Professional Documents
Culture Documents
10 Diagnostics
10 Diagnostics
10 Diagnostics
Diagnostics
212 GPS 400 ~ Global Postural System 214 Software ~ Part I 216 Software ~ Part II 218 Lux Postural Platform 220 Podoscope and Foot Analyzer 221 Physical Analyzer and GPS 100 222 Videos & Manuals 223 Instrumental Exams 227 X-ray Viewers and Lamps 228 Scales
Our posture analysis systems have been installed in hospitals, clinics, gyms and surgeries in Italy, Spain, Switzerland, Slovenia, Croatia, the Czech Republic, Bulgaria, Macedonia, Saudi Arabia, Kuwait, Kenya and South Korea.
130
72 cm 240 - 280
Class I medical device with a measuring function (1M) as dened in the Medical Device Directive 93/42/EEC and subsequent amendments by a Notied Body (DNV). The device is designed and manufactured by Chinesport spa, a company with a certied quality system according to UNI EN ISO 13485:2004
212
www.chinesport.com
225
10
Diagnostics
01777 CLAMPS
01599 PODATA
Desk Top is a bilaminate desk with a plexiglas column for positioning the webcams (not included in the supply). Dimensions 71 x 50 x 130 h cm
INTENDED USERS:
Posture analysis can be used jointly in several medical disciplines if there is a will to consider the individual as a whole within a multidisciplinary treatment, therapy and prevention program. We recommend our posture analysis systems to the following professional categories: Orthopaedists Physiatrists Physiotherapists Orthopedic technicians Osteopaths Chiropractors Ophthalmologists Otorhinolaryngologists Podiatrists Orthodontists Speech therapists Graduates with a degree in Motor Sciences
IMPORTANT WARNING: installation must be carried out only by people authorised or trained by Chinesport Spa. Furthermore, a computer that meets the necessary minimum requirements can be supplied with the software pre-installed (optional item, code 01799).
Innovative, patent pending device for stabilometric analysis. It consists of a bilaminate platform with crystal top, with 6 load cells and a webcam installed inside. Comes with specic, multilingual software. Main function: identication of an individuals barycentre and weight distribution on each foot in the points corresponding to the 1st metatarsal, the 5th metatarsal and the heel regardless of the upright stance that the patient assumes on the platform. The device can also be ordered separately. Dimensions 47 x 99 x 47 h cm Capacity 135 kg Class I medical device with a measuring function (1M)
01767 PODOSTABIL 2
This item allows a patient to access the Podata stabilometric platform or the Lux Podoscope code 01086 and stand on either of the units in total safety. The device can be ordered separately. It consists of a bilaminate base, aluminium side bars and wooden handrail. Dimensions 71 x 128 x 126 h cm Capacity 135 kg
It is a device typically used for analysing posture in the frontal, posterior and lateral planes. The device consists of a bilaminate platform, two aluminium side bars, measuring indicators and sliders with strings for postural reference (Barrs vertical evaluation), and an adjustable mirror on top. The device can be ordered separately. Bars can be extended for accommodating people taller than 190cm by applying the accessory clamps code 01777. Dimensions 80 x 72 x 225 h cm Capacity 135 kg
OPTIONAL
CHOICE
01799 COMPUTER
Computer with GPS 400 software preinstalled. Windows operating system, English language, with requirements and performance features suitable to support software functions. 17 inch screen. We recommend not to install other softwares on the computer.
Electronic helmet that makes it possible to gather data on head movements through space via a software. The unit can be integrated in GPS 400 global postural system. For more information, see description on pages 223.
Posture analysis system similar to GPS 400. It does not allow performing a stabilometric assessment. The Podata platform is replaced by the classic Lux Podoscope for the photographic analysis of the foot pressure (contact area). For more information, see page 221.
213
214
www.chinesport.com
10
Screen shots are subject to modication over time. The software application described here is available with the Physical Analyzer and GPS 100 systems as well.
