VISUOMOTOR PROGRAMDESCRIPTION AND OVERVIEW

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System hardware consists of a touchscreen display (46-65”), extremely portable stand and an Intel NUC running Windows 8. The display can be rotated, tilted and moved up and down depending on the needs of the patient. The System is designed to be a clinical hub and platform for future Bioness technologies.

Overview

There are seven (7) main therapies with a total of 16 different programs.

(3) Eye Hand Procedures Metronome

(4) Rotator Procedures (2) Letter Chart Programs

(3) Rapid Eye Movement Procedures (2) Visual-Motor Programs

Memory Recall Procedure

The first software package being released is

designed to evaluate and improve abilities in

individuals with disabilities resulting from traumatic

injuries and movement disorders as well as improve

performance in competitive athletes.

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Therapy Categories

TIME PACED – Target will stay present for a fixed/set amount of time before next target appears; software-paced.

REACTION TIME – Patient starts with hand in center then moves to target when it appears. Program records reaction latency (how long to lift hand from the center) and response time (how long it takes to hit target).

USER PACED – Target stays present until patient touches target.

|| Eye-Hand

|| Central Fixation: patient needs to identify and recognize central stimuli changed and attend before moving to the next stimuli

|| Central Flash: queues patient that the central stimuli changed|| Contrast Sensitivity

|| Number of Stimuli: 1-100|| Quadrant Loading (%)|| Background Color: Blue, Black or White|| Stimuli Color: Blue, Red, White or Black|| Tracer: visual feedback if stimuli is missed

HIGHLIGHTED PARAMETERS INCLUDE:

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SINGLE COLOR – Same-colored targets on rotator.

SEQUENCE - Alphanumeric targets will remain on rotator until hitin a specified sequence, normal (i.e. 1 to 10) or reverse (i.e. Z to A).

GAP SEQUENCE – Alphanumeric targets will remain on rotator butthe stimuli have gaps in sequence, normal (i.e. 2, 5, 8, 10, 15) or reverse (i.e. Y, V, Q, M, K, E, C).

|| Tracer: visual feedback if stimuli is missed|| Central Flash: queue patient that the central stimuli changed|| Rotator Direction: clockwise and/or counterclockwise|| Size: large or small rotator

HIGHLIGHTED PARAMETERS INCLUDE:

|| Rotator

MULTI-COLOR – Multi-colored targets on rotator remain active untilhit in a specified order Responses can be hit by Classification (all reds, all whites, all blues) or by Sequence (red white blue).

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VERBAL – Patient does not hit targets, but instead will find and read the word that appears on the screen.

COMPETITION – Allows for competition between 2 people. Program splits the screen in half with the computer telling the participants which alphanumeric target to hit, and scores a winner upon completion.

SEQUENCE – Alphanumeric targets that present randomly across the screen. The patient must hit targets in a specified sequence.

|| Stimuli Type: Letters Upper, Lower or Combination of Upper and Lower, Numbers and Numbers/Letters

|| Visual Field: Central Field, Peripheral Field or Both.

|| Quadrant Loading|| Reverse Sequence|| Stimuli Persistence

HIGHLIGHTED PARAMETERS INCLUDE:

|| Rapid Eye Movement

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The patient must hit one or both targets in rhythm with audio and visual feedback. Program records early (white), on-time (green) and late (red) hits. There are three levels of precision difficulty. Beats per minute can be set from 20 to 100.

|| Auto Sequential: adds a target to the end of a successful trial (e.g. Simon)|| Auto Random: produces a new set and number of targets every trial

HIGHLIGHTED PARAMETERS INCLUDE:

Target Target

|| Memory Recall

|| Metronome

Projects a series of images (words, numbers and/or letters) on the screen at a set speed (0.2 to 3.0 sec) to test visuospatial perception, memory, and learning. Visually shows or verbally tells the patient the targets a specific order in the middle of the screen, then the patient must hit the targets in that order (or reversed) after the targets are dispersed across the screen.

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Projects a series of images (words, numbers and/or letters) on the screen at a set speed (0.2 to 3.0 sec) to test visuospatial perception, memory, and learning.

LETTER CHARTS – 1| Static – standard Hart Chart2| Motion – sets the chart in motion3| Multiple – display multiple charts on the screen4| Puzzle – gives the patient a line and row code to find lettersto make up a word

PERIPHERAL LETTER CHART –Visually shows or verbally tells the patient the targets a specific order in the middle of the screen, then the patient must hit the targets in that order (or reversed) after the targets are dispersed across the screen.

|| Chart

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Symmetry Trace

Between the LinesReplicate

|| Visual-Motor

1| Symmetry – Split screen and compare right and left side drawings. Draw lines, shapes or letters to assess symmetry.2| Trace – Trace a given shape with a set buffer that provides visual and audio feedback if patient traces “off pattern”.3| Replicate – Replicate the shape by drawing it on opposite side of screen.4| Between the Lines – Draw within a set of default shapes with audio and visual feedback.

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GEOBOARDS – Match progressively complex line drawings on dots matrices. Exercises can be advanced by asking the patientto flip the pattern horizontally, vertically or rotating 90 degrees.

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Results can be reported by activity and graphed over time to chart improvements. Reports can be previewed quickly by scrolling through the history list.

|| Results

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1| Vestibular Training with Rotator functions.2| Balance training during pre-gait stepping, reaching towards targets while on multiple surfaces.3| Combine BITS with upper extremity activities.4| Using lower quadrant loading to make elderly patients more aware of steps/curbs/flooring.5| Using upper quadrant loading with overhead sport athletes.6| Increasing speed and reaction performances within sports applications.7| Cognitive training and memory/processing post TBI/ABI.8| Motor reaction and planning repetitive tasked practice.9| Endurance training in the physical and cognitive capacities.

10| Hand-object-eye coordination activities – hitting targets with thrown ball or extended dowel.

|| Example of Therapy Uses

|| Bioness Inc.25103 Rye Canyon Loop | Valencia, CA 91355 800.211.9136 | 661.362.4850 info@bioness.com | www.bioness.com

BITS™, Bioness, the Bioness Logo® and LiveOn® are trademarks of Bioness Inc. | www.bioness.comRx Only

©2014 Bioness Inc.

Contraindications and Warnings are available on-line at www.bioness.com (also available in the Bioness Integrated Therapy System Clinician’s Guide).