Fall includes patients identified as “at risk of falling.” For additional codes that apply see www.biodex.com 950-460 BioSway 12.1” LCD with Tabletop Stand and Case 115V/230V 50/60Hz ...........................$6,495.00 950-461 BioSway 12.1” LCD with Tabletop Stand 115V/230V 50/60Hz ...........................$6,195.00 Includes: Instrumented platform, CTSIB Indexed Pad, 12.1" color touch-screen LCD display with tabletop stand/wall mount bracket, AC adapter for 100-240 V input and two blindfolds. Optional 950-462 BioSway Travel Case (Fits 12.1” Display)..$395.00 950-465 Adjustable Height Stand for 12.1” Display....$450.00 950-446 Play It S.A.F.E.® Concussion Management Program ..............................$250.00 950-333 HP Office Jet Printer ..............................$349.00 (Compact portable printer) 086-339 HP InkJet Printer......$250.00 (full size color printer) 950-466 Printer Stand...........$150.00 To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 21 “I need a device that provides audio and visual biofeedback of step length and step speed.” High Resolution Color Touch-Screen Display MORE THAN JUST A TREADMILL… It is the most important improvement to gait training since the parallel bars. Gait Trainer 2 NOW WITH ENHANCED SOFTWARE CAPABILITY Sturdy Functional Support Bar - Improved footfall detection - Improved Biofeedback for operational clarity - Improved patient management with expanded data storage ATTENTION Existing Gait Trainer Customers: Software upgrade available. Contact Biodex Customer Service for details. Heart Rate Monitoring Safety Lanyard Open Platform Reverse Belt Direction Heart Rate Monitoring by Instrumented Deck - monitors and records step length, step speed and right-to-left time distribution Starting Speed - always starts at 0 mph with 0.1 mph speed increments Elevation 0 to 15% grade Visit our website for presentation Exact-Track Low Profile Audio-Visual Biofeedback Footfall Screen Histogram Screen - plots right and left step lengths / symmetry Gait Trainer 2 shown in use with the Offset Unweighing System. THERE IS A DIFFERENCE…THE BIODEX ADVANTAGE. The only treadmill with an instrumented deck that monitors and records step length, step speed and right-to-left time distribution, providing a comparison of real-time footfall to target step length. Audio and visual biofeedback prompt patients into a proper gait pattern. Performance is documented with a printed color report. 22 GAIT TRAINER 2™ Bring patients up to speed with the right step length FEATURES: • High Resolution Color Touch-Screen LCD Display - easy to see and use • Audio and Visual Biofeedback - real-time biofeedback prompts patients into a proper gait pattern • Normative Data - for comparison to healthy populations • Objective Documentation - printed color reports track progress and document outcomes - ideal for insurance reimbursement • Patient Data Storage - maintains records to track progress and issue reports for up to 500 patients • Data Export – serial interface allows download of patient data to computer for archiving, reporting or export as a CSV file • Footfall Data Export - a versatile research tool that can work with standard PC programs • Open Platform - offers unobstructed use with unweighing systems • Heart Rate Monitoring - chest strap telemetry and contact handgrip to ensure proper training intensity Instrumented Deck The Gait Trainer 2™ is the only treadmill with an instrumented deck that monitors and records step length, step speed and right-to-left time distribution (step symmetry). SPECIFICATIONS: APPLICATIONS: Used for Stroke, Spinal Cord, Head Injury, Amputees, Orthopedic, Neurologic, Vestibular and Older Adult Patients. HANDRAILS: Audio-Visual Biofeedback Patients are motivated by the real-time audio and visual biofeedback. They are prompted into proper gait patterns; step length, step speed and step symmetry. Biofeedback helps patients stay “on target” in each phase of rehabilitation; steps lengthen, step speed increases and symmetry improves. Objective Documentation Exercise Summary Reports track progress and document outcomes. The Biodex Gait Trainer 2 compares step length, step speed, and step symmetry to age and gender-based normative data. Shown with Extended Handrails •Dimensions: 86" l x 27" w (218 x 69 cm) Walking Area: 64" l x 20" w (160 x 51 cm) Printer Stand: 24" l x 24" w (61 x 61 cm) •Deck: 1" thick (2.5 cm) reversible Teflon™ impregnated high density composite fiber •Motor: 2 HP with 4Q-Pulse Width Modulation Control •Speed Range: Forward: 0-10 mph (0-16.9 km/h) Reverse: 0-3 mph (0-4.8 km/h) in 0.1 mph (.16 km/h) increments Gait Trainer Mode: Speed limited to 3 mph (4.8 km/h) •Elevation: 0-15% Grade •Heart Rate Monitoring: Polar® Telemetry (chest strap) and contact handgrip •Display: Color Touch-Screen •Printer: HP DeskJet •Power: 115 VAC, 50/60 Hz, 20 AMP dedicated line, or 230 VAC, 50/60 Hz, 20 AMP dedicated line. Includes hospital grade plug with 12' (3.7 m) power cord. •Patient Capacity: 400 lb (182 kg) •Weight: 395 lb (179 kg) •Certification: ETL and cETL listed to UL 2601-1, CAN/CSA C22.2 No.: 601-1-M90 and EN60601-1. CE conformity to M.D.D. 93/42/EEC. •Warranty: Two-years parts; one-year labor 0413 Shown with Geriatric/Pediatric Handrails Objective Documentation - Ideal for insurance reimbursement Normal range shown in green PLUS... The Gait Trainer 2 is also a great treadmill with all the features and benefits of the Biodex RTM600 (See the following pages for details) 950-385 Gait Trainer 2™, 115 VAC 50/60 Hz ....................