BTE Technologies Evaluation and Rehabilitation System Manual
Customer Service BTE strives to provide exceptional customer service. To access a Customer Service Representative: Phone 800.461.6888 (9am-6pm EST Monday thru Friday) Cell 416.717.5789 (After-hours service) Fax 416.398.9108 Email service@bteco.
Class A Digital De vice This equip ment h as been tested and found to co m ply with the li mits for a Class A digit al dev ice, pursu ant to p art 15 o f the FCC Rules. These li m its are designed to provide re asonable protection against h armful inter ference when the equip m ent is operated in a commercial environ ment.
TABLE OF CONTENTS Important Information ..................................................................................... 9 Conventions and Symbols Used.................................................................... 12 Assembling the Equipment Upon Arrival...................................................... 13 Functional Range of Motion (FROM) Pegboard Assembly .......................... 26 The Basics in Using the ER System ..............................................................
Insurance Information .................................................................. 87 Statistical Inquiries ....................................................................... 87 Real Time Analysis ...................................................................... 88 Exporting Data ............................................................................. 90 Snapshots .................................................................................... 93 Forms Menu .........................
Validity Analysis .............................................................................................. 141 Reports............................................................................................................. 141 The BTE Dual Inclinometers........................................................................... 148 Performing Spinal Range of Motion Evaluations......................... 150 Guidelines to Locating the Landmarks.........................................
Placement for the BTE Digital Radio Frequency HR Monitor ..... 279 Body Positioning ............................................................................ 280 Heart Rate Receiver Testing .......................................................... 282 Recommended Care and Maintenance Schedule ......................................... 283 Transporting the Equipment .......................................................................... 285 End User License Agreement....................................
Important Information BTE Technologies Inc. - Baltimore 7455-L New Ridge Road Hanover, MD 21076 Telephone: Facsimile: (410) 850-0333 or (800) 331-8845 (410) 850-5244 BTE Technologies Inc – Denver 2390 East Crescent Parkway, Suite 120 Englewood, CO 80111 Telephone Facsimilie (720) 266-0123 or (800) 206-2972 (720) 266-0120 Internet Support Web Site: www.BTETech.com Customer Service Telephone: Email: (800) 331-8845 service@bteco.
Credits The following individuals were involved in the development of this manual. Elizabeth Chapman B.Sc.Kin.,CK Sarah Graham, B.Sc.Kin.,CK Jeries Hanoun, M.B.A David Lithwick B.Sc., B.A. Navin Ramrattan Tobi Weightman B. HSC Paul Zhang M.Sc.
testing any clients it is suggested a sample test be completed with a co-worker familiar with the system to improve your comfort with the system. Prior to initiating system use with a client, it is recommended that the physical health questionnaire be completed with the client along with an intake interview to determine if there are any medical contraindications.
Conventions and Symbols Used This instructional manual will use several common conventions to assist in the reading and understanding of the material presented. The following is a summary of the typographical conventions: Words you type appear in “quotations”. Buttons you click on with the mouse appear in a bold font. If a task requires you to choose from a menu, the manual separates menu commands with a vertical bar.
Assembling the Equipment Upon Arrival Your ER System will arrive on several skids. The shipping company will place the ER Platform (including the base and post) in the location you specify to them. The post is attached to the base by four screws with an Allen key. The Computer Management Stand is to be placed to the right of the system. The FROM pegboard may be placed anywhere in close proximity to the system (no more than 20 feet away). All the equipment must be assembled on a level surface.
Shelf 1 with keyboard 2 of the 1” screws are inserted into the rails along the inside of each side panel through holes in the holes in the top. Shelves 2 and 3 are identical in nature. Shelf 2 is attached to the two rails in the middle of the front of the stand with 2 of the 1” screws. This shelf will support the computer printer. Shelf 2, middle. Shelf 3 is attached to the bottom rails of the front of the stand with 2 of the 1” screws. This shelf will support the computer tower.
Shelf 3 (bottom, front). Shelf 4, the smallest of the shelves, is attached to the bottom rails on the back of the stand with 2 of the 1” screws. This shelf will support all of the masked weights. Shelf 4 (back). Close up of back, bottom shelf.
Shelf 1 Shelf 2 Shelf 3 The next step in the set up of the Computer Management Stand is the installation and mounting of all the other equipment. As mentioned earlier the computer monitor rests on the top shelf, the printer and computer speakers rests on the middle shelf, and the computer tower rests on the bottom shelf of the front of the stand. The back of the stand and both sides of the stand also hold numerous pieces of equipment.
The Data Acquisition Box is secured to the stand by mounting clips and tightened with an Allen key. The Allen key is provided with your system. The power cord for the Data Acquistion Box is fed through the side of the computer management stand to the power bar. The serial cord attaches to the back of the data acquisition box and is fed through the side of the computer management stand and connected into the serial port in the computer. Mounting Clips.
The back of the Computer Management Stand is designed to hold all of the attachments for the FOCUS and UTM. This includes all of the different kinds of handles (straight bar, wide handles, palmar handles, etc.) Use the picture below to see the optimum placement of the various attachments. The smaller shelf on the back of the stand holds the masked weights.
