This device complies with part 15 of the FCC Rules. Operation is
subject to the following two conditions: (1) This device may not
cause harmful interference, and (2) this device must accept any
interference received, including interference that may cause
undesired operation.
Product Warranty Registration:
Please register your Core:Tx with us so that we may continue to
provide you with the highest quality products, offer technical
support, and inform you about new software developments and
updates. Your registration will also activate your warranty so that
we may be able to provide service to you if necessary.
Register your product by filling out the card included with the
product or by going online at http://www.performancehealth.com/
coretx/registration.
Index ................................................................. 171
Foreword
The Facts about Neuromuscular
Reeducation (NMR)
Neuromuscular control is essential to maximizing a patient’s
functional outcome. In a healthy joint, proprioceptive information
is relayed to the central nervous system triggering a coordinated
1
muscular response.
excursion and loading,
prevents injury.
In an injured joint, proprioception may be compromised. As a
result, muscle activity associated with the joint is not well
synchronized, thereby reducing dynamic stability. This in turn
increases the risk of further injury.
stability is important in preventing reinjury in both early and late
stages of the recovery period.
performance enhancement program should, therefore, address
these neural deficits to maximize recovery and prevent injury
recurrence.
6
This coordinated effort controls joint
2
which enables dynamic joint stability and
3
4
Clearly, improving joint
5
A complete rehabilitation or
v
1. S. M. Lephart, D. M. Pincivero, J. L. Giraldo, and F. H. Fu, “The Role of Proprioception in the Management and Rehabilitation of Athletic Injuries,” American Journal
of Sports Medicine, 25, no. 1 (1997): 130–37.
2. B. L. O’Connor and J.A. Vilensky, “Peripheral and Central Nervous System Mechanisms of Joint Protection,” American Journal of Orthopedics, 32, no. 7 (2003): 330–36.
3. E. R. Laskowski, K. Newcomer-Aney, and Jay Smith, “Refining Rehabilitation with
Proprioception T raining: Expediting Return to Play,” The Physician and Sportsmedicine,
25, no. 10 (1997): 89-97.
4. Laskowski et al., “Refining Rehabilitation.”
5. Lephart et al., “The Role of Proprioception.”
6. Laskowski et al., “Refining Rehabilitation.”
viCore:Tx User Guide
Disclaimer Statement
Before operating this equipment, please read the instructions
contained in this user’s manual completely. Core:Tx™ is an
interactive tool that is intended to assist healthcare professionals in
providing quality rehabilitation services to their patients. Core:Tx
is intended for use only under the direction and supervision of a
trained and qualified healthcar e professional. Healthcare
professionals should not use this interactive tool in connection
with their patients until they are thoroughly familiar with how it
operates.
The exercises described and illustrated in this manual have been
provided as a resource to assist healthcare professionals in
understanding how the Core:Tx product may be applied in the
clinical setting. These exercises do not constitute advice applicable
to any particular case, nor are they intended to be (nor should they
be used as) a substitute for clinical judgment. Treatment decisions
must be made by the professional in light of all available resources
and circumstances presented by individual patients. It is the
responsibility of the healthcare professional to individualize
exercises to the specific characteristics of each patient and to use
Core:Tx in a manner that is appropriate and safe for each patient.
Performance Health Technologies does not guarantee the accuracy
or appropriateness of any of the exercises contained herein. In no
way will Performance Health Technologies or any persons
associated with Performance Health Technologies be responsible
for any injuries or problems resulting from poor clinical judgment
or misuse.
All information presented in this user’s manual is intended as a
resource for trained healthcare professionals only and is not
intended for use by the general public.
1:Getting Started
Core:Tx is a system that combines software and hardware you can
use as a rehabilitation, preventative, or str engthening tool. The key
hardware is a s mall transceiver that can be attached anywhere on
the body with adjustable straps. Using Motion Track™ technology,
the transceiver senses limb motion relative to a joint and transmits
that information wirelessly to proprietary software.
The software provides motivating and informational feedback for
the patient by providing an entertaining and game-like interface. At
the end of each session or activity, the software provides the patient
with a score.
The system is particularly aimed at exercising neuromuscular
control. In addition, you can set up exercises to emphasize gains in
range of motion or strength. Core:Tx is a versatile tool that is
compatible with and enhances existing rehabilitation, preventative,
and strengthening protocols.
1
About This Guide
This guide tells you how to set up and use Core:Tx. It assumes that
you have a basic understanding of how to use the Windows
operating system.
2Core:Tx User Guide
Fonts and Symbols
This guide uses several fonts and symbols to help explain how to
use Core:Tx.
Font or SymbolDefinition
BoldWords in bold show items to select, click, or press,
such as menu items, buttons, or keys on the keyboard.
This symbol means the following information is a note
Note
Caution
that gives you important information that may affect
how you use Core:Tx.
This symbol means the following information is a
caution that warns you about actions that may delete
data from your computer.
Core:Tx Overview
Your Core:Tx system has several components that work together to
give you a versatile rehabilitation tool. The package contents
include the following, as shown in Figure 1:
•Base station
•Transceiver
•Universal Serial Bus (USB) cable
•Three AAA batteries
•Six straps and one strap extension
•Software installation CD
•Core:Tx User Guide (this document)
•Core:Tx Quick Start Guide
•Product registration card
1: Getting Started3
Quick Start Guide
Base station
with USB cable
Straps and extension
Transceiver
Installation CD
AAA batteries
User Guide
Registration card
Figure 1: Package contents
Base Station
The base station connects to your personal computer or laptop
using the provided USB cable. It collects information from the
Core:Tx transceiver and communicates to your computer.
The base station has the following key parts, as shown in Figure 2:
•Two lights—show that the base station has power and that it
has a connection to the transceiver.
•USB cable port—where you connect the provided USB cable
into the base station.
Lights
USB cable
port
Figure 2: Base station
4Core:Tx User Guide
Transceiver
Position the transceiver on the patient before the patient starts an
exercise. The transceiver has the following key parts, as shown in
Figure 3:
•Orange button—press to turn on the transceiver and interact
with the Core:Tx software.
•Light—shows communication to the base station, as well as
showing that the batteries are low on power.
•Axis knobs—show the Core:Tx axis. The knobs represent the
axis of motion the transceiver is able to detect. This gives you a
visual reference for proper alignment of the transceiver.
•Battery door—on the underside of the transceiver where you
install the batteries. For more information, see “Inserting the
Batteries into the Transceiver” on page 8.
Button
Axis knob
Figure 3: Transceiver
Note
The transceiver automatically turns off after three minutes
of inactivity. This feature helps save battery power.
Axis knob
Light
Battery door (on
underside; not
shown)
1: Getting Started5
Straps
Core:Tx comes with a total of six straps and one strap extension.
There are three main styles, with one strap provided in four colorcoded sizes. Refer to the color tab on each strap to differentiate it
from others. Use the strap extension to make a strap longer. You
may need to use the extension when attaching the strap to pieces of
equipment, such as a foam roller.
Use the straps to attach the transceiver to various locations on the
body for specific exercises. To learn how to use the straps, see
“Positioning the Transceiver” on page 40. The exercise section
shows the proper transceiver location for each exercise. For more
information, see “Chapter 7, Lumbar Stabilization in Sitting
Position on Therapy Ball” on page 59.
The straps have the following key parts, as shown in Figure 4:
•Hook and loop strips—adheres to the other part of the strap to
secure it during exercises.
•D-ring—loop the strap through to secure it.
•Elastic bands—where you place and secure the transceiver.
6Core:Tx User Guide
D-ring
Elastic band
Figure 4: Strap example
Elastic band
Hook and loop
strips
Care and Storage
•Do not drop or subject the transceiver to strong mechanical
shock.
•Do not dismantle or modify the transceiver or base station.
•Do not immerse the base station or transceiver in water or
other liquid.
•Changes or modifications to Core:Tx equipment not expressly
approved by Performance Health Technologies could void your
authority to operate this equipment, as granted by the Federal
Communications Commission (FCC).