215
Diagnostics
Warnings
INTRODUCTION TO STABILOMETRY
Stabilometry has introduced measurement in the observation of orthostatic posture control phenomena. This allows providing gures that are useful for setting irrefutable categories as they are conrmed statistically. Thanks to stabilometry it is possible to learn the distribution of a certain number of parameters that characterize the normal orthostatic posture behaviour. It is then possible to afrm whether the behaviour of a patient can be counted within the range of normality established by such parameters.
General information
The barycentre is the exact centre of the mass of a subject, i.e. its geometric centre when the subject has an even and symmetrically distributed mass. If the mass, as in the human body, is distributed asymmetrically in relation to the horizontal plane, the barycentre will be located proportionately closer to the larger and heavier area. Furthermore, the centre of gravity of two segments is always on the line that joins the centre of gravity of these segments, i.e. in a point located in an intermediate position with respect to the centres of gravity of the two segments, but proportionately closer to the centre of gravity of the heavier segment. In an upright posture, if one extends the vertical line, from the centre of gravity to the contact area, it will be in the centre of the contact area (an almost trapezoidal polygon, constituted by the lateral prole of the feet and by the two lines constituting the front and rear part of the feet), 3 cm in front of the ankle. The line of gravity therefore passes along the capital plane about halfway between the tibiotarsal and metatarsal-phalangeal joints, and along the frontal plane, in the well distributed support between the two feet. Around the line of gravity the body is hypothetically in a position of equilibrium, implying a uniform distribution of body weight and a stable position of each joint.
The foot is fundamental for dynamic and postural functions, and as suggested by the studies of French biomechanics expert Kapandji, we can consider the plantar surface a vault supported by three arches: A. Towards the 1st metatarsal; B. Towards the 5th metatarsal; C. Towards the heel. Kapandji also quotes the studies of Morton: generally speaking weight is distributed over the three support points of the vault, according to the rule of six: when 6 kg are applied on the astragalus, 1 kg is loaded on the antero-external support, 2 kg on the anterointernal support and 3 kg on the heel. In an upright, vertical and immobile position, the heels support the greatest stress, half of the bodys weight.
MEASUREMENT REPEATABILITY
Using the Podata diagnostic unit, the software allows measuring by virtually moving the load cells (the elements that measure the weight) so as to place them near the heel, the 1st and the 5th metatarsal. This operation has a great advantage: it will no longer be necessary to force a patient to assume certain positions especially unusual positions on the platform to ensure the stabilometric examination can be repeated. The patient can stand on the platform in a comfortable upright stance. The professional will move the load cells virtually to the preset points, thus ensuring the repeatability of measurement. Patented invention.
216
www.chinesport.com
10
Diagnostics
The central nervous system, through its extero- and proprioceptive receptors, is able to identify the best postural strategies, moment by moment, adapting them to the contingent situation. As regards the upright stance, this efciency is manifested with the distribution of body weight over both feet. More specically, when examining a patients stability, the software provides interesting data as to: localisation on the ground of a persons barycentre projection the dynamic recording of such projection at the time of observation the localisation and dynamics of the barycentre of either foot; The distribution of the load between right and left foot; Optimum barycentre calculation The distribution of the load between the 1st metatarsal, 5th metatarsal and heel. These data are valuable for posture analysis in investigating the causes of improper posture habits and possible dysfunctions, as well as in identifying the best prevention measures and / or therapy solutions. It is important to remember that deviating to the right or left is not directly connected to being right- or left-handed. Please note that a multidisciplinary treatment is always advisable and the software allows all of the patients quantitative data and photos to be exported for clinical examinations and statistical applications.
Fourier analysis allows identifying which body parts are performing movements and their frequency as well. The whole body is represented in the fundamental frequency analysis while other body parts are represented in the harmonics displayed in the graphs. The analysis is carried out in the 3 axes in space, analysing lateral and longitudinal movements and the movements in the Z axis (vertical), that is the analysis of the variation in weight of a patient in his/her natural swinging motion.