In order to connect the ER to the Computer Diagnostic System you will need the following items: ER Stand Computer 3 Black Coiled two-way Connector Cables (labeled 3E, 1B and 2T) One Data Acquisition Box One Computer Serial Cable One black AC power cord One heart rate monitor cable (with one round and one square end) When you are ready to begin, identify all of the above components, and then follow these steps: 19
Attaching the Upper Accessory Arm Cable Upper Cable (2T) on upper arm 2T insertion on the base of the ER system Base of the ER system 20
Attaching the Lower Accessory Arm Cable: 1B insertion at the base of the ER System 1B Cable for Lower Arm Base of ER System Connecting the FOCUS Load Cell Head to the Junction Box Load Cell Head connects to the 3E port on the junction box 3E insertion on the junction box at base of the ER stand Base of ER Stand 21 3E cord connects to port on the junction box
Connecting the Junction Box Components (Load Cell, Upper Shelf and Lower Shelf) to the Computer Stand This is the #3 cable which is attached to the number 3 port on the Data Acquisition Box. Port #3 This is the number 2 cable, which is plugged into the number 2 port on the back of the Data Acquisition Box.
This is the number 1 cable, which is plugged into port number 1 on the back of the Data Acquisition Box. A black plastic wrap is then used to secure the loose wires. Connecting the UTM to the Data Acquisition Box Within the packaging of your system, you will find one more gray serial cord with blue markings on it. This cable will be used to connect the Universal Task Master to the front of the Data Acquisition Box. Locate the back of the Universal Task Master (marked with a blue dot).
See below for the placement of the cables from the right and left load cells. Match the blue dots to attach the cable that connects to the Data Acquisition Box. Match dots and connect cord You have now connected the Data Acquisition Box to the computer stand. The Data Acquisition Box should now be in communication with the UTM. Setting Up Your Data Acquisition Box Take a moment to view the Data Acquisition Box. You will notice that the front of the box has nine outlets and a green light bulb.
The same is true on your computer tower. Simply take the opposite end of the serial cord and connect it to the proper port on the back of the CPU – this is also identified with a red dot for your convenience. Do not plug the serial cable into a converter and then into a USB port in the computer. To connect the power supply to your Data Acquisition Box, insert the single prong or pin into the “PS” port located at the rear of you Data Acquisition Box.
Functional Range of Motion (FROM) Pegboard Assembly List of Parts: 6 MTM Panels 1-6 (Each has Zone A, B, and C) 2 Brackets Top/Bottom 24-1/4” blk. washer 24-1/4 x 20 x 1 ¼ BHCS 30- Pin blk 1 5/32 Allen Key Installation 1. Locate your 5/32 Allen Key, 24 black washers and 24 1/ ¼ screws.
Locate the top and bottom brackets Top Bracket Bottom Bracket 27
Arrange the MTM Panels on the floor in the proper sequence. The order is as follows (from left to right): Panel 6, 1, 2, 3, 4, and 5. Place the top and bottom brackets so that the middle four MTM panels can be attached. You may want to move panel 6 and 5 aside for the time being. Panels 1-4 need to be attached using the 5/32 Allen Key, the 1 ¼ screws and the washers. Attach the top bracket to the panels prior to attaching the bottom bracket.
You may now tilt the FROM board into an upright position and place the 30 black pegs in one of the zones to prepare for testing. Once upright the FROM board can be located near the ER system, up to 20 feet away from the computer.
Once you have set up your system please complete the registration form and fax it to Customer Service at (416) 398-9108. If you have any difficulty assembling or using the system our Customer Service department can provide you with assistance by calling (800) 461-6888 X2. Please take the time to review the rest of this manual to better understand the Hanoun hardware and software. It is strongly recommended that evaluators using this system receive appropriate training and get certified as Hanoun Evaluators.
The Basics in Using the ER System If your system was purchased with a computer, the ODES software comes pre-installed and all the required software components should be unlocked prior to shipping. The following information will provide those evaluators with information on installing the software. Instructions for Software Installation Prior to loading the ODES software onto a computer please check to make sure your computer meets the minimum recommended software and hardware requirements.
Installing Please ensure that you have exited all programs prior to loading ODES 2004. Insert the ODES 2004 disk into the CD-ROM drive and wait a few moments. A screen will appear giving you a variety of choices. You may view a PowerPoint presentation about our systems (Human Performance Programs), install ODES 2004, view the ODES manuals or visit our website.
Click on Next to continue the installation process, or click Cancel if you need to close any currently running programs before continuing. Follow the instructions on the page in order to complete the installation. Please ensure that the following form is filled out correctly. The serial numbers need to be typed exactly as they are seen on the machine (i.e. FCE…). You can locate this serial number on your registration form or packing slip.
You may now choose to either Run Help From CD, or Install Help Files to Hard Drive. Generally, it is recommended that you select Run Help From CD to save hard drive space on your computer. The help files include a variety of manuals, marketing materials, and sample reports, which can help, get you started. Once you have made your selection click Next. You are now ready to install ODES 2004 onto your hard drive. Click on Next.
A page will appear which shows you how the installation is progressing.
During this process, a window entitled Hanoun Products will open. You may close this window – ODES will still continue installing in the background. Once the installation process is complete, your system will update its system configurations. A pop-up window will appear to notify you of this. After updating its configurations, a window will appear notifying you that the installation has been completed successfully. Click Finish.
You will need to restart your computer before you can begin to use ODES. Click OK. Once your computer has restarted, a new icon will appear on your desktop. To access ODES, simply double click on the following icon: You will now be required to register your software with the Customer Service Department at Hanoun Medical Inc. A pop-up window will ask you to contact Hanoun Medical to receive your password. Call (800) 461-6888 X2 and a Customer Service Representative will assist you.
