Jockey Club Rehabilitation Engineering Clinic

Therapeutic, Training and Evaluation System

 

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Manual Muscle Trainer and Tester

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The muscle trainer/tester is designed to capture EMG signals from the body and use the signal amplitude to generate an on/off signal. This signal will emulate a keystroke input of the computer keyboard. The system allows a maximum of six EMG inputs. A total of 64 key codes can be selected by setting the DIP switch associated with each channel. The user can use the EMG signal to control keystroke functions for computer access. In addition, the system allows simultaneous keyboard operation of the computer.

An interface module can be added to allow the use of single switches to emulate one of the 64 key codes of the keyboard via the Trainer.

 

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Universal biofeedback trainer UBT200

image, Universal biofeedback trainer UBT200

image, Computer aided hand training/assessment system

This console allows the setting of goals and the provision of a reward when the set goal is achieved.  A goal is set by specifying the required amplitude and duration of an input modality, such as grip force or joint angle.  A reward is specified in terms of units of time in which an electric device such as a toy or radio is activated.  The current amplitude of the input modality as well as the accumulated reward in seconds are displayed.

An interface and software package is available for the IBM PC for display and record keeping.

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Modified calibrated dynamic palmar grip

image, Modified calibrated dynamic palmar grip A dynamic calibrated palmar grip can be modified to make it function as a switch.  The switch is activated when the required grip force is applied.

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Gun trigger switch with adjustable resistance

image, Gun trigger switch with adjustable resistance

A toy gun is modified for index finger flexion training.  Trigger force can be adjusted.

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Hand held push button with adjustable resistance

image, Hand held push button with adjustablt resistance

This push-button is designed for thumb flexion training.  The force required to depress the button is adjustable.

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Pinch switch with adjustable resistance

image, Pinch switch with adjustable resistance

Pinching action is useful in a variety of tasks.  Variable resistance is provided by adjusting spring tension with a screw at the end of the switch.

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Reward unit for single switch training

image, reward unit for single switch training This battery operated unit plays a tune when the switch attached to it is turned on.

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Pinch switch assembly (adjustable resistance opening)

image, pinch switch assembly adjustable & opening

Pinching action is useful in a variety of tasks.

This assembly has five pinch switches mounted on an integral stand.  Separation of the switches can be adjusted.

Opening of each switch is adjustable from 30mm-55mm and the force required to close the switch is adjustable approximately from 0.3 Kg - 0.75 Kg.  Separation of the switches can be adjusted.

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Hand Function Trainer

Hand Function trainer photo
The hand function trainer is a device designed to facilitate therapeutic training in hand-eye coordination, finger dexterity and motor function.  The device has sixteen screw holes arranged in a 4 by 4 layout. There is an LED associated with each screw hole.  Upon completion of a screw-in task, the LED will be turned on and a beep sound will be provided to indicate a successful task.  An audio feedback in different tone will be played when all sixteen screws were screwed in-place.  The trainer comes with four different sizes of circular knobs (10 in, 16 in, 26 in. and 56 in. diameter).  The system is battery powered using two size D batteries.

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Circular range of motion trainers for upper limb

image, Circular range of motion trainers for upper limb

16 push-buttons are used to form a circle with a diameter of approx. 27inch.  There is a red-indicator light associated with each push button.

When a light turns on, the user has to press the corresponding button for an audio REWARD.  If the button is not pushed after a pre-set length of time, a discouraging sound is produced as a punishment.

The lights can be selected to turn on one after another in three ways: clockwise, counter- clockwise or at random.  The audio volume and the speed at which the lights run are adjustable.

The lights are grouped in 4 consecutive quadrants. Each group can be selected or de-selected.  This feature is necessary for users with a limited range of motion.

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Linear range of motion trainer for upper limb

 

  This 8-position linear range of motion trainer is similar in behavior to the circular one.

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FEPS switch assembly
 

 FEPS photo

This assembly has a steel shaft.  At one end of the shaft is fixed a rod which will activate one micro-switch when the shaft is rotated clock-wise and another micro-switch when it is rotated counter-clockwise.  The resistance to rotation is adjustable and the two micro-switches can be positioned from 30 deg. to 330 deg. apart in 15 deg. steps.  Another two switches are activated by pushing and pulling the shaft.

A number of actuators can be attached on the other end of the shaft.  These are:

  • Knobs: 1 inch, 1-1/2 inch, 2-1/2 inch, 3-1/2 inch dia.

  • Discs: 1inch, 2-1/4 inch, 3-1/4 inch, 4-1/2 inch dia.

  • Rods : 3/4 inch, 1 inch (1-1/2 inch dia., 5 inch long)

  • Motor skills required to activate the switches are flexion, extension, pronation and supination (FEPS).

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Upper limb strength trainer

image, Upper limb strength trainer Developed to increase upper extremity strength and endurance.  This versatile exercise unit is fully adjustable in its inclination angle.  Resistance can be adjusted by adding 1 kg. weights.  Audio feedback is provided to indicate the tempo of exercise.  The electronic console monitors the number of cycles completed and the elapsed time.

The therapist can either set the number of cycles to complete or the length of exercise time in seconds.  Therefore, a training session can either monitor the length of time it takes to complete a given number of cycles or the number of completed cycles in a given length of time.

A version with an additional, mid-mounted vertical handle is available.

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6 position, flat plate, programmable ROM trainer for lower limb

image, 6 position, flat plate, programmable ROM trainer for lower limb

This trainer has six foot-pedals each with an associated red indicator.  The indicators will either light up in a random sequence or in a programmed sequence of up to 48 steps.  The sequence can be programmed to either run at one of eight speeds or to follow the speed of the user.  A correct step within the selected time will be rewarded by an encouraging tone.  A wrong step or failure to follow the indicator within the selected time will be punished by a discouraging tone. A tune will be played at the completion of a sequence.