Professionals can choose from a range of test conditions, that is a series of test situations, while investigating what postural afferents have a negative effect on patient posture upon examination (e.g. eyes open / closed, teeth open / clenched, face to the right / left, etc.). Such test conditions can also be customised.
217
Professionals can choose from a range of test conditions, that is a series of test situations, while investigating what postural afferents have a negative effect on patient posture upon examination (e.g. eyes open / closed, teeth open / clenched, face to the right / left, etc.). This is possible for other software functions as well, as those described in Part. I. Such test conditions can also be customised.
static examination, that is the analysis of the position, balance and barycentre of the patient; a dynamic examination, that is the analysis of the frequency and direction of postural oscillation, the Fourier analysis on the patients transverse and longitudinal movement, and examinations of head and eye movements, occlusal movements, suboccipital rachidian receptors.
Interdisciplinary approach
The anomalies that will appear in the graphs will be interpreted to help determine the necessary treatment. For example patients with problems of a structural and, craniosacral nature, or visceral problems, etc. shall receive treatment by osteopaths, chiropractors or therapists. An eminently vestibular problem (Postural Romberg test) will involve otorhinolaryngologists. An ophthalmologist shall be consulted if the eye-tracking examination shows a signicant variation of the barycentre. Differences in values between the open and closed mouth and any descending problems will require an intervention by an odontologist. Diagnosis of vertebral problems (lumbago, cervicalgia, trauma outcomes, etc.) will call for orthopaedists and physiatrists. A podologist/osteopath shall be responsible of treating ascending problems of a podalic type. The Stabilometric platform can be extremely useful in the eld of legal medicine to recognize real situations in which whiplashes may have occurred, distinguishing them from simulated accidents.
218
www.chinesport.com
10
Diagnostics
Postural Rehabilitation Feedback
The platform allows for posture rehabilitation exercises as well. The patient is asked to perform those movements that allow him/her to reach certain targets on screen while maintaining the upright stance, shifting his/her weight on the platform.
Once all the necessary information about the patients history have been collected, the examination can start. The actual postural situation of the patient is an essential point as it provides useful information about the patients postural strategy. It is important to analyse initial posture before modifying any afferents.
Warning
The GPS 400 system has the same software functions as the Lux Postural platform, except those implying rehabilitation exercises.
219
220
www.chinesport.com
10
Diagnostics
Height adjustable webcams Example of conguration with Physical Analyzer
221
This video-course aims at giving an outline of the afferents in posture and their overall implications on posture. The resulting posture analysis is conducted on a practical level, describing the tests and examinations that can be carried out on an individual, as well as the equipment available for evalutating the development of improper posture over time. It consists of 3 DVDs and is intended for a professional audience. The recording was made on a training day for a class of physiotherapy students from IMC - FH KREMS University of Applied Sciences (Austria) in May 2009. Available languages: Italan, English, German Duration: over 3 hours
DVD 1: AFFERENT PATHWAYS IN POSTURE DVD 2: POSTURAL ANALYSIS THEORY DVD 3: POSTURAL ANALYSIS PRACTICE
(Oral interferences in postural and cervicalmandibular-cranial syndromes) This volume is the result of 20 years of constant research carried out by the author on posturology and, at the same time, broadmindedness and curiosity towards new relationhips, new connections with disciplines deeply related such as speech therapy, otorhinolaryngology, not to mention osteopathy and chiropractic. Hands-on and practical, based on the everyday work by dott. Andrea Pelosi and his training activity. The document is divided into the following chapters: Mandibular Displacement and Occlusion, Posture and the Role of the Cervical-mandibular-cranial System, Diagnostic Pathway, Therapeutic Pathway. Author: Dr. Andrea Pelosi Available languages: Italian only Format 22 x 28.5; Pages: 150 ISBN 978-88-87260-24-3
222
www.chinesport.com
10
Diagnostics
Rotation or torsion
01303 delta leg The Delta Leg is a non-invasive manual instrument for evaluating the heterometry of lower limbs without any load bearing. It consists of a bar with two orthogonal platforms: one is stationary, while the second moves along the longitudinal axis of the bar and is equipped with a pointer indicating the positive or negative numeric value of the heterometry on a millimetric scale on the upper surface of the bar. The zero value is set with reference to the stationary platform. The precise structure of the instrument, the mobile platforms accurate sliding system and the millimetric scale allow fast and reliable measurement of the differences in length of the lower limbs with a margin of error of just a few millimetres. The instrument comes with a manual (code 01462).