After the password (“hanoun”) has been entered, the program will launch. It will now ask you to confirm the location of your ODES database, “Odes_Data2000.mdb”. Double click on this icon in order to proceed. The following introductory screen will now appear welcoming you to ODES. Once the program is initiated, the ODES main page will appear, which will allow you to access any feature of the ODES software.
The next step is to set up and become familiar with the Administrative features of the software.
Administration Menu Clinic Information The ODES software allows an evaluator to store Clinic Information and Logos, in order to personalize reports. ODES also has the ability to save multiple Clinic ID’s. To enter a clinic logo, double click on the Clinic Logo blank field. Locate the saved logo file on your hard drive. The logo can be in any graphic file format (.jpg, .gif etc.) and should be 8.1 cm x 2.0 cm, so that it doesn’t become distorted when attached to a report.
Practitioner Information The ODES software allows an evaluator to store practitioner information and digital signatures, in order to personalize reports. To add a practitioner, you must fill out the following fields: name, designation, occupation, and registration number (if applicable). Then click Add to add the practitioner to the database (the name will now appear at the bottom of the page).
To edit the health practitioner information, highlight the name to edit from the list and click on Edit. Once the changes have been made click on Add. Environmental Settings This page allows you to check communications between your Data Acquisition Box and your computer, change device settings, alter your voices, modify calibration options and turn on or off shelf heights. Clicking Auto will inform you whether the DAC Box is communicating with your computer or not.
The Device Settings section indicates which data acquisition box channel the various tools should be plugged into, based on the set-up of the software.
Using your mouse click the number 3 beside ‘F’ until the number displayed is 6. Once you close the Environment Settings page your settings will be saved. When you calibrate your equipment, you will notice the button for the Algometer is missing and you will only be required to calibrate the Algometer as the FOCUS. The Global Settings section allows evaluators to specify the country they are in, and the units of measurement to be used in printed reports.
To edit the users security level, highlight their name on the right hand side of the screen and click on Edit. Once the changes have been made click on Add. To delete a user, highlight their name and click on Remove. Import and Exporting in ODES The ODES software allows you to import and export data from one database to the other through the import/export function.
First select whether you would like to import to your current database or export data from your current database to another one. To import or export data from another database, select import. Click on the “Browse” button to locate the database you wish to import or export the data from. Highlight the database you wish to import or export the data from and click on the “Open” button. The database information will be now listed.
x o A list of employers will be provided for you to select from. No Clients o This selection will allow you to import/export all templates, custom tests, and super protocols.
deleting is the duplicate. Deleting tests means also deleting any test data in client’s files so be sure before you delete. It is recommended if you are going to be importing data obtained off-site to your main database that you export the main database (no clients) to the local database you will be using. When you import the data from your local database to the main database there will be no duplicates, as the software will recognize it as the same database.
must also indicate whether you will be importing all the templates in the source ODES database, or just the current template. Print the Job Demands Templates by clicking Print. The report can also be printed by clicking Export to create the report as a Word document (if you have Microsoft Office installed on your computer), or by creating a report Snapshot (see the Snapshot section of this manual).
To hibernate a test, highlight the test on the left hand side of the screen and click on Put into Hibernation. To bring a protocol back into the normal list of tests to slect, highlight the test from the right hand side of the screen and click on Awaken FromHibernation. Remove Current Case You may delete client cases by selecting the client/case that you would like to delete, and then clicking Remove Current Case. This information cannot be retrieved. A warning will appear prior to deleting data.
To calibrate your equipment, go to Calibration ~ Calibrate Equipment (If there is more than one type of Hanoun system used with this database, go to Calibration ~ Calibrate FOCUS). Calibration should take place once every week. Tips for Manual Calibration Ensure that the weights are stable and do not wobble. Ensure that the device is in a safe area away from the computer to prevent accidents (i.e.
Please ensure that the Hand Grip is plugged into PORT 4 on the Data Acquisition Box. After selecting the manual calibration option and the tool you wish to calibrate, the calibration page will display as follows. The above screen shows the last day of successful calibration (in this case it was April 17th), the type of calibration and the directions involved in manual calibration. In order to calibrate, first locate the correct attachment for the Hand Grip.
To finish calibrating, locate a weight in order to complete this portion of the calibration process. Use a minimal weight of 10 lbs in order to calibrate the device. Enter the amount of weight you have chosen in the blank field. Make sure to add in the weight of the calibration tool.
Once the weight is steady, click OK to begin the calibration. Do not hold the weight. It must be free standing. Once the device has been successfully calibrated, a page will be displayed requesting that the individual who completed the calibration enter their name. This can be done either manually or, if your name exists as a supervising practitioner in the database page, it will appear in the drop down menu.
You should also note that the calibration tool for the Pinch Grip has a weight of 0.3 lbs. This weight must be taken into consideration when calibrating the Pinch Grip. Once the weight is steady, click OK to begin the calibration. Once the device has been successfully calibrated, a window will appear requesting the name of the individual who just completed the calibration.
This page allows you to calibrate the Algometer manually. It indicates the last day of successful calibration (in this case it was never done), the type of calibration and the directions involved in manual calibration. In order to calibrate, you must first locate the correct attachments for the Algometer.
Flat Round Pad: Bolt: Calibration Tool Algometer and bolt: Attach the flat round pad to the base of the Algometer. Once attached, the Algometer can now stand on this round pad. The extra bolt located with your attachments can now be added to the top of the Algometer Attach the second calibration tool. Once the bolt is inserted and tightened you may click OK on the screen to signify that no force is being applied to the Algometer.