$9,795.00 Includes Support Bar 950-379 Gait Trainer 2™, 115 VAC 50/60 Hz ..................$10,095.00 Includes Extended Handrails 950-380 Gait Trainer 2™, 115 VAC 50/60 Hz ..................$10,295.00 Includes Geriatric/Pediatric Handrails Export models available. U.S. Patent No. 6,645,126 B1 Optional 950-389 Software, Patient Data Collection v1.3.4 ........................$100.00 Includes: 9-PIN Serial Cable (10 ft) and USB to Serial Converter To order, call Biodex toll free… 1-800-224-6339 For sample reports, CPT codes, testimonials, applications, bibliographies and warranty information, visit us on the web at www.biodex.com/gait. Int'l 631-924-9000 • www.biodex.com 23 Large high resolution color touch screen display Sturdy Functional Support Bar “I need a treadmill designed for my physical rehabilitation clinic. It has to start at 0 mph and not overspeed. It must also allow me to prescribe retro-walking, forward and reverse, uphill and downhill.” Heart Rate Monitoring Safety Lanyard NEW Open Platform HANDRAILS: Starting Speed - always starts at 0 mph with 0.1 mph speed increments Shown with Extended Handrails Shown with Geriatric/Pediatric Handrails Exact-Track Elevation 0-15% grade or -3 to 12% grade Reverse Belt Direction Low Profile Visit our website for presentation Orthopedic, sports medicine and athletic training exercise Cardiopulmonary exercise Older adult exercise Pediatric exercise THERE IS A DIFFERENCE…THE BIODEX ADVANTAGE. The Biodex Rehabilitation Treadmill are designed to adapt to specific rehabilitation needs. 24 Neurorehabilitation exercise REHABILITATION TREADMILL True zero starting speed, 400 lb patient capacity, retro-walking, forward and reverse, uphill and downhill FEATURES: • Speed Range – always starts at 0 mph with 0.1 mph speed increments (0-10 mph range); safely accommodates diverse patient populations • Reverse Belt Direction – from 0-3 mph, promotes knee extension, ankle dorsiflexion and eccentric hamstring control and allows for up to a -15% decline • Exact-Track Belt – eliminates belt shift and tracking problems, even for patients with uneven gait • Low Profile – 7" step-up height provides easy patient transfer and therapist interaction pediatric, cardiopulmonary, respiratory, orthopedic/sports medicine and older adult patients in need of strengthening and aerobic conditioning. A sample of the new touch-screen display. The LCD touch-screen display allows for easy selection of modes of operation: Quick Start, Manual Start and Profile. • Safety Lanyard and Emergency Stop Button – stops belt immediately for maximum level of safety • Elevation – incline 0-15% grade • High Resolution Color Touch-Screen LCD display – easy to see and use (shown at right) The RTM Rehabilitation Treadmill is the only treadmill to offer a true zero starting speed, 1/10 mph speed increments over a range of 0-10 mph, plus powered incline and decline in both forward and reverse directions. Extremely versatile, perfect for exercise with acute post-operative, neurologic, Cardiopulmonary Exercise Monitor heart rate by Polar® Telemetry or contact heart rate in handgrips. MET level displayed for easy compliance to patient exercise prescriptions. Belt speeds as low as 0.1 mph to accommodate even the most deconditioned patient. Older Adult Exercise With the RTM’s zero starting speed for maximum safety there’s no need for patients to straddle the bed. Simulate uphill and downhill ramp walking. Retro-walk to reduce flexion contractures with total knee and total hip replacements. Retrowalk is also great for promoting dorsiflexion. Choose the RTM’s dual height Geriatric/ Pediatric Handrails. Quick Start gets you up and going fast with .25 mile scaled track views. Pediatric Exercise The RTM’s zero starting speed and small, precise speed increments make this treadmill ideal for use with children too small to straddle a belt. The RTM dual height Geriatric/Pediatric Handrails 24" h and 36" h (61 cm and 91.5 cm) are comfortably positioned for children and small adults. Display tilts to ensure easy viewing. Large print screen settings, simple to use, easy to see… perfect for the older adult. Neurorehabilitation Exercise Treadmills have long been used in therapy and conditioning to encourage patient compliance. Now, the RTM’s zero starting speed, 1/10 mph speed increments and specially configured handrails permit the neurologically impaired to safely benefit. Like endless parallel bars, when combined with the Biodex Unweighing System, the RTM provides neurological patients with a safe environment to re-establish functional ambulation while allowing the clinician to remain stationary beside the treadmill for easier patient observation. • Elevation – incline 0-15% grade and downhill -3 to 12% grade for eccentric loading • Heart Rate Monitoring – chest strap telemetry and contact handgrip to ensure proper training intensity APPLICATIONS: Orthopedic, Sports Medicine and Athletic Training Exercise Use uphill or downhill walking and jogging to emphasize specific muscle groups or motions. Use retrowalking to promote the use of reciprocal muscle groups not normally exercised during forward walking alone. Five pre-programmed and 12 custom profile modes allow patient-specific treatment protocols – freeing up valuable therapist time. Heart Rate Monitoring by SPECIFICATIONS: • Dimensions: 86" l x 27" w (218 x 69 cm) Running Area: 