ZMI Electronics ZSH00201200YPM User Manual

UniSmart

Handle

User Manual

UNISMARTTM HANDLE USER MANUAL

1. INTRODUCTION

2. THERAPY

ADVANTAGES

3. SAFETY

4. P

RODUCT CO

MPOSITION

5. INSTALLATION FOR USE

6. OPERATION INSTRUCTIONS

7. SPECIFICATION

S 29

8. LIST OF APPROVED EXERCISE BANDS FOR USE

WITH UNISMART HANDLE

9. T

ROUBLESHOOTING

10. M

ANUFACTURER & EU REPRESENTATIVE &

DISTRIBUTOR

TABLE OF CONTENTS

OBJECTIVITY

BIOFEEDBACK 5

CONTROL 5 DEFENDABLE DOCUMENTATION 6 CLINICAL BENIFITS 7

PRECAUTIONS 9 MAINTAINENCE 10

UNISMART HANDLE PRIMARY COMPONENTS 12 CONTROL PANEL 13 LCD DISPLAY 14

BAND GRIP RANGE 15 LABELLING 16

INSTALLATION OF ACCESSOIRES INSTALLATION OF BAND 19

UNISMART HANDLE HOW TO APPLY THE VARIOUS MODES TO CLINICAL PRACTICE 22 PC TRANSMISSION 27 BLUETOOTH PRINTER 27

UNISMARTTM HANDLE USER MANUAL

1. INTRODUCTION

The UniSmart Handle™ is designed to promote high-quality therapeutic exercise for physiotherapy patients, members of fitness/wellness centers and those exercising at home. Used with elastic exercise bands or tubes the UniSmartTM Handle is a practical and simple digital interface for resistive exercise.

When used by therapists the UniSmart Handles provides real-time feedback by displaying force and repetition data. This enables therapists to see and record the specific data needed for reliable, evidence-based exercise programmes that help maximize patient strength and function in the shortest period of time possible.

Use the UniSmart Handle to:

Guide strengthening exercises.

Objectively measure and set precise resistance levels.

Count and indicate the number of repetitions of a specific exercise.

Encourage quality exercise by setting resistance targets and using immediate audio & visual signals to cue range of motion and resistance targets.

Wirelessly transmit performance data from the UniSmart Handle to your Bluetooth® enabled computer.

Record detailed exercise information to document skilled therapy services.

For additional information and online education, please visit www.unismarthandle.com

UNISMARTTM HANDLE USER MANUAL

2. THERAPY ADVANTAGES

OBJECTIVITY

Therapists constantly face challenges that limit their ability to help patients achieve their therapy goals. Limited treatment times, an insufficient number of patient visits and capped payments can all affect successful patient outcomes. It is therefore vital that the therapist provides evidence-based treatments that are designed to maximize patient outcome in the shortest period of time.

Resistance exercises with elastic bands and tubes designed to improve muscle strength are one of the most essential and frequently provided forms of physiotherapy treatment. Research demonstrates that excellent muscle strengthening is achieved when specific exercise parameters, including body/limb position and range of motion, are precisely replicated each time the exercise is performed. Most critically, the intensity of the exercise (resistance level) must be sufficiently challenging to the patient, and as the patient strengthens over time, the resistance increased. In other words, to be effective the exercise must be both consistent and progressive; hence the term Progressive Resistance Exercise, (PRE)

Keeping track of specific exercise resistances is easy when using cuff weights, dumbbells, and weight machines because the amount of resistance, or weight, is usually clearly labeled. However, this objectivity currently does not exist when using resistive elastic bands.

When having patients exercise with elastic bands, the UniSmart™ Handle helps therapists simply and quickly determine specific exercise resistance by displaying the actual forces generated during each exercise.

When attached to a standard 10cm wide resistive elastic band, the UniSmart Handle displays the peak force generated by the patient (or therapist) during a single repetition. This information provides the therapist with detailed information needed to determine the optimal resistance appropriate for that exercise and patient.

UNISMARTTM HANDLE USER MANUAL

Strength exercise research suggests that when a patient momentarily fatigues a muscle group between 8 to 12 repetitions of a strength exercise, the resistance is roughly 70% to 80% of one repetition maximum (1RM). This intensity is recommended in many clinical exercise guidelines as it represents a level of difficulty that is not too stressful to patients yet sufficient to generate rapid strength gains. The UniSmart™ Handle helps therapists to determine an actual 1RM value used to calculate the specific targeted exercise intensity.