You are now ready to attach the calibration tool in order to finish manually calibrating the Algometer: Calibration Tool The calibration tool (above) has a weight that needs to be taken into account. The Algometer calibration tool weighs 0.3 pounds. Add this value to the total amount being applied to the tool. For example, the Algometer requires that a minimum of 25 pounds be used.
Once the device has been successfully calibrated, a screen will come up requesting the name of the individual who just completed the calibration. FOCUS Calibration Please ensure that the FOCUS Load Cell is plugged into PORT 3 on the Data Acquisition Box. To calibrate the accessory arm heights and the FOCUS Load Cell, select the “FOCUS” icon from the main calibration page. This page allows you to calibrate the FOCUS load cell and accessory arm heights manually.
Click OK adjacent to the Load Cell Calibration instructions. Each of the two ER accessory arms is calibrated separately. Follow the instructions listed under “Bottom Shelf Height” or “Lower Accessory Arm” to calibrate the lower accessory arm, then click OK. Once the device has been successfully calibrated, a screen will come up requesting the name of the individual who just completed the calibration.
ODES will display a sequence of tasks for calibrating the UTM. The UTM rotation is to be calibrated first. Follow the instructions on each line and click OK once the task has been performed. This moves the OK button to the next instruction line. Step #1: Set Bar Rotation Angle to Zero Degrees (Handles are closer to the ceiling) View from top of UTM.
Use this locking mechanism to rotate the bar. The bar rotates forward and down. Step #3 and #5: Set the Left Handle to the smallest setting. The same picture illustrates the right handle to the smallest setting. Step #4 and #6: Set Left Handle to the largest setting. The same picture illustrates the right handle to the largest setting.
Steps #7-#10: For supination/pronation: use the locking mechanism on the side of the load cells in order to move the handles into either supination or pronation positions. Remove the handles and click OK for NO force on the pressure scale.
Just before calibration of the Force Measurements, shown in the screen below, make sure to remove the left and right handles from the UTM. Enter the amount of weight that will be used to calibrate the left and right force scales in the appropriate fields before you click OK. You must use a minimum of 25 pounds and for convenience use the same weight for the right and left side. Calibrate one load cell, and then the other.
Whichever method is used, the same page will appear: From here, select the tool to be verified (in this case the Hand Grip) and you will be brought to the verification page. This page allows you to select the equipment being verified, shows the most recent date of passed verification and allows you to conduct the verification procedure. It is important to note that when verifying, a weight different than what was utilized for calibration be selected.
add in the value for the calibration tool if applicable. Set up the tool as you would for calibration. Click on Start Verification to start the process. Once the verification has taken place, the computer will notify you if the verification has been passed or failed. Regardless of passing or failing the verification, the computer will provide you with the difference between the actual and measured values. In order to be successful, the actual and measured values need to be within 0.
Calibration Reports To print or view the calibration and verification reports go to Calibration ~ Calibration Reports. Printed reports include the following information: x x x Name of person who performed calibration/verification Date when the calibration/verification occurred Actual weight, measured weight and deviation from accuracy of each device calibrated You may specify the print range for this report. Adding a Client In order to utilize the software, a client must first be entered.
Click on New Client to create a new client file. Enter a client’s general information into the form. This icon allows you to access a calendar Once all of the client’s general information is entered, click on Close, located in the bottom right hand corner. The minimum information required includes name, gender, birth date (click on the calendar icon to the right of the birth date to access a calendar) and dominant hand.
Adding a Client Case You will now need to create a new case for your client. Click on New Case. Within the client case screen you can enter information regarding ICD-9 codes, referral source, family physician, current medications, employer, insurance company, etc. Check in the drop down menu to see if the contact has been added previously. Adding in Family Physician/Specialist/Attorney/Referral Source/Insurance Company/Employer To enter in a new contact, double click onthe white box.
Client Photos ODES has the ability to store and incorporate client photos into reports. After a picture has been taken using a digital camera and saved to your hard drive, you may click on the large white box in the upper right hand corner of the Client Case page, or click on Picture at the bottom right hand corner of the page. This will allow you to find the client photo you wish to insert. Click on Browse and locate the picture through Windows Explorer and then Insert the photo into ODES.
Evaluator 1 and 2 The Evaluator 1 and 2 fields allow the evaluator(s) to enter their name and credentials into the Client Case page. Check in the drop down menu to see if the evaluator’s name has already been entered. To enter a new Evaluator, double click in desired field. Enter in the Evaluator’s name, designation, occupation and registration number.
Client Status The client status field is useful for keeping track of the number and type of assessments you have completed. Client status can be used as a criterion under Statistical Queries. From the drop down menu a number of selections are available. To add, edit or remove status information, double click on the blank Status field. You may now add, remove or edit client status information. On the Client Case page this information will be available in a drop-down menu.
Start/End Time The assessment start time and date are automatically logged on the Client Case page when you click on New Case. In order to record an end time, simply double click in the corresponding blank field once the assessment is completed. The current time will be entered into the field. You may also manually enter a time. Once this is done the evaluation time will be displayed on the cover sheet of your report. Adding in ICD-9 Codes ICD-9 codes can be stored within ODES for later use.
