Clinician's Guide · 2017. 9. 27. · Puzzle Program ..... 61 Peripheral Letter Chart Menu ... When the BITS Login Window appears, use the keyboard to enter your username and password

Clinician's Guide

II

Table of Contents

Chapter 1: Introduction .............................................................................................. 1

Chapter 2: Safety Information .................................................................................... 2

Indications for Use .......................................................................................................................... 2

Precautions ...................................................................................................................................... 2

Warnings ......................................................................................................................................... 2

Chapter 3: Starting the BITS ....................................................................................... 3

Adjusting the BITS Touch Screen Display Monitor .......................................................................... 3

Moving the BITS Stand .................................................................................................................... 3

Turning the System On .................................................................................................................... 4

Launching the Software ................................................................................................................... 5

Chapter 4: Patient List ................................................................................................ 7

Creating a New Patient Record ....................................................................................................... 7

Opening an Existing Patient Record ................................................................................................ 7

Archiving a Patient ........................................................................................................................... 8

Archive List ...................................................................................................................................... 8

Patient History List ........................................................................................................................... 9

Chapter 5: Introduction to the Therapy Programs ...................................................... 12

Understanding the Program Parameters ......................................................................................... 12

Logoff Button ................................................................................................................................... 17

Exit Button ....................................................................................................................................... 17

Windows Sign Out ........................................................................................................................... 18

Results Screen ................................................................................................................................ 19

Graphing Results ............................................................................................................................. 21

Preparing the Patient ....................................................................................................................... 23

Display Size Scaling ........................................................................................................................ 23

Chapter 6: Eye Hand Menu ......................................................................................... 24

User Paced Program ....................................................................................................................... 24

Time Paced Program ....................................................................................................................... 25

Reaction Time Program ................................................................................................................... 26

Chapter 7: Rotator Menu ............................................................................................ 29

Parameters ...................................................................................................................................... 29

Single Color Program ...................................................................................................................... 31

III

Multi-Color Program ........................................................................................................................ 32

Sequence Program .......................................................................................................................... 33

Gap Sequence Program .................................................................................................................. 35

Chapter 8: Rapid Eye Movement Menu ....................................................................... 37

Rapid Eye Movement Sequence Program ...................................................................................... 37

Rapid Eye Movement Verbal Program ............................................................................................ 39

Rapid Eye Movement Competition Program ................................................................................... 41

Chapter 9: Memory Recall Menu ................................................................................. 43

Memory Recall Parameters ............................................................................................................. 43

Memory Recall Program .................................................................................................................. 46

Chapter 10: Metronome Menu ..................................................................................... 48

Metronome Parameters ................................................................................................................... 48

Metronome Program ........................................................................................................................ 50

Chapter 11: Chart Menu .............................................................................................. 52

Letter Chart Menu ............................................................................................................................ 52

Static Program ................................................................................................................................. 55

Motion Program ............................................................................................................................... 57

Multiple Program ............................................................................................................................. 60

Puzzle Program ............................................................................................................................... 61

Peripheral Letter Chart Menu .......................................................................................................... 64

Sequence Program .......................................................................................................................... 66

Match Program ................................................................................................................................ 67

Chapter 12: Visual-Motor Menu .................................................................................. 70

Draw Menu ...................................................................................................................................... 70

Symmetry Program .......................................................................................................................... 72

Trace Program ................................................................................................................................. 73

Replicate Program ........................................................................................................................... 76

Between the Lines Program ............................................................................................................ 78

Geoboard Menu ............................................................................................................................... 79

Chapter 13: User Management .................................................................................... 84

Accessing the User Management Feature ...................................................................................... 84

Chapter 14: Maintenance and Cleaning ...................................................................... 88

Chapter 15: Technical Specifications ......................................................................... 89

1

1Chapter

Chapter 1 - Introduction

Introduction

The Bioness Integrated Therapy System (BITS) is a hardware and software platform using touch screen technology that allows for patient interaction with different software programs. The software is designed to evaluate and improve abilities for a wide range of patients with disabilities and injuries resulting from traumatic injuries and movement disabilities. The Bioness Integrated Therapy System is also designed to improve performance in competitive athletes.

The Bioness Integrated Therapy System consists of a touch screen display monitor, portable stand, wireless keyboard, and a computer with the BITS software applications.

Figure 1-1: Bioness Integrated Therapy System

Be sure to review this guide, including all safety information, before using the Bioness Integrated Therapy System. If you have questions contact the Bioness Client Relations Department at (800) 211-9136, Option 3. You can also visit the Bioness website at: www.bioness.com.

Caution: Do not use the Bioness Integrated Therapy System until you have been properly trained by a Bioness representative.

Touch Screen Display Monitor

Portable Stand

Stand Tower

Wheels

Wheel Casters

2

Chapter

Chapter 2 - Safety Information

Safety Information

Indications for Use

The Bioness Integrated Therapy System (BITS) is designed to evaluate and improve abilities for a wide range of individuals with disabilities and injuries resulting from traumatic injuries and movement disabilities as well as improve performance in competitive athletes.

Precautions

• Supervision should be provided during use of the system.

• Use caution with patients who have diagnosed, or are suspected to have, epilepsy.

• Unauthorized modifications to the Bioness Integrated Therapy System will void the warranty.

• Accessing the internet or local intranet with the Bioness Integrated Therapy System will void the warranty.

• Patients should not use an object that may damage, or is unsafe when interacting with, the touch screen.

• Make sure to follow the correct procedures when moving the portable stand or adjusting the height of the display screen.

• Ensure the wheels on the portable stand are in the locked position before starting a therapy session with a patient.

Warnings

• The Bioness Integrated Therapy System software programs utilize moving and rotating graphics that may cause dizziness, vertigo, or nausea in sensitive patients. Use with caution when using with patients who are sensitive to motion sickness.

• Do not use unapproved devices/hardware with the Bioness Integrated Therapy System.

• Do not use unapproved accessories with the Bioness Integrated Therapy System.

• Misuse of the system could cause the unit to fall and result in injury and damage.

• Do not climb, sit, or lean on any part of the portable stand, as doing so could cause the equipment to fall causing damage and injury.

• The equipment must only be connected to an earthed MAINS socket-outlet.

2

3

Chapter

Chapter 3 - Starting the BITS

Starting the BITS

Adjusting the BITS Touch Screen Display Monitor

The touch screen display monitor can be tilted (20 degrees forward) and can be moved up and down.

To adjust the height of the monitor:

1. Push the touch screen from the top or bottom vertically with two hands.

2. Move the display monitor to the desired position.

Moving the BITS Stand

During the installation process, the Bioness Integrated Therapy System will be set-up and positioned in the location designated for therapy sessions. If needed, the BITS portable stand can be moved.

Warning: Make sure the computer is shut down and turned off before moving the stand.

To move the portable stand:

1. Verify that the computer is shut-down and turned off. Disconnect the power cord from the wall socket and make sure the cord is not on the floor.

2. Carefully push the touch screen display monitor down to the lowest position on the tower of the portable stand. See Figure 3-1.

Figure 3-1: Correct Position for Moving Portable Stand

3

Position of Hands on Tower

Position of Touch Screen Display

4Chapter 3 - Starting the BITS

3. Unlock the wheel casters and point the wheels in the direction of travel.

4. Push the portable stand from the side with both hands on the tower. See Figure 3-1.

5. Move the stand to the new location and lock the wheel casters.

6. Reposition the display screen to the desired height.

7. Reconnect the power cord to the wall socket.

Turning the System On

1. Press the On/Off button on the computer. The computer is mounted on the back of the touch screen display. See Figure 3-2.

2. Press the On/Off button on the back of the touch screen display. See Figure 3-2.

Figure 3-2: Location of On/Off Buttons

3. Touch the middle of the display screen and slide up with finger to reveal the Windows Login Screen. See Figure 3-3.

4. Use the keyboard to enter in your username and password. Press the Enter Arrow Button. See Figure 3-3.

5. Press the desktop icon on the touch screen display.

Figure 3-3: Windows Login Screen

Computer On/Off Button

Touch Screen On/Off Button

Enter Arrow Buttons


Launching the Software

1. Double tap, with fingers, the BITS Icon located on the desktop.

2. The Bioness BITS Splash Screen will open. After two minutes the Login Screen will appear. See Figure 3-4.

Figure 3-4: Bioness BITS Login Screen

3. Press the Login Button.

4. When the BITS Login Window appears, use the keyboard to enter your username and password. Press the Submit Button. See Figure 3-5. Note: Login username/password will be set up when the administrator creates new user accounts.

Figure 3-5: BITS Login Window

Login Button

Submit Button


5. The Main Menu Screen will open. The Main Menu Screen will always open to the "Demo Patient" default screen. See Figure 3-6.

Figure 3-6: Main Menu Screen (Demo Patient Default Screen)

6. To demonstrate the BITS software, press the Therapy Button in the upper right corner of the Main Menu Screen. See Figure 3-6. Refer to the "Introduction to the Therapy Programs" section of this guide for more information.

7. To access the Patient List, press the Patient List Button in the upper left corner of the Main Menu Screen. See Figure 3-6. Refer to the "Patient List" section of this guide.

Therapy Button

Patient List Button

7

Chapter

Chapter 4 - Patient List

Patient List

The Patient List Screen allows the user to add a new patient, select an existing patient to start a therapy session, and archive a patient. The screen also allows the user to access a patient's therapy session history.

Creating a New Patient Record

1. From the main menu screen, press the Patient List Button.

2. The Patient List Screen will open. Press the Add Button. See Figure 4-1.

Figure 4-1: Patient List Screen

3. A window will appear on the screen. Touch inside the name field and use the wireless keyboard to type in the patient's name.

4. Press the OK Button to add the new patient to the patient database list.

Opening an Existing Patient Record

1. From the Main Menu Screen, press the Patient List Button.

2. The Patient List Screen will open. Use the up and down arrow buttons to scroll through the patient database. See Figure 4-2.

3. Select the desired patient by touching the patient's name.

4

Add Button

8Chapter 4 - Patient List

Figure 4-2: Patient List Screen

4. Press the Therapy Button to start a therapy session. Refer to the "Introduction to the Therapy Programs" section of this guide.

Archiving a Patient

To archive a patient:

1. From the Patient List Screen, select the desired patient by touching the patient's name.

2. Press the Archive Button. See Figure 4-2.

3. A prompt window will appear stating, "Archive this patient?", press the Yes Button.

4. The patient's name will be removed from the Patient List Screen and transferred to the Archive List Screen.

Archive List

To access the Archive List, from the Patient List Screen, press the Archive List Button. See Figure 4-2.

To transfer a patient back to the patient list:

1. From the Archive List Screen, select the desired patient by touching the patient's name.

2. Press the Unarchive Button. See Figure 4-3.

3. A prompt window will appear stating, "Unarchive this patient?", press the Yes Button.

4. The patient's name will be removed from the Archive List Screen and transferred to the Patient List Screen.

Up and Down Arrow Buttons

History List Button

Archive List Button

Therapy Button

Archive Button


Figure 4-3: Archive List Screen

Patient History List

A record of each therapy session's results are stored in the BITS Software. Each session is displayed in chronological order under the patient's name on the Patient History List Screen. To access a patient's history:

1. From the Patient List Screen, press the History List Button, located in the upper left corner of the screen. See Figure 4-2.

2. The Patient History List Screen will open. Select the desired patient from the Patient History List, located in the center of the screen, by touching the patient's name. See Figure 4-4.

Figure 4-4: Patient History List Screen

Therapy Button

Exit ButtonPrint Button

Unarchive Button


3. Each therapy session that specific patient has performed will appear in chronological order on the right side of the screen, under History List. See Figure 4-4. Use the up and down arrow buttons to scroll through the list.

4. Select a therapy session from the list to review and the results will appear on the left side of the screen under Results. See Figure 4-4.

To return to the Main Menu Screen, press the Exit Button to close the Patient History List Screen. See Figure 4-4.

Printing From the Patient History List

1. Select a therapy session from the History List.

2. Press the Print Button. See Figure 4-4.

3. A Print Window will appear. Select PDF Creator from the drop down menu and press the OK Button. See Figure 4-5.

Figure 4-5: Print Window

Note: If the print window accidentally goes to the background and disappears from the screen, simultaneously press the Alt and Tab keys on the wireless keyboard. Keep pressing the keys until the print window reappears in the foreground.

4. A PDF Creator Window will appear. Press the Save Button. See Figure 4-6.

Figure 4-6: PDF Creator Window

OK Button

Save Button


5. A Save As Window will appear. Select the location to store the file, name the file, and press the Save Button. See Figure 4-7.