To clean:
•Straps—When necessary, wipe down the back of the strap with
mild detergent and hang dry. Hand wash entire strap in mild
detergent if necessary. Do not use solvents to clean the straps.
1: Getting Started7
•Base station and transceiver—Only use a soft, damp cloth to
wipe down the transceiver and base station. Do not use
solvents or abrasive cleaning agents to clean the base station or
transceiver. Do not immerse in water for cleaning.
To store:
•Straps—Keep sharp objects away from the straps. Hang or fold
and store in a dry location.
•Base station and transceiver—If the transceiver will not be used
for an extended period of time, remove the batteries. Store the
base station and transceiver in a cool, dry location and out of
direct sunlight.
Installing the Software
Before installing the software, make sure that your computer meets
the minimum system requirements. For best results, use a
computer that meets the recommended system requirements.
8Core:Tx User Guide
Minimum system requirements:
•500 MHz processor
•128 MB RAM
Recommended system requirements:
•800 MHz processor
•256 MB RAM
•Video card capable of 3-D rendering
To install the software:
•Insert the Core:Tx installation CD into your computer.
– The automated instructions will guide you through the
setup process.
–You will create a password for the Cor e:Tx software during
installation. Be sure to remember the password and store it
in a safe place.
–If the installation does not automatically start, double-click
the My Computer icon on your computer desktop, doubleclick the CD-ROM drive that contains the Core: Tx
installation CD, then double-click the setup.exe file.
Setting Up the Hardware
You must perform the following tasks to set up the Core:Tx
hardware:
1Insert the batteries into the transceiver. (See page 8.)
2Connect the base station to your computer. (See page 10.)
Inserting the Batteries into the Transceiver
You must insert the three AAA batteries (included) into the
transceiver.
1: Getting Started9
To insert the batteries:
1Slide the battery door on the back of transceiver off in the
direction of the arrow.
2Leaving the battery removal ribbon in the bottom of the battery
compartment, align and insert batteries as shown.
•Note the proper orientation of positive (+) and negative (-)
terminals.
3Replace the battery cover by sliding it back into position.
Note
If the transceiver light is blinking at a slow, steady pace,
replace all three batteries. Alkaline batteries are
recommended.
10Core:Tx User Guide
Connecting the Base Station
You must connect the base station to the computer that has the
Core:Tx software installed on it.
Note
The base station must be connected to your computer
before you start the Core:Tx software.
To connect the base station:
1Turn on the computer that has the Core:Tx software installed.
2Connect the small end of the USB cable to the USB port on the
base station.
1: Getting Started11
3Connect the large end of the USB cable to a USB port on your
computer.
•One base station light turns on or blinks slowly when it
receives power from the computer.
Starting Core:Tx
You must use your Core:Tx password to access patient data and
store activity information for a patient. You set your password
when you first installed Core:Tx. If you do not remember your
password, you must use the original installation CD to re-create
your password.
Note
The base station must be connected to your computer
before you start the Core:Tx software.
12Core:Tx User Guide
To start Core:Tx:
1After you turn on your computer and connect the base station,
place the transceiver on the table or desk next to the base
station.
•For more information, see “Connecting the Base Station”
on page 10.
2Press the orange button on the transceiver to turn on the
transceiver.
•The light on the transceiver starts blinking fast. The light
will blink for several seconds until the transceiver
initializes. This process typically takes less than 30
seconds, but may take as long as three minutes.
•Once the light stops blinking, you can continue with the
next step. The light stays on as long as the tran sceiver is on
and is communicating with the base station. The
transceiver turns itself off after about three minutes of
inactivity.
•If the light on the transceiver continues to blink slowly,
replace the batteries in the transceiver. For more
information, see “Inserting the Batteries into the
Transceiver” on page 8.
3Start the Core:Tx software by doing one of the following:
•From the Start menu, point to Programs, then to Performance Health Technologies, then click Core:Tx.
•From your computer desktop, double-click the Core:Tx
shortcut icon .
–The startup window displays with two options for
accessing the system:
–Shortcut to Activity—This lets you set up and perform
activities, but you cannot save results or access patient
data.
1: Getting Started13
–Login—This lets you set up and perform activities, as
well as save results and access all patient data.
4Select the option you want.
To use the shortcut to activity To log in
1 Use the arrow keys to select
Shortcut to Activity and
press space bar.
• The Activity screen
displays.
2 Set up or start the activity as
needed.
• For more information, see
“Setting Up an Activity”
on page 31 or
“Performing an Activity”
on page 39.
1 Use the arrow keys to select Login
and press space bar.
• The Admin. Login panel displays.
2 Enter your password and press
space bar.
• The Admin panel displays.
3 Use the buttons at the top or side of
the panel to access the function or
patient data you want.
• For more information, see
“Working with Administrative
Functions” on page 19, “Setting
Up an Activity” on page 31, or
“Performing an Activity” on
page 39.
14Core:Tx User Guide
Understanding the Core:Tx Window
The Core:Tx window has three primary areas as shown in Figur e5.
Main panel—This area
Navigation bar—
These buttons
provide access to
the main Core:Tx
functions. The
panels below
change based on
the current
function.
Task panel—
These buttons
provide access to
specific tasks or
settings related
to the current
function.
displays information related to
the current task.
Figure 5: Core:Tx window (Admin panel shown)
Navigating in Core:Tx
You can navigate in Core:Tx using either your mouse, the
keyboard, or any combination of the two. Table 1 describes the
basic navigation techniques. The steps in this help use the
keyboard method, but you can always use a mouse or touch pad.
1: Getting Started15
Table 1: Navigation techniques
TaskUsing the keyboardUsing the mouse
Selecting a
function in the
navigation bar at
the top of the
window.
Selecting tasks in
the task panel and
other functions
represented by a
button.
Moving from one
field to another in
the main panel.
Selecting an item in
a list.
1 Press the up arrow key until
you select a button in the
navigation bar.
• You know the button is
selected when it turns
gray.
2 Press the right arrow or left
arrow keyto move through
the buttons.
3 Press space bar.
• This displays the tasks
available for the selected
function.
1 Press an arrow key until
you select the button.
• You know the button is
selected when it turns
orange.
2 Press space bar.
• This performs the
button’s action.
1 Press an arrow key until the
cursor is in the field.
2 Press an arrow key again to
move to the next field you
want.
1 Press an arrow key until
you select the item.
• You know the item is
selected when it is
highlighted with a solid
color or surrounded with
a dotted box.
2 Press space bar.
Click the button in the
navigation bar.
Click the button.
Click in the field.
Click the item.
16Core:Tx User Guide
Table 1: Navigation techniques (Continued)
TaskUsing the keyboardUsing the mouse
Moving from one
text box to another .
Text boxes are
where you enter
text, such as a
patient’s name.
Making selections
in new windows
that display, such
as when you
export, import, or
back up data.
To move forward, press Tab.
T o move ba ckward, hold down
the Shift key and press Tab.
Use only to enter file names
and other text.
Click in the field.
Click to select items
from lists and click
buttons.
Understanding Core:Tx Terminology
W e use specific terms in Core:Tx and in this guide to describe how
to use and set up Core:Tx:
•Activity—An activity is the selected movement, mode, and
other options in Core:Tx that you set up for a patient. The
Activity panel in Core:Tx shows these settings, guides the
patient’s actions, and displays the patient’s scor e for the activity.
•Exercise—An exercise is the specific motion you have the
patient perform for the activity. For example, if you are
working on knee flexion/extension, the exercise may be squats.
•Mode—You can set an activity in Core:Tx to one of two modes:
–Monitor—Monitor Mode requires the patient to perform a
tracking exercise or to maintain a static joint position.
When you set the speed to greater than zero, the patient
must move through the selected range of motion. When
you set the speed to zero, the patient must maintain the
selected join position.
–Challenge—Challenge Mode requires the patient to keep a
ball on the screen balanced between two opposing forces.