Areas of Complaint A client’s areas of complaint may be obtained by having the client complete the Pain Diagram or the Ransford Pain Diagram. To enter this information into the database, double click on the large Area of Complaint Information box or click Add in the Area of Complaint Information section of the Client Case page. A pain diagram will be displayed, which will allow you to enter in location information and pain descriptions.
After clicking on the diagram location where the client presents a complaint, complete the chart below. Once you have entered the information click Add, and it will appear on the Client Case page. Locking Cases This feature allows the evaluator to prevent other individuals from modifying a case. In order to utilize a locked case, a password must be entered. Please note that it is your responsibility to remember this password.
Once the Client Case page is completed, you may click the Close button located at the bottom right hand corner of the page. This will bring you back to the Client Information page. A case number will now be associated with your client. Click the Close button at the bottom right hand corner of the page in order to return to the main menu. Your client will now be listed in the drop-down menu underneath the Client Information button.
Finding a Client/Case ODES allows you to search by client name or client case. Click on Find a Client or Find a Case to access these options. You may search using any of the fields. To see the search results, click the binoculars icon located at the upper right hand corner of the page. Click on the arrow button to the left of the client’s name to open their file.
Adding a Test to a Client Once you had added your client into ODES you can assign tests to the client. From the main screen of ODES click on either Self Reports, Cardio, ROM Tests, Strength Tests, Work Sim Tests, or Clinical Test. You can either highlight the test on the left hand side of the screen and click on Add to Client or double click on the test on the left hand side of the screen and it will be automatically assigned to the client.
Removing a Test from a Client To remove a test from a client, highlight the test on the left side of the screen and click on Remove From Client.
Additional ODES 2004 Software Features Exploring The ODES Taskbar: File Menu Database Utilities This function allows you to switch between active databases, create a new database or rename an existing database. To open an existing database, go to File ~ Database Utilities, locate the correct database in the search results section, either by Browsing or Searching. To open the database, double click it so that the name appears in Database Location, and then click Open.
To rename a database, locate the database and double click it in the Search Results. The name of the database will appear under Database Location. Change the name here, then click Rename. The following window will appear to confirm the change. To create a blank database, change the name of the database in the database location field. This will be the name of your new database. Then, click Use Blank and confirm that this is the database you wish to create.
Compacting and Repairing A Database This feature repairs any small errors that may occur due to networking. Go to File ~ Compact & Repair Database to use this feature. It is recommended you compact and repair your database every one to two months. Backing Up Your Database To back up your database go to File ~ Backup Database. This feature ensures that if your computer is stolen or the hard drive fails you will be able to recover your client information and testing data.
Restore Database To restore a previously backed up database go to File ~ Restore Database. This feature allows you to restore a database that has been backed up to a floppy disk or hard drive. It will replace databases of the same name, however, so it is important to know what you are restoring before you overwrite any information. After you restore a database, you must use the Database Location field to find the newly restored database. Impairment ratings can be included in this process.
For Evaluator and CIRES systems, auto calibration can be set up. A floppy disk will be provided with the system for this purpose. Follow the instructions on the disk to install this feature. Depending on how the system is utilized, auto calibration will last up to 3 months. Following this time period, the factory settings are no longer accurate and manual calibration should be done. To auto calibrate, click Auto, then click the tool you wish to calibrate and follow the instructions.
Verifying Calibration To verify your calibrations, go to Calibration ~ Verify Calibrations (If there is more than one type of BTE system used with this database go to Calibration ~ Verify FOCUS). Verification should take place at the beginning of each day in order to make sure that the results are accurate. Click the tool you wish to verify and follow the instructions. Once you have completed verification, a window will prompt you to enter your name.
Statistics Menu Employer information Statistics ~ Employer Information provides a summary of all Employers that are stored within the Case Information section of the ODES database. The report can be printed, exported to a snapshot file format or exported to Microsoft Word (if Word is installed on the computer). Client Status Information Statistics ~ Client Status Information provides a summary of all Client Statuses.
Statistics ~ Client Information provides a summary of all client information that has been added to the database. The report can be printed, exported to a snapshot file format or exported to Microsoft Word (if Word is installed on the computer). Referral Information Statistics ~ Referral Information provides a summary of all referral sources that have been entered into the database.
Under report type, select Detailed to obtain a list of the clients, and select No Details to obtain the summary without client names. You may also choose multiple criteria to make your search more specific. The report can be printed, exported to a snapshot file format or exported to Microsoft Word (if Word is installed on the computer). Real Time Analysis Real Time Analysis is accessed by going to Statistics ~ Real Time Analysis. It allows you to analyze the data from each individual client in detail.
Real Time Analysis is a useful function for: Research Job Demands – You can see whether your client was able to obtain their required goal and whether or not they were able to sustain it over time (i.e. their percentage of decrease after peak value was obtained) Client Progress/Tracking Using Real Time Analysis In order to utilize the Real Time Analysis feature, select the protocol to analyze.
Peak Force, Peak Time and % Decrease are then used to analyze your data. You When analyzing multiple may also isolate your datatests, you can choose to graph trial 1, trial 2, trial 3 or the average values. in milliseconds to peak and milliseconds from peak Exporting Data ODES also allows its Multi-Cervical Users participating in International research with the Melbourne Protocol to export raw data into a program outside of ODES. This allows you to work with the data in a spreadsheet format if so desired.
Using The Export Function Select the type of testing data you wish to export Select the fields you wish to include when exporting Specify your target population or target dates Select a file name and a directory – your data will be saved as a text file here.