Figure 4-7: Save As Window

Save Button

12

Chapter

Chapter 5 - Introduction to the Therapy Programs

Introduction to the Therapy Programs

The BITS software has seven therapy menus containing a total of 16 different programs. The seven therapy menus are:

• Eye Hand

• Rotator

• Rapid Eye Movement

• Memory Recall

• Metronome

• Charts

• Visual Motor

Each program provides visual and/or auditory feedback as the patient interacts with the program. The programs also create records on patient performance for each session.

Understanding the Program Parameters

The therapy program parameters control how each program will display content and how the patient will interact with the active program. The program Parameters Window contains the available settings for each therapy program.

Figure 5-1: Example of a Therapy Program Parameters Window

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13Chapter 5 - Introduction to the Therapy Programs

Each program initially opens with the Parameters Window set with default settings. Depending on a patient’s needs and performance ability, these settings can be revised to adjust the level of difficulty. Once the settings are revised, the software will automatically open to the last used parameters the next time the patient uses that therapy program.

Number of Stimuli

The Number of Stimuli Setting controls the amount of target stimuli displayed during a single therapy session.

Depending on the therapy program selected, the number of stimuli may range from 1 to 100. To adjust the number of stimuli, touch the slider at a specific point or press the arrow buttons to slowly increase one number at a time. The revised number will appear on the right hand side of the slider.

It is recommended to start with a lower number of target stimuli in order to evaluate the patient's baseline performance level. As the patient's performance level improves, the number of stimuli can be increased to raise the level of demand.

Grid

The Grid Setting can either be turned on or off. When the setting is turned on, a grid will appear on the display screen after the therapy program is launched. To turn on the grid setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Note: For the majority of users, the Grid Setting can remain deactivated.

Central Fixation

The Central Fixation Setting can either be turned on or off. When the setting is turned on, the central fixation stimulus letter that appears in the center of the screen will automatically and randomly change every 3-13 target stimuli. The patient will need to touch the new central stimulus letter before continuing to the peripheral target stimuli. If the peripheral target stimulus is touched before touching the new central stimulus letter, an incorrect touch sound will emit.

To turn on the Central Fixation Setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Central Flash

The Central Flash Setting can either be turned on or off. The setting works in conjunction with the Central Fixation Setting.

When the Central Flash Setting is turned on, the central fixation stimulus letter (that appears in the center of the screen) will flash every time it changes. The patient will need to touch the new flashing central stimulus letter before continuing to the peripheral target stimuli. If the peripheral target stimulus is touched before touching the flashing central stimulus letter, then an incorrect touch sound will emit.


When the Central Flash Setting is turned off and the Central Fixation Setting is turned on, the central fixation stimulus letter will change without flashing.

To turn on the Central Flash Setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Background Color

The background color of each therapy program can be changed. The Background Color Setting options are: blue, black, and white. To change the color, touch the box for the desired color. A check mark (√) will appear in the box that has been selected. The color of the background can be changed to make it more visually comfortable or challenging for certain patient populations.

Stimuli Color

The stimuli color can be changed. The Stimuli Color Setting options are: blue, red, white, and black. To change the color, touch the box for the desired color. A check mark (√) will appear in the box that has been selected. The color of the background can be changed to make it more visually comfortable or challenging for certain patient populations or to increase or decrease the level of visual demand.

Speed Interval

Speed Interval controls the length of time the target stimulus will remain in one location, before disappearing and reappearing in a new location on the display screen. The Speed Interval Setting ranges from 0.2 to 3 seconds.

To adjust the speed interval, touch the slider at a specific point or press the arrow buttons to slowly increase or decrease the amount of time the target stimulus will be displayed.

Note: This program setting is used with the Time-Paced Program only. It is recommended to use a higher number for the Speed Interval Setting when introducing the Time-Paced Program to a patient.

Quadrant Loading

Quadrant Loading enables the user to manipulate where the target stimuli will appear on the display screen. The target stimuli can be equally displayed throughout the visual field or can be focused in a specific quadrant.

Quadrant Loading options range from 0% to 100%. To change the settings, press and hold the arrows on the grid till the desired percentage has been reached. The revised percentage will appear next to the arrows.

The clinician can modify the percentage of target stimuli that will appear in a given quadrant on the display screen. For


example if both the horizontal and vertical quadrant settings are at 50% (at all 4 points) then the target stimuli will appear randomly and equally across the display screen. If the vertical setting is at 100% on top (0% on the bottom) and the horizontal setting is at 100% on the left side (0% on the right side), then 100% of the target stimuli will appear in the upper left quadrant of the display screen.

Stimuli Persistence

Stimuli Persistence can be turned on or turned off. If the setting is turned off, the target stimulus will disappear from the screen when the patient touches it. If the setting is turned on, then the target stimulus will remain visible on the display screen even after the target has been correctly touched.

To turn on the Stimuli Persistence Setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Stimuli Size

The Stimuli Size Setting is used to change the size of the target stimuli. To change the stimuli size, touch the slider at a specific point or touch the arrow buttons.

Note: Larger sized target stimuli can be used with patients who have difficulty with arm/hand control or reduced visual acuity. Smaller size target stimuli can be used to increase the visual demand for certain patients.

Stimuli Type

Stimuli Type allows the user to change the type of target stimuli that are displayed. The Stimuli Type Setting options are: circles, letters, numbers, and both (number/letter combination).

To change the stimuli type, touch the circle next to the desired option. The selected option will be highlighted in blue.

Reverse Sequence

The Reverse Sequence Setting determines in what sequence the patient will need to respond to the series of target stimuli. When the setting is turned on, the patient will need to touch the stimuli in reverse order. For example Z through A.

This setting is used with the Rotator Sequence Program, Rotator Gap Sequence Program, and Rapid Eye Movement Sequence Program. To turn on the Reverse Sequence Setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).


Display Fields

The Display Fields Setting allows the user to change the size of the visual field where the target stimuli are displayed. The options for this setting are: central, peripheral, and both. To change the display field, touch the circle next to the desired option. The selected option will be highlighted in blue.

The "Central" option reduces the size of the display field for the target stimuli to appear toward the center rather than the periphery of the available visual area. This option is useful for pediatric patients or for patients who have difficulty reaching the far peripheral areas of the display screen.

The "Peripheral" option has the target stimuli only appearing in the peripheral field of the display screen. This option is useful for increasing the peripheral demands of a therapy session.

The "Both" option has the target stimuli appearing across the entire visual field of the display screen. This option creates the highest level of visual demand.

Tracer

The Tracer Setting can either be turned on or off. This setting is used to provide visual feedback on the accuracy of the touch in relation to the target stimulus. When the Tracer Setting is turned on, a small white dot will appear at the location of the touch whenever the target is not touched accurately.

To turn on the Tracer Setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Note: The Tracer Setting should be turned on when the patient needs feedback on the accuracy of their touch.

Contrast Sensitivity

Contrast Sensitivity is used to increase or decrease the contrast saturation of the target stimuli. To change the Contrast Sensitivity, touch the slider at a specific point or press the arrow buttons to slowly increase or decrease the contrast.

Preview Box

The Preview Box allows the user to view the actual stimuli size, stimuli color, background color, stimulus type, and contrast sensitivity. When changes are made to certain therapy program settings, the Preview Box will provide a visual preview before beginning the therapy program.


Logoff Button

The Logoff Button appears in the lower left corner of the display screen in the BITS software. See Figure 5-2. Pressing the Logoff Button will bring the user back to the Login Screen.

Figure 5-2: Location of Logoff Button

The Logoff Button should always be pressed after a clinician has completed a therapy session with a patient. This ensures that the BITS software will save all therapy session data to that patient's files found in the Patient History List.

Note: When the BITS is not in use, it is recommended to exit from the BITS software application and sign out from the Windows operating system.

Exit Button

To exit the BITS software application:

1. From the BITS Login Screen, press the Exit Button. See Figure 5-3.

Figure 5-3: BITS Login Screen

Logoff Button

Exit Button

18

2. A prompt window will appear stating, "Are you sure you want to exit?". Press the Yes Button. See Figure 5-4.

Figure 5-4: Exit Window

3. The display screen will return to the operating system's desktop.

Windows Sign Out

To sign out from the Windows operating system:

1. Touch the right edge of the display screen and slide finger to the left to open the charms bar. See Figure 5-5.

Figure 5-5: Charms Bar

2. Press the Start Icon. See Figure 5-5. This will open the Start Screen.

3. Press the User Icon, located in the upper right corner of the display screen. Select the "Sign out" option from the list. See Figure 5-6.

Figure 5-6: Windows Sign Out Option

Chapter 5 - Introduction to the Therapy Programs

Yes Button

Charms Bar

Start Icon

User Icon


4. The display screen will return to screen save mode and the computer will be locked.

Results Screen

The Results Screen will appear at the end of each therapy session after the patient has responded to all of the assigned stimuli. The Results Screen captures performance results from the therapy program session. The results are sent to the patient's file on the computer and can be accessed at a later time.

There are two buttons found on the Results Screen: Print and Return. The Print Button will create a PDF of the information on the results screen for printing, if desired. The Return Button will take the user back to the therapy program Parameters Window.

Note: When printing the Results Screen, select the "portrait" option in the print dialog window.

The Results Screen is divided into different sections: (Name of Therapy Program) Results, Settings, Results Overall, Quadrants Results, and Center Results. See Figure 5-7.

Figure 5-7: Example of a Results Screen

Note: Certain therapy programs will not have all 5 sections listed on the Results Screen.

Understanding the Results Screen Sections

(Name of Therapy Program) Results Section

• Patient: Name of patient.

• Session #: A count is kept of the number of times the selected patient has used the specific program.

• Date: The date of the session.

• Duration: The length of time the patient has spent performing the therapy program.

• Time: The time of day the program was performed.

Print Button

Return Button


Settings Section

This section provides a list of the settings (the program settings found on the Parameter Window) that the clinician chose for the specific session.

Results Overall Section

• Compl TM: The time it took the patient to complete the program for the specific assigned number of stimuli.

• React TM: The average time it took the patient to accurately touch the target stimulus from the time the target stimulus appeared on the display screen.

• Accuracy:

• Total: The total number of target stimuli presented.

• Hits: The number of times the patient correctly touched the target stimulus on the first attempt.

• Misses: The number of target stimuli that were not touched accurately on the first attempt.

• Perc: The percentage of stimuli which were accurately touched on the first attempt.

Quadrant Results

The patient's performance with a certain program can be evaluated by quadrant. This information is useful when analyzing the patient's strengths/or weaknesses in a particular visual field. This section captures the number of stimuli presented, the reaction time, and accuracy of correct touches per quadrant.

• UL: Upper Left Quadrant

• UR: Upper Right Quadrant

• LL: Lower Left Quadrant

• LR: Lower Right Quadrant

• Stimuli #: The number of target stimuli that were presented in each quadrant.

• Reaction TM: The average time it took the patient to accurately touch the target stimulus for each quadrant.

• Accuracy: The percentage of correct responses to the target stimuli (correct touches) for each quadrant.

Center Results

The results in this section apply to the therapy programs that feature a central fixation point and programs that have the Central Fixation Setting turned on.

• Accuracy:


• Changes: The number of times the central target changed during a therapy program.

• Attended: The number of times the revised central target was attended to by the patient. This counts the number of times the patient touched the central target before continuing to touch the peripheral target stimuli.

• Unattended: The number of times the patient did not attend to the revised central target. This counts the number of times the patient did not touch the central target before continuing to touch the peripheral target stimuli.

• Perc: The percentage of correct attended responses.

While a therapy program is active, a Results Button will be displayed in the upper right corner of the screen. See Figure 5-8. Pressing this button in the middle of a therapy session will abort the session and only display the results to that point. It is important to have the patient complete the entire session. Once the patient has responded to all of the assigned stimuli, the session is complete and the Results Screen will automatically appear.

Figure 5-8: Sample of an Active Therapy Program Screen

Graphing Results

The BITS software allows the clinician to graph a patient's improvement over time. In order to build a graph, patient data must be saved in the BITS software.

To create a graph:

1. Touch the Graph Button located in the upper right side of the display screen.

2. The Graph Options Window will appear. See Figure 5-9.

3. Select the desired therapy program and then click the Build Graph Button to display the results. See Figure 5-9.

4. The Graphing Results Window will appear displaying the results for the selected patient. See Figure 5-10.

Results Button


5. Press the Print Button to print the graph. Press the Return Button to go back to the previous window. If there are multiple pages, use the Previous Button and Next Button to select the desired page and then print the selected page. See Figure 5-10.