For example, if the patient’s 1RM is 5kg and the prescribed exercise intensity is 80% of RM, then the initial resistance load is 4kg.

In addition, research demonstrates that resistance must be progressed for muscles to strengthen. So, progressive increases in resistance levels are necessary over subsequent exercise sessions. The UniSmart Handle enables these increases to be made systematically and accurately. Let us look at how this is accomplished.

Seventy to 80% of a 1 RM is challenging enough so that when exercising at that intensity most people experience momentary muscle fatigue between 8 and 12 repetitions. If exercising to momentary fatigue, a patient demonstrates increased strength when they perform more repetitions at the same resistance level. If initially a patient fatigues between 8 and 12 repetitions and during a subsequent exercise session performs more than 12 repetitions, the intensity is then less than the target intensity of 70-80% of a 1 RM. Therefore after 12 or more repetitions the resistance should be increased. The challenge is to know when to increase the resistance and by how much.

Research suggests that when progressing resistance for those exercising from 70% to 80% of a 1RM the appropriate amount of an increase is 5%. An increase of 5% usually results in patients performing no fewer than 8 repetitions during the subsequent exercise session. Limiting the increase to 5% helps protect patients from over-exertion and ensures that they continue to exercise at the resistance range/dosage of 70% to 80% of 1 RM.

Here’s an example of how objective data from the UniSmart Handle can provide the objectivity necessary to present high-quality, evidence based strength exercise.

UNISMARTTM HANDLE USER MANUAL

A patient performs elbow flexion with the UniSmart™ Handle. During the initial exercise session, the therapist determines that the appropriate resistance for the patient is 5 kg. The patient fatigues during the 11th repetition. Because this is fewer than 12 repetitions the resistance is kept the same at 5 kg during the next exercise session. When performing the same exercise during the second exercise session, the patient fatigues during the 14th repetition. Since this is more than the 12 reps for the third exercise session; the resistance for the exercise is increased by 5% (. x 1.05) to 5.25 kg. The therapist chooses either a stronger level of band or sets the length of the band within the UniSmart™ Handle so the new resistance is level can be set at 5.25 kg. This is precise dosing of resistance helps optimize both patient safety and treatment outcomes.

BIOFEEDBACK

People typically perform at a higher capacity when they receive useful feedback relevant to their performance. Therapy patients are no different. The UniSmart™ Handle provides patients with specific feedback:

(a) The peak force of each repetition. (b) The number of repetitions performed. (c) Adjustable audio signals & synchronously visual signals to cue the patient when

repetition or peak force targets are achieved.

Furthermore, patients are naturally engaged and motivated by technology. While resistive elastic bands are ‘low-tech’ products and may be perceived by some patients as very simple form of exercise, they are none-the-less a very economical and user-friendly exercise tool. The UniSmart Handle adds not only clinical value

but sophistication to band exercise, thereby influencing patient perceptions and enhancing the professionalism of a therapy clinic.

CONTROL

Without close oversight and detailed monitoring, patients performing strength exercises with resistive elastic bands often use poor technique: this can be in the form of incomplete range of motion, inadequate (or excessive) resistance, and/or improper body/limb position and substitute movements. The UniSmart Handle

UNISMARTTM HANDLE USER MANUAL

technology, along with the band attachments, inherently encourages the performance of good-quality exercise. The UniSmart Handle provides patients with exercise targets, guiding patients with audio cues when resistance and/or repetition goals are achieved thus promoting high-quality resistance exercise.

DEFENDABLE DOCUMENTATION

Health Services, governmental agencies and medical insurance companies have steadily increased therapy documentation requirements. They want to see objective data that reflects progress, or lack thereof. This includes an increased focus on Therapeutic Exercise therapy procedures with reviewers closely scrutinizing if exercises are skilled in nature, versus rote unskilled activities. The UniSmart Handle provides essential, detailed resistance data and repetition figures that can be recorded at each therapy session to reflect the mindful and skilled therapy services provided to govern strength exercise. The reports produced by the UniSmart Handle clearly show the patient’s progress and can be printed out and when required attached to the patient’s record

The results of each strength exercise can be downloaded from the UniSmart Handle directly to a Bluetooth-enabled device such as a lap-top computer or a portable thermal printer. The captured information efficiently and effectively guides therapists to better tailor a patient’s treatment plan based on the logical progression of strength exercises. This level of detail can result in optimal therapy results, shorter time to maximal patient function and better clinical patient outcomes overall.