Once the data has been successfully exported, this message appears Locating Your Exported Data In order to locate the data that you just exported from ODES, you must first close the ODES software and return to your Windows desktop. Open the program that youexported the data to (i.e.
You information will now be put into Microsoft Excel Spreadsheet format (see below): Snapshots The snapshot function allows users to create “PDF-like” files from reports that can be emailed without compromising the validity of the document. A snapshot viewer executable file is bundled with the report file, which will allow individuals without ODES to view the reports (i.e. insurance companies, other offices, etc.).
In order to access the snapshot file for emailing, printing or saving to a floppy disk, you must first return to the ODES main page. Select Snapshot and the following page will appear. You may search for your snapshot by selecting Current Client, Today or All. In order to perform any function with the snapshot, you must double click the snapshot you wish to use so that it appears in the Report Snapshot field. You may now E-Mail the snapshot you selected, save it To Floppy disk, Remove it or View it.
Forms Menu A variety of questionnaires and forms are available for printing from the Forms menu. The client can fill out these forms and the information can be entered into the software manually later on. Utilities Menu Heart Rate Monitor This feature opens a window, which allows you to monitor a client’s heart rate even outside of a testing page. Click Capture to initiate the Heart Rate Report.
Heart Rate Report This report provides the evaluator with any heart rate information that has been manually entered into testing pages, or cardiovascular intake pages. It includes date, time, comments and the heart rate value. This report is not integrated with the report section of the software and must be printed from here and included as an appendix to the report.
When the assessment is complete, you may print off a sitting/standing tolerance report by going to UtilitiesŇ Sitting/Standing Tolerance Report. The following is an example of what you will see. The report includes total sitting or standing time, date, time and duration each position was maintained.
Post Offer of Employment Software (Optional Upgrade) The Post Offer of Employment software feature allows the evaluator to set the employment standards for an employer, generate a letter acceptable for the Human Resources department, and the ability to generate statistics on the hiring of a particular employer. To access the Post Offer of Employment Test software feature click on POET from the drop down menu.
Set Standards Select Set Standards from the drop down menu. Select the employer from the drop down menu. The employer must have been entered in a client’s case at least once for it to be available from the drop down menu. Next select the tests you are going to include in the Post Offer of Employment Test for this particular employer from the drop down menu.
From here you would include the External ID, if the results were being exported to a FAT file for synchronization with the employer’s computer system. Include the standards for the particular test in the white box (in this example it is “0”). Next you are required to select the comparison method for the standard you entered.
Click on Next to be taken to the next screen. Select the particular employer from the drop down menu and click Next.
If a Super Protocol was set up for the Post Offer of Employment Test, select it from the drop down menu at the top of the screen and then click on Select Tests. You can review the tests that are included then in the list below and the tests assigned to the particular Super Protocol you selected should be highlighted. Alternatively, you can select the particular tests from the list of tests. Once this step has been completed click on Next. Select whether you want to Preview the report or Print the report.
POET Summary Report The POET summary report will allow you to generate statistics on the number of POET tests completed for a particular employer for a particular date range. It will provide details on the number of tests completed and the number and percentage of males and females that passed and failed the tests. To generate a POET Summary Report select this option from the POET drop down menu. Click on Next to take you to the next screen.
Select the statuses you would like to collect data on. The status is assigned to the client’s case. Examples of statuses that are used for Post Offer of Employment Tests are: Candidate, Present Employee, Recall, Did Not Test, No Show. Select “Include employees with no status”, if you would like to include the data where the evaluator forgot to assign a status. Click on Next to continue to the next screen.
Next select the data range you wish to select the data from. Select whether you want to Preview the report or Print the report. Then click on Finish.
The following is an example of the report. Click on the printer icon to send the print job to the default printer. Click on Print Options to select which printer to send the report to. Click on Close to close out of this screen and return to the main screen of ODES or click on Export to export the report to Microsoft Office Word (if installed on computer) or to export the report to a Snapshot (see section of creating snapshots for further details).
Select whether you want to report to include the current client or all the client’s for a particular employer. Select the appropriate employer and click on Next.
Select the status of the client(s) and then click on Next.
If a Super Protocol was set up for the Post Offer of Employment Test, select it from the drop down menu at the top of the screen and then click on Select Tests. You can review the tests that are included then in the list below and the tests assigned to the particular Super Protocol you selected should be highlighted. Alternatively, you can select the particular tests from the list of tests. Once this step has been completed click on Next.
Select whether you want to Preview the report or Print the report. Then click on Finish. The following is an example of the report. Click on the printer icon to send the print job to the default printer. Click on Print Options to select which printer to send the report to.
Export POET Results This feature is used to export data to a FAT file to synchronize the data to the employer’s computer Select the Super Protocol for the employer to be exported and the date range of tests completed. Either type in the Export File Path or click on Browse to select where to export the file to. Type in what you would like to call the Export File.
Digital Capture Menu For those evaluators with access to a digital camera, a variety of pictures can be saved to your computer and input to the ODES software. You may use this feature to show a client performing tasks or exercises. Comments and headings can be added to each picture prior to printing them. Take the picture with the digital camera. Download the picture to your hard drive using your camera software. Use the binoculars button to locate the picture, then click Insert.