Note: When printing a graph, select the "landscape" option in the print dialog window.

Figure 5-9: Graph Option Window

Figure 5-10: Graphing Results Window

Return ButtonPrint ButtonNext ButtonPrevious Button


Preparing the Patient

Have the patient stand (or sit) at a comfortable distance in front of the touch screen display monitor. It is recommended, if the patient is standing, to have the patient stand in a balanced posture with equal weight on both legs and at the Harmon distance from the display screen. The Harmon distance is the distance from the elbow to the first knuckle (metacarpophalyngeal joint). The patient should be able to comfortably reach the display monitor including areas on the side. If the patient can not reach comfortably, adjust the height of the display monitor or the patient's distance from the screen.

Before starting a therapy program:

1. From the Login Screen, press the Login Button.

2. Enter in the username and password.

3. From the Main Menu Screen, press the Patient List Button.

4. Select the desired patient by touching the patient's name.

5. Position the patient in front of the display monitor with the center of the display at eye- level to the patient.

6. If necessary, adjust the height of the touch screen display monitor.

7. If necessary, adjust the tilt of the touch screen display monitor.

8. Instruct the patient that, when interacting with the software, that it is important to touch the center of the target stimulus in order for the software to count the response as correct.

9. Press the Therapy Button to access the therapy program menus.

The next several chapters in this guide discuss in detail each of the therapy programs found in the BITS software.

Display Size Scaling

The display of the therapy programs on the monitor can be scaled in order to meet certain patient's physical ability needs.

To change the display size:

1. Simultaneously press the Ctrl and F4 keys on the wireless keyboard.

2. Enter the desired scale size percent value for the display of the therapy program.

Note: the 1-100 scale is not linear. The screen can be minimized down to 50% of the original screen size.

24

Chapter

Chapter 6 - Eye Hand Menu

Eye Hand Menu

The Eye Hand Menu consists of three therapy programs: User Paced, Time Paced, and Reaction Time. These programs are designed to improve eye-hand coordination, peripheral awareness, hand speed, and reaction time.

To access the Eye Hand Menu:

1. From the Therapy Menu categories, touch the Eye Hand Button.

2. This will display the three therapy program options as buttons. See Figure 6-1.

Figure 6-1: Eye Hand Menu Buttons

User Paced Program

In the User-Paced Program, target stimuli will appear at random locations on the display screen and will remain visible in that location, until the patient has touched the center of the target stimulus.

The program will open to the User Paced Parameters Window. See Figure 6-2. Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Parameters Window.

To start the User-Paced Program:

1. Touch the User Paced Button (See Figure 6-1) to open the settings window.

2. If applicable, revise the settings on the User-Paced Program Parameters Window.

3. Have the patient stand (or sit) in front of the display screen.

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25Chapter 6 - Eye Hand Menu

4. Touch the Launch Button to begin the therapy session.

5. A box with a letter will appear in the center of the display screen. Instruct the patient to touch the center of the box to initiate the program.

6. Instruct the patient to move their hands as quickly as possible to touch the target stimuli that appear on the display screen.

7. Once the set number of stimuli has been completed, the Results Screen will appear.

8. Touch the Return Button to go back to the User-Paced Program Parameters Window.

Figure 6-2: User Paced Program Parameters Window

Time Paced Program

In the Time Paced Program, target stimuli will appear at random locations on the display screen and will disappear after a predetermined amount of time. The target stimuli will disappear even if the target stimulus has not been touched or is touched too late.

Figure 6-3: Time Paced Program Parameters Window


The program will open to the Time Paced Parameters Window. See Figure 6-3. Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Parameters Window.

To start the Time Paced Program:

1. Touch the Time Paced Button (See Figure 6-1) to open the settings window.

2. If applicable, revise the settings on the Time Paced Program Parameters Window.




6. Instruct the patient to move their hands as quickly as possible to touch the target stimuli as they appear on the display screen. The goal is to have the patient touch the stimulus before it disappears.


8. Touch the Return Button to go back to the Time Paced Program Parameters Window.

Time Paced Program Results

In the Time Paced Program, the Results Screen will also record late responses. A late response is performance that was accurate, but was too slow. The Late Section is found in the Results Overall section of the Results Screen.


• Late: The number of times the patient correctly touched the target stimulus, but only after the stimulus had disappeared and reappeared at a different location on the display screen.

• Perc: The percentage of target stimuli that were touched accurately, but late.

Reaction Time Program

In the Reaction Time Program, the patient keeps their hand on the central fixation point until a target stimulus appears on the display screen. The patient will then move their hand as quickly as possible from the central fixation point to touch the target stimulus and return to press and hold the central fixation point. This program measures reaction speed and hand latency.

Note: In the Reaction Time Program, target stimuli will appear above or to the right or left of the central fixation point. Target stimulus will not appear directly below the central fixation point.

Besides the settings discussed in Chapter 5 the Reaction Time Program includes an additional setting: Number of Trials Setting.


Number of Trials Setting

The Number of Trials Setting controls the number of target stimuli that will be presented. The number of trials can be set from 1 to 100 trials. Each trial will have 7 target stimuli that will be presented on the display screen. To adjust the number of trials, touch the slider at a specific point or press the arrow buttons.

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Reaction Time Parameters Window. See Figure 6-4.

Figure 6-4: Reaction Time Program Parameters Window

To start the Reaction Time Program:

1. Touch the Reaction Time Button (See Figure 6-1) to open the settings window.

2. If applicable, revise the settings on the Reaction Time Program Parameters Window.



5. Have the patient place their hand on the central fixation point (circle in the center of the display screen).

6. Instruct the patient to keep their hand on the central fixation point until a target stimulus appears on the display screen.

7. When the target stimulus appears, the patient is to remove their hand from the central fixation point and as quickly as possible reach out and touch the center of the target stimulus.

8. After the target stimulus has been touched, instruct the patient to return their hand to the central fixation point, in order to activate the appearance of the next target stimulus on the display screen.


9. Once the set number of trials has been completed, the Results Screen will appear.

Note: Each trial has seven target stimuli that will appear on the display screen. For example if the Number of Trials Setting is set at 10, then a total of 70 target stimuli will appear.

10. Touch the Return Button to go back to the Reaction Time Program Parameters Window.

Reaction Time Program Results

The Results Screen in the Reaction Time Program displays 2 important performance metrics of the program: Reaction Latency and Hand Speed.


• Reaction Latency: The average length of time from when the target stimulus appears on the display screen to when the patient lifts their hand off the central fixation point.

• Hand Speed: The average response time from when the patient lifts their hand off the central fixation point to when they accurately touch the target stimulus.

• Accuracy:


• Hits: The number of times the patient correctly touched the target stimulus on the first attempt.

• Misses: The number of target stimuli that were not touched accurately on the first attempt.

• Perc: The percentage of stimuli which were accurately touched on the first attempt.

Results Central Section

Displays the Reaction Latency, Hand Speed, and Accuracy for target stimuli that appear in the central field of the display screen.

Results Peripheral Section

Displays the Reaction Latency, Hand Speed, and Accuracy for target stimuli that appear in the peripheral field of the display screen.

29

Chapter

Chapter 7 - Rotator Menu

Rotator Menu

The Rotator Menu consists of four therapy programs: Single Color, Multi-Color, Sequence, and Gap Sequence. These programs are designed to improve eye-hand coordination, peripheral awareness, reaction time, and cognitive training.

Warning: The Rotator Menu Programs may cause dizziness, vertigo, or nausea. Use with caution when using with patients that are sensitive to motion sickness.

To access the Rotator Menu:

1. From the Therapy Menu categories, touch the Rotator Menu.

2. This will display the four therapy program options as buttons. See Figure 7-1.

Figure 7-1: Rotator Menu Buttons

Parameters

Besides the parameter settings discussed in Chapter 5, the therapy programs under the Rotator Menu include additional settings that are unique to these programs.

Speed

The Speed Setting controls how fast the rototor will move on the display screen. The speed option ranges from 1 to 35. It is recomended to start with the slowest speed when introducing the Rotator Menu therapy programs to a patient. To adjust the rotation speed, touch the slider at a specific point or press the arrow buttons.

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30Chapter 7 - Rotator Menu

Rotator Size

The Rotator Size Setting controls the size of the rotator that will appear on the display screen. The size of the rotator can be adjusted for patients who have difficulty reaching the peripheral target stimui on the rotator. To change the rotator size, touch the circle next to the desired option. The selected option will be highlighted in blue.

Direction

The Direction Setting controls the direction of the rotator movement. To select, touch the circle next to the desired setting. There are three different options:

• CW: The rotator will move in a clockwise direction.

• CCW: The rotator will move in a counter-clockwise direction.

• Both: The rotator will rotate in a clockwise direction and then will automatically, at random times, change rotation to a counter-clockwise direction.

Response Mode

The Response Mode Setting controls how the patient will need to respond to the target stimuli. This setting is only used with the Multi-Color Program. This setting has two options:

• Classification: The target stimuli must be touched by categories. For example, first all red stimuli circles, then all white stimuli circles, and lastly all blue stimuli circles.

• Sequence: The target stimuli must be touched in sequence. For example, red, white, blue, red, white, blue, etc.

To select, touch the circle next to the desired mode. The selected option will be highlighted.

Consecutive

The Consecutive Setting is used with the Gap Sequence Program only. When the setting is turned on, the target stimuli (numbers and/or letters) will appear consecutively.

If the setting is turned off, the target stimuli will not be consecutive. There will be gaps in the sequence and the user must find the next stimuli according to logical sequence. To turn on the setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).


Single Color Program

In the Single Color Program, a rotator will appear on the display screen. All of the target stimuli will appear at the same time on the rotator. All of the target stimuli will be the same color and will rotate at a selected speed. The target stimulus will remain visible on the rotator until the patient has touched the center of the target stimulus.

Figure 7-2: Single Color Program Parameters Window

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Single Color Program Parameters Window. See Figure 7-2.

To start the Single Color Program:

1. Touch the Single Color Button (See Figure 7-1) to open the settings window.

2. If applicable, revise the settings on the Single Color Program Parameters Window.



5. A box with a letter will appear in the center of the rotator on the display screen. Instruct the patient to touch the center of the box to initiate the program.

6. Instruct the patient to move their hands as quickly as possible to touch the rotating target stimuli. Once the target stimulus has been touched, it will disappear from the screen.


8. Touch the Return Button to go back to the Single Color Program Parameters Window.

Note: If necessary, the speed of rotation can be adjusted while the patient is in the middle of a therapy program session, by touching the speed slider that appears in the lower right corner. See Figure 7-3.


Figure 7-3: Single Color Program (Active Program Window)

Multi-Color Program

In the Multi-Color Program, a rotator will appear on the display screen. All of the target stimuli will appear at the same time on the rotator, but will appear as three different colors (red, white, and blue). The multi-colored target stimuli will rotate at a predetermined speed.

The target stimuli will need to be touched in one of two orders. Either by classification (all red stimulus, then all white, then all blue) or in a repeated sequence (red, white, blue, red, white, blue). The target stimulus will remain visible on the rotator until the patient has touched the center of the target stimulus using the classification or sequence method.

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Multi-Color Program Parameters Window. See Figure 7-4.

Figure 7-4: Multi-Color Program Parameters Window


To start the Multi-Color Program:

1. Touch the Multi-Color Button (See Figure 7-1) to open the settings window.

2. If applicable revise the settings on the Multi-Color Program Parameters Window.


4. Touch the launch button to begin the program.


6. If the response mode "Classification" was selected in the Parameters Window, then instruct the patient to move their hands as quickly as possible and touch all of the red target stimuli. Next, instruct the patient to touch all of the white target stimuli and lastly all of the blue target stimuli.

7. If the response mode "Sequence" was selected in the Parameters Window, then instruct the patient to move their hands as quickly as possible and touch the target stimuli in the following sequence: red, white, blue, red, white, blue. This sequence is to be repeated until all the target stimuli have been touched.


9. Touch the Return Button to go back to the Multi-Color Program Parameters Window.

Note: If necessary, the speed of the rotation can be adjusted while the patient is interacting with the therapy program. To change the rotation speed while the therapy program is active, touch the speed slider that appears in the lower right corner of the display screen.

Sequence Program

In the Sequence Program, a rotator will appear on the display screen and rotate at a predetermined speed. The target stimuli will appear at random locations on the rotator and all stimuli will appear at the same time. In this program the target stimuli can appear as letters (upper and/or lower case), numbers, or a combination of letters/numbers.