64" l x 20" w (160 x 51 cm) • Deck: 1" thick (2.5 cm) reversible Teflon® impregnated high density composite fiber • Motor: 2 HP with 4Q-Pulse Width Modulation Control • Speed Range: Forward: 0-10 mph (0-16.9 km/h) Reverse: 0-3 mph (0-4.8 km/h) in .1 mph (.16 km/h) increments • Elevation: 0-15% grade or -3 to 12% grade • Heart Rate Monitoring: Polar® Telemetry (chest strap) and contact handgrips • Power: 115 VAC, 50/60 Hz, 20 AMP dedicated line, or 230 VAC, 50/60 Hz, 20 AMP dedicated line; includes hospital grade plug with 12' (3.7 m) power cord • Patient Capacity: 400 lb (182 kg) • Weight: 395 lb (179 kg) • Certification: ETL listed to UL 60601-1 and CAN/CSA C22.2 No.:601-1-M90. CE conformity to EN 60601-1, EMC compliance to EN 60601-1-2. • Warranty: Two-years parts; one-year labor 0413 RTM600 display 950-285 RTM600™, 115 VAC ....................$5,995.00 Includes Support Bar 950-280 RTM600™, 115 VAC ....................$6,295.00 Includes Extended Handrails 950-281 RTM600™, 115 VAC ....................$6,495.00 Includes Geriatric/Pediatric Handrails Export models available. To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 25 “I need a simple, cost effective way to reduce a patient’s body weight during rehabilitation exercises…” Offset frame design offers improved access to manually assist patient footfall and weight shift. Facilitates lifting from a wheelchair Use with treadmills Visit our website for presentation The Unweighing System support uprights are “offset” to allow unobstructed viewing/access. RETURN PATIENTS TO A FUNCTIONAL GAIT The Biodex Unweighing System allows functional gait patterns to be practiced. Accommodates pediatric patients Pelvic rotation is a critical component of functional gait mechanics. As patients progress in therapy, the Biodex single-point suspension system allows functional pelvic rotation to occur. Vertical displacement is also a critical component of functional gait mechanics. The Biodex dynamic suspension system allows up to 4" of vertical displacement which enables the patient to respond to ground reaction forces. If pelvic stabilization is required, the Biodex Unweighing System includes Pelvic Stabilization Straps to govern the degree of pelvic rotation. Stabilization straps are made of Thera-Band® and adjustable nylon hooks. THERE IS A DIFFERENCE…THE BIODEX ADVANTAGE. The only mobile Unweighing System that provides quantifiable, dynamic partial weight-bearing therapy without electric motors, weights or air compressors; plus a universally fitting support vest. 26 UNWEIGHING SYSTEM Allows for functional vertical displacement and functional pelvic rotation or stabilization during partial weight-bearing therapy FEATURES: • Dynamic suspension allows for natural vertical displacement of center of gravity • Patented off-loading mechanism - maintains constant force; simply dial in amount to off load • Single-point suspension permits functional pelvic rotation • Unobstructed open access Offset design provides full access for easy patient interaction • Attachment rings - on support vest allow single or two-point pelvic stabilization when desired • Low-effort manual operation - no power cord, no weights, no air compressor • Adjustable and removable patient handrails accommodates diverse patient populations and allows for easy treadmill access • Unweighing Harness - fits a variety of patients • Adjustable height - can be assembled at reduced height for use in rooms with 8-foot ceilings • Adjustable suspension accommodates children and adults • Therapist seats - provide a place to sit during assistive exercise and provides a safer environment for therapist interaction The Biodex Unweighing System enables partial weight-bearing therapy to be conducted with the assurance of patient comfort and safety, and with convenient access to the patient for manual assistance and observation. Unlike the simple patient lift devices, Biodex Unweighing System incorporates a dynamic suspension system that NEW accommodates the vertical UNWEIGHING HARNESS displacement of the center of gravity that occurs during normal gait. Biodex’s patented off-loading mechanism maintains constant force; simply dial the amount to off load. When walking, an individual’s center of gravity typically moves through a vertical range from one to four inches, depending on walking speed. The Biodex system accommodates up to four inches of vertical displacement while maintaining a consistent level of unweighing. SPECIFICATIONS: • Dimensions: 41.5" w x 50" depth x 106" h (105 x 127 x 270 cm) accommodates patients from pediatric up to 6’11" (210 cm) on a standard treadmill; alternate height setting for facilities with low ceilings: 93.5" h (241 cm) accommodates patients from pediatric up to 6’2" (188 cm) on a standard treadmill Another component of normal gait is pelvic rotation. Twopoint suspension systems have a tendency to restrict rotation on the horizontal plane. They respond to pelvic rotation similar to the way a playground swing undulates back to neutral after being twisted. The singlepoint suspension of the Biodex system allows unrestricted pelvic rotation. Patients can train for weightbearing ambulation without compromising proper gait kinematics. Should pelvic stabilization be desired, retention cords can be attached to special attachment rings on the sides of the support vest, secured to the frame, and adjusted for the specific degree of pelvic stabilization. The ability to allow rotation has