1. Thought Technology Ltd. Rehabilitation Suite Welcome Introductions Handouts Rehabilitation Suite Welcome Introductions Handouts Online Course - Lesson 1

2. Thought Technology Ltd. Aileen in Singapore Using for Continence Learning about the equipment SDNN, and more.. Aileen in Singapore Using for Continence Learning about the equipment SDNN, and more.. Course Participants

3. Thought Technology Ltd. Lesson 1 Outline Today’s Lesson 1. BioGraph Infiniti Software 2. Sensors 3. Setting up the software 4. Replaying a session 5. Q&A and Homework

4. Thought Technology Ltd. Participants will be able to: Course Objectives Locate HRV training screens and understand general software functions Identify and understand the basic signal processing steps involved in calculating the time/frequency domain HRV metrics Identify and understand the physiological signals used for HRV training (EKG, BVP and respiration) Learn to optimize electrode and sensor placement for signal quality Understand the physiology of respiration sinus arrhythmia (RSA) training Run training sessions using time-domain HRV metrics (HR Max-Min, SDRR & pNN50)

5. Thought Technology Ltd. BioGraph Infiniti To open the main program, double click on the white BioGraph Infiniti icon on the desktop

6. BIOFEEDBACK FOUNDATION OF EUROPE The Foundation for Learning Typical Encoders Sampling rates –ProComp Infiniti 8 inputs A-B: 2048 Hz C-H: 256 Hz –ProComp 2 2 inputs (built in EEG in A) A-B: 256 Hz C-D: 32 Hz

7. Manuals Physiology User Suite Manual Quick Start PDF Docs BioGraph Infiniti

8. Thought Technology Ltd. Questions? Lesson 1

9. Thought Technology Ltd. EKG Sensor Placement

10. Thought Technology Ltd. EKG Sensors

11. Thought Technology Ltd. Lesson 1

12. Thought Technology Ltd. Respiration - Sensors

13. Thought Technology Ltd. Respiration Things to watch for 1. Belt placement 2. Chest & Belly breathing 3. Use two belts if you can 4. If you can’t start with belly breathing

14. Thought Technology Ltd. Options Menu ONLY NEED TO SET ONCE These need to be set only once; once they are set they will remain at your chosen setting until you modify them again

15. Thought Technology Ltd. Pacer Units

16. Thought Technology Ltd. Pacer Units Options: Pacer Units The pacer can either be set to seconds (real time) or percentages (proportion of time)

17. Thought Technology Ltd. Respiration Pacer Options in Infiniti 1. Seconds Breath for a length of time 2. Percentages Percentage of time at a rate Article on breathing and meditation

18. Thought Technology Ltd. Notch Filters Options: Notch filters Depending on your geographic region, set your notch filter to either 50 or 60Hz

19. Thought Technology Ltd. Notch Filter Options 50Hz in Australia Watch out for surrounding appliances

20. Thought Technology Ltd. Event Labels Options: Event Labels Set event labels here. Event labels can be used to mark data while recording as a reminder of what was happening in the session

21. Thought Technology Ltd. Event Labels

22. Thought Technology Ltd. Notch Filter Options 7 Day Dreaming 8 Sleeping 9 off in lala land

23. Thought Technology Ltd. Event Marker Labels ADD A NEW LABEL “checking out” Generate Report

24. Thought Technology Ltd. Event Marker Labels Press CONTROL AND THE LETTER OR THE NUMBER

25. Thought Technology Ltd. Main Screen Buttons Database to Replay a Session Click on the “Database” button to open the main database The database contains all of your clients and recorded sessions

26. Thought Technology Ltd. Select a Client & Session Database

27. Thought Technology Ltd. Replay Session

28. Thought Technology Ltd. Confidential Mode Database: selecting a client From the left hand column select a client This client list is in confidential mode, to remove confidential mode, go to options, and uncheck it

29. Thought Technology Ltd. Selecting a Session Database: selecting a recorded session Select a recorded session from the right hand column Note that the type of session is listed under “Type”

30. Thought Technology Ltd. Replay Session Database: Replay Session With a client and recorded session selected, click on Replay Session Select the desired channel set and screens and click on OK.