The patient will need to touch the target stimuli in the sequence of the numbers and/or letters. For example, A through Z or 1 through 10. The program can also be set for the target stimuli to be touched in reverse sequence (Z through A or 10 through 1).

If the Stimuli Persistence Setting is turned off, the target stimulus will disappear when the patient has touched the center of the target stimulus in the correct sequence. If the Stimuli Persistence Setting is turned on, then the target stimulus will remain visible even after the target has been correctly touched.

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Sequence Program Parameters Window. See Figure 7-5.


Figure 7-5: Sequence Program Parameters Window

To start the Sequence Program:

1. Touch the Sequence Button (See Figure 7-1) to open the settings window.

2. If applicable, revise the settings on the Sequence Program Parameters Window.




6. Instruct the patient to move their hands as quickly as possible and touch the target stimuli in sequence. For example A through Z or 1 through 10.

Note: If the Reverse Sequence Setting is turned on, then the patient will need to touch the target stimuli in reverse order. For example, Z through A or 10 through 1.

Note: If the combination Stimuli Type Setting is selected (Numbers/Letters), then the patient will need to touch the stimuli in sequence alternating between number and letter. For example, 1, A, 2, B, 3, C, 4, D, etc.


8. Touch the Return Button to go back to the Sequence Program Parameters Window.



Gap Sequence Program

In the Gap Sequence Program, the target stimuli will appear at random locations on the rotator and all stimuli will appear at the same time. The target stimuli can appear as letters (upper and/or lower case), numbers, or a combination of letters/numbers.

In this program the letters and/or numbers will not always begin with A or 1. The first number or letter in the sequence will be flashing. The patient must then continue to the next logical number or letter in the sequence.

If the Consecutive Setting is turned on, then the numbers and/or letters will appear consecutively. If the setting is turned off, then the numbers and/or letters will not be consecutive. The patient will need to locate the next number or letter according to the logical sequence, even though there are gaps in the sequence.

If the Stimuli Persistence Setting is turned off, the target stimulus will remain visible on the rotator until the patient has touched the center of the target stimulus in the correct sequence. If the Stimuli Persistence Setting is turned on, then the target stimulus will remain visible even after the target has been correctly touched.

Figure 7-6: Gap Sequence Program Parameters Window

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Gap Sequence Program Parameters Window. See Figure 7-6.

To start the Gap Sequence Program:

1. Touch the Gap Sequence Button (See Figure 7-1) to open the settings window.

2. If applicable, revise the settings on the Gap Sequence Program Parameters Window.





6. The first number or letter in the sequence will be flashing. Instruct the patient to move their hands as quickly as possible and touch the flashing target.

7. Then instruct the patient to move their hands as quickly as possible and continue to touch the next numbers or letters in the sequence.

Note: If the Consecutive Setting is turned off, then there will be gaps in the sequence. The patient must find the next number or letter according to the logical sequence, even though many numbers or letters in the sequence may be missing.

Note: If the Reverse Sequence Setting is turned on, then the patient will need to touch the target stimuli in reverse order.

Note: If the combination Stimuli Type Setting is selected (Numbers/Letters), then the patient will need to touch the stimuli in sequence alternating between numbers and letters.


9. Touch the Return Button to go back to the Gap Sequence Program Parameters Window.


37

Chapter

Chapter 8 - Rapid Eye Movement Menu

Rapid Eye Movement Menu

The Rapid Eye Movement Menu consists of three therapy programs: Sequence, Verbal, and Competition. These programs are designed to improve visual attention, speed of recognition, cognitive training, and letter, number, and word recognition.

To access the Rapid Eye Movement Menu:

1. From the Therapy Menu categories, touch the Rapid Eye Movement Menu.

2. This will display the three therapy program options as buttons. See Figure 8-1.

Figure 8-1: Rapid Eye Movement Buttons

Rapid Eye Movement Sequence Program

In the Rapid Eye Movement Sequence Program, the target stimuli will appear at random locations on the display screen and all stimuli will appear at the same time. In this program the target stimuli can appear as letters (upper and/or lower case), numbers, or a combination of letters/numbers.

The patient will need to touch the target stimuli in the correct sequence. For example, A through Z or 1 through 10. The program can also be set for the target stimuli to be touched in reverse sequence (for example, Z through A or 10 through 1).

If the Stimuli Persistence Setting is turned off, the target stimulus will remain visible on the display screen until the patient has touched the center of the target stimulus using the correct sequence. If the Stimuli Persistence Setting is turned on, then the target stimulus will remain visible even after the target has been correctly touched.

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38Chapter 8 - Rapid Eye Movement Menu

Figure 8-2: Rapid Eye Movement Sequence Program Parameters Window

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on Sequence Parameters Window. See Figure 8-2.

To start the Rapid Eye Movement Sequence Program:

1. Touch the Sequence Button (See Figure 8-1) to open the settings window.

2. If applicable, revise the settings on the Rapid Eye Movement Sequence Program Parameters Window.




6. Instruct the patient to move their hands as quickly as possible and touch the target stimuli in sequence. For example, A through Z or 1 through 10.

Note: If the Reverse Sequence setting is turned on, then the patient will need to touch the target stimuli in reverse order. For example, Z through A and 10 through 1.

Note: If the combination Stimuli Type setting is selected (Numbers/Letters) then the patient will need to touch the stimuli in sequence alternating between number and letter. For example 1, A, 2, B, 3, C, 4, D, etc.

7. Once the set number of stimuli has been completed, the Results Window will appear.

8. Touch the Return Button to go back to the Rapid Eye Movement Sequence Program Parameters Window.


Rapid Eye Movement Verbal Program

In the Rapid Eye Movement Verbal Program, all target stimuli will appear on the display screen at the same time. In this program the target stimuli can appear as letters, numbers, words, or a combination of letters/numbers.

The program will verbally call out a number, letter, or word and the patient must remember this information. Then the patient will need to visually locate the number, letter, or word on the display screen and touch it.

If the Stimuli Persistence Setting is turned off, the target stimulus will remain visible on the display screen, until the patient has touched the target stimulus using the correct sequence. If the Stimuli Persistence Setting is turned on, then the target stimulus will remain visible even after the target has been correctly touched.

Stimuli Type Setting

In the Rapid Eye Movement Verbal Program the Stimuli Type Setting includes numbers, letters, and words. The words are divided into five levels of difficulty and use common sight words.

• Level 1: Pre-Primer Level Words

• Level 2: Primer Level Words

• Level 3: First Grade Level Words

• Level 4: Second Grade Level Words

• Level 5: Third Grade Level Words

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Verbal Program Parameters Window. See Figure 8-3.

Figure 8-3: Rapid Eye Movement Verbal Program Parameters Window


To start the Rapid Eye Movement Verbal Program:

1. Touch the Verbal Button (See Figure 8-1) to open the settings window.

2. If applicable, revise the settings on the Rapid Eye Movement Verbal Program Parameter Window.



5. A voice will state, "Find the following (numbers, letters, or words)."

6. Instruct the patient to touch the box with a letter, in the center of the display screen, to initiate the program.

7. A verbal prompt will call out a number, letter, or word. (Depending on what the Stimuli Type Setting is programmed to).

Note: If the patient was unable to hear the verbal prompt, then touch the Replay Button in the upper left corner of the screen to replay the verbal prompt. See Figure 8-4.

8. The patient then will need to visually locate this number, letter, or word on the display screen and touch it.


10. Touch the Return Button to go back to the Rapid Eye Movement Verbal Program Parameters Window.

Figure 8-4: Rapid Eye Movement Verbal Program (Active Window)

Replay Button


Rapid Eye Movement Competition Program

This program is designed as a competition, so that the clinician can work with two patients at the same time. It is important that the two patients are relatively matched in developmental and functional ability.

In the Rapid Eye Movement Competition Program, the display screen is divided into a left and right side. Target stimuli will appear on each side of the display screen. The same set of target stimuli will appear on each side, but in different locations.

In this program, the target stimuli can appear as letters, numbers, words, or a combination of letters/numbers. Just as in the Rapid Eye Movement Verbal Program, the words are divided into five levels of difficulty and use common sight words.

The program will verbally call out a number, letter, or word and both patients must visually locate and then touch the stimulus before the other patient finds it. The first one to correctly locate and touch the stimulus receives a point. The program keeps track of the points and displays them on the Results Screen.

If the Stimuli Persistence Setting is turned off, the target stimulus will remain visible on the display screen, until the patient has touched the center of the target stimulus using the correct sequence. If the Stimuli Persistence Setting is turned on, then the target stimulus will remain visible even after the target has been correctly touched.

Figure 8-5: Competition Program Parameters Window

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Competition Program Parameters Window. See Figure 8-5.

To start the Rapid Eye Movement Competition Program:

1. Touch the Competition Button (See Figure 8-1) to open the settings window.

2. If applicable, revise the settings on the Rapid Eye Movement Competition Program Parameters Window.


3. Have one patient stand toward the left side of the display screen and the other patient stand toward the right side of the display screen.


5. A voice will state, "Find the following (numbers, letters, or words)."

6. Instruct both of the patients to touch the box with a letter, in the center of the display screen, to initiate the program.

7. A verbal prompt will call out a number, letter, or word. (Depending on what the Stimuli Type setting is programmed to).

Note: If the patient was unable to hear the verbal prompt, then touch the Replay Button in the middle of the screen to replay the verbal prompt. See Figure 8-6.

8. Both patients then will need to try to visually locate this number, letter, or word on the display screen and touch it before the other person does.

9. The process is repeated until the set number of stimuli has been completed.

10. The Results Screen will appear displaying which patient has accumulated more points.

Note: Displayed on the Results Screen, under the Results Overall section, is the total of points per side and which side is the winner.

11. Touch the Return Button to go back to the Competition Program Parameters Window.

Figure 8-6: Rapid Eye Movement Competition Program (Active Window)

43

Chapter

Chapter 9 - Memory Recall Menu

Memory Recall Menu

The Memory Recall Menu consists of one therapy program: Memory Recall. This program is designed to improve speed of recognition, visual memory, auditory memory, and cognitive training.

To access the Memory Recall Menu:

1. From the Therapy Menu categories, touch the Memory Recall Menu.

2. This will display the therapy program option as a button. See Figure 9-1.

Figure 9-1: Memory Recall Button

Memory Recall Parameters

Besides the parameter settings discussed in Chapter 5, the Memory Recall Program includes additional settings that are unique to this program.

Number of Minutes

This setting controls the length of time of the therapy session. This setting ranges from 1 to 10 minutes. To adjust the number of minutes, touch the slider at a specific point or press the arrow buttons to slowly increase or decrease the amount of time. To evaluate the patient's baseline ability it is recommended to start the program with a low number (2 or 5 minutes).

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44Chapter 9 - Memory Recall Menu

Verbal

The Verbal Setting controls the presentation of the stimuli. When the Verbal Setting is turned on, the presentation of the target stimuli will be verbal. When the Verbal Setting is turned off, the presentation of the target stimuli will be visual.

To turn on the Verbal Setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Reverse

The Reverse Setting will determine in what sequence the patient will need to respond to the target stimuli. When the Reverse Setting is turned on, the patient will need to touch the stimuli in the reverse order. For example, if the stimulus was presented (visually or vocally) as "1-5-8" and the Reverse Setting is turned on, then the correct response would be "8-5-1".

When the Reverse Setting is turned off, then the patient will need to touch the stimuli in the same order it was presented in. For example, if the stimulus was presented (visually or vocally) as "1-5-8" and the Reverse Setting is turned off, then the correct response is "1-5-8".

To turn on the Reverse Setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Flash Time

The Flash Time Setting controls the length of time the target stimuli sequence will appear on the display screen before disappearing. This setting is applicable when the verbal setting is turned off and the stimuli presentation is visual. The Flash Time Setting ranges from 0.2 to 3 seconds.

To adjust the Flash Time Setting, touch the slider at a specific point or press the arrow buttons to slowly increase or decrease the amount of time.

Sequence Length

The Sequence Length Setting controls the number of stimuli that are presented. The number of stimuli ranges from 1 to 9. To adjust the Sequence Length Setting, touch the slider at a specific point or press the arrow buttons.

Note: In Manual Mode, the Memory Recall Program will start with the number of stimuli that are selected, up to 9. In Auto Sequential or Auto Random Modes, the program will begin with a presentation of 2 stimuli, and then continue to the maximum number of 7 stimuli, as indicated by the sequence length setting.