other advantages. When training with a treadmill, single-point suspension permits functional pelvic rotation and versatility when walking, sidestepping, retro-walking and turning. With a Biodex Unweighing System, the patient can change direction without repositioning the entire patient support system. APPLICATIONS: Used for Spinal Cord Injury, Stroke/Traumatic Brain Injury, Parkinson's Disease, Low-Back Patients, Older Adult, Amputation of the Lower Extremity and Orthopedic Patients. • Accommodates Treadmill up to 35" wide • Vertical Adjustment: 60" (152 cm) • Unloading Weight Capacity: 180 lb (82 kg) • Patient Capacity: 500 lb (227 kg) • Power: 9V Battery • Certification: ETL listed to UL 60601-1 and CAN/CSA C22.2 No.:601-1-M90. CE conformity to IEC 60601-1, EMC compliance to EN 60601-1-2. • Warranty: Two-years parts; one-year labor 0413 The NEW Biodex Unweighing Harness is designed to provide vertical lift through three shared points of pressure: through the hip straps, gluteal fold straps and the lumbar-thoracic harness. The design improves comfort and prevents slippage without limiting lower extremity range of motion. Assuring that the patient is comfortable is essential when lengthy exercise sessions are required. Patient weight capacity of harness is 450 lb (204 kg) Warranty: 60 days, parts 945-480 NEW Unweighing System, Offset ............$6,995.00 Includes: New Unweighing Harness, removable arm supports, pelvic stabilization straps and two therapist seats U.S. Patent No. 6,302,828 945-482 Unweighing Harness..........$675.00 (See next page for product details) To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 27 NEW UNWEIGHING HARNESS Effectively solves the slippage problem • Accommodates children to adults – 25" - 60" torso • Gives patients the comfort they need to sustain lengthy therapy sessions • Durable construction - no plastic buckles to break. • Can be used with any Body Weight Support System that accommodates open connection hardware (D or O Rings) Designed to provide vertical lift through three shared points of pressure, the NEW Biodex Unweighing Harness improves comfort and prevents slippage without limiting lower extremity range of motion. Patient and clinicians alike know that the comfort of the harness can make or break the therapy session. By sharing the offload burden through the hip straps, gluteal fold straps and the lumbar-thoracic harness, patients are more comfortable using the Unweighing System for extended periods. To solve the common slippage problem associated with traditional vests, the NEW Biodex Unweighing Harness employs combined elements from parachutes, rock climbing, safety and rescue, and even kite sailing gear. A torso wrap, worn beneath the harness, is a simple solution to negate any slipping from clothing issues while providing support and comfort. This one single harness accommodates children with a 25" torso up to adults with a 60" torso. SPECIFICATIONS: • Torso Circumference: adjustable from 25" to 60" (64 to 154 cm) • Patient Capacity: rated for 450 lb (204 kg) • Warranty: 60-days, parts 945-482 Unweighing Harness ...................................$675.00 SS HARNE HING EtheIG Step Guide W ent - a Step-byUalliN pati on vest 6b S Inst ng the 4 ARNES 1 INGH Guide EIGentH W - a Step-by-Step UalliN vest on the pati 6b the S ng S Inst NGuE 4 ARStep ide 1 INGH ent - a Step-byEIGharH ness on the pati UNW Installing the ical Advanta “The Clin ge”™ neoprene provided 1)Take the across apply it low wrap and the the area that the hips in rest. eventually harness will nt of rate amou Apply a mode so that it the wrap tension on This wrap on itself. slip not will the vest sliding of prevents ding. while unloa proximally 2 harness. apply the 4) Begin to sure the ing make While stand ss on the harne “O” rings around the straps fall shoulder can be ears. 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EASY AS 1-2-3 The Unweighing Harness is easy to wear. Click into our YouTube video by searching Biodex Unweighing Harness or download our step-by-step guide for details, www.biodex.com/harness. WHAT DO YOU HAVE WHEN YOU COMBINE THE GAIT TRAINER WITH UNWEIGHING? THE BIODEX GAIT TRAINING SYSTEM + “One of the major considerations for stroke patients is to develop symmetry of walking in a functional velocity. The Gait Trainer encourages the patient toward symmetry. My patients have benefited from the symmetry by the use of the target settings, which prompts them to stretch out with the unaffected leg. Patients capable of evoking an overlearned or central pattern generator response have a much easier time once they approach a one cycle per second time because it does not require focused concentration. In essence, gait training may actually be a process of creating a feeling of security and thereby reduce the tendency to walk slowly. This feeling of confidence, without the struggle to hold TREADMILL TRAINING “One example of neural plasticity is the improvement seen in locomotion of patients with stroke or spinal cord injury through partial body weight supported treadmill training. This rapidly developing form of therapy is based on two fundamental observations. First, that the spinal cord of all vertebrates, including man, contains neuronal circuitry that encoded the locomotor pattern, and which can be activated by stimulation at supraspinal, suprasegmental, or segmental levels or even by intrathecal drug administration. The activation of locomotor circuitry