1. Fall Screening & Balance Rehabilitation using SportKAT ™

2.  2008 All rights reserved 2 At startup screen, cursor and object sizes are adjustable. In the beginning sessions, starting your patient with a large cursor and pattern shapes will help them to build confidence. As improvements are demonstrated, use smaller sizes. Patient information is saved by date of service, and can be easily accessed for side-by-side comparisons to document improvement.

3.  2008 All rights reserved 3 Patient’s pertinent medical history can optionally be stored as part of their permanent record.

4.  2008 All rights reserved 4 Using the screening mode, patient will perform Eyes Open, then Eyes Closed on SportKAT with a PSI setting pf 6.0. Results are displayed by numeric score, 6 direction numeric score, as well as a graphic illustration of their CoG sway.

5.  2008 All rights reserved 5 Initial Session Suggested Protocol: 1)Perform Eyes Open/ Eyes Closed for baseline (No Pattern, No Moving Cursor) 2)Perform each Moving cursor pattern 3 times (3 x 30 seconds) Each Moving cursor exercise will produce a numeric score as well as a graphic representation of CoG sway. Use this to identify specifically which movements and directions are most challenging to your patient. This will help to establish the types of strengthening exercises that would be most beneficial along with SportKAT™

6.  2008 All rights reserved 6 Improving Isolated Directional Movements Once you have determined the directional movements that your patient finds most challenging, begin to isolate that direction using the Pattern, no Moving Cursor mode. Begin by setting the length for 180 seconds, then select the appropriate pattern. Stroke patients, for example, have difficulties with the anterior/posterior, medio-lateral cross pattern movements. Isolate their movements to 90 seconds side-to-side followed by 90 seconds front to back following the tracings of the cross pattern. Use the resultant graphs to illustrate their performance, and as their abilities begin to improve you can decrease the PSI setting to create a less stable surface.

7.  2008 All rights reserved 7 As your patient increases their stability and confidence, start working them on a dynamic moving pattern. The PSI, cursor size and speed of cursor movement are all completely adjustable – allowing you to gradually increase the challenge level as your patient improves. As with other training exercises, graphic representation of the patient’s movement is displayed and stored in memory. Use this as biofeedback for your patient, illustrating the movements they were most challenged by. Develop home exercises based upon their areas of necessary improvement.

8.  2008 All rights reserved 8 Using the Maze protocols enables to offer neuromuscular reeducation for your patient. Select the maze pattern most closely aligned with your patient’s demonstrated needs.

9.  2008 All rights reserved 9 In an earlier slide, a patient was identified as having difficulty with side-to-side movements. Using this maze patter, a patient can relearn side-to-side balance by performing the maze exercise. The maze is a timed exercise, and the PSI setting can be adjusted to create a less stable surface as the patient’s time to complete the maze decreases. Patients find the maze exercises both challenging and fun. Patient’s CoG is displayed on screen. By shifting their body weight they must move their “CoG Dot” over each target. When they have hit each target the maze exercise is complete and a timed score appears. Maze targets

10.  2008 All rights reserved 10 Screenshots of additional maze patterns

11.  2008 All rights reserved 11 Using the database selections, view comparative results for your patient to determine and document improvements