When you set the speed to greater than zero, the balance
1: Getting Started17
point moves through the selected range of motion. When
you set the speed to zero, the balance point does not move.
•Movement—A movement is a set of motions of a particular
joint of the body. For example, knee flexion/extension and hip
abduction/adduction are examples of movements. You select
the movement in Core:Tx as the first step to setting up an
activity.
Key Steps for Using Core:Tx
You should complete the following steps to properly set up and use
the Core:Tx hardware and software for an activity. These steps
assume that you want to work with information for a specific
patient and save the patient’s results.
To use Core:Tx:
1Connect the base station to your computer.
•For more information, see “Connecting the Base Station”
on page 10.
2Start Core:Tx and log in.
•For more information, see “Starting Core:Tx” on page11.
3Create patient data or open patient data.
•For more information, see “Creating New Patient Data” on
page 20 or “Opening Patient Data” on page 20.
4Set up an activity.
•For more information, see “Setting Up an Activity” on
page 31.
5Position the transceiver on the patient and have the patient
perform the activity.
•For more information, see “Performing an Activity” on
page 39.
18Core:Tx User Guide
6View results.
•For more information, see “Viewing Results” on page 51.
Exiting Core:Tx
You can exit Core:Tx at any time.
To exit Core:Tx:
•Click the X in the upper right corner of the Core:Tx window.
Technical Support
You can contact technical support for Core:Tx in the following
ways:
•Phone: 1.800.722.4749
•E-mail: support@performancehealth.com
2:Working with
Administrative
Functions
Core:Tx stores information about patient activity settings and
results in a database that contains all patient data.
You can perform the following tasks related to Core:Tx patient
data:
•Open patient data (See page 20.)
•Create new patient data (See page 20.)
•Edit patient data (See page 22.)
19
•Change the Core:Tx password (See page 23.)
•Export patient data (See page 24.)
•Import patient data (See page 26.)
•Back up the Core:Tx database (See page 28.)
•Delete patient data (See page 29.)
To perform any of the patient data tasks, you must enter the
Core:Tx password. Each time you return to one of these functions
using the Admin button in the navigation bar, the Admin. Login
panel displays and you must enter the password. If you do not
know the password, use the Cancel button to activate the buttons
in the navigation bar.
20Core:Tx User Guide
Opening Patient Data
You can open existing patient data that contains the activity
settings and results from previous Core:Tx sessions.
To open patient data:
1Use the arrow keys to select Admin in the navigation bar and
press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Admin. Login panel displays.
2Enter your password and press space bar.
•The Admin panel displays.
3Use the arrow keys to select Open Patient Data and press space
bar.
•The Open Patient Data window displays, showing a list of
patients whose data is stored in your Core:Tx database.
4Use your mouse to select the patient you want and click OK.
•The system populates Core:Tx with the patient’s last
activity settings and returns to the Admin panel.
Creating New Patient Data
You can create new patient data to store activity settings and r esults
for a new patient.
To create new patient data:
1Use the arrow keys to select Admin in the navigation bar and
press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Admin. Login panel displays.
2: Working with Administrative Functions21
2Enter your password and press space bar.
•The Admin panel displays.
3Use the arrow keys to select New Patient Data and press space
bar.
•The New Patient Info. panel displays.
4In the First Name text box, ente r the patient’s first name.
5In the Last Name text box, enter the patient’ s last name.
6In the Notes text box, enter any additional information you
want to store about the patient.
7Use the arrow keys to select Save Name and press space bar.
•The Save Patient Info? window displays, with the
information you entered.
8Click OK to save the patient data.
•The system saves the patient’s data and returns to the
Admin panel.
•If the patient’ s name already exists in the Core:Tx database,
a message displays telling you that the patient already
exists. If this is the same patient, click Cancel and open the
patient’s information. For more information see “Opening
Patient Data” on page 20. If this is a different patient with
the same name, enter a middle initial in the First Name text
box or some other character in the First Name or Last
Name text box to distinguish the two patients.
•To cancel the new data, click Cancel.
22Core:Tx User Guide
Editing Patient Data
You can edit the patient data to change the patient name or add
notes, as needed.
To edit patient data:
1Use the arrow keys to select Admin in the navigation bar and
press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Admin. Login panel displays.
2Enter your password and press space bar.
•The Admin panel displays.
3Use the arrow keys to select Edit Patient Info and press space
bar.
•The Edit Patient Info. panel displays.
4Use the Tab key until the cursor is in the text box you want to
edit.
5Edit the information as needed.
6Use the arrow keys to select Save Name and press space bar.
•The Save Patient Info? window displays, with the
information you entered.
7Click OK to save the patient data.
•The system saves the patient’s data and returns to the
Admin panel.
•To cancel the edits, click Cancel.
2: Working with Administrative Functions23
Changing the Core:Tx Password
You can change the Core:Tx password. Core:Tx uses one password
for access to all patient data. If you change the password, be sure
that you write it down and store it in a safe place.
To change the Core:Tx password:
1Use the arrow keys to select Admin in the navigation bar and
press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Admin. Login panel displays.
2Enter your password and press space bar.
•The Admin panel displays.
3Use the arr ow keys to select Change Password and press space
bar.
•The Change Password panel displays.
4In the Old Passwor d field, enter your current Core:Tx
password.
5In the New Password field, enter a new password.
6In the Verify New Password field, enter the new password
again.
7Use the arrow keys to select Save Password and press space
bar.
•The system confirms that it saved your new password.
•To cancel the new password, select Cancel and press space
bar. This exits the Change Password panel and does not
save your new password.
8Press space bar.
•The system returns to the Admin panel.
24Core:Tx User Guide
Exporting Core:Tx Patient Data
Core:Tx stores patient data in a database. You can export Core:Tx
data for one or more patients from the database. You may want to
do this if you need to share Core:Tx data with another Core:Tx
user or with the patient, or if you are moving Core:Tx to another
computer.
After you export the patient data, you can import it into Core:Tx
on another computer. For more information, see “Importing
Core:Tx Patient Data” on page 26.
To export patient data:
1Use the arrow keys to select Admin in the navigation bar and
press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Admin. Login panel displays.
2Enter your password and press space bar.
•The Admin panel displays.
3Use the arrow keys to select Export and press space bar.
•The Core:Tx Export Patient Data window displays.
2: Working with Administrative Functions25
4Select the option you want.
To create a new data fileTo add to an existing data file
1 Use the arrow keys to select
New External Data and press
space bar.
• The Save As window
displays.
2 From the Save In drop-down
list, select the drive where you
want to store the exported data.
• The folders on the drive
display below.
3 Navigate the list of folders and
open the folder where you want
to store the data.
4 In the File Name field, enter a
name for the file.
• The file will automatically be
assigned the .pht extension.
5 Click Save.
• The Core:Tx - Export window
displays, with a list of
patients whose data you can
export.
1 Use the arrow keys to select
Existing External Data and
press space bar.
• The Open window displays.
2 From the Look In drop-down
list, select the drive where the
existing file is.
• The folders on the drive
display below.
3 Navigate the list of folders and
open the folder where the
existing file is.
4 Select the existing data file.
5 Click Open.
• The Core:Tx - Export window
display, with a list of patients
whose data you can export.
5Fr om the list on the left, select the patient whose data you want
to export.
•You can select more than one patient by holding down the
Ctrl key while clicking each patient name. You can select a
range of contiguous names by holding down the Shift key
and clicking the first name in the range, then clicking the
last name in the range.
6Click Export.
•The selected patient names move to the list on the right.
26Core:Tx User Guide
7Click Done.
•Core:Tx exports the selected data to the file.
•If you export to an existing data file and the same patient
name appears in the existing data file and the data you are
exporting, Core:Tx merges the data.
Note
Core:Tx assumes that patients with the exact
same name are the same patient. The merged
data contains both the data you exported and the
data that already existed in the data file.