does not therefore require momentto-moment control of individual muscles by the brain. The second observation was that repeated activation of the central pattern generating circuit by treadmill training could result in long lasting enhancement of locomotor output. In human trials, this resulted in improved locomotion months and even years after training was discontinued.” Excerpt from: The Role of Neural Plasticity in Neurorehabilitation Michael E. Selzer, MD, PhD., Associate Dean of Graduate Education University of Pennsylvania Medical College,USA = themselves up, permits them to focus on making even steps. Meanwhile the therapist can increase belt speed as step length and speed of the affected lower limb permits. Attaining a cycle velocity that is faster than 1.6 seconds typically evokes a more symmetrical pattern of leg motions. The last phase involves decreasing the unweighing but maintaining the velocity at an optimal level. Should the gait become asymmetric again, the unweighing could be increased, but the velocity maintained. Make sure the patient does not incline the trunk forward to increase velocity.” Arthur J. Nelson, Ph.D, F.A.P.T.A., Physical Therapy Associates VA HOSPITAL STUDY* SUPPORTS THE CONCEPT OF THE BIODEX UNWEIGHING SYSTEM “If the system does not allow for vertical movements, gait is markedly distorted. The subject may still be able to move on the treadmill, since the walking surface is moving below him, but this unnatural gait is not the goal of therapy.” SPECIFIC RECOMMENDATIONS: - Support up to 40% of patient’s body weight - Allow for 5.5 cm of vertical movement to permit normal gait - Report reliably to ensure the correct degree of unloading - Enable easy adjustment to the amount of body weight support as the subject improves or fatigues during a training exercise Biodex satisfies VA Hospital Recommendations. See pages 26 - 27. To order, call Biodex toll free… 1-800-224-6339 *VA Hospital Study: Source: Wilson M, Qureshy H, Protas E, Holmes A, Krouskop T, Sherwood A.: Equipment Specifications for Supported Treadmill Ambulation Training, J of Rehab, Rehab and Development, Vol. 37 No. 4, July/August 2000, pp 415-422 Int'l 631-924-9000 • www.biodex.com ErgoData Software Ergometer data collection for researchers. Call for details. “The world’s first semi-recumbent elliptical cross trainer” Heart Rate Monitoring by BioStep Clinical Pro Semi-Recumbent Elliptical shown with optional Stabilization Package. Ideal for older adults. Visit our website for presentation Adjustable ergonomic handgrips Standard Display shown: Easy to use, “Quick Start” BioStep display: 1. Begin to pedal 2. Adjust resistance Large, comfortable, supportive rotating seat with convenient grab handles and contact heart rate monitors EZ-GripTM handgrips included in Stabilization Package THERE IS A DIFFERENCE…THE BIODEX ADVANTAGE. Combine the benefits of smooth, elliptical cross-training exercise with the comfort, safety and stability of semi-recumbent positioning. Zero joint impact plus biomechanically correct arm, leg and ankle motion emulates natural walking patterns. 30 BIOSTEP® SEMI-RECUMBENT ELLIPTICAL The difference is in the motion… FEATURES: • Elliptical motion - provides smooth continuous “zero joint impact” exercise • Self-powered, selfcharging, cordless capability - use it anywhere • 1:1 arm to leg motion - for natural arm swing rhythm • Rotating seat to 90° on either side and step-through design - for easy and safe entry and exit • Optimized seat height - for wheelchair transfers and controlled hip flexion • 10 watts to 600 watts - to accommodate a wide spectrum of users • Constant resistance with 30 effort levels and profiles provides greater program options • Integral contact and Polar® Telemetry heart rate monitoring - to ensure proper training intensity • Sturdy, well-placed grab handles to facilitate patient transfer • Large easy-to-use “Quick Start” display - features time, RPM, watts, calories, METs, total steps (standard model only), heart rate; plus “Smart” preprogrammed exercise profiles that automatically adjust effort levels. • Large utility holder - provides a convenient storage place for water bottles and allows for hands-free reading • RS-232 communication port - data collection software is available • Robust design - for heavy institutional uses • Optional Stabilization Package - movable armrests, trunk belt, foot straps and EZ - Grip™ handgrips optional on all BioStep models Clinical Pro Additional Features Include: • Isokinetic mode (speed control) - for building strength is included on the BioStep Clinical Pro Naturally smooth… positively effective The elliptical motion of the BioStep® is naturally smooth and continuous; very different from the stuttering stop-start motion associated with other recumbent steppers. The stepthrough frame, simple easy to see and use “Smart” display and comfortable, robust design make the BioStep the obvious choice for cross training. The Biodex BioStep Helps Patients and their Therapists Achieve Multiple Rehabilitation Objectives If there is one piece of equipment for all your patients... this is it. The BioStep’s fluid, elliptical motion is forgiving on the knees, ankles, hip and lower back… a natural closed-chain low-impact functional exercise. The BioStep reduces joint impact because the user is not required to lift and strike their feet on the walking surface. By combining lower extremity motion with upper body, the BioStep provides a