For example: Compare these two patient therapy notes describing a single strength exercise:

1. Elbow flexion performed with green band. 2 sets of 10. Increased

resistance from red band last week.

2. Elbow flexion performed with blue band using 3.15kg of resistance.

Patient receiving cues to insure full repetition each repetition. Resistance increased from 3 kg last week.

UNISMARTTM HANDLE USER MANUAL

CLINICAL BENEFITS

The UniSmart Handle can be used as part of an exercise programme to:

o Improve muscle strength o Improve gait o Improve muscle power o Enhance grip strength

o Improve range of motion o Improve cardiovascular function o Improve posture o Increase blood circulation o Improve balance and

proprioception

UNISMARTTM HANDLE USER MANUAL

3. SAFETY

o The UniSmart Handle should only be used with designated resistive bands.

NOT ALL BANDS ARE SUITABLE. A list of approved resistive bands is shown in Section 8 of this manual.

o Always follow the specific safety directions issued by exercise band

manufacturer.

o Be extra cautious when using exercises that involve stretching the resistive

band toward the face and head as sudden release of tension could cause injury to the face or eyes. Protective eyewear should be worn if performing this type of exercise.

o Avoid any exercise that could cause the patient or band user to lose balance

and fall if the band attached to the UniSmart Handle should suddenly snap or slip during the exercise.

o Avoid any exercise that could cause the patient’s limbs move rapidly back and

hit an close object or person should the band attached to the UniSmart Handle should suddenly snap or slip during the exercise.

o For patients using the UniSmart Handle as part of home therapy, it is very

important to instruct the patient on safe and proper use of the UniSmart set to avoid injury.

o Inspect the resistive band before use for small nicks, tears, or punctures that

may cause the band to break. If you find any such damage in the resistive band, discard the damaged band and replace with a new band before performing any exercises. Always examine the surface of the bands for signs of damage (i.e. cracks or tears) before use.

o Ensure a proper length of band to provide better user control and to avoid

high pull forces.

o Never use bands that have been cut down in width. o Make sure the resistive band is securely gripped and locked in the UniSmart

Handle or its attachment before use. (i.e. you will hear a ‘click’ sound when the clip is locked.)

o When using the accessories such as the door anchor or the extremity cuff,

make sure the accessory is fixed securely b frame. Always position the exerciser so that the door opens away from the user. If the door has a lock, lock it to prevent unexpected door opening by another person. Tug on the anchor to test for stability before exercise to make

etween the door and the door

UNISMARTTM HANDLE USER MANUAL

sure the anchor does not slip during exercise.

o Always use a fresh piece of band for each and every exercise session. o To avoid excessively high resistance levels do not use a band that is too short.

The minimum band length between the grips should always be greater than 30 cm.

o Some brands of exercise bands have a fine wax bloom or powder coating on

the surface or the band (this is to preserve the band) and this coating can affect the grip. Follow the band manufacturer’s instructions for cleaning any surface contamination from the band.

o If the resistance band is slipping from the band clamp, use a light wipe with

alcohol (isopropanol) to clean the inside face of the clamp grips. NEVER APPLY ACHOHOL OR OTHER ORGANIC SOLVENTS DIRECTLY ON THE BANDS, only to the clamp grip surfaces. If the clamp mechanism or the clamp faces are damaged in anyway contact your local UniSmart Handle agent for repair.

o Do not overstretch bands by more than 2 times its resting length. Example: a

30cm band should not be stretched to more than 90cm total length.

o Do not use the UniSmart Handle while charging the battery. The system will

beep and automatically turn off when the charge signal is detected

o Do not tamper with the casing or change/remove any of original parts. This

will VOID the warranty.

o Any changes or modifications not expressly approved by the party responsible

for compliance could void the user's authority to operate the equipment.

PRECAUTIONS

Always consult a physician or therapist before starting any exercise program.

U.S. Food and Drug Administration warns that Radio Frequency Identification Devices can cause malfunctions in Pacemakers and Cardioverter-Defibrillators. The UniSmart Handle can wirelessly transfer exercise data via Bluetooth transmission at Radio Frequency. Please keep a minimum separation distance of 2.5 cm when using the Bluetooth transmission.

To prevent possible disruption of function, keep UniSmart Handle at least 10 feet from microwave or shortwave diathermy equipment.

+ 23 hidden pages

ZMI Electronics ZSH00201200YPM User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual