section 06 Fi gure 6 -8 9 . Cl i ni ca l Protocol - Cer vical 1 Depending on the test, ever y screen will look slightly dif ferent, but most will have the following features: • Name of the test • Delete icon to delete the selected test’s results • New icon to begin a new set of test results • Close icon to return to the protocol screen • Next Protocol icon to move on to the next protocol • Date of Test • Instructions on how to per form the tests • Comments f ield Step 3.
section 06 A B C D E F F i gure 6 -9 0 . Cu stom Clin ical P r otocol Since editing and creating protocols are ver y similar, an example of an edited test will be given, but the same guidelines apply for creating a test. T h e follow ing c a n t y pic a lly b e e dited or created on Clinical Protocols: A . Te s t Name - Ty pe in t h e na me of the test B . S u b - H e a d i n g - Ty pe in t h e s ub-heading s to include in the test C .
section 06 T h i s w i l l b r ing you to t h e ma in S uper Protocols screen (Fig ure 6-92). F i gure 6 -9 2 . S upe r Protocol Main Screen Step 1 . Create a new protocol by clicking on N ew . A new icon will ap p ear within the main S u p e r Protocols screen. Step 2. To view the super protocol, f ir st click on Edit; the Edit icon should chang e to Canc e l Edit. Next click on the super protocol you just created.
section 06 Screen. Step 7. Click the Super Protocol you wish to use. A testing screen will appear with the tests for the super protocol already added to your client. If other tests have already been added to the client, the super protocol tests will be listed below them (Figure 6-94). Fi gure 6 -9 4 . S upe r Protocol Ad d ed to Clien t Edit a super protocol by clicking Edit in the main Sup er Protocol screen and selecting th e super protocol you wish to modify.
section 06 Fi gur e 6- 96 . Va l i di ty Ana l ys i s Ma i n Screen Step 1 . Once the Validity Analysis screen is open, click on the arrow to the right of the f ir st drop-down menu and select the protocol you wish to evaluate. You may also click Use All Ava ila bl e i f yo u w is h to us e a ll of t h e tes t s (Fig ure 6-97). Fi gur e 6- 97 .
section 07 0 7 - R EP O RT S Accessing the Repor ts 3 Ty p e s of Repor ts 6 Ce r vica l Assessmen t 6 Cus tom Repor t 6 Cus tom Repor t (Non -In tegra te d ) 6 F CA P rogress A ssessmen t (N on - I n te gr ate d ) 7 F CA (Non -In tegra ted) 7 M CR P A ssessmen t 7 M CR P D ischa rge A ssessment 8 M CR P Progress A ssessmen t 8 M CR P G en era l Progress Asse s s me n t 8 M CR P Rea ssessmen t 9 M CR P S u mma r y Repor t 10 40 0 4 0 0 0 5 re v.
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section 07 REPORTS I. ACCESS ING TH E REP ORTS ODES allows you to create a unique repor t that can include any information you deem necessar y, such as the raw data from a protocol, hear t rate capture, or comments about the patient’s per formance. Acce s s t h e Repor t s s c r een by c lic k ing the Repor ts icon on the Home Screen.
section 07 Step 3. C l ic k N ex t. The Patient Notes to Print screen will appear (Figure 7-3). Fi gure 7 -3 . Pa ti e nt Notes to P rin t Step 4. Select whether you would like to include the dates in the margin. Step 5. Select whether you would like to include page numbering when printing the notes from the Note s screen. Step 6. Select whether you would like to star t page numbering when printing the notes from the Notes Screen. Step 7.
section 07 Step 10 . Depend ing on w h ic h r epor t you have selected to v iew and which step you wou l d l ike to do next, click N ex t, Print Notes, or Preview Notes. Note that if you click Preview Note s, you will be able to print them from the Preview Screen. If you are able to click Next, the Repor t Opt i o n s s cr een w ill a ppea r (F igur e 7-5 ). F i gure 7 -5 . R e port Option s Step 1 1 .
section 07 F i gure 7 -6 . Pre view Rep or t II. TYPES O F REP ORTS D e p e n d i n g on w h ic h r epor t you elec t to v iew, each will look somewhat dif ferent. The followin g is a list that includes each repor t type all the options that may be incorporated into it. A .
section 07 • Pu t t h e job d ema nd on a s eparate p ag e •Add or remove page number s from the repor t • I n clud e c lient s na me a t t h e bottom of each p ag e of the rep or t • Pr i n t or pr eview t h e r epor t • C rea te a c us tom t it le for t h e rep or t C . C U S TOM REP O RT ( NO N - IN TEGRATED) This repor t is designed to include only Non-Integrated tests that have been per formed.
section 07 F.
section 07 •Add or remove page number s from the repor t • I n clud e c lient s na me a t t h e bottom of each p ag e of the rep or t • Pr i n t or pr eview t h e r epor t • C rea te a c us tom t it le for t h e rep or t J .