total body workout in both forward and reverse directions, thereby involving different muscle groups. The Clinical Pro model includes isokinetic resistance, which is totally accommodating and proven to be the most effective resistance for rehabilitation and strengthening. Ideal for Older Adults Low-impact total body exercise is ideal for senior fitness. The low-impact elliptical motion of the BioStep reduces the jarring impact often associated with the stop-start motion so common with other recumbent steppers. The BioStep motion also helps strengthen the muscles important to maintaining function; those muscles specifically associated with mobility, walking and balance. APPLICATIONS: Wellness and Fitness Clubs, Orthopedic/Sports Medicine, Cardiac Rehabilitation, Neurorehabilitation, Senior Centers and more Great for Cardiac Rehabilitation BioStep incorporates both the upper and lower extremities into the cycling motion; patients experience less local muscle fatigue. This allows similar heart rates to be achieved at lower rates of perceived exertion when compared to traditional exercise ergometers. Blood pressures can be checked while the patient continues to exercise by simply releasing one arm while the other three extremities comfortably continue to perform the exercise. Patients who may experience leg claudication during exercise can easily reduce effort in the involved leg, while keeping heart rate elevated, by transferring workload to the non-involved extremities. Recent study validates BioStep as a new exercise device that older adults will find very tolerable. In a recent study by Mendelsohn, Connelly, Overend and Petrella, published in the Journal of Aging and Physical Activity, April 2007, the BioStep was shown to be a valid and reliable aerobic exercise device. If you are looking for an effective device for exercise testing and training in an older population… look no further. PubMed ID #17556784 Wellness/General Aerobic Conditioning If there is one piece of equipment for general aerobic conditioning of your adult population, this is it. BioStep provides a zero impact, safe and comfortable total body workout in both forward and reverse directions. SPECIFICATIONS: • Dimensions: 65" l x 28" w x 47.25" h (165 x 71 x 121 cm) • Resistance: BioStep: Constant resistance with 30 effort levels BioStep Clinical Pro: Constant resistance and Isokinetic • Work Rate Range: 10 watts - 600 watts (25 -120 rpm) • Heart Rate Monitoring: Polar® Telemetry (chest strap) and contact handgrip • Readouts: BioStep: Time, RPM, watts, calories, METs, heart rate and total steps BioStep Clinical Pro: Time, RPM, watts, calories, METs and heart rate • Communication: RS-232 port, CSAFE protocol for data export (data collection software available) • User Capacity: 500 lb (227 kg) • Weight: 254 lb (115 kg) • Power: Self-Powered; no external power requirement at user work rates over 30 watts and 50 rpms; 115 VAC adapter (230 VAC available) is provided to power system and charge battery during applications below 30 watts and 50 rpms; battery automatically recharges at work rates above 30 watts and 50 rpms. AC Adapter included. • Certifications: ETL listed to UL1647 and CAN/CSA C22.2 No.68-92, EN957-1, EN957-5. CE conformity to low voltage and EMC directives • Warranty: Two-years parts; one-year labor 0413 950-215 BioStep® .........$3,995.00 950-220 BioStep® Clinical Pro .....................$4,095.00 FSS Contract# GS-03F-0017T Export models available. Optional 950-245 Stabilization Package .........................$200.00 Includes: Movable armrests, trunk belt, foot straps and EZ-Grip™ handgrips 950-164 Software, Data Collection..$100.00 Smooth elliptical motion To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 31 ErgoData Software Ergometer data collection for researchers. Call for details. “…I need an upper-body ergometer that will exercise individuals with limited lowerbody function, help rehabilitate a wide variety of shoulder, back, neck, wrist, and elbow patients, and give healthy athletes a grueling workout…” Heart Rate Monitoring by The UBC is now offered in NEW silver color. www.biodex.com/ubc. Clinical Pro Upper Body Cycle Removable seat and adjustable head and cranks allow for easy, stable standing exercise. The seat assembly is removable to accommodate wheelchairs. EZ-GripTM handgrips, available on the Clinical Pro, accommodate patients with hand control limitations. Large rotating seat, available on the Clinical Pro, accommodates patients with ambulatory difficulties. THERE IS A DIFFERENCE…THE BIODEX ADVANTAGE. The only Upper Body Cycle designed for rehabilitation exercise that offers an adjustable pivot head for sitting to standing total body involvement, including core stabilization exercises. Adjustable cranks allow for incremental and progressive strengthening to full range of motion. 32 UPPER BODY CYCLE Invaluable for upper extremity rehabilitation and conditioning FEATURES: Functional Diversity • Self-powered, selfcharging, cordless capability – use it anywhere! • Pivoting actuator accommodates wide range of cycling positions • Instantaneous retro-cycling • Up to 600-watt work rate range to accommodate a wide spectrum of patients • Isokinetic Resistance (speed control) for building strength • Heart rate monitoring – Polar® Telemetry • Easy-to-use “Quick-Start” control panel – with large buttons • Large, easy-to-view LED display • Ergonomically correct for patients from 4'6" to 6'10" tall, and weighing up to 500 lb • Removable seat for wheelchair or standing access The Biodex Upper Body Cycle is a versatile ergometer that meets the demands of any orthopedic rehabilitation, cardiac, sports medicine, wellness, or general conditioning program. Clinical Pro Additional Features Include: • Large rotating seat with seat belt and grab handles - easier wheelchair transfers - belt and handles provide added security, especially for patients with balance deficiency or palsy • EZ-Grip™ handgrips allow patients with hand control limitations to hold onto crank handles Unique Self-Powering System Use the Upper Body Cycle anywhere. There is no need for AC power at work rates at or above 30 watts and 50 rpms. The battery-supported system maintains all settings and LED displays before and after cycling. The internal battery is automatically recharged when work rates reach or exceed 30 watts and 50 rpms. An AC adapter is provided for extended use at work rates below 30 watts and 50 rpms. User-Friendly The “Quick-Start” feature gets your first-time cyclists right into their exercises. Isokinetic (speed control) provides accommodating resistance throughout the cyclist’s entire range of motion for the duration of the exercise period. Resistance continuously matches effort, accommodating to variations in the patient’s force output due to weakness or pain at specific points in the individual’s range of motion, and to fatigue over the course of the cycling period. With a selection of 15 speeds (50 to 120 deg/sec), this resistance mode maximizes strength gains while minimizing the potential for injury. APPLICATIONS: Orthopedic, Sports Medicine and Athletic Training Exercise, Cardiopulmonary Exercise, Older Adult Exercise SPECIFICATIONS: • Dimensions: 62" l x 29" w x 72" h (157 x 74 x 183 cm) • Crank Axis Height: Adjustable from 37" to 58" (94 to 147 cm) • Resistance: Isokinetic (speed control): 15 speed settings (increments of 5 deg/sec) • Work Rate Range: Up to 600 watts (120 rpm) Full-Function Retro-Cycling Rehabilitation and conditioning capabilities are expanded by providing bi-directional cycling to alternately work reciprocal muscle groups. • Speed Control Range: 50 to 120 deg/sec • Readouts: Time, RPM, watts, calories, METs, heart rate, total work, total cycles • Heart Rate Monitoring: Polar® Telemetry (chest strap) • Communication: RS232 • Patient Capacity: 500 lb (227 kg) Built for High-Use Environments The welded heavy-gauge steel frame, epoxy powder-coat finish, and moisture-resistant ABS plastic enclosure, round out a rugged and durable design that will withstand extensive use in the busiest settings. Large wheels make transporting and repositioning easy. Heart rate monitoring by Polar® Telemetry (chest strap) offers a convenient tracking of heart rate without interrupting exercise – useful for protocols utilizing target heart rate, and for monitoring high-risk patients. • Weight: 230 lb (105 kg) • Power: Self-powered; no external power requirement at user work rates over 30 watts and 50 rpms; 115 VAC adapter (230 VAC available) is provided to power system and charge battery during applications below 30 watts and 50 rpms. Battery automatically recharges at work rates above 30 watts and 50 rpms. • Certification: ETL listed to UL 60601-1, and CAN/CSA C22.2 No.: 601-1-M90. CE conformity to EN 60601-1, EMC compliance to EN 60601-1-2. • Warranty: Two-years parts; one-year labor 0413 950-146 Cycle, Upper Body ....................$3,695.00 950-148 Cycle, Upper Body, Clinical Pro ....................$3,795.00 Includes: Large rotating seat and EZ-GripTM handgrips FSS Contract# GS-03F-0017T Export models available. Optional 950-164 Software, Data Collection..$100.00 To order, call Biodex toll free… 1-800-224-6339 Int'l 631-924-9000 • www.biodex.com 33 www.biodex.com/rehab Click in to access supporting reference articles, product manuals and user testimonials. Biodex University Get the most from your investment. Click in for upcoming workshop schedule and co-sponsored events. Follow us on Facebook: /Biodex Clined Calendar of Events Coordinate product demonstrations with the purchase decision. Click in for upcoming calendar of trade shows where Biodex products will be featured. THE BOTTOM LINE Biodex Rehabilitation Equipment is commonly used in rehabilitation services based on a physician referral for these ICD-9 codes. Physician referral and ICD-9 codes: V15.88 728.87 729.89 715.0 715.2 Personal History of Fall Muscle weakness Leg weakness Degenerative joint disease Secondary localized osteoarthritis 781.2 719.7 719.4 719.5 718.8 Abnormal gait Difficulty in walking Joint pain Joint stiffness Instability of joint The following CPT codes may be applied. Reimbursement amounts vary among plans and states. 97110 97112 97116 97530 97535 97750 Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercise to develop strength, endurance, range of motion and flexibility. Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities. Gait Training (includes stair climbing) Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact by provider, each 15 minutes Physical performance test or measurement (eg, musculoskeletal, functional capacity) with written report, each 15 minutes NOTE: Most insurance plans, including Medicare, cover assessment and conditioning for Fall Programs. CONDITIONS OF PURCHASE CREDIT TERMS: Net 30 days, available to qualified accounts only. Accounts not paid within 30 day period are subject to a 1.5% charge for each additional month. PRICE: All prices in this catalog are F.O.B. shipping point and are subject to change without notice. INTERNATIONAL CUSTOMERS: Prices in this catalog are for U.S. customers only. Prices do not include duty, shipping, VAT, international packing, international labeling, language options, warranty, installation, service or support. Biodex products are sold and supported by a worldwide network of qualified distributors. Visit our web site for the name of your local distributor, www.biodex.com. DOMESTIC MINIMUM ORDER: $50.00 INTERNATIONAL MINIMUM ORDER: $100.00 METHOD OF PAYMENT: Visa, MasterCard, American Express and personal, prepaid checks accepted. SHIPPING POLICY SHIPPING: Shipment of orders is handled by a computerized system to assure the lowest cost possible. Under 70 lb – UPS. Over 70 lb Motor Freight. (All motor freight charges are collect unless otherwise stated.) All orders will be charged actual shipping fees. When ordering by prepaid check, call to confirm shipping charges and applicable tax. RUSH ORDERS: Emergency orders can be shipped next-day air or second-day air, incurring additional freight charges. DAMAGE IN SHIPMENT: At time of shipment, all goods are inspected and warranted to be in first-rate condition. Our packaging of all products complies with, and in most cases, exceeds requirements of Motor Freight Classifications. Despite the care used in packaging, damages occasionally happen in transportation. Upon receipt of shipment, open immediately and inspect for concealed damages. If damage is sighted, stop unpacking. Hold shipment container and ask delivering carrier for an inspection for concealed damages. This notification to the carrier must be made within 10 days of receipt of shipment for claim purposes. CLAIMS: Any claim for damages should be made against the transportation company. Our responsibility ceases upon receipt of shipment by the carrier, but if we can be of any assistance in processing a claim, please advise us by calling 1-800-224-6339. SATISFACTION GUARANTEED EXCHANGES AND RETURNS: Thank you for choosing Biodex. If you are not satisfied with your order, it can be returned for credit or exchanged for a more suitable product. The customer is responsible for return freight charges and for certain transactions, subject to a restocking charge. In the event of an incorrect product shipment, due to Biodex’s error, Biodex is responsible for return freight charges. Products returned must be unused, in resalable condition and in original packaging. For complete terms of Biodex Exchange and Return Policy, www.biodex.com/conditions. LIMITED WARRANTY: Limited Warranty: Biodex Medical Systems, Inc., (Biodex), hereby warrants its products sold to buyer to be free of defects in workmanship and material for a period of one year from date of shipment. THE FOREGOING WARRANTY IS EXPRESSLY IN LIEU OF ALL OTHER WARRANTIES EXPRESSED, STATUTORY OR IMPLIED. INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Final determination of the suitability of the products for the use contemplated by Buyer is the sole responsibility of Buyer, and Biodex shall in no way be responsible for the suitability of the Products for any particular use. Claims for defects in workmanship or material must be presented to Biodex in writing and received by Biodex prior to the expiration of the warranty period. BUYER'S SOLE AND EXCLUSIVE REMEDY, AND BIODEX'S SOLE OBLIGATION, UNDER THIS WARRANTY SHALL BE REPAIR OR REPLACEMENT OF THE DEFECTIVE PRODUCT AS DETERMINED AT BIODEX'S SOLE OPTION. IT IS UNDERSTOOD THAT UPON REPAIR OR REPLACEMENT, BIODEX SHALL HAVE NO FURTHER OBLIGATION TO BUYER WITH RESPECT TO THE DEFECTIVE PRODUCT. UNDER NO CIRCUMSTANCES SHALL BIODEX BE LIABLE TO BUYER OR ANY THIRD PARTY FOR SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES, LOSSES OR EXPENSES IN CONNECTION WITH, OR BY REASON OF THE INABILITY TO USE THE PRODUCTS FOR ANY PURPOSE, OR FOR DAMAGES AND/OR INJURIES INCURRED BY BUYER, ITS AGENTS ˆˆºAND EMPLOYEES, BY VIRTUE OF DEFECTS IN THE PRODUCTS, EVEN IF BIODEX HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Use or misuse by the buyer and/or agents, employees or others will, at the option of Biodex, void all product warranties. This catalog information herein is the property of Biodex Medical Systems. Copying in whole or in part, transmittal to other individuals or companies, and use for any purpose other than that for which it is intended, are expressly prohibited. 34 “The Clinical Advantage”™ Balance Biodex Balance System SD Balance Assessment & Conditioning Athletes to Older Adults The world’s most popular balance system just got better with NEW larger easy-to-use display, expanded connectivity and upgraded software. The Biodex Balance System SD uses static and dynamic testing and training to improve balance, strength and overall mobility – from athlete to older adults. Five protocols and six interactive training modes address the widest variety of pathologies. See pages 12-15 or contact Biodex to learn how the Balance System SD will become the most exciting piece of equipment in your facility. www.biodex.com/balance BIODEX www.biodex.com 1-800-224-6339 Int’l 631-924-9000 BIODEX Biodex Medical Systems, Inc. 20 Ramsay Road, Shirley, New York, 11967-4704 CHANGE SERVICE REQUESTED FN: 10-251 12/10 “The Clinical Advantage”™ BIODEX www.biodex.com 1-800-224-6339 Int’l 631-924-9000
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