Note: A setting of 1 should only be used for demonstration purposes and not for a therapy session.


Mode

The Mode Setting determines how the target stimuli will be presented. There are 3 different types of modes: Manual, Auto Sequential, and Auto Random.

Manual Mode

In Manual Mode, the selected number of presented stimuli will always remain the same, up to a maximum of 9 stimuli. For example, if the sequence length setting is set to 4 then a set of 4 stimuli will appear for each session in the program. Each session will have a different series of 4 stimuli.

Auto Sequential Mode

In Auto Sequential Mode, the session will always begin with the presentation of 2 stimuli. Then with each correct response the next presentation will have an additional stimulus. In this mode only the last stimulus in the series will differ from the previous sequence. This will continue up to the maximum number of stimuli as indicated by the Sequence Length Setting, up to 7 stimuli.

For example, if the Stimuli Type Setting is set to Numbers 1, the Sequence Length Setting is set to 4 and the initial stimuli presentation is 2-4, then the next presentation might be 2-4-8. If the patient continues to respond correctly, the last presentation might be 2-4-8-5.

If the patient's response is incorrect, the program will revert to the last correct response and proceed up or down from there.

Auto Random Mode

In Auto Random Mode, the session will always begin with the presentation of 2 stimuli. Then with each correct response, the next presentation will have an additional stimulus. In this mode, every stimulus in the series will be different than the stimuli of the previous sequence. This will continue until the maximum number of stimuli, up to 7, as indicated by the Sequence Length Setting, has been reached.

For example, if the Stimuli Type Setting is set to Numbers 2 and the first presentation is 4-7 and the patient responds correctly, then the next presentation will be 3 totally different numbers, such as 3-6-2.

Stimuli Type Setting

The Stimuli Type Setting includes numbers, letters, and words. The words are divided into five levels of difficulty and use common sight words.

• Level 1: Pre-Primer Level Words

• Level 2: Primer Level Words

• Level 3: First Grade Level Words

• Level 4: Second Grade Level Words

• Level 5: Third Grade Level Words


The numbers are divided into 2 levels.

• Numbers 1: Single Digit Numbers (for example 4 -5 -8)

• Numbers 2: Double Digit Numbers (for example 37-89-45)

Memory Recall Program

In the Memory Recall Program, the presentation of the target stimuli can be be presented verbally or visually. A sequence of letters, numbers, combination (letter/number) or words will be presented visually or verbally. The patient must remember the presented sequence, locate the correct letters, numbers, or words and touch them according to the correct sequence.

Figure 9-2: Memory Recall Program Parameters Window

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Memory Recall Program Parameters Window. See Figure 9-2.

To start the Memory Recall Program:

1. Touch the Memory Recall Button (See Figure 9-1) to open the settings window.

2. If applicable, revise the settings on the Memory Recall Program Parameters Window.



5. If the Verbal Setting is turned off, the following will appear on the display screen: "Find the following (letters, numbers, or words) in sequence". The target stimuli sequence will flash briefly on the display screen for the patient to memorize.

Note: If the Verbal Setting is turned on, a voice will state, "Find the following (letters, numbers, or words) in sequence". Then there will be a verbal prompt calling out the target stimuli sequence. If the patient was unable to hear the verbal prompt, then touch the Replay Button in the upper left corner of the screen to replay the verbal prompt.


6. The target stimuli will appear randomly on the display screen. Instruct the patient to touch the target stimuli in the correct sequence.

Note: If the Reverse Sequence Setting is turned on, instruct the patient to touch the target stimuli in the reverse sequence from what was visually or verbally presented.

7. The process is repeated until the patient has completed the assigned minutes.

8. The Results Screen will appear on the display screen.

9. Touch the Return Button to go back to the Memory Recall Parameters Window.

Memory Recall Program Results

The content listed in the Results Overall section found on the Memory Recall Program Results Screen is unique to this program.


• Trials:

• Total: The total number of attempted trials.

• Successful: The number of correct responses (per trial). All responses in a particular trial must be correct in order for the program to record the action as a correct response. For example, if 1 out of the 3 letters in the sequence are responded to incorrectly, then the entire trial is counted as incorrect.

• Missed: Number of incorrect responses.

• Perc: Percentage of successful trials.

• Highest Lvl: The highest number of displayed target stimuli that produced a correct response.

• Ending Lvl: The number of displayed target stimuli on the last successful response.

Note: The "Highest Lvl" and "Ending Lvl" results only appear on the Results Screen if the Auto Sequential Mode or Auto Random Mode is selected for the program settings.

48

Chapter

Chapter 10 - Metronome Menu

Metronome Menu

The Metronome Menu consists of one therapy program: Metronome. This program is designed to improve timing, speed, accuracy, and visual/auditory motor planning.

To access the Metronome Menu:

1. From the Therapy Menu categories, touch the Metronome Menu.

2. This will display the therapy program option as a button. See Figure 10-1.

Figure 10-1: Metronome Button

Metronome Parameters

The Metronome Program includes parameter settings that are unique to this program.

Number of Minutes

This setting controls the total amount of time that the program will run. This setting ranges from 1 to 10 minutes. To adjust the number of minutes, touch the slider at a specific point or press the arrow buttons.

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49Chapter 10 - Metronome Menu

Beats Per Minute

This setting controls the speed of the metronome. The speed ranges from 20 beats per minute to 100 beats per minute. To select touch the circle next to the desired speed.

Presentation Mode

The Presentation Mode Setting determines how the target stimuli will be presented. There are 3 different types of modes: Auditory, Visual, and Auditory/Visual. To select, touch the circle next to the desired mode.

Auditory Mode

In Auditory Mode, there is a auditory beat that the patient will need to match.

Visual Mode

In Visual Mode, there is a flashing visual stimulus (instead of the auditory beat) that the patient will need to match.

Auditory/Visual Mode

In the Auditory/Visual Mode, there is a combination of an auditory beat and a flashing visual stimulus that the patient will need to match.

Level

The Level Setting controls the allowed response time to the stimulus. There are 3 levels of difficulty in this program: beginner, intermediate, and advanced. To select, touch the circle next to the desired level.

Level 1

This is the beginner level. The patient has to respond to stimuli within 3/10 of a second, from the stimulus presentation, in order for the response to be recorded as accurate.

Level 2

This is the intermediate level. The patient has to respond to stimuli within 2/10 of a second, from the stimulus presentation, in order for the response to be recorded as accurate.

Level 3

This is the advanced level. The patient has to respond to stimuli within 1/10 of a second, from the stimulus presentation, in order for the response to be recorded as accurate.


Metronome Program

In the Metronome Program, a patient must touch either of the targets at the selected rhythm in beats per minute. The program presents the stimulus as an auditory beat, flashing visual stimulus, or a combination of the two (auditory/visual). Once the patient responds to the stimulus, the program will provide immediate feedback on the accuracy of the response.

Figure 10-2: Metronome Program Parameters Window

The clinician can revise the default settings found on the Metronome Program Parameters Window. See Figure 10-2.

To start the Metronome Program:

1. Touch the Metronome Button (See Figure 10-1) to open the settings window.

2. If applicable, revise the settings on the Metronome Program Parameters Window.



5. Instruct the patient to touch the box with a letter, in the center of the display screen, to initiate the program.

6. Two large circles will appear on the left and right side of the display screen.

Note: Either circle can be used. It is recommended to have the patient use the circle on the side of their dominant hand.

7. If the Auditory Mode is selected, the patient will hear an auditory beat. Instruct the patient to listen to the beat and touch one of the large circles in time to match the rhythm of the auditory stimulus.

8. If the Visual Mode is selected, there will be a flashing visual stimulus, the box with a letter in the center of the display screen will flash. Instruct the patient to touch one of the large circles in time to match the rhythm of the visual stimulus.


Note: If the Auditory/Visual Mode is selected, the patient will simultaneously hear the auditory beat and see the flashing visual stimulus.

9. As the patient touches one of the large circles to match the visual or auditory stimulus, the program will provide immediate feedback on the accuracy of the response. The feedback will appear on the screen as small colored circles.

• Green Circle - Indicates that the response was accurate and within the response parameters defined in the level setting.

• White Circle - Indicates that the response was early.

• Red Circle - Indicates that the response was late.

10. The Results Screen will appear after the patient has completed the assigned minutes.

11. Touch the Return Button to go back to the Metronome Parameters Window.

Metronome Program Results

The content listed in the Results Overall section found on the Metronome Program Results Screen is unique to this program.


• Percentage:

• On: The percentage of times the patient's response matched the metronome rhythm or beat.

• Early: The percentage of times the patient's response was early.

• Late: The percentage of times the patient's response was late.

52

Chapter

Chapter 11 - Chart Menu

Chart Menu

The Chart Menu consists of two sub-menus: Letter Chart Menu and Peripheral Letter Chart Menu. The Letter Chart Menu consists of four therapy programs: Static, Motion, Multiple, and Puzzle. The Peripheral Letter Chart Menu consists of two therapy programs: Sequence and Match. These programs are designed to improve visual search skills, accuracy, speed of response, and visual and auditory processing.

To access the Chart Menu:

1. From the Therapy Menu categories, touch the Chart Menu.

2. This will display the two sub-menus. See Figure 11-1.

Figure 11-1: Chart Menu Buttons

Letter Chart Menu

The Letter Chart Menu consists of four therapy programs: Static, Motion, Multiple, and Puzzle. Each program presents stimuli in a chart format.

11

53Chapter 11 - Chart Menu

Parameters

The programs under the Letter Chart Menu use parameter settings that are unique to these programs.

Grid

The Grid Setting controls how the chart will be formatted. There are three different chart formats available: 10 x 10, 5 x 5, and 5 x 5 Space. To select, touch the circle next to the desired chart form.

• 10 x 10: This setting displays a chart with 100 stimuli. The chart consists of 10 rows across and 10 rows down.

• 5 x 5: This setting displays a chart with 25 stimuli. The chart consists of 5 rows across and 5 rows down.

• 5 x 5 Space: This setting displays a chart with 25 stimuli. The chart consists of 5 rows across, 5 rows down, and between each row there is a row of white space.

BPM and Metronome

The Metronome Setting can be turned on or off. The BPM (Beats Per Minute) Setting controls the speed of the metronome. The speed ranges from 30 beats per minute to 150 beats per minute.

To turn on the Metronome Setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø). To adjust the beats per minute touch the arrow buttons.

Place Guide

The Place Guide Setting controls the appearance of guides across the top of the chart columns and on the side of the chart rows. When this setting is on, the letters A - J will appear across the top of the columns and the numbers 1 - 10 will appear on the side of the rows.

To turn on the Place Guide Setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Stimuli Circles

The Stimuli Circles Setting can be turned on or off. When the setting is turned on, circles will appear around each stimuli displayed in the chart. To turn on the stimuli circles setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).


Stimuli

The Stimuli Setting allows the user to change the type of stimuli that is displayed. There are 10 different types of stimuli. The stimuli setting options are:

• Numbers

• Letters Upper: Upper case letters.

• Letters Lower: Lower case letters.

• Numbers & Letters: Random combination of numbers and upper case letters.

• Shapes: Various geometric shapes (circles, squares, triangles, hearts, diamonds).

• Arrows Cardinal: Vertical and horizontal arrows.

• Arrows Oblique: Opblique arrows.

• Arrows Both - Random combination of vertical, horizontal, and oblique arrows.

• bdpq: Random display of the lower case letters b, d, p, and q.

• Numbers, Letters & Arrows: Random combination of numbers, letters, and arrows.

To change the Stimuli Setting, touch the circle next to the desired option. The selected option will be highlighted.


Static Program

The Static Program is one of the therapy programs found under the Letter Chart sub-menu. In this program, a chart displays the selected stimuli type on the display screen. The clinician will instruct the patient to read and verbally say the selected stimuli from the chart. If the metronome feature is turned on, the patient will need to read the stimuli out loud in time with the metronome beat.

Figure 11-2: Static Program Parameters Window

Depending on the patient's abilities, the clinician can revise the default settings found on the Static Program Parameters Window. See Figure 11-2.

When the Static Program is launched, two additional settings will appear on the active program screen: chart size and target size. See Figure 11-3. Additional buttons will also appear on the left side of the display screen: Shuffle and Print.

Chart Size

The Chart Size Setting controls the size of the chart. The size of the chart can be changed independently from the size of the target stimulus. Changing the size of the chart will either increase or decrease the spacing between the stimuli.

To change the chart size, touch the slider at a specific point, touch and hold the slider button and drag it to the desired location, or press the arrow buttons.

Target Size

The Target Size Setting controls the size of the stimuli that is displayed in the chart. The size of the stimuli can be changed independently from the size of the chart.

To change the stimuli size, touch the slider at a specific point, touch and hold the slider button and drag it to the desired location, or press the arrow buttons.


Buttons

Shuffle Button

The Shuffle Button is located in the upper left corner of the display screen. See Figure 11-3. Pressing the Shuffle Button will rearrange the stimuli in the chart, presenting a different chart stimuli arrangement to the patient.

Print Button

The Print Button is located in the lower left corner of the display screen. See Figure 11-3. The Print Button allows the clinician to print a copy of the chart displayed on the screen.

Note: When printing a chart make sure to select white for the background color settings in the parameters window.

Figure 11-3: Static Program (Active Window)

Figure 11-4: Letter Chart Sub-Menu Buttons


To start the Static Program:

1. Touch the Letter Chart sub-menu button. See Figure 11-4. Then touch the Static Button to open the settings window.

2. If applicable, revise the settings on the Static Program Parameters Window.



5. A chart with selected stimuli type will appear on the display screen. If needed, adjust the chart size and/or target size settings.

6. Instruct the patient to read out loud the stimuli from the chart.

Note: This procedure can be performed in one of several ways. For example, instruct the patient to read out loud every stimulus that is displayed in the chart. If the placed guide setting is turned on, have the patient read from a certain column or row. For example, instruct the patient to read the first 3 stimuli from column A and then the last 2 stimuli from column J. Then repeat for each column.

Note: If the metronome is turned on, instruct the patient to read the stimuli out loud in time with the metronome beat.

7. Once the patient has completed all instructions from the clinician, press the Results Button. The Results Screen will appear. Press the Return Button to go back to the Static Program Parameters Window.

Note: The Results Screen will only show the Settings Section, giving a summary of the program settings used.

Motion Program

The Motion Program is one of the therapy programs found under the Letter Chart sub-menu. In this program, a chart displaying the selected stimuli type will appear and continuously move on the display screen. The clinician will instruct the patient to read and verbally say the selected stimuli from the chart. If the metronome feature is turned on, the patient will need to read the stimuli out loud in time with the metronome beat.

Note: The Motion Program should only be used after the patient has demonstrated a high level of competence with the Static Program.

Besides the settings discussed earlier in this chapter, the Motion Program includes two additional settings, that are found on the Parameters Window, that are unique to this program.

Motion Setting

The Motion Setting controls how the stimuli chart will move on the display screen. To select, touch the circle next to the desired setting. There are three different options:


• Rotations: The chart will rotate in a circular direction on the display screen.

• Left/Right: The chart will move in a left to right direction across the display screen.

• Up/Down: The chart will move in a up to down direction across the display screen.

Direction Setting

The Direction Setting will only appear on the Motion Program Parameters Window if the Motion Setting is set to Rotations. The Direction Setting controls the direction of the circular motion of the chart rotation. To select,

touch the circle next to the desired setting. There are three different options:

• Clockwise: The chart will rotate in a clockwise direction.

• Counterclockwise: The chart will rotate in a counter-clockwise direction.

• Both: The chart will automatically at random times change rotation direction.

Depending on the patient's abilities, the clinician can revise the default settings found on the Motion Program Parameters Window. See Figure 11-5.

Figure 11-5: Motion Program Parameters Window

When the Motion Program is launched, three additional settings will appear on the active program screen: Speed, Chart Size, and Target Size. See Figure 11-6.

Speed

The Speed Setting controls how fast the chart will move around the display screen. To change the Speed Setting, touch the slider at a specific point, touch and hold the slider button and drag it to the desired location, or press the arrow buttons.

Note: Chart Size and Target Size settings are described early in this chapter under "Static Program".


Figure 11-6: Motion Program (Active Window)

To start the Motion Program:

1. Touch the Letter Chart sub-menu button. See Figure 11-4. Then touch the Motion Button to open the settings window.

2. If applicable, revise the settings on the Motion Program Parameters Window.



5. A chart with selected stimuli type will appear and continuously move on the display screen. If needed adjust the Speed, Chart Size, and/or Target Size Settings.

6. Instruct the patient to read out load the stimuli from the chart.

Note: It is up to the clinician to determine which stimuli they would like the patient to read out loud from the chart. Just like in the Static Program, this procedure can be performed in several ways. For example, instruct the patient to read out loud every stimulus that is displayed in the chart or every other stimulus in the chart.

Note: If the metronome is turned on, instruct the patient to read the stimuli out loud in time with the metronome beat.

7. Once the patient has completed all instructions from the clinician, press the Results Button. The Results Screen will appear. Press the Return Button to go back to the Motion Parameters Window.



Multiple Program

The Multiple Program is one of the therapy programs found under the Letter Chart sub-menu. In this program, multiple charts displaying the selected stimuli type will appear on the display screen. The clinician will instruct the patient to read and verbally say the selected stimuli from the chart. If the metronome feature is turned on, the patient will need to read the stimuli out loud in time with the metronome beat.

In addition to the parameter settings discussed earlier in this chapter, the Multiple Program includes an additional setting found on the parameters window.

Mode

The Mode Setting controls the number of charts and how the charts are presented on the display screen. To select, touch the circle next to the desired setting. There are four options:

• Vertical: Displays 2 charts along a vertical axis on the display screen.

• Horizontal: Displays 2 charts along a horizontal axis on the display screen.

• Four Charts: Displays 4 charts, one in each corner of the display screen.

• Saccadic Strips: Displays 2 columns (vertically) of selected stimuli.

Depending on the patient's abilities, the clinician can revise the default settings found on the Multiple Program Parameters Window. See Figure 11-7.

Figure 11-7: Multiple Program Parameters Window

When the Multiple Program is launched, two additional settings will appear on the active program screen: Chart Size and Target Size.



To start the Multiple Program:

1. Touch the Letter Chart sub-menu button. See Figure 11-4. Then touch the Multiple Button to open the settings window.

2. If applicable, revise the settings on the Multiple Program Parameters Window.



5. Multiple charts with selected stimuli type will appear on the display screen. Each chart will have a different display. If needed, adjust the chart size and/or target size settings.

6. Instruct the patient to read out loud the stimuli from the chart.

Note: It is up to the clinician to determine which stimulus they would like the patient to read out loud from the different charts. This procedure can be performed in several ways. For example instruct the patient to read out loud the first stimulus in each chart going back and forth from one chart to the other. Then read the second letter on each chart and repeat this process until all stimulus on all charts has been read out loud.

Note: If the metronome is turned on instruct the patient to read the stimuli out loud in time with the metronome beat.

7. Once the patient has completed all instructions from the clinician, press the Results Button. The Results Screen will appear. Press the Return Button to go back to the Multiple Parameters Window.


Puzzle Program

The Puzzle Program is one of the therapy programs found under the Letter Chart sub-menu. This program is a word completion game. In this program a letter chart with guides will appear on the display screen and the word to guess will be represented by a row of dashes located on the bottom of the screen. See Figure 11-8.

The program will visually or verbally give the patient row and column coordinates. The patient will then need to locate the stimulus in the chart and touch the corresponding letter. For example if the program gives the stimulus code "H3" the patient will scan across to column H and then down to row 3 to find the letter D and then touch the letter. If the correct letter is touched it will appear on the bottom of the display screen replacing one of the dashes.

When the patient feels that they can solve the rest of the word they can touch the Solve button. The stimulus code will stop and the patient can find and touch the rest of the letters to form the word.

If the metronome feature is turned on, the patient will need to touch the letters in time with the metronome beat.


Figure 11-8: Puzzle Program Window (Active Program)

In addition to the parameter settings discussed earlier in this chapter the Puzzle Program includes additional settings that are found on the Parameters Window.

Verbal

The Verbal Setting controls the presentation of the row and column coordinates. When the Verbal Setting is turned on, the presentation will be verbal. When the Verbal Setting is turned off, the presentation will be visual.

To turn on the Verbal Setting, touch the circle and a check mark (√) will appear. When the setting is turned off the circle will have a line through it (Ø).

Trials

The Trials Setting controls the number of word sequences that will be presented in a single session. The Trials Setting ranges from 1 to 20. To adjust the setting press the arrow buttons.

Prompt Persistence

The Prompt Persistence Setting, when turned on, keeps the stimulus code displayed on the screen until the correct letter is touched. This setting is only used when the stimulus code presentation is visual (Verbal Setting is turned off). When the setting is turned off, the stimulus code will flash for a predetermined amount of time on the display screen.

To turn on the Prompt Persistence Setting, touch the circle and a check mark (√) will appear. When the setting is turned off the circle will have a line through it (Ø).

Stimuli

The Stimuli Setting controls the level of complexity of the word that the patient needs to guess in the session. There are five levels and with each level the complexity increases. To select, touch the circle next to the desired setting.


Flash Time

The Flash Time Setting controls the length of time the presentation of the stimulus code will appear on the display screen, before disappearing. The setting is applicable when the Verbal Setting is turned off and the stimulus code presentation is visual. The Flash Time Settings range from 0.2 to 3 seconds. To adjust the Flash Time Setting, touch the slider at a specific point or press the arrow buttons to slowly increase or decrease the amount of time.

Depending on the patient's cognitive abilities, the clinician can revise the default settings found on the Puzzle Program Parameters Window. See Figure 11-9.

Figure 11-9: Puzzle Program Parameters Window

When the Puzzle Program is launched two additional settings will appear on the active program screen: Chart Size and Target Size.


To start the Puzzle Program:

1. Touch the Letter Chart sub-menu button. See Figure 11-4. Then touch the Puzzle Button to open the settings window.

2. If applicable, revise the settings on the Puzzle Program Parameters Window.



5. The program will visually or verbally have the following statement: "Find the following letters".

6. The program then will visually or verbally give the stimulus code (column and row) for the location of the first letter in the word.


Note: Touch the Replay Button in the upper left corner of the screen to replay the stimulus code.

7. Instruct the patient to locate (using the coordinates) the correct letter in the chart and touch it.

8. If the correct letter is touched, the letter will appear on the bottom of the display screen replacing the first dash. The program will then proceed to the next stimulus code. If an incorrect letter is touched, the error sound will emit and the program will not continue until the correct letter has been touched.

Note: During the program if the patient feels that they can guess what the word is, then instruct the patient to touch the Solve Button located at the bottom of the display screen. The Solve Button will turn red when activated and the stimulus code prompts will stop. Instruct the patient to find and touch the correct letters in the chart to finish spelling the word.

9. Once the word is solved correctly the program will state, "Find the following letters" and the next stimulus code prompt will begin. Instruct the patient to find the correct letter in the chart.

10. The Results Screen will appear, after the patient has completed the assigned number of trials.

11. Touch the Return Button to go back to the Puzzle Program Parameters Window.

Puzzle Program Results

The content listed in the Results section found on the Puzzle Program Results Screen is unique to this program.

Results Section

• Score:

• Average Solve Prompts: The average number of letters entered before the solve button is pressed.

• Average Correct: The average number of correct responses per trail.

• Average Time per Response: The average time between correct responses.

• Average Incorrect: The average number of misses (incorrect responses) per trial.

Peripheral Letter Chart Menu

The Peripheral Letter Chart Menu consists of two therapy programs: Sequence and Match. See Figure 11-10.

Parameters

The programs under the Peripheral Letter Chart Menu use the following additional settings.


Center Active

The Center Active Setting controls the presentation of the letter "E" that is located in the center of the chart on the display screen. When the setting is off, the center E will not change and will be in a constant position on the screen.

When the setting is on, the center E will change it's position at a specific interval of time. The patient will need to call out the position each time there is a change. To turn on the Center Active Setting, touch the circle and a check mark (√) will appear. When the setting is turned off the circle will have a line through it (Ø).

Note: It is recommended to introduce patients to the Peripheral Letter Chart Programs with the Center Active Setting turned off.

Center Active Delay

The Center Active Delay Setting controls the amount of time that the center letter will be presented before changing. In the Sequence Program this setting only applies when the Center Active Delay Setting is turned on. The amount of time ranges from 2 to 10 seconds. To adjust the setting press the arrow buttons.

Chart Active

When the Chart Active Setting is turned on, the patient will need to touch the letters in the chart in alphabetical order. Auditory feedback will indicate if the correct letter has been touched. When the setting is turned off, the chart will not have any interactive functions. It can be used as a peripheral chart, as an evaluation tool.