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section 08 0 8 - C ER VI C A L C ONDI TI ONI NG Acce s s in g Cer v ica l Con dition ing 3 Se le cting E xercises 5 Blackou t Fea tu re 5 Target Feature 5 Tr ack ing D a tes 6 Sup e r visin g Pra ctition er 6 We ig h t Sta ck S election 7 Se at Va lu es 7 M inimum Va lu es 8 T ime 8 Star ting % 8 De fault 9 Accuracy Value 9 Note s 9 40 0 4 0 0 0 5 re v.
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section 08 CERVICAL CONDITIONING Recently, the exercise program por tion of the ODES sof tware has been reintroduced. Included i n t h i s fe a t ur e is a protoc ol for c er v ical conditioning . This function was created sp ecific a l l y for Multi-Cer vical™ Units and allows evaluators to customize cer vical exercise programs for their clients. Results are directly integrated into the sof tware, making this feature extremely user f r i e n d l y, f u n c t i o n a l , a n d e f f i c i e n t .
section 08 F i gure 8 -3. Cervical Con d ition in g Selected W h e n e n te r ing t h e progr a m for t h e f ir st time, two warning s will ap p ear; one is shown below ( F i g u re 8 - 4 ) . F i gure 8-4. War n in g Scr een S i mp l y cl i ck OK and you will be allowed into the cer vical conditioning program. Yo u wi l l n ow enter into t h e c er vic a l c onditioning screen (Fig ure 8-5). Fi gur e 8- 5. Ce rvi ca l Condi ti oni ng S creen page 4 40040005 rev.
section 08 This exe rcise has not b e e n chose n II. SELECT I NG EX ERCI S ES Selecte d exercis e T h e r e a r e va r ious opt ions to c h oose from within the Cer v ical Conditioning screen. On the lef t hand side of the screen, all possible movements are listed. In order to select the exercises for the client, simply click on the name of the movement. A number will be assigned to the exercise, and the n a me o f t h e movement w ill t ur n b lack .
section 08 V. TRACKIN G DATES Multiple dates can be tracked within the sof tware in order to per form continual conditioning programs. The sof tware also reminds you to do re-assessments to compliment the conditioni n g p ro gr a m . T h er e is no limit or c a p to how many conditioning p rog rams a client may p er for m . The date does not need to be manually inputted into the correct f ield. Instead, it will be impor ted automatically af ter the rehab program has been initiated.
section 08 Yo u r n a me w ill now a ppea r in t h e drop down menu (Fig ure 8-13). F i gure 8 -1 3 . S upervisin g P r actiion er Dr op -Dow n Men u VII. WEIG HT S TA CK S EL ECTION In order to make the cer vical conditioning program specif ic to your Multi-Cer vical™ Unit, a feature was added to the sof tware to allow you to change the weight stack type. In order to alter this setting, you must cl i ck o n View in t h e b ot tom r igh t h and corner of your screen (Fig ure 814 ). Fig u r e 8-14.
section 08 IX . MIN IMUM VA L UES T h i s fe a t u re in t h e c er vic a l c ond it ioning p rog ram allows the p ractitioner to enter a minimum range that must be obtained in order for the motion to register in the sof tware (Figure 8-18). Fig u r e 8-18. Min im u m Set t i ngs Fo r example, if the practitioner wishes to set a minimum value of 50 degrees for flexion, a minimum value of 50 should be selected.
section 08 F i gur e 8-24. Accu r acy Valu e This number relates to the number of degrees a client is allowed to be within to register a repetition. In this case, the range is “7” degrees. Therefore, the repetition will not register until the client is within 7 degrees from the initiation point of the motion. To change this value, simply click on the number located in the bottom lef t hand corner. IXV. N O TES Notes can be added into the conditioning program.