Importing Core:Tx Patient Data
Core:Tx stores patient data in a database. You can import Core:Tx
patient data that has previously been exported fr om Core:Tx or that
you backed up from Core:Tx. You may want to do this if you need
to share Core:Tx data with another Core:Tx user or with the
patient, or if you are moving Core:Tx to another computer.
The import process adds the patients to the current database. It
does not overwrite (delete) existing data in the database.
You must first export patient data from Core:Tx on another
computer or create a backup, then you can import it into Core:Tx
on your computer. For mor e information, see “Exporting Core:Tx
Patient Data” on page 24 and “Backing Up the Core:Tx Database”
on page 28.
To import patient data:
1Use the arrow keys to select Admin in the navigation bar and
press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Admin. Login panel displays.
2: Working with Administrative Functions27
2Enter your password and press space bar.
•The Admin panel displays.
3Use the arrow keys to select Import and press space bar.
•The Open window displays.
4From the Look In drop-down list, select the drive where you
stored the exported or backup data file that you want.
•The folders on the drive display below.
5Navigate the list of folders and open the folder where the data
is.
6Select the exported or backup file that has the data you want.
7Click Open.
•The Import/Export window displays, showing a list of
patients whose data is stored in the file.
8From the list on the right, select the patient whose data you
want to import.
•You can select more than one patient by holding down the
Ctrl key while clicking each patient name. You can select a
range of contiguous names by holding down the Shift key
and clicking the first name in the range, then clicking the
last name in the range.
9Click Import.
•The selected patient names move to the list on the left.
10 Click Done.
•The system adds the patients to your current Core:Tx
database and returns to the Admin panel.
28Core:Tx User Guide
Backing Up the Core:Tx
Database
Core:Tx stores patient data in a database. You can back up the
database to removable media such as a floppy disk, compact disc
(CD), or flash drive (a small storage device that connects to a USB
port). This lets you store the data in another location for safe
keeping or move the entire database to an other computer where
you want to use Core:Tx. We recommend backing up your data
regularly.
After you back up the Core:Tx database, you can import the
backup file into Core:Tx. You may want to import the database
from a backup file if you lost your original database because of a
hardware failure, or if you want to move the database to another
computer. For more information, see “Importing Core:Tx Patient
Data” on page 26.
To back up the Core:Tx database:
1Use the arrow keys to select Admin in the navigation bar and
press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Admin. Login panel displays.
2Enter your password and press space bar.
•The Admin panel displays.
3Use the arrow keys to select Backup Core:Tx Database and
press space bar.
•The Save As window displays.
4From the Save In drop-down list, select the drive where you
want to store the backup.
5If necessary, navigate to the folder where you want to stor e the
backup.
6In the File Name field, enter a name for the backup file.
2: Working with Administrative Functions29
7Click Save.
•The system saves a copy of your Core:Tx database to the
selected location and returns to the Admin panel.
Deleting Patient Data
You can delete all of a patient’s data from the database if you no
longer need that patient’s data.
To delete patient data:
1Use the arrow keys to select Admin in the navigation bar and
press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Admin. Login panel displays.
2Enter your password and press space bar.
•The Admin panel displays.
3Use the arrow keys to select Delete Patient Data and press
space bar.
•The Delete Patient Data window displays, showing a list of
patients whose data is stored in your Core:Tx database.
4Use the arrow keys to select the patient whose data you want to
delete.
5Click Delete.
6Click OK.
•The system deletes the patient’s data from the Core:Tx
database and returns to the Admin panel.
30Core:Tx User Guide
31
3:Setting Up an Activity
After you start Core:Tx and open or create patient data, you are
ready to set up an activity. When you open patient data, the activity
settings default to the last settings you used for that patient.
You can configure the following settings related to a Core:Tx
activity:
•Movement—Make this selection first, because it sets defaults
for the other settings. (See “Selecting a Movement” on
page 31.)
•Mode (See “Selecting the Activity Mode” on page 32.)
•Audio (See “Turning the Audio On or Off” on page 33.)
•Angle (See “Selecting the Activity Angle” on page 34.)
•Speed/Time/Repetitions (See “Selecting the Speed and Total
Time or Repetitions” on page 35.)
•Difficulty (See “Setting the Difficulty” on page 37.)
You can also save an activity’s settings as the default for the system.
For more information, see “Saving Activity Settings as the Default”
on page 38.
Selecting a Movement
A movement is a set of motions of a particular joint of the body. For
example, knee flexion/extension and hip abduction/adduction are
examples of movements.
You should select the movement in Core:Tx as the first step to
setting up an activity, because it sets defaults for the other activity
settings. You can change those default settings as needed.
32Core:Tx User Guide
To select a movement:
1Use the arrow keys to select Activity Setup in the navigation
bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Activity Setup panel displays.
2Use the arrow keys to select Movement and press space bar.
•The Movement panel displays showing a list of movements.
3Use the arrow keys to select the movement you want and press
space bar.
•The movement shows it is selected and the OK button
becomes active (turns orange).
4Press space bar.
•The system saves your selection and returns to the Activity
Setup panel.
Selecting the Activity Mode
The mode in Core:Tx controls the type of activity. You can set an
activity in Core:Tx to one of two modes:
•Monitor—Monitor Mode requires the patient to perform a
tracking exercise or to maintain a static position. When you set
the speed to greater than zero, the patient must move through
the selected range of motion. When you set the speed to zero,
the patient must maintain the selected joint position. This
mode shows the patient an eyepiece to keep over a disc. This is
the default mode for each movement.
•Challenge—Challenge Mode requires the patient to keep a ball
on the screen balanced between two opposing forces. When
you set the speed to greater than zero, the balance point moves
through the selected range of motion. When you set the speed
to zero, the balance point does not move.
3: Setting Up an Activity33
To select the Activity Mode:
1Use the arrow keys to select Activity Setup in the navigation
bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Activity Setup panel displays.
2Use the arrow keys to select Mode and press space bar.
•The Mode panel displays showing the two modes.
3Use the arrow keys to select the mode you want and press
space bar.
•The mode shows it is selected and the OK button becomes
active (turns orange).
4Press space bar.
•The system saves your selection and returns to the Activity
Setup panel.
Turning the Audio On or Off
You can turn the audio on or off depending on your preference and
environment. When on, the audio provides feedback to the patient
about the activity status. For example, the sound grows louder as
the amount of error increases and softer as the amount of error
decreases. The sound also changes pitch depending on which side
of the disc the eyepiece is (Monitor Mode) or on which side of the
target the ball is (Challenge Mode).
To turn audio on or off:
1Use the arrow keys to select Activity Setup in the navigation
bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Activity Setup panel displays.
34Core:Tx User Guide
2Use the arrow keys to select Audio and press space bar.
•The Audio panel displays.
3Use the arrow keys to select the option you want and press
space bar.
•The option shows it is selected and the OK button becomes
active (turns orange).
4Press space bar.
•The system saves your selection and returns to the Activity
Setup panel.
Selecting the Activity Angle
You can select the angle for the activity. Y ou can set the angle to any
setting you need for the exercise the patient will do.
To select the activity angle:
1Use the arrow keys to select Activity Setup in the navigation
bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Activity Setup panel displays.
2Use the arrow keys to select the Angle and press space bar.
•The Activity Angle panel displays, showing a graphic of the
angle and arrow buttons to adjust the angle. The graphic
has a vertical orientation when the angle is set to 0°. The
graphic has a horizontal orientation when the angle is set
to 90°.
3Use the arrow keys to select the arrow button you want and
press space bar until the angle is set.
•The graphic shows the selected angle and the OK button
becomes active (turns orange).
3: Setting Up an Activity35
4Press space bar.
•The system saves your selection and returns to the Activity
Setup panel.
Selecting the Speed and Total
Time or Repetitions
The speed setting determines how fast the disc (Monitor Mode) or
target (Challenge Mode) moves. A low number is slow; a high
number is fast.
You can set up a static activity by setting the speed to zero. This
means the disc (Monitor Mode) or target (Challenge Mode) on the
screen does not move.