Stationary platform
cm 45 x 28,5 x 22,5 h - kg 2
Guide to Delta Leg, a noninvasive manual instrument for evaluating the heterometry of lower limbs without any load bearing. (Italian/English edition)
Mobile platform
223
MEASURING TECHNIQUE OF THE COBBs ANGLE WITH THE INCLINOMETER ON THE X-RAYS In addition, measuring the angle is faster than the traditional method (it only requires moving the instrument close to the limit vertebrae and reading the value on the graduated scale); it does not require additional instruments, it does not deteriorate the X-rays and it simplifies measurement by eliminating a few possible cases of error. Finally, an advantage of the inclinometer over other instruments is the possibility of measuring both the rotation angle of the patients torso (gibbus) as well as the Cobbs angle on the X-rays with one simple instrument.
Guide to the inclinometer, a non-invasive instrument for measuring the Cobb and gibbus angles. (Italian/English edition)
Arcometer plus an additional arm that is interchangeable with the central arm.
H/2
A = arcsen H/2*R
F Corda
The diagram shows the arcometer working principle: note that, in order to make calculations easier, the intermediate arm has to be placed into the mid-point between the lateral arms.
Guide to the Arcometer, a non-invasive instrument for measurement of kyphosis and lordosis. (Italian/English edition)
224
www.chinesport.com
10
W22230
VERTEBRAL SIMULATOR Disc herniation model. Dimensions 18 x 14 x 13 h cm
06135 TWin mirror Twin-mirror is a device for viewing the patients global posture onto mirrors. Hinged, painted steel frame. Fixed to wall with the mirror orientation wheels that fold away. Dimensions 100 x 2 x 200 h cm
06800
GONIOMETER
06810
PLUMBLINE
06830 ANALYZER
This device allows analysing the difference in level of the iliac crests. For use in assessing dysmetry in the lower limbs.
06061
Poster Foot morphology. Plasticized poster, non-glare, matte finish surface. Dimensions 66.5 x 48 h cm Italian edition.
225
Diagnostics
1 2
3
1 THE HYDRAULIC HAND DYNAMOMETER is designed to provide years of dependable service. It is a precision instrument and its accuracy can be impaired by improper use. Have the patient use the wrist safety strap to minimize the chance of dropping the instrument accidentally.
FEATURES Dual-Scale Readout. Displays grip force in pounds and kilograms - 200 pounds or 90 kg maximum reading. Peak-Hold Needle. For convenience and ease of recording, it automatically retains the highest reading on the peak-hold needle. The indicator remains at the maximum reading until it is reset. Accurate and Reproducible. It is isometric in use, with almost no perceptible motion of the handles, regardless of grip strength. This ensures accurate, reproducible results. Adjustable Handle. To accommodate many hand sizes, the handle adjusts to five grip positions: from 1.3/8 to 3.3/8, in half-inch increments. Since grip strength may also vary in an individual patient, this feature allows therapists to quantify grip strength for objects of different sizes. BENEfITS Some patients may be reluctant to exert maximum strength in grip force evaluation. Repeated tests after short rest periods will determine if a patient is exerting maximum strength. 1. Test grip in the usual manner, taking readings with the hand grip in each position of the dynamometer. 2. Test the normal hand, followed by the injured hand. Allow the patient to see the readings. 3. After about five minutes, repeat the test. Usually, if the patient has carried out the test with full strength, there will be less than 10% variations in results for different grip positions. Instead, if the patient has not exerted maximum strength, there will be a larger, inconsistent variations between the tests.