section 08 Fi gure 8 -2 7 . Ins e rt D a te You may also enter information into a template format. This allows you to save popular phrases so that you do not have to re-enter them time and time again. To do this, enter the information yo u wi s h to s ave in t h e lower tex t b ox and then click Add to Lis t, which is hig hlig hted in g r e e n (Figure 8-28). F i gure 8 -2 8 . Cre a te a Com m on N ote page 10 40040005 rev.
section 08 Yo u r i n for ma t ion w ill now a ppea r in a list, which you can access by clicking on the drop d ow n icon (Figure 8-29). F i gure 8 -2 9 . Add Comm on N ote to List To i n s e r t t h is infor ma t ion into your note, select the p hrase you wish to include and clic k Inser t into Note, w h ic h is h igh ligh ted in blue (Fig ure 8-30). F i gure 8 -3 0 . S e l e ct Com m on N ote to In sert 40 0 4 0 0 0 5 re v.
section 08 Yo u r i n fo rma t ion w ill now a ppea r in t he notes section (in the up p er text box) (Fig ure 8-31) . Figure 8 -3 1 . Common Note In ser ted in to Main N otes Field page 12 40040005 rev.
section 09 0 9 - R EC O M M END E D M AI NTE NANCE Ge ne r al Compu ter Ma in ten a n c e 3 Do Not In sta ll Addition a l S of t war e 3 Shut Down the Computer Properly 3 M ainten a n ce S chedu le 3 Ge ne r al Produ ct Ma in ten a n ce 3 Do Not D isa ssemble Any Compon e n t s of t h e MC U 3 M ainten a n ce S chedu le 3 Af ter E a ch Clien t 4 Daily 4 Weekly 4 M on thly 4 Pr eve ntion of In ter feren ce bet we e n Wi r e l e s s C ompon e n t s 40 0 4 0 0 0 5 re v.
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section 09 RECOMMENDED CARE AND MAINTENANCE I. G EN ERA L COM P UTER M A I NTE N A N C E O D E S s o f t wa r e r uns in t h e M ic ros o f t Windows XP env ironment; Windows XP Professiona l is a n extremely reliable and secure operating system, but extended use requires some degree of system maintenance. It is recommended that a log is kept for the maintenance of the computer equipment. A . D O NO T IN STALL ADD ITION AL SOF TWARE Do not install any additional sof tware onto the controlling computer.
section 09 B . M A IN T EN AN CE SCH EDULE 1. AFTE R EACH CLIENT • C l e a n t h e h ea d b r a c es a nd arm rests with an antibacterial wip e or rubbing alcohol ( 7 0% a lc oh ol). M a ke s ur e to not allow any liquid to enter the RJ45 jacks on the he a d braces or the top of the column. 2. DAILY • Verify any equipment that has been calibrated.
section 10 1 0 - T H E M EL B O U R NE PR OTOCO L Introduc tion 3 Outcome D a ta Relia bility S u mm ar y 4 Re liab il ity S tu dy D a ta 5 Wor ld Wide S pin e A r ticle 6 “Pain in the Neck” Ar ticle 11 40 0 4 0 0 0 5 re v.
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section 10 THE MELBOURNE PROTOCOL To compliment the BTE User Manual, Rober t De Nardis, (Physiotherapist, Director of the Melbourne Whiplash Centre and Panel Member for the International Whiplash Taskforce) has des i g n e d a s pec if ic protoc ol ( The Melbourne Protocol ), which is g aining international reco g n ition a n d i s b eing us ed in over 50 s pec ialist whip lash facilities around the world.
section 10 Greenwood, K.M. & De Nardis, R.J. (2000). Melbourne Whiplash Centre Outcome Data. Preliminary Report. Melbourne Whiplash Centre (Manuscript in preparation). Summary of Findings Having established that the measures produced by The Melbourne Protocol on the BTE Multi-Cervical Unit have an acceptable degree of reliability (Greenwood & De Nardis, 2000a), the focus of research attention should now move to the issue of the validity of measurements and the efficacy of therapy using the unit.
section 10 Greenwood, K.M. & De Nardis, R. (2000). An assessment of the reliability of measurements made using the Melbourne Protocol and the BTE Multi-Cervical Unit. Melbourne Whiplash Centre (Manuscript in preparation). Summary of Findings The reliability of a measurement refers to “the consistency, the reproducibility and the repeatability of the instrument or measurement procedure” (Richman, Makrides & Prince, 1980).
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