A static monitor activity measures how well the patient maintains a
specific joint position while performing a selected activity. For
example, the activity can show how well the patient maintains the
lumbar spine in a neutral position while doing spinal stabilization
exercises. When you set up a static activity, you must establish a
“set position” after calibration. For more information, see
“Calibrating the Range of Motion and Starting the Activity” on
page 42.
A static challenge activity requires the patient to perform an
exercise while keeping the ball centered over a stationary target.
You determine the duration of an activity by selecting either the
total time or the number of repetitions. If you select a time,
Core:Tx calculates the number of repetitions. If you select the
number of repetitions, Core:Tx calculates the total time.
The conversion from repetitions to time or vice versa depends on
the selected speed. For example, for a given total time, a faster
speed will result in more repetitions. For a given number of
repetitions, a slower speed will result in a longer total time.
Core:Tx
36Core:Tx User Guide
Note
Remember that the transceiver senses r otation, not vertic al or
horizontal movement.
To select the speed and total time or repetitions:
1Use the arrow keys to select Activity Setup in the navigation
bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Activity Setup panel displays.
2Use the arrow keys to select Speed/Time/Reps and press space
bar.
•The Activity Speed/Time/Reps panel displays showing a
slider to adjust the speed and spin buttons to adjust the
time or repetitions.
3Use the right and leftarrow keys to move the slider to the
speed you want and press space bar.
•The Time or Repetitions option becomes active
(surrounded by a dotted box).
4Use the arrow keys to select Time or Repetitions and press
space bar.
•The option shows it is selected and the corresponding spin
button becomes active (turns orange).
5Use the arrow keys to set the amount of time or number of
repetitions and press space bar.
•The OK button becomes active (turns orange).
6Press space bar.
•The system saves your selection and returns to the Activity
Setup panel.
3: Setting Up an Activity37
Setting the Difficulty
The difficulty setting applies only when you are using the
Challenge Mode. For more information, see “Selecting the Activity
Mode” on page 32.
You can set the difficulty for an activity. This controls how difficult
it is to balance the ball and keep it over the target. We recommend
starting with low difficulty and working toward higher difficulty.
To set the difficulty:
1Use the arrow keys to select Activity Setup in the navigation
bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Activity Setup panel displays.
2Use the arrow keys to select Difficulty and press space bar.
•The Activity Difficulty panel displays showing a slider to
adjust the difficulty.
3Use the right and leftarrow keys to move the slider to the
difficulty you want and press space bar.
•The OK button becomes active (turns orange).
4Press space bar.
•The system saves your selection and returns to the Activity
Setup panel.
38Core:Tx User Guide
Saving Activity Settings as the
Default
You can save the current activity settings as the default for the
system when patient data is not open. This means that anytime you
go to the Activity panel without patient data open, these are the
settings you will see. This lets you quickly set up similar patients in
sequence, without having to open each patient’s data.
You can change the settings for the activity or save a new default at
any time.
When you open patient data, the activity settings default to the last
settings you used for that patient.
To save the activity settings as the default:
1Use the arrow keys to select Activity Setup in the navigation
bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Activity Setup panel displays.
2Use the arrow keys to select Save as Default and press space
bar.
•A confirmation window displays asking you to confirm that
you want to save the current settings as your default
setting.
3Press space bar.
•The system saves your selection and returns to the Activity
Setup panel.
39
4:Performing an Activity
Once you set up the activity, you are ready to have the patient
perform the activity.
Note
Be sure that you have the Core:Tx transceiver turned on
and in the proper location. For more information, see
“Positioning the Transceiver” on page 40.
For information about working with the Activity panel, see the
following topics:
•“Starting the Activity” on page 39
•“Understanding the Monitor Activity Screen” on page 44 or
“Understanding the Challenge Activity Screen” on page 46
•“Understanding the Audio Feedback” on page 48
•“Calibrating the Range of Motion and Starting the Activity” on
page 42
•“Understanding the Score” on page 48
•“Adjusting the Activity Settings” on page 49
•“Recalibrating the Range of Motion” on page 49
Core:Tx stores the activity results in the Core:Tx database. For
more information, see “Viewing Results” on page 51.
Starting the Activity
After you set up the activity the way you want it, you are ready to
start the activity. For more information about setting up an activity,
see “Chapter 3, Setting Up an Activity” on page 31.
40Core:Tx User Guide
You must perform the following tasks to start an activity:
1Position the transceiver on the appropriate part of the patient’s
body. (See page 40.)
2Calibrate the range of motion and start the activity in the
Core:Tx software. (See page 42.)
Positioning the Transceiver
The transceiver must be securely placed in the proper position
before the patient starts the exercise. Use the straps that came with
the Core:Tx to position the transceiver.
The knobs on the transceiver represent the axis of motion the
transceiver is able to detect. This gives you a visual reference for
proper alignment of the transceiver.
The axis should always be in parallel with the targeted joint axis.
For example, knee joint flexion/extension occurs around a coronal
axis. The transceiver should be placed so that its axis is oriented
along a coronal axis as well.
To position the transceiver:
1Make sure that the light on the transceiver is on.
•For information about turning on the transceiver, see
“Starting Core:Tx” on page 11, steps 1 and 2.
2Place the transceiver between the elastic bands of the
appropriate strap.
•For information about which strap to use, see the
appropriate exercise section in “Chapter 7, Lumbar
Stabilization in Sitting Position on Therapy Ball” on
page 59.
4: Performing an Activity41
3Pull the elastic bands around each end of the transceiver, one
band at a time, centering the transceiver button between the
elastic bands and facing outward.
Transceiver
Elastic band
Note
Make sure the transceiver is secure before
starting the exercise.
Elastic band
4Wrap the strap around the limb and put the free end through
the D-ring.
•For information about where to position the strap, see the
appropriate exercise section in “Chapter 7, Lumbar
Stabilization in Sitting Position on Therapy Ball” on
page 59.
•To extend the length of a strap, use the strap extension.
Loop the end of the extension marked “PHT” through the
D-ring of the strap and fasten the hook and loop. Secure
42Core:Tx User Guide
the other end of the extension to the hook and loop of the
strap.
5Pu ll the strap back an d secur e it on the hook and loop mat erial.
•The strap should fit comfortably but snugly around the
limb. Loose-fitting straps will affect reliability of the
scoring and feedback.
•Y ou ar e now r eady to calibrate the range of motion and start
the activity. For more information, see “Calibrating the
Range of Motion and Starting the Activity” on page 42.
Calibrating the Range of Motion and
Starting the Activity
After you position the transceiver, you must calibrate the range of
motion before you start the activity. This maps the range of motion
to what you see on the Core:Tx screen. You must calibrate the
range of motion at least once when you set up an activity.
For static activities (speed set to zero), you must also tell Core:Tx
the “set position.” This is the position of the joint that you want the
patient to maintain during the activity. For example, the activity
can show how well the patient maintains the lumbar spine in a
neutral position while doing spinal stabilization exercises.
If Core:Tx is not responding to motion or you find that you have to
recalibrate repeatedly while performing an activity, see “Motion
Does Not Display Properly on the Computer Screen” on page 55,
specifically the solutions listed for “Core:Tx does not respond to
motion.”
4: Performing an Activity43
To start the activity and calibrate the range of motion:
1In the Core:Tx software, use the arrow keys to select Activity
in the navigation bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Activity Panel displays, showing your settings on the
left side and the word Calibration in the center. The
eyepiece or ball is positioned at one end of the activity
graphic. For more information about the Activity panel, see
“Understanding the Monitor Activity Screen” on page 44 or
“Understanding the Challenge Activity Screen” on page 46.
2Have the patient move to one extreme of the range of motion.
•Typically, you want the patient’s movement to correspond
to the position of the eyepiece or ball. For example, on a
vertical activity (angle set to 0°), the patient should be at
the highest position when the eyepiece or ball is at the top
of the activity graphic.
3Press the button on the transceiver or press space bar.