2 HYDRAULIC PINCH GAUGE that allows a precise and true measurement of the pressure exerted. During the measurement, the therapist holds the gauge, while the patient exerts pressure with his / her fingers. The indicator remains at the maximum reading until it is reset. 3 FINGER GONIOMETER stainless steel instrument for measurement of metacarpal, halangeal and interphalangeal joints. The degrees measured are displayed on both sides of the goniometer.
01051
vigorimetro Device for strength measurements of each finger or the complete hand. Indicated in case of: central nervous disease; diseases due to spinal cord pathologies; muscle diseases.
226
www.chinesport.com
10
Diagnostics
Body made from oven-baked epoxy powder coated aluminium profiles with built-in X-ray film clips. The various sections are held together with nylon corner joints. Lamp fitting gives off cold light with an acrylic opalescent white plate.
06225
06215
06245
lampS
Epoxy painted steel plate frame, roller film holder. Opal light diffuser, cold light lamps provide uniform light distribution.
06220
220 V - 50 Hz
06210
06910
LAMP WITH LENS This cold-light lamp is equipped with a magnifier and mounted on a four-wheel stand. 3.5 diopters. Mounted on a 5-wheel stand. 22 W - 220 V - 50 Hz
01082
LAMP WITH STAND Examination lamp with halogen light supplies 140,000 Lux at a distance of 30 cm. Mounted on a 5-wheel stand. 50 W - 12 V
227
Capacity 150 kg
01969
DIGITAL SCALE Wide and extra-wide platform with non-slip dimpled mat, step-off function, automatic switching off. Graduation: 100 g, weight 2.6 kg, battery supply. 43.3 x 37.3 x 5 h cm
01074
MECHANICAL FLOOR SCALE Well suited for home use. Dial, graduation: 1 kg, weight: 4 kg. 31.5 x 46.8 x 11.5 h cm
06525
PEAR-SHAPED SCALE Mechanical painted steel scale. Dial, graduation: 1000 g, weight 4 kg, calibration: class IIII. 30 x 46 x 10 h cm
Capacity 150 kg
06600
Capacity 150 kg
06510
Clar SCALE Chair scale for disabled and elderly. Epoxy painted steel plate frame. Four swivel casters, two of which with brakes. Chrome plated poise bar and weights. Calibration: Class III. 100 x 77 x 62 h cm
06500
01044
228
www.chinesport.com
10
06535
PLATFORM SCALE The wheelchair scale has a wide platform for weighing patients in wheelchairs. It folds easily and transport castors make it convenient to move. The integrated pre-tare function determines the patients net weight. Stores the weight of three wheelchairs. Mains powered, rechargeable batteries, class III calibration. Graduation: 200 g. Weight 30 kg. 96 x 107 x 91 h cm
Capacity 300 kg
01072
Capacity
300 kg
SPECIAL SCALE This special scale is an electronic weighing platform with non-slip surface. Multifunctional, specially designed for bariatric patients. Easy to transport thanks to the lateral handle and reduced weight of 17 kg. Mains powered, rechargeable batteries with automatic switching-off after 5 minutes. Graduations: 100 g (range 1), 200 g (range 2). BMI, tare, pre-tare functions, kg/lbs key. Class III calibration 60 x 60 x 5 h cm
The chair scale is an electronic scale to weigh people designed to offer greater comfort. Seat access from three sides, ease achieved with folding footrest/ armrest, equipped with wheels, two with brakes. Electric and battery (rechargeable) powered, 200 g division, class IIII calibration. Weight 23 kg. 55 x 87 x 92 h cm
229
Diagnostics