Help Menu Help Manuals If you have loaded the Adobe Acrobat reader and help manuals onto your hard drive from the ODES installation disk, you will be able to access them by going to Help ~ Help Manuals. If you have not loaded the Acrobat reader and Manuals to your hard drive, a window will prompt you to insert the ODES CD into your disk drive. To load the Adobe reader go to www.adobe.com to down the reader. About To access information on your system go to Help ~ About.
Templates Each of the note pages in ODES has a template section that allows the evaluator to create any number of templates. Using this feature the evaluator can have any field from the client and case information automatically populate a template when applied to the client’s file. For example, the client’s name, date of injury and injury locations could be brought into the note exactly where you designed the template to put them.
icon. Your template will now fill in the appropriate information for your client. In order to alter any remaining fields that have not been filled, use your tab button and make the necessary changes. Creating a Custom Template –To create a custom template click the template button on the note page to which you wish to add the template (i.e. History, Examination, etc.) Click NEW to create a new template.
Click Edit then select the new template (in this case Template 86) in order to add text and change the template name. ODES has multiple pre-programmed fields in order to help you build your template. These fields include names, times, dates, results, status, etc.
Begin by writing what you wish to include in the report, but use the merge fields in order to automatically query data. To use the merge fields, select the field from the Insert Field dropdown menu and click Insert. This will place the merge field in the template at the spot where your cursor was located. The merge field will have square brackets around it. You may create your own merge field by typing the possible options and placing square brackets around each one.
circumstances (i.e. normal, above normal or below normal). Click on delete to remove a selection or click on tab again to allow the selection to stay. Super Protocols Super Protocols can be created when you require a standardized protocol for testing (i.e. Post Offer of Employment Testing). They can also be used if you want to decrease the amount of time required to select specific tests for a specific injuries. You can create a Super Protocol in the same manner you would create a template.
Self Reports Menu Self Reports can be printed from the Forms menu or from the test page if the evaluator would like the client to them out on paper, with the exception of the Spinal Function and Hand Function reports. The client may also complete the reports on the computer. To view the results after the client has completed a report, click Show. To hide the results, if the client can see the computer screen, click Hide.
reliability and internal consistency. The evaluator has the option of printing a progress graph for the NDI once a minimum of two tests have been completed. The graph can be printed by clicking New Test from the testing page, then clicking Progress. Alternatively, the NDI progress graph will be included with a Progress Report if that report is printed (see the Reports section).
Symptom Intensity Rating The Symptom Intensity Rating Questionnaire is a tool in which the client rates their symptoms throughout a treatment program. Upon completion of more than one questionnaire, a graphical progress report can be printed. This questionnaire was designed for the Melbourne Protocol using the BTE Multi-Cervical Unit.
Waddell Signs The Waddell Signs test is a standardized assessment of behavioral responses to examination. When completing the Waddell tests, select ‘positive’ or ‘negative’ as per the test protocol. The score for the test can be found at the bottom of the page. Physical Demands Analysis This portion of the software is designed to gain additional information from your client regarding their pre-injury employment. It requires your client to describe their duties at work (as they perceive them to be).
You will be able to include section titles, which will let you add a score to them in the test screen. Add in the name for the Final Score Column. If you are entering ratings based on a research article, select the Rating Column and add in the name for the Rating Column. To add a rating complete the rating entries box and include the rating to and from. Click on Add to include the rating. You may also include any examiner or report descriptions here.
EPIC Hand Function Sort (Optional Upgrade) The purpose of the 62-item Hand Function Sort (HFS) is to quantify the disabled person's perception of their ability to perform work tasks that involve the hands and upper extremities. The HFS can be useful to provide a baseline measure of the client's perception of their functionality in everyday tasks prior to the onset of intervention.
Once the test is performed with a client, the results will be shown in a chart. The HFS is easily scored and yields a single "Rating of Perceived Capacity" which ranges from zero to 248. Three "internal validity check" drawings are included which are similar to drawings presented earlier. Normative values for both healthy and disabled males and females are provided in the HFS examiner's manual. Additionally, the Rating of Perceived Capacity score can be cross-referenced to the U.S.
The answer sheet provides a 5-point rating from "Able" to "Restricted" to "Unable." Operational definitions of these adjectives are provided in the standardized instructions. There is also a sixth rating, depicted as "?", which indicates "I don't know." The test is not timed and usually requires 8 to 10 minutes to complete. A technician can administer it by following the standardized instructions. Once the test is performed with a client, the results will be shown in a chart.
In a multi-site study of the California Functional Capacity Protocol (Matheson, et al, 1996), the authors demonstrated that SFS test results are closely linked to work capacity performance measures. Furthermore, the SFS provided the best single indicator of client effort. Cardiovascular Menu A variety of cardiovascular tests are included in the software for you to utilize. Astrand The Astrand protocol is a bike ergometer test used to determine a client’s aerobic capacity.
Bruce Treadmill The Bruce Treadmill test is used to determine a client’s aerobic capacity. Both the modified and standard protocol is available in the ODES software. Click on Standard or Modified on the top right hand corner of the screen to switch to the other protocol. Click on Start Timer when starting the test. Click on Pause Timer if the test must be paused to clarify to the client what they are required to do or for safety reasons.
Modified Canadian Aerobic Fitness Test The Modified Canadian Aerobic Fitness Test is used to determine a client’ aerobic capacity and the number of METs they can work at by stair climbing. Prior to completing the test the resting heart rate and blood pressure need to be entered under Cardiovascular Intake. As well make sure the client has completed a PAR-Q or health questionnaire to identify any contraindications to cardiovascular testing. The client should be wearing the heart rate monitor during testing.