•The eyepiece or ball moves to the opposite position.
4Have the patient move to the other extreme of the range of
motion.
•Typically, you want the patient’s movement to correspond
to the position of the eyepiece or ball. For example, on a
vertical activity (angle set to 0°), the patient should be at
the lowest position when the eyepiece or ball is at the
bottom of the activity graphic.
5Press the button on the transceiver or press space bar.
6If the speed is set to zero (a static activity), have the patient
move to the joint position you want maintained and press the
button on the transceiver or use the Set Position button in the
Core:Tx software.
•After you set the position, the Set Position button changes
to Start.
44Core:Tx User Guide
7When the patient is ready to start the activity, use the Start
button.
•After you start an activity, the Start button changes to
Pause. If you need to pause the activity for any reason, use
the Pause button.
•When you pause, everything stops at its current level,
including the eyepiece and disc position (Monitor Mode)
or the ball and target (Challenge Mode), time or repetition
countdown, and the score.
•When you are ready to resume, have the patient position
the eyepiece over the disc (Monitor Mode) or the ball over
the target (Challenge Mode), then use the Start button to
continue where you left off. After you pause the activity, the
Pause button changes back to Start.
Understanding the Monitor
Activity Screen
After you configure the activity settings, you can start the activity.
For more information, see “Setting Up an Activity” on page 31. Be
sure to position the transceiver on the patient correctly. For more
information, see “Positioning the Transceiver” on page 40.
For a Monitor Activity, the patient tries to keep the eyepiece
centered over the disc:
•For nonstatic activities, the disc moves along the rails based on
the speed and range of motion you set up. The patient must
perform the exercise you choose at a rate that keeps the
eyepiece centered over the disc through the full range of
motion.
•For a static activity, the patient performs an exercise keeping
the eyepiece over the disc, which does not move. A static
activity encourages the patient to maintain the proper joint
position while performing a selected exercise. For example, the
activity can show how well the patient maintains the lumbar
4: Performing an Activity45
spine in a neutral position while doing spinal stabilization
exercises.
Figure 6 shows the Monitor Activity screen and identifies its parts.
Shows the quality of the signal between the
transceiver and base station. More bars show a
good signal, similar to a cell phone. To improve the
signal, move anything that is between the
Use to start and
pause the activity.
Shows time and reps
for the current
activity.
Shows current score
and perfect score.
Shows the current
activity settings.
Use Activity Setup
to change them.
transceiver and base station.
Use to calibrate
the range of
motion.
Figure 6: Monitor Activity screen
Graphic showing the angle, range
of motion, and activity action.
DiscEyepiece
46Core:Tx User Guide
Understanding the Challenge
Activity Screen
After you configure the activity settings, you can start the activity.
For more information, see “Setting Up an Activity” on page 31. Be
sure to position the transceiver on the patient correctly. For more
information, see “Positioning the Transceiver” on page 40.
For a Challenge Activity, the ball does not directly represent the
patient’s position. The patient is essentially balancing the ball
between the magnets on the screen, and the ball is under the
influence of the magnetic force. The patient’s movement also
influences the movement of the ball. The patient must respond to
the ball’s movement away from the target, counteracting this
movement in a controlled manner.
Another analogy is balancing a broom in your hand. In this
analogy, the ball represents the bristles of broom that you ar e trying
to keep aligned with the target.
•For nonstatic activities, the target moves along the rails based
on the speed and range of motion you set up. The patient must
perform the exercise you choose and keep the ball centered
over the target through the selected range of motion.
•For a static activity, the patient performs an exercise keeping
the ball over the target, which does not move.
4: Performing an Activity47
Figure 7 shows the Challenge Activity screen and identifies its
parts.
Shows the quality of the signal between the
transceiver and base station. More bars show a
good signal, similar to a cell phone. To improve
the signal, move anything that is between the
Use to start and
pause the activity.
Shows time and reps
for the current activity.
Shows current score
and perfect score.
Shows the current
activity settings. Use
Activity Setup to change
them.
transceiver and base station.
Use to calibrate the
range of motion.
Figure 7: Challenge Activity screen
Graphic showing the angle, range
of motion, and activity action.
Ball
Target
48Core:Tx User Guide
Understanding the Audio
Feedback
The audio feedback gives patients cues about how well they are
doing, in addition to the visual feedback. When on, the audio
provides feedback to the patient about the activity status. For
example, the sound grows louder as the amount of error increases
and softer as the amount of error decreases. The sound also
changes pitch depending on which side of the disc the eyepiece is
(Monitor Mode) or on which side of the target the ball is
(Challenge Mode).
You turn the audio feedback on or off based on the patient’s
preference. Use Activity Setup to change the setting. For more
information, see “Turning the Audio On or Off” on page 33.
Understanding the Score
The score gives you and the patient a measure of how well the
patient is doing. The score measures how close the center of the
eyepiece stays to the center of the disc (Monitor Mode) or how
close the ball stays to the center of the target (Challenge Mode).
The higher the score, the better the patient performed.
The following factors increase the score:
•Total time—Performing the activity fo r a longe r tim e.
•Performance level—Performing the activity better, that is, more
consistently keeping the ball or eyepiece centered.
•Difficulty (Challenge Activity only)—Performing an activity at
a higher difficulty setting.
The activity panel shows both the patient’s score and possible
maximum score, giving the patient a goal to work toward.
4: Performing an Activity49
Adjusting the Activity Settings
You can adjust any of the settings for an activity whenever you
want to vary the activity. You may find that the settings are too
difficult or too easy, or you may want to change to a different type
of activity.
To adjust the activity settings:
•Use the arrow keys to select Activity Setup on the left side of
the Activity panel or in the navigation bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Activity Setup panel displays with all of the available
setting buttons. For information about setting up an
activity, see “Setting Up an Activity” on page 31.
Recalibrating the Range of
Motion
You can recalibrate the range of motion if you adjust the
transceiver’s location or you want to change the range of motion. If
Core:Tx is not responding to motion or you find that you have to
recalibrate repeatedly while performing an activity, see “Motion
Does Not Display Properly on the Computer Screen” on page 55,
specifically the solutions listed for “Core:Tx does not respond to
motion.”
To recalibrate the range of motion:
•Use the arrow keys to select Calibrate on the left side of the
Activity panel and press space bar.
•For information about navigating in Core:Tx, see
•The Calibration panel displays. For information about
“Navigating in Core:Tx” on page 14.
calibrating the range of motion, see “Calibrating the Range
of Motion and Starting the Activity” on page 42.
50Core:Tx User Guide
51
5:Viewing Results
You can view the activity r esul ts for the cur rent patient a s a table or
trend chart. You can also print the results.
When you view results, the table or chart automatically displays all
of the patient’s results, starting with the first activity the patient
performed and ending with the last activity. If you want to display
results for a specific period of time, use the Start Date and End Date buttons as described below.
To view results:
1Use the arrow keys to select Results in the navigation bar and
press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Results panel displays.
2Use the arrow keys to select Start Date and press space bar.
•A calendar window displays.
3Using your mouse, select the month, year, and day you want
the data to start.
4Click OK.
5Use the arrow keys to select End Date and press space bar.
•A calendar window displays.
6Using your mouse, select the month, year, and day you want
the data to end.
7Click OK.
8Use the arrow keys to select Results Table or Trend Chart and
press space bar.
•The chart or table of results displays.
52Core:Tx User Guide
9If you want to print t he r esults displayed, use the arrow keys to
select Print and press space bar , then select the printer you
want and click Print.
6:Troubleshooting
The following sections describe some of the issues th at may arise as
you use Core:Tx, along with solutions.
If you cannot find a solution using this information, you can
contact technical support for Core:Tx in the following ways:
•Phone: 1.800.722.4749
•E-mail: support@performancehealth.com
Installation and Password Issues
Problem or symptomSolution
I put the installation CD
in my computer’s drive
and nothing happened.
A message displays
during installation that
says my computer does
not meet the minimum
system requirements.