Reverse

When the Reverse Setting is turned on, the patient will need to touch the letters in the chart in reverse alphabetical order.

Figure 11-10: Peripheral Letter Chart Menu Buttons


Sequence Program

The Sequence Program is one of the therapy programs found under the Peripheral Letter Chart sub-menu. In this program, a chart displaying different size letters will appear on the display screen. The peripheral letter chart will have the letter "E" as the central focus point. The patient will need to locate and touch the letters in the chart in alphabetical order.

Figure 11-11: Sequence Program Parameters Window

Depending on the patient's cognitive abilities, the clinician can revise the default settings found on the Peripheral Letter Chart Sequence Program Parameters Window. See Figure 11-11.

When the Sequence Program is launched the Chart Size Setting and Shuffle Button will appear on the active program screen. See Figure 11-12.

Figure 11-12: Sequence Program Screen (Active Program)


To start the Sequence Program:

1. Touch the Peripheral Letter Chart sub-menu button. See Figure 11-10. Then touch the Sequence Button to open the settings window.

2. If applicable, revise the settings on the Sequence Program Parameters Window.



5. A peripheral letter chart will appear on the display screen. If needed adjust the chart size.

Note: Start with a medium size Chart Setting between 40-60.

6. Instruct the patient to locate and touch the letters in alphabetical order. If the Persistence Setting is turned off, the letters will disappear from the screen after being touched in the correct order.

Note: If the Reverse Setting is turned on, then instruct the patient to locate and touch the letters in reverse alphabetical order.

Note: If the Metronome Setting is turned on, instruct the patient to touch the letters in time with the metronome beat.

7. If the Center Active Setting is turned on, instruct the patient to also call out the position of the center "E" every time there is a change.

8. The Results Screen will appear after the patient has completed the assigned number of trials.

Note: The score listed in the Results Section indicates the percent of correct responses per program session.

9. Touch the Return Button to go back to the Sequence Program Parameters Window.

Match Program

The Match Program is one of the therapy programs found under the Peripheral Letter Chart sub-menu. In this program, a chart displaying different size letters will appear on the display screen. In the center of the chart a letter will appear as the central focus point and will change after a predetermined amount of time. The patient will need to focus on the center letter, locate, and touch the matching letter in the display chart before it changes. If the correct letter is touched the center letter will change to a new letter for the patient to match. If the correct letter is not touched within the time set in the Center Active Delay Setting, then the center letter will change automatically and the program will count it as an incorrect response.

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Peripheral Letter Chart Match Program Parameters Window. See Figure 11-13.

When the Match Program is launched the Chart Size Setting and Shuffle Button will appear on the active program screen. See Figure 11-14.


Figure 11-13: Match Program Parameters Window

Figure 11-14: Match Program Screen (Active Program)

To start the Match Program:

1. Touch the Peripheral Letter Chart sub-menu button. See Figure 11-10. Then touch the Match Button to open the settings window.

2. If applicable, revise the settings on the Match Program Parameters Window.


4. Touch the launch button.

5. A peripheral letter chart will appear on the display screen. If needed adjust the chart size.

Note: Start with a medium size Chart Setting between 40-60.

6. Instruct the patient to touch the Start Button to begin the therapy session.


7. Instruct the patient to focus on the central focus letter (located in the center of the chart).

8. Then, instruct the patient to locate and touch the matching letter in the chart as quickly as possible.

Note: If the Metronome Setting is turned on, instruct the patient to touch the letters in time with the metronome beat.

9. The patient will need to locate and touch the matching letter every time the central focus letter changes.

10. The Results Screen will appear after the patient has completed the assigned number of trials.

Note: The score listed in the Results Section indicates the percent of correct responses per program session.

11. Touch the Return Button to go back to the Match Program Parameters Window.

70

Chapter

Visual-Motor Menu

The Visual-Motor Menu consists of two sub-menus: Draw Menu and Geoboard Menu. The Draw Menu consists of four therapy programs: Symmetry, Trace, Replicate, and Between the Lines. The Geoboard Menu consists of one therapy program: Geoboard. These programs are designed to improve visual-motor integration, visual form perception, and peripheral awareness.

To access the Visual-Motor Menu:

1. From the Therapy Menu categories, touch the Visual-Motor Menu.

2. This will display the two sub-menus. See Figure 12-1.

Figure 12-1: Visual-Motor Menu Buttons

Draw Menu

The Draw Menu consists of four therapy programs: Symmetry, Trace, Replicate, and Between the Lines. Each program requires the patient to interact with the program by drawing various shapes with their finger or a stylus.

It is recommended, while using the Draw Menu, to have the patient stand in a balanced posture with equal weight on both legs and at the Harmon distance from the display screen. The Harmon distance is the distance from the elbow to the first knuckle. While interacting with the display screen the patient will need to use the tip of their finger or a stylus. The patient will need to keep their wrist in a straight position so that the heal of their hand does not touch the display screen.

Chapter 12 - Visual-Motor Menu

12

71Chapter 12 - Visual-Motor Menu

Parameters

The programs under the Draw Menu use settings that are unique to these programs.

Line Persistence

The Line Persistence Setting controls the appearance of the center line separating the left and right hand sides of the display screen. The appearance of the line can be turned on or off. When the setting is turned on, the line will appear on the display screen providing feedback on the distance from the center line when drawing shapes. To turn on the setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Shape Color

The Shape Color Setting controls the color of the shapes that appear on the display screen. The clinician can choose from a variety of colors from the color pallet. To change the color, touch the inside of the color box and a color pallet window will appear. Select the desired color and touch the OK button. This setting is used in the Trace, Replicate, and Between the Lines programs.

Pen Color

The Pen Color Setting controls the color of the pen, which are the lines drawn by the patient's finger on the display screen. The clinician can choose from a variety of colors from the color pallet. To change the color, touch the inside of the color box and a color pallet window will appear. Select the desired color and touch the OK button.

Pen Size

The Pen Size Setting controls the thickness of the lines drawn by the patient's finger on the display screen. The thickness ranges from 1 to 10. To adjust this setting touch the arrow buttons to the desired number.

Fixation Target

The Fixation Target Setting controls the appearance of the center fixation target. The center fixation target can appear as either an X or a small letter chart. To change the setting, touch the circle next to the desired option. The selected option will be highlighted.

Present

The Present Setting controls the location of the appearance of the target on the display screen. It can appear either on the left side, right side, or center of the screen. To select appearance on the left side touch the circle next to the letter "L". To select appearance on the right side touch the circle next to the letter "R". To select appearance in the center of the screen touch the circle next to the letter "C". This setting is used in the Trace, Replicate, and Between the Lines programs.


Symmetry Program

The Symmetry Program is one of the therapy programs found under the Draw Menu. The display screen appears as a split screen with a central fixation point. The patient must simultaneously draw on both sides of the screen, while focusing on the central fixation point. The clinician will have the patient go through various drawing exercises and evaluate the symmetry of the drawings. The goal is for the patient to have symmetrical and coordinated bilateral movement on each side of the body.

When using the Symmetry Program it is important that the patient does not stop drawing with one hand (or lift the hand from the screen) while continuing to draw with the other hand. This will cause the program to draw lines erratically.

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Symmetry Match Program Parameters Window. See Figure 12-2.

Figure 12-2: Symmetry Program Parameters Window

Figure 12-3: Draw Sub-Menu Buttons


To start the Symmetry Program:

1. Touch the Draw sub-menu button. See Figure 12-3. Then touch the Symmetry Button to open the settings window.

2. If applicable, revise the settings on the Symmetry Program Parameters Window.

3. Have the patient stand in a balanced posture with equal weight on both legs and at the Harmon distance from the display screen.


5. A line will appear in middle of the display screen, splitting it into 2 sections. Instruct the patient to touch the center of this line.

6. Depending on what the Fixation Target Setting is set to, an "X" or a letter chart will appear in the center of the display screen. This is the center fixation target.

7. Start the patient with line drawing exercises:

• Instruct the patient to draw, simultaneously on both sides of the screen, 2 symmetrical horizontal lines.

Note: At any time if the patient needs to start over with the drawing exercise then the Erase Button, located in the left corner of the display screen, can be touched to clear the drawings from the display screen.

8. Next have the patient perform circle drawing exercises:

• Instruct the patient to focus on the center fixation target while at the same time draw, simultaneously on both sides of the screen, 2 large circles.

9. Once the patient has completed all instructions from the clinician, press the Results Button. The Results Screen will appear. Press the Return Button to go back to the Symmetry Parameters Window.


Trace Program

The Trace Program is one of the therapy programs found under the Draw Menu. A shape/pattern will appear on the display screen and the patient will need to slowly and carefully trace directly over the shape/pattern. The program will emit an audio beep when the tracing goes off the shape/pattern and will display the traced line.

In addition to the parameter settings discussed earlier in this chapter the Trace Program includes two additional settings, that are found on the Parameters Window, that are unique to this program.


Buffer

The Buffer Setting controls the buffer area around the shape/pattern being traced. The size of the buffer ranges from 0.1 to 2.0. The 0.1 setting allows for a small amount of deviation off the line being traced before the error sound emits. The 2.0 setting allows for a greater deviation. To select touch the circle next to the desired setting.

Stimuli

The Stimuli Setting controls the shape or pattern that is displayed on the screen for the patient to trace. There are a wide variety of shapes or patterns to choose from. To select touch the circle next to the desired setting.

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Trace Program Parameters Window. See Figure 12-4.

Figure 12-4: Trace Program Parameters Window

When the Trace Program is launched two additional settings will appear on the active program screen: Line Width and Shape Size. See Figure 12-5.

Line Width

The Line Width Setting controls the width of the line that is traced. To change the width of the line touch the slider at a specific point or press the arrow buttons.


Shape Size

The Shape Size Setting controls the size of the shape displayed on the screen. To change the size touch the slider at a specific point or press the arrow buttons.

Figure 12-5: Trace Program Active Window

To start the Trace Program:

1. Touch the Draw sub-menu button. See Figure 12-3. Then touch the Trace Button to open the settings window.

2. If applicable, revise the settings on the Trace Program Parameters Window.



5. A line will appear in middle of the display screen. Instruct the patient to touch the center of this line.

6. A shape or pattern will appear on the display screen.

7. Instruct the patient to slowly and carefully trace the shape/pattern.

8. Once the patient has completed tracing the shape/pattern, press the Results Button. The Results Screen will appear. Press the Return Button to go back to the Trace Parameters Window.

Note: The Results Screen will show a summary of settings used and the percentage of time that the tracing was within the buffer zone.

FPO


Replicate Program

The Replicate Program is one of the therapy programs found under the Draw Menu. The display screen appears as a split screen with a central fixation point displaying in middle of the screen. A stimulus shape will appear on one side of the screen. The patient will need to recreate this shape by drawing with the tip of their finger, on the other side of the screen.

The goal is for the patient to attempt to draw their shape as close as possible to the shape, size, and distance from the central fixation point of the displayed stimulus shape. Once the shape has been drawn the program will superimpose the stimulus shape on the side the patient has drawn on for comparison.

In addition to the parameter settings discussed earlier in this chapter the Replicate Program includes an additional setting, found on the Parameters Window.

Stimuli

The Stimuli Setting controls the stimulus shape that is displayed on the screen for the patient to recreate. There are a wide variety of shapes to choose from. To select touch the dot next to the desired setting.

Figure 12-6: Replicate Program Parameters Window

Depending on the patient's physical and cognitive abilities, the clinician can revise the default settings found on the Replicate Program Parameters Window. See Figure 12-6.

When the Replicate Program is launched, two additional settings will appear on the active program screen: Line Width and Shape Size. See Figure 12-7

Note: Line Width and Shape Size settings are described early in this chapter under "Trace Program."


Figure 12-7: Replicate Program (Active Window)

To start the Replicate Program:

1. Touch the Draw sub-menu button. See Figure 12-3. Then touch the Replicate Button to open the settings window.

2. If applicable, revise the settings on the Replicate Program Parameters Window.


4. Touch the Launch Button.


6. A "X" or small letter chart will appear in the center of the screen, this is the central fixation point. The stimulus shape will appear on one side of the display screen.

7. The patient will need to recreate this shape on the other side (the blank side) of the central fixation point. Instruct the patient to slowly and carefully draw the shape with the tip of their finger. Emphasize that the patient will need to attempt to match the exact size and shape of the stimulus shape. The patient will also need to match the horizontal location and distance from the central fixation point relative to the stimulus shape.