A stand is available to incline the device at either 15 or 30 degrees.

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6 position, angular, programmable ROM trainer for lower limb

image, 6 position, angular, programmable ROM trainer for lower limb

This device is developed to facilitate the training of lower extremity range of motion.  This biofeedback unit consists of six switches, which can be programmed or randomly activated to train the range of motion of the leg.  Audio feedback in different tone is provided upon each successful or unsuccessful switch activation within a pre-defined period of time.

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Lower limb exercise monitor

image, Lower limb exercise monitor This device facilitates exercise program of the lower limb.  The electronic console monitors the number of cycles of lower leg extension/flexion completed and the elapsed time.  Counting is done using non-contact sensors.  Resistance can be added to the patient’s lower limb using sand bags of different weights (not included).

The therapist can either set the number of cycles to complete or the length of exercise time in seconds.  Therefore, a training session can either monitor the length of time it takes to complete a given number of cycles or the number of completed cycles in a given length of time.

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Gait training aid with tone/light for correct gait
 

image, Gait training aid with tone/light for correct gait This device has a sports insole with two switches embedded in the region of the heel and the 1st metatarsal head respectively.  The insole is inserted into the shoe of the user.  When the user moves his foot in the normal heel-first-toe-second sequence, a light and a buzzer will be activated momentarily.  The light and sound serve as an indication of, as well as a reinforcement for correct foot motion.

This device has a built-in accessory that converts it into a single-channel biofeedback aid, such as drop-foot indictor.

Gait training aid with two tones for heel-strike and toe-off

This device uses the same insole for the device above.  Different tones are produced momentarily for either heel-strike and toe-off.  The device can also be used as a dual-channel biofeedback aid.

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Weight bearing trainer

Weight Bearing trainer photo This device is developed to monitor weight bearing under the heel.  It provides audio and visual feedback to indicate whether the prescribed loading has been exceeded.  The threshold load when audio feedback signal occurs can be adjusted with the patient standing on a set of bathroom scales.

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Computerized rehab cycle 
 

  This device is developed to facilitate training of the upper limb. The computerized rehab cycle is specially designed to allow interface with a computer system, to allow training using interactive software. Resistance can be adjusted at 8 different levels. Electrical power is not required if the Rehab Cycle is to for stand-alone use. Software interface is provided via the serial connection of a PC computer.

Computer requirement:

  1. IBM PC compatible computer with Pentium II 400 processor or higher
  2. Minimum 64 MB DRAM
  3. Minimum 25 M hard disk space
  4. Available serial port
  5. Microsoft windows 98 or higher
  6. Sound card
  7. Screen resolution requires 1024 x 768
  8. CD-ROM drive for software installation

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REC computerized therapeutic hand training system
 

Computerized Therapeutic Hand Training System photo The REC Ccomputerized Hand Training System is a newly developed system designed for rehabilitation professionals to conduct training in an effective manner. The system allows therapists to prescribe training program for each individual patient prior to the training session and conduct outcome measures by elevating patient’s performance. During the training session, patient can perform requited training without necessary supervision by a therapist. To ensure the patient understand the correct operation of the training devices, a video clip is presented on the computer screen before each specific training starts, this system can be operated on a single computer or use a local network to form a system which operates with one master station and n-numbers of workstations.

 

 

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EMG biofeedback training device 
 

EMG biofeedback training photo EMG Biofeedback Training Device can help to train up muscles by sensing the signals from the electrodes. The degree of muscle strength is indicated by the light of the main unit, the more the number of the light turned on, the higher the strength of the muscle. Besides, the user can preset the threshold of the muscle strength and the system will alarm the user if the threshold is reached.

 

 

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Ankle strength trainer
 

Ankle Strength Trainer photo This ankle strength trainer (sometimes called ankle rollater or ankle exerciser) is designed to permit a full range of motion when exercising the lower limb. The system is aluminum constructed with build-in pneumatic system to generate and adjust resistance to motion. The range of motion of the ankle joint can be prescribed by adjusting the build-in stoppers with increment of 2 degrees. The system can also be connected with an electronic console to set goals and monitor performance. Operation of this console is simple. The therapist can either set the number of cycles to complete or the length of exercise time in seconds. Therefore, a training session can either monitor the length of time it takes to complete a given number of cycles or the number of completed cycles in a given length of time.

 

 

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REC computerized assessment kit on reaction time
 

REC computerized assessment kit on reaction time photo The REC Computerized Assessment Kit on Reaction Time is a newly developed system designed to facilitate assessment of visual and auditory feedback. The system allows therapists to preset auditory and visual stimulus, with and without distraction to evaluate the reaction time of individual patient. During the assessment session, patients are required to activate a switch (either hand or foot) in response to the audio or visual stimulus. The system will calculate the reaction time for each trial and provide an average if a number of stimulus were involved in one evaluation session.

Special features of the system includes:

Overall system:

  • Hand and foot switch
  • Computer system with special interface cable for switches
  • Reaction time measurement with accuracy up to 0.01seconds

Computer system:

  • CPU : Pentium 4 1.8GHz with 256 MB ram
  • At least 40GB Hard disk, CD Rom , CD rewriter
  • Graphics display card and 17 inches monitor
  • System running on Chinese Windows 98SE, and equipped with Chinese Office 2000 Software and anti-virus protection

Software:

  • Build in software for the REC Computerized Assessment Kit on Reaction Time featuring:
    • Audio and visual stimulus for feedback assessment including 6 stimulus generation programs
    • User selection of distraction stimulus during assessment
    • Real time display of reaction time
    • Patient information
    • Build in database for information storage

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