The test will stop automatically when they have completed the protocol or click on Unable to Continue if the client voluntary stops the test. Click on Pause if you need to clarify instructions for the client. Once testing is completed the computer will calculate the client’s VO2 and MET level.
Single Stage Treadmill The Single Stage Treadmill test is used to determine a client’s aerobic capacity and MET level. The test is based on the treadmill’s speed and grade and so it is important the treadmill is calibrated regularly. Refer to your treadmill user manual for more details on this or contact the manufacturer. Prior to completing the test complete the Pre-Testing Heart Disease Questions. Contact the client’s physician for medical clearance if any of the answers are yes.
Customized Cardiovascular Tests From the Cardiovascular menu you may also create your own cardiovascular test by clicking New Test.
Include the parameters for the test based on the protocol you have selected. Click on Close to save the protocol. Creating a Non-Integrated Work Simulation Protocol Within ODES you have the ability to create either a non-integrated work simulation test. After clicking New Test, located on the Work Simulation Protocol screen, the following menu will be displayed: From this menu, select Custom Work Simulation Protocol.
Include the test name, test description, report description, initial settings (if any), number of trials, and column header name fields. If the test is timed, select “Create a timer for this test and optionally link it to a column.” Once the timer has been selected below the Column Header Names you will have access to buttons below the graphic locations called Timer Linkage. Click on the one where you would like the time linked to. Once the button has been clicked it will say Timer On.
Exercise Program/Cervical Conditioning a) Exercise Program ODES comes with a variety of pre-programmed exercises you can. include within your client’s program. You may click Perform Test to conduct the exercise, or print out a Report to allow the client to track their progress manually.
Click on Perform Test to enter information for the client’s exercise. The initial weight, sets, repetitions and other parameters can be entered in and the goals for the exercise. To add in a new exercise or work simulation protocol click on New.
Fill out the required parameters and click on Close to save the information. Comments All testing screens allow for evaluator comments to be added in. A box will be available on the screen or a Comments button can be clicked on. To enter notes, place your cursor in the larger blank text box. Type any information that you wish to include. If you wish to include to date prior to entering your note, click Insert Date n (located on the tool bar). The date will now appear in the text box.
You may also enter information into a template. This allows you to save popular phrases so that you do not have to re-enter them time and time again. To create a template, enter the information you wish to save in the smaller text box and then click Add to List: The new template will now appear in a dropdown menu.
Your information To insert this information into your note, select the template you wish to include from the menu and click Insert Into Note.
This section of the ODES software analyzes the validity of the testing performed on each client. Validity analysis compares results to expected results for all tests completed by a client, or for selected tests. This information provides details on what the expected result of the tests should have been, according to research and the actual result. Click Use All to collect information from all client tests; to select individual tests, use the dropdown menus.
Each report has different features. For example, a summary report only contains the actual raw data that is collected from testing (no verbal comments or information). On the other hand, a FOCUS Assessment will include all notes, comments and testing data that the evaluator wishes to include. Custom reports will let you change the name of the report. All information will be automatically pulled from the tests, making report writing efficient and time saving.
Finally, you can include contact information, change page specifications, include job demands and injury locations, etc. You may then preview your report, or send it directly to the printer.
MCRP Assessment: Allows you to select date range of data Allow you to add and remove client notes from the report Allows you to alter page numbers Allows you to address the report to the following: Referral, Insurance Company, Attorney, Client, Physician, Employer, Case Manager Allows you to include injury diagram and/or chart on the report Allows you to put the job demand on a separate page Allows you to add or remove page numbers from the report Allows you to include clients name at the bottom of each pag
Allows you to address the report to the following: Referral, Insurance Company, Attorney, Client, Physician, Employer, Case Manager Allows you to include injury diagram and/or chart on the report Allows you to put the job demand on a separate page Allows you to add or remove page numbers from the report Allows you to include clients name at the bottom of each page of the report Allows you to print or preview the report FCA Progress Assessment (non integrated) This report is designed to include only Non-Inte
Allows you to address the report to the following: Referral, Insurance Company, Attorney, Client, Physician, Employer, Case Manager Allows you to include injury diagram and/or chart on the report Allows you to put the job demand on a separate page Allows you to add or remove page numbers from the report Allows you to include clients name at the bottom of each page of the report Allows you to print or preview the report Focus Assessment With Summary The main difference with this report is that a summary char
Allows you to create a custom title for the report FOCUS Summary Report Allows you to select the date range of data Allows you to print preview all raw data obtained for a specific client Individual FOCUS Tests This report includes only specific tests that you select.
The BTE Dual Inclinometers The dual inclinometers are used to evaluate spinal range of motion, which allows for sections to be tested in isolation. You may choose to use a single inclinometer; however, the evaluator must be aware of the value's origin. For example, if you were to assess lumbosacral flexion by placing a single inclinometer on the appropriate landmark and have the client flexing from a standing position, the inclinometer will measure the combined lumbosacral and hip flexion.
The Master sensor has a round black button at its top. When performing a test, this button is pressed at the start and end of a test range. The difference between the two readings is calculated and entered into the ODES diagnostic software system. The Inclinometers will not measure accurately if the hinges are at opposite ends as in this picture. As well the Inclinometers cannot operate in the coronal plane of movement.
Performing Spinal Range of Motion Evaluations Most importantly, in order to do effective range of motion evaluations with consistency, ensure that the same landmarks are used each time.