Note: At any time if the patient needs to start over with the drawing exercise press the Erase Button, located in the left corner of the display screen. See Figure 12-7.

8. Once the patient has completed drawing their shape, press the Finished Button located in the lower center of the display screen. See Figure 12-7. The program will then superimpose the stimulus shape on the side the patient has drawn on for comparison.

9. Press the Results Button. to bring up the Results Screen. Press the Return Button to go back to the Replicate Parameters Window.

FPO



Between the Lines Program

The Between the Lines Program is one of the therapy programs found under the Draw Menu. An outlined shape with 2 sets of lines will appear on the display screen. The patient will need to draw a line tracing the shape, while staying between the set of lines. If the patient draws outside the lines, then an error sound will emit.

Figure 12-8: Between the Lines Program Parameters Window

Depending on the patient's abilities, the clinician can revise the default settings found on the Between The Lines Program Parameters Window. See Figure 12-8.

When the Between the Lines Program is launched, three additional settings will appear on the active program screen: Line Width, Shape Size, and Boundry Area. See Figure 12-9.

Figure 12-9: Between the Lines Program (Active Window)


Boundary Area

The Boundary Area Setting controls the spacing between the lines for the tracing to be within. When introducing this program to patients, start with a medium to large setting (50-75). To change the setting, touch the slider at a specific point or press the arrow buttons.

Note: Line Width and Shape Size settings are described early in this chapter under "Trace Program."

To start the Between the Lines Program:

1. Touch the Draw sub-menu button. See Figure 12-3. Then touch the Between the Lines Button to open the settings window.

2. If applicable, revise the settings on the Between the Lines Program Parameters Window.




6. A "X" or small letter chart will appear in the center of the screen, this is the central fixation point. A outlined shape with 2 sets of lines will appear on the display screen.

7. If needed, adjust the Line Width, Shape Size, and/or Boundary Area settings.

8. Have the patient touch the Start Button, located in the lower center of the display screen.

9. Instruct the patient to carefully draw a line between the 2 sets of lines, tracing the outline of the shape.

Note: At any time if the patient needs to start over with the drawing exercise, press the Erase Button, located in the left corner of the display screen. See Figure 12-9.

10. Once the patient has completed drawing between the 2 lines, press the Results Button. The Results Screen will appear. Press the Return Button to go back to the Between the Lines Parameters Window.

Note: The Results Screen will show a summary of settings used and the Number of Collisions score. The Number of Collisions is the number of times the drawn line hit one of the lines on the outlined shape.

Geoboard Menu

The Geoboard Menu consists of one therapy program: Geoboard. Two geoboards will appear on the display screen. One geoboard will display a stimulus pattern on it. The patient will need to recreate this pattern by drawing on the other geoboard. There are a wide variety of stimulus patterns to choose from, ranging in complexity levels.


Parameters

The Geoboard Program uses parameter settings that are unique to this program.

Patterns

The Pattern Setting controls the appearance of the stimulus pattern displayed on the geoboard.There are 20 different patterns to choose from. The complexity of the patterns increases from left to right on the setting choices. To select touch the circle next to the desired pattern.

Pattern Left

The Pattern Left Setting controls where the geoboard with the stimulus pattern will appear on the display screen. When the setting is turned on, the geoboard with the stimulus pattern will appear on the left side of the screen and the geoboard for the patient to draw on will appear on the right side. When the setting is turned off, the geoboard with the stimulus pattern will appear on the ride side of the screen and the geoboard for the patient to draw on will appear on the left side.

To turn on the setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Memory

The Memory Setting controls the presentation of the geoboard with the stimulus pattern. When the setting is turned off, the geoboard with the stimulus pattern will remain displayed on the screen. When the setting is turned on, the geoboard with the stimulus pattern will appear on the display screen for a limited amount of time before disappearing. The patient will need to memorize the pattern to correctly finish drawing the reproduction.

When the Finished Button is pressed, the stimulus pattern will superimpose on the reproduction drawing for comparison purposes. To turn on the setting, touch the circle and a check mark (√) will appear. When the setting is turned off, the circle will have a line through it (Ø).

Time

The Time Setting controls the amount of time the geoboard with the stimulus pattern appears on the display screen before disappearing. This setting works when the Memory Setting is turned on. The Time Setting ranges from 2 seconds to 15 seconds. To adjust this setting, touch the arrow buttons to the desired number.


Reproduction

The Reproduction Setting controls how the patient will need to reproduce the stimulus pattern. To select touch the circle next to the desired setting. There are 5 options:

• Duplicate - The patient reproduces the stimulus pattern exactly how it appears.

• Flip Horizontal - The patient reproduces the stimulus pattern flipped horizontally, across the vertical axis.

• Flip Vertical - The patient reproduces the stimulus pattern flipped vertically, across the horizontal axis.

• Rotate 90 R - The patient reproduces the stimulus pattern rotated 90 degrees clockwise.

• Rotate 90 L - The patient reproduces the stimulus pattern rotated 90 degrees counter clockwise.

Matrix

The Matrix Setting controls what type of matrix will appear on the geoboard on the display screen. To select touch the circle next to the desired setting. There are 5 different options:

• Full - A 5 x 5 matrix with 25 dots will appear.

• 8 Missing - A matrix with 17 dots will appear.




Note: As the number of dots decreases, the level of complexity increases due to the patient being asked to reproduce the stimulus pattern with less visual information.

Depending on the patient's abilities, the clinician can revise the default settings found on the Geoboard Program Parameters Window. See Figure 12-10.


Figure 12-10: Geoboard Program Parameters Window

To start the Geoboard Program:

1. Touch the Draw sub-menu button. See Figure 12-3. Then touch the Geoboard Button to open the settings window.

2. If applicable, revise the settings on the Geoboard Program Parameters Window.



5. Two geoboards will appear on the display screen. One geoboard will display the stimulus pattern (selected in the Patterns Setting) on it.

6. Instruct the patient to carefully recreate the stimulus pattern by drawing with the tip of their finger on the other geoboard that appears on the display screen. The goal is for the patient to draw straight lines that go through each dot exactly as it appears on the stimulus pattern.

Note: How the patient reproduces the stimulus pattern will depend on what the Reproduction Setting is set too. At any time if the patient needs to start over with the drawing exercise, press the Erase Button located in the left corner of the display screen. See Figure 12-11.

7. When the patient has completed their drawing, touch the Finished Button located in the lower center of the display screen. See Figure 12-11.

Note: When the Finished Button is pressed, all of the 20 different patterns from the Pattern Setting will appear at the bottom of the display screen. See Figure 12-12. The next pattern can be selected directly from the Active Window instead of needing to return to the Geoboard Parameters Window.


Figure 12-11: Geoboard Program (Active Window)

Figure 12-12: Geoboard Program with Patterns Displayed (Active Window)

8. To select the next pattern, touch the circle next to the desired pattern and press the Continue Button.

9. After the patient has completed the session, press the Results Button to bring up the Results Screen. Press the Return Button to go back to the Geoboard Parameters Window.


84

Chapter

Chapter 13 - User Management

User Management

The User Management Feature can only be accessed by the administrator and is used to manage the following:

• Manage User Accounts (create and close accounts)

• Manage Administrator Accounts (create and close accounts)

• Reset Password and/or Username Log In

Accessing the User Management Feature

1. Log in to the BITS Software with an administrator log in.

2. From the Main Menu Screen touch the User Management Button. See Figure 13-1.

Figure 13-1: User Management Button on Main Menu Screen

3. The User Management Window will open. See Figure 13-2.

13

User Management Button

85Chapter 13 - User Management

Figure 13-2: User Management Window

User Management Window

Add New User

The Add New User Button allows the administrator to create a new account.

1. Touch the Add New User Button. See Figure 13-2.

2. The BITS New Account Creation Window will appear. See Figure 13-3.

3. Enter in a username, password, and the first and last name of the user. See Figure 13-3.

4. Press the Submit Button to save the information to the User Management List.

Figure 13-3: BITS New Account Creation Window

Reset Password Button

Change Username Button

Set As Admin Button

Remove As Admin Button

Enable User Button

Disable User Button

Add New User Button

Close Button

PasswordConfirm Password

86

Set As Admin

1. First go through the steps to create a new account. See "Add New User" section.

2. From the User Management List select the user by touching the user's name.

3. Touch the Set as Admin Button. See Figure 13-2. The user now will have administrator privileges.

Note: To remove administrator privileges, select the user from the User Management List. Touch the Remove as Admin Button. See Figure 13-2.

Disable User


2. Touch the Disable User Button. See Figure 13-2. The user will no longer be able to use their username and password to access the BITS software.

Note: To enable a user again, select the user from the User Management List. Touch the Enable User Button. See Figure 13-2.

Change Username


2. Touch the Change Username Button. See Figure 13-2.

3. The Edit Account Window will appear. See Figure 13-4.

Figure 13-4: Edit Account Window

4. Enter in the new username and the first and last name of the user. Touch the Submit Button to save change.

Chapter 13 - User Management

87Chapter 13 - User Management

Reset Password


2. Touch the Reset Password Button. See Figure 13-2.

3. The Reset Password Window will appear. See Figure 13-5.

Figure 13-5: Reset Password Window

4. Enter in the new password and touch the Submit Button to save change.

88

Chapter

Maintenance and Cleaning

Maintenance

The display monitor should be able to move smoothly and easily on the tower of the portable stand and stay in place. If movement is difficult or the display monitor does not stay in the desired position, then adjustment to the tension in the tower is needed.

To adjust the tower tension:

1. Remove the cover on the top of the portable stand tower.

2. To tighten the tension, use a 14mm wrench to turn the nut clockwise.

3. To loosen the tension, use a 14mm wrench to turn the nut counter-clockwise.

Note: Depending on the adjustment, it may take several turns to notice a difference in the tension.

4. Put the cover back on the portable stand tower.

Cleaning

Touch Screen Display Monitor

It is important to keep the touch screen display monitor clean for proper operation and longevity of the product.

To clean the touch screen display monitor:

1. Use a non-abrasive glass cleaner solution to clean the touch screen.

2. Spray the solution onto a clean soft cloth.

3. Wipe the surface of the touch screen display monitor. Use circular motions to clean to avoid smudges and streaks.

Caution: Do not use any chemical solvents that are acidic or alkaline cleaning agents.

Chapter 14 - Maintenance and Cleaning

14

89

Chapter

Chapter 15 - Technical Specifications

Technical Specifications

Touch Screen Display Monitor Specifications

Monitor Options• 48 inch• 55 inch• 65 inch

Dimensions (approximately)• 26" height, 44" width, 3" depth (48 inch option)• 30" height, 50" width, 2" depth (55 inch option)• 37" height, 61" width, 4.75" depth (65 inch option)

Weight (approximately)• 50 lbs (48 inch option)• 65 lbs (55 inch option)• 115 lbs (65 inch option)

Resolution 1920 x 1080

Power Consumption• 97W / 121W (48 inch option)• 122W / 143W (55 inch option)• 122W (65 inch option)

Environmental RangesOperating Temperature Range: 32°F to 104°FTransport and Storage Temperature Range : -40°F to 176°FRelative Humidity range: 10% to 80%

Portable Stand Specifications

Shipping Dimensions (approximately) 66" length, 20" height, 14" depth

Shipping Weight (approximately) 101 lbs

The system consists of mechanical and electronic components. Inadequate handling of those components may cause health hazards. Disposal of the system must comply with local regulations.

15

602-00618-001 Rev. B

03/2015

Rx Only

BITS™, Bioness, the Bioness Logo® and LiveOn® are trademarks of Bioness Inc. | www.bioness.com | Rx Only ©2015 Bioness Inc.All Rights Reserved

No part of this publication may be reproduced, transmitted, transcribed, stored in a retrieval system, or translated into any language or any computer language, in any form or by any third party, without the prior written permission of Bioness Inc.

DisclaimerBioness Inc. and its affliates shall not be liable for any injury or damage suffered by any person, either directly or indirectly, as a result of the unauthorized use or repair of Bioness Inc. products. Bioness Inc. and its affiliates do not accept any responsibility for any damage caused to its products, either directly or indirectly, as a result of use and/or repair by unauthorized personnel.

Bioness Inc.25103 Rye Canyon LoopValencia, CA 91355Telephone: (800) 211-9136 or (661) 362-4850Email: [email protected]: www.bioness.com

Documents

Clinician's Guide · 2017. 9. 27. · Puzzle Program ..... 61 Peripheral Letter Chart Menu ... When the BITS Login Window appears, use the keyboard to enter your username and password