I have forgotten my
Core:Tx password.
Double-click the My Computer icon on your
computer desktop, double-click the CD-ROM drive that contains the Core:Tx installation CD,
then double-click the setup.exe file.
Your computer is currently unable to run
Core:Tx. You must upgrade your computer’s
memory, video card, disk space, or screen
resolution as indicated in the message
Use the original Core:Tx installation CD to recreate your password.
53
54Core:Tx User Guide
Transceiver Light Blinks or Does
Not Come On
Problem or symptomSolution
T ransceiver light blinks at
a fast, steady rate.
T ransceiver light blinks at
a slow, steady rate.
Transceiver does not
come on when I push the
button.
1 Ensure that the base station is connected to
the computer with the USB cable.
2 Place the transceiver on a solid, flat surface
near the base station.
3 Do not move it until the light is on, without
blinking.
• This typically takes less than 30 seconds,
but may take as long as three minutes.
For more information, see “Starting Core:Tx” on
page 11, steps 1 and 2.
Replace the batteries in the transceiver.
For more information, see “Inserting the
Batteries into the Transceiver” on page 8.
Check that the three AAA batteries in the
transceiver are charged and installed properly.
For more information, see “Inserting the
Batteries into the Transceiver” on page 8.
6: Troubleshooting55
Motion Does Not Display Properly
on the Computer Screen
Problem or
symptom
Core:Tx does not
respond to motion.
Solution
1 Make sure the transceiver is properly oriented so
that its axis of motion, shown by the knobs, is
aligned with the joint’s axis of motion, as
described in “Positioning the Transceiver” on
page 40.
2 Make sure the base station is connected to the
computer’s USB port.
• If it is not connected, close the Core:Tx
software, connect the base station, then restart
the Core:Tx software.
• For more information, see “Connecting the
Base Station” on page 10.
3 Make sure the transceiver light is on and not
blinking.
• If it is not on or it is blinking, see the
appropriate solution in “T ransceiver Light Blinks
or Does Not Come On” on page 54.
4 Ensure that the base station lights are both on.
• If both are off, it is not powered by the
computer. Connect the base station to the
computer’s USB port. For more information,
see “Connecting the Base Station” on page 10.
• If one is on and one is off, it is not receiving a
signal from the transceiver. Check the
transceiver and see the appropriate solution in
“Transceiver Light Blinks or Does Not Come
On” on page 54.
• If the problem remains, perform the link-up
process as described in “Linking Up the
Transceiver and Base Station” on page 56.
56Core:Tx User Guide
Problem or
symptom
Activity graphics are
jerky or do not have
good detail.
Movements on the
screen do not match
your transceiver’ s
movements
Solution
Your computer may not have a graphics card that is
able to display the graphics that Core:Tx uses. The
system will work properly, but the display on your
screen will not look as good as it can.
Your Core:Tx base station may be picking up signals
from a transceiver being used by another person.
Ensure that the transceiver and base station you are
using are linked to each other as described in
“Linking Up the Transceiver and Base Station” on
page 56.
Linking Up the Transceiver and
Base Station
If you have received a replacement transceiver or base station, you
must perform the link-up process the first time you use the new
component. This process ensures that the transceiver and base
station “speak the same language” to each other. We call this
process linking up.
You may also need to perform this process if technical support
personnel tell you to do so.
To link up the transceiver and base station:
1B e s ure that the base station is connected to your computer.
•For more information, see “Connecting the Base Station”
on page 10.
2Start the Core:Tx software.
•For more information, see “Starting Core:Tx” on page11,
starting with step 3.
6: Troubleshooting57
3In the Core:Tx software, use the arrow keys to select Admin in
the navigation bar and press space bar.
•For information about navigating in Core:Tx, see
“Navigating in Core:Tx” on page 14.
•The Admin. Login panel displays.
4Enter your password and press space bar.
•The Admin panel displays.
5On the transceiver, press and hold the orange button for 5
seconds or until the light on the transceiver starts blinking 3
times with a pause and repeating.
6Release the orange button.
7Use the arrow keys to select Link-up and press space bar.
•The Link-up panel displays. While the base station and
transceiver attempt to link up, the signal strength icon will
be yellow.
•When the signal strength icon turns green, the link-up
process is complete.
•If the signal strength icon turns red, r eplace the batteries in
the transceiver, then repeat steps 5 through 7. For more
information, see “Inserting the Batteries into the
Transceiver” on page 8.
8If the signal strength icon remains red, contact technical
support.
•For more information, see “Technical Support” on page 18.
58Core:Tx User Guide
7:Core:Tx Exercise
Introduction
This section includes many exercises that you can easily
incorporate into your current treatment plans. The exercises are
presented with charts and illustrations for quick setup. In addition,
the exercises are organized by body part for quick and easy
reference.
The uses of Core:Tx listed in this section represent only a portion
of the possible applications. Use the templates starting on page 162
to document your own ideas for using Core:Tx. In addition, you
can submit your Core:Tx solutions to Performance Health
Technologies via e-mail at support@performancehealth.com.
59
Instructions
Explanation of Setup Tables
Each exercise in this section has a setup table that suggests typical
Core:Tx settings. You can view and change the settings listed in the
table in either the Activity Setup screen or the Activity screen, as
listed in the table.
60Core:Tx User Guide
Shoulder Internal/External
Rotation in 0 Degrees Abduction
Purpose of Exercise: To promote neuromuscular control of the
rotator cuff. Gravity-neutral positioning may be appropriate for
acute or weak patients.
Preparation/Positioning: The patient may be seated or standing.
Apply the Core:Tx transceiver to the patient’s distal forearm, as
shown above, with a dark gray strap. Instruct the patient in the
desired movement and set up the activity as shown below.
CalibrationTo available ROMTo available ROM
Set Position--To preference
Variations:
•Use a weighted pulley system or resistive bands for advanced
patients. Core:Tx can provide the patient with constant
feedback to promote controlled movement during resisted
exercise.
62Core:Tx User Guide
•Use progressive increases in calibrated range in Monitor Mode
to emphasize increased ROM. Begin by having patients work in
their comfortable range, then recalibrate and repeat the activity
with slightly larger ROM.
•Increase Challenge Mode speed to 5 to have the patient work
on neuromuscular training through a larger ROM.
Shoulder Internal/External in
Abducted Position
Purpose of Exercise: To promote neuromuscular control of the
rotator cuff. This exercise activates the rotator cuff in a more
challenging position of abduction.
Preparation/Positioning: The patient may be seated or standing.
Apply the Core:Tx transceiver to the patient’s distal forearm, as
shown above, with a dark gray strap. Instruct the patient in the
desired position and movement and set up the activity as shown
below.
CalibrateTo available ROMTo available ROM
Set Position--To preference
o
0
o
0
0
(static)
Variations:
•Use a weighted pulley system or resistive bands for advanced
patients. Core:Tx can provide the patient with constant
feedback to promote controlled movement during resisted
exercise.
64Core:Tx User Guide
•Use weighted balls.
•Increase Challenge speed to 5 to have the patient work on
advanced neuromuscular training throughout a larger ROM.
7: Core:Tx Exercise Instructions65
Shoulder Flexion/Extension
Purpose of Exercise: To promote neuromuscular control during
shoulder flexion. Exercise variations allow you to emphasize gains
in strength or motion as well.
Preparation/Positioning: The patient may be seated or standing.
Apply the Core:Tx transceiver to the patient’s distal forearm, as
shown above, with a dark gray strap. Instruct the patient in the
desired movement and set up the activity as shown below.
CalibrateTo available ROMTo available ROM
Set Position--To preference
Variations:
•Use Core:Tx for rhythmic stabilization. Have the patient
perform Monitor Mode with the speed at 0 (static.) Begin the
activity with the patient in the desired position, and have them
stabilize as you apply manual perturbation. Have advanced
patients hold a weight in their hand during the exercise.
•Perform this exercise with a dowel rod for self-assisted ROM.