31. Thought Technology Ltd. Select Screens Database: Selecting Screens From picture mode you can see captures of the different screens. Note that some screens are two monitor (one screen for clinician, the other for client)

32. Thought Technology Ltd. Replay Session

33. Thought Technology Ltd. Replay Session

34. Thought Technology Ltd. Left and Right Axes

35. Thought Technology Ltd. Screen #1

36. Thought Technology Ltd. Artifacts

37. Thought Technology Ltd. Screen Anatomy Replay Mode: Heart Rate Variability Training Screen The training screen contains a number of graphs (bar and line), a frequency analysis, an epoch graph, sound, and a couple of animations.

38. Thought Technology Ltd. 64 Seconds for FFT Replay Mode: Heart Rate Variability Training Screen Note that the frequency calculations will not come into effect before 64 seconds of data have been recorded. Before this point, the values are not valid and thus are not shown

39. Thought Technology Ltd. Replay Mode Controls Replay Mode: Control Menu Press the Green Arrow to begin (Play) Press the Red Square to Stop Press the two Yellow Rectangles to Pause Press the numbered buttons to move through screens

40. Thought Technology Ltd. Time Scale Replay Mode: Time Scale To change the time scale, click on the drop down time menu and select your desired time scale Note that only line graphs will reflect this change

41. Thought Technology Ltd. Line Graph Replay Mode: Line Graph This line graph shows three different signals in different colours The signals are identified by the colours and labels above the graph

42. Thought Technology Ltd. Respiration Pacer Replay Mode: Pacer The breathing pacer allows the client to follow a pacer during respiration. Follow the ball up on inhale, and down on exhale

43. Thought Technology Ltd. Pacer Settings Replay Mode: Pacer The pacer can be modified to virtually any respiration rate: right click on the instrument and select “Edit Pacer Settings” A box appears and it is here that you can modify the settings

44. Thought Technology Ltd. F1 Help At All Times Replay Mode: F1 Help Menu At any time press F1 to bring up a topic specific help menu You can also search topics in the left hand column

45. Thought Technology Ltd. Animations Replay Mode: Animations Animations are to give visual feedback Animations can be continuous and move (circular or linear), or can be on or off (binary)

46. Thought Technology Ltd. Bar Graphs Replay Mode: Bar Graphs These bar graphs are set to an auto scale (continuously variable) and have thresholds (automatic thresholds) A small line graph beneath the bar graphs shows the raw signal

47. Thought Technology Ltd. FFT – Only after 64 secs Frequency Analysis (FFT) Graph blank for first 64 seconds Frequency Analysis (FFT) Graph blank for first 64 seconds

48. Thought Technology Ltd. FFT – 2 Dimensions Replay Mode: Frequency Analysis (FFT) The FFT (Fast Fourier Transformation) is a Frequency Analysis of the EKG IBI signal Note that the peak frequency changes colour for easy identification

49. Thought Technology Ltd. Epoch Graph Replay Mode: Epoch Graph This Epoch Graph can have both bar and line graphs (only bar shown below) and shows progress through a session (updates every 20 seconds) The vales are colour labeled and the last values are also shown as a numeric value at the top of the graph

50. Thought Technology Ltd. Numeric Display Replay Mode: Numeric The numeric instrument simply shows the numerical value of the current statistic Note that the number is often dampened (averaged or slowed) to ensure that it is easily readable

51. Thought Technology Ltd. Light and Tone Feedback

52. Thought Technology Ltd. Lesson 1 Review Thanks Any Questions? Homework for Lesson 1 Date & Time for Lesson 2 Lesson 1 Wrap Up

53. Thought Technology Ltd. Questions Lesson 1