To emphasize increased ROM, use progressive increases in the
calibrated range in Monitor Mode. Begin by having patients
work in their comfortable range, then recalibrate and repeat the
activity with a slightly larger ROM.
7: Core:Tx Exercise Instructions67
•Use hand weights or resistive bands for advanced patients.
Core:Tx can provid e th e p atient with constant feedback to
promote controlled movement during resisted exercise.
68Core:Tx User Guide
Shoulder Abduction/Adduction
Purpose of Exercise: To promote neuromuscular control during
shoulder abduction. Exercise variations allow you to emphasize
gains in strength or motion as well.
Preparation/Positioning: The patient may be seated or standing.
Secure the Core:Tx transceiver to the patient’s distal forearm, as
shown above, with a dark gray strap. Instruct the patient in the
desired movement and set up the activity as shown below.
CalibrateTo available ROMTo available ROM
Set Position--To preference
Variations:
•Use hand weights or resistive bands for advanced patients.
Core:Tx can provid e th e p atient with constant feedback to
promote controlled movement during resisted exercise.
70Core:Tx User Guide
•Use the calibration function of Monitor Mode to address a
specific portion of the patient’s ROM.
•Work in the scapular plane instead of the frontal plane.
7: Core:Tx Exercise Instructions71
•Perform in the “empty can” position.
•Use Core:Tx for rhythmic stabilization. Have the patient
perform Monitor Mode with the speed at 0 (static.) Begin the
activity with the patient in the desired position, and have them
stabilize as you apply manual perturbation. Have advanced
patients hold a weight in their hand during the exercise.
72Core:Tx User Guide
•Use a cane or dowel rod for self-assisted ROM. To emphasize
increased ROM, use progressive increases in the calibrated
range in Monitor Mode. Begin by having patients work in their
comfortable range, then recalibrate and repeat the activity with
a slightly larger ROM.
7: Core:Tx Exercise Instructions73
Shoulder Horizontal Abduction/
Adduction
Purpose of Exercise: To promote neuromuscular control during
horizontal abduction. Exercise variations allow you to emphasize
gains in strength as well.
Preparation/Positioning: Position the patient so the patient is bent
at the waist with proper alignment of the spine. A prone position
may be substituted if necessary. Apply the Core:Tx transceiver to
the distal forearm, as shown above, with a dark gray strap. Ensure
that the transceiver axis is parallel to the targeted joint axis.
Instruct the patient in the required movement and set up the
activity as shown below.
CalibrateTo available ROMTo available ROM
Set Position--To preference
o
0
o
0
Variations:
•Use hand weights or resistive bands for advanced patients.
Core:Tx can provid e th e p atient with constant feedback to
promote controlled movement during resisted exercises.
7: Core:Tx Exercise Instructions75
•Have the patient perform active scapular retraction prior to
performing horizontal abduction/adduction.
•Perform with bilateral upper extremities in a standing position
with tubing for resistance.
76Core:Tx User Guide
Elbow Flexion/Extension
Purpose of Exercise: To promote neuromuscular control during
elbow flexion/extension. Exercise variations allow you to
emphasize gains in strength or motion as well.
77
Preparation/Positioning: The patient may be seated or standing.
Apply the Core:Tx transceiver to the distal forearm, as shown
above, with a dark gray strap. Instruct the pati ent in the desired
movement and set up the activity as shown below.
CalibrateTo available ROMTo available ROM
Set Position--To preference
Variations:
•Use hand weights or resistive bands for advanced patients.
Core:Tx can provid e th e p atient with constant feedback to
promote controlled movement during resisted exercises.
•To emphasize increased ROM, use progressive increases in
calibration range in Monitor Mode. Begin by having patients
work in their comfortable range, then recalibrate and repeat the
activity with slightly larger ROM. Use this technique as a
warm-up prior to manual stretching and mobilizations.
79
•Perform elbow flexion/extension in closed-chain, wall push-up
position. For this application place the Core:Tx transceiver on
the proximal forearm as shown below.
80Core:Tx User Guide
Forearm Pronation/Supination
Purpose of Exercise: To promote neuromuscular control during
forearm pronation and supination. Exercise variations allow you to
emphasize gains in strength or motion as well.
Preparation/Positioning: The patient may be seated or standing.
Apply the Core:Tx transceiver to the distal forearm, as shown
above, with the light gray strap. Instruct the patient in the desired
movement and set up the activity as shown below.
CalibrateTo available ROMTo available ROM
Set Position--To preference
Variations:
•Use hand weights, resistive bands, or hand tools for advanced
patients. Core:Tx can provide the patient with constant
feedback so that the patient uses controlled movement during
resisted exercises.
•To emphasize increased ROM, use progressive increases in
calibration range in Monitor Mode. Begin by having patients
work in their comfortable range, then recalibrate and repeat the
activity with slightly larger ROM. Use this technique as a
warm-up prior to manual stretching and mobilizations.
82Core:Tx User Guide
Wrist Flexion/Extension
Purpose of Exercise: To promote neuromuscular control during
wrist flexion and extension. Exercise variations allow you to
emphasize gains in strength or motion as well.
Preparation/Positioning: The patient may be seated or standing
with the forearm supported. Apply the Core:Tx transceiver to the
dorsum of the hand, as shown above, with a dark gray strap.
Instruct the patient in the desired movement and set up the activity
as shown below.
CalibrateTo available ROMTo available ROM
Set Position--To preference
Variations:
•Use hand weights or resistive bands for advanced patients.
Core:Tx can provide the patient with constant feedback so that
the patient uses controlled movement during resisted exercises.
•To emphasize increased ROM, use progressive increases in
calibration range in Monitor Mode. Begin by having patients
work in their comfortable range, then recalibrate and repeat the
activity with slightly larger ROM. Use this technique as a
warm-up prior to manual stretching and mobilizations.
84Core:Tx User Guide
•Limited wrist extension can be addressed in a closed-chain
position. Place the Core:Tx transceiver on the distal forearm
and place the patient’s palm on a table. By moving patient’s
forearm over a fixed hand, the pat i ent can achieve a localized
stretch into wrist extension.
85
Wrist Radial/Ulnar Deviation
Purpose of Exercise: To promote neuromuscular control during
radial and ulnar deviation. Exercise variations allow you to
emphasize gains in strength or motion as well.
Preparation/Positioning: The patient may be seated or standing
with the forearm supported. Apply the Core:Tx transceiver to the
ulnar aspect of the hand, as shown above, with a dark gray strap.
Instruct the patient in the desired movement and set up the activity
as shown below.
Activity Setup Screen
SettingMonitorChallenge
MovementWrist radial/ulnar
deviation
ModeMonitorChallenge
AudioOnOn
Angle
Speed40 (static)
Time/Reps2 minutes1 minute
90
o
Wrist radial/ulnar
deviation
o
90
86Core:Tx User Guide
Activity Setup Screen
SettingMonitorChallenge
Difficulty--1 (beginners)
Activity Screen
SettingMonitorChallenge
CalibrateTo available ROMTo available ROM
Set Position--To preference
Variations:
•Use hand weights or resistive bands for advanced patients.
Core:Tx can provide the patient with constant feedback so that
the patient uses controlled movement during resisted exercises.
•To emphasize increased ROM, use progressive increases in
calibration range in Monitor Mode. Begin by having patients
work in their comfortable range, then recalibrate and repeat the
activity with slightly larger ROM. Use this technique as a
warm-up prior to manual stretching and mobilizations.
87
Lumbar Stabilization in Sitting
Position on Therapy Ball
Purpose of Exercise: To address neuromuscular control of the
muscles stabilizing the lower back.
Preparation/Positioning: Apply the Core:Tx transceiver to the
patient’s lower back at the level of L4-5 using the lumbar strap as
shown above. Assist the patient into a seated position on the ball
and instruct the patient in bilateral arm lifts. After setting up the
activity, as shown below, assist the patient in finding a neutral
position of the spine prior to starting the activity.