Performance Health Core:Tx User manual

Insert cover art here.

This device complies with part 15 of the FCC Rules. Operation is
subject to the following two conditions: (1) This device may not
cause harmful interference, and (2) this device must accept any
interference received, including interference that may cause
undesired operation.
Product Warranty Registration:
Please register your Core:Tx with us so that we may continue to
provide you with the highest quality products, offer technical
support, and inform you about new software developments and
updates. Your registration will also activate your warranty so that
we may be able to provide service to you if necessary.
Register your product by filling out the card included with the
product or by going online at http://www.performancehealth.com/
coretx/registration.
© 2004 Performance Health Technologies, Inc. all rights reserved.
Core:Tx and MotionTrack are trademarks of Performance Health
Technologies.
The publishers acknowledge that the illustrations used in this
publication are the copyrighted property of VHI Inc.
Performance Health Technologies
6654 Gunpark Drive
Second Floor
Boulder, Colorado 80301
1.800.722.4749
www.performancehealth.com
Model # MT01
U.S. Patents pending.
Assembled in USA.
Part number 40-C01-1004
Printed in USA.

i
Contents
Foreword ..............................................................v
The Facts about Neuromuscular Reeducation (NMR)........................... v
Disclaimer Statement............................................................................. vi
1: Getting Started...................................................1
About This Guide.....................................................................................1
Fonts and Symbols .............................................................................2
Core:Tx Overview ...................................................................................2
Base Station.........................................................................................3
Transceiver .........................................................................................4
Straps...................................................................................................5
Care and Storage.................................................................................6
Installing the Software.............................................................................7
Setting Up the Hardware.........................................................................8
Inserting the Batteries into the Transceiver .......................................8
Connecting the Base Station............................................................10
Starting Core:Tx .................................................................................11
Understanding the Core:Tx Window ................................................14
Navigating in Core:Tx........................................................................14
Understanding Core:Tx Terminology................................................16
Key Steps for Using Core:Tx.................................................................17
Exiting Core:Tx ......................................................................................18
Technical Support .................................................................................18
2: Working with Administrative Functions ...........19
Opening Patient Data............................................................................20
Creating New Patient Data....................................................................20
Editing Patient Data ..............................................................................22
Changing the Core:Tx Password .........................................................23
Exporting Core:Tx Patient Data ...........................................................24

ii Core:Tx User Guide
Importing Core:Tx Patient Data ...........................................................26
Backing Up the Core:Tx Database .......................................................28
Deleting Patient Data ...........................................................................29
3: Setting Up an Activity ......................................31
Selecting a Movement ..........................................................................31
Selecting the Activity Mode ..................................................................32
Turning the Audio On or Off .................................................................33
Selecting the Activity Angle ..................................................................34
Selecting the Speed and Total Time or Repetitions ...........................35
Setting the Difficulty .............................................................................37
Saving Activity Settings as the Default ................................................38
4: Performing an Activity.....................................39
Starting the Activity ...............................................................................39
Positioning the Transceiver...............................................................40
Calibrating the Range of Motion and Starting the Activity ..............42
Understanding the Monitor Activity Screen..........................................44
Understanding the Challenge Activity Screen......................................46
Understanding the Audio Feedback.....................................................48
Understanding the Score.......................................................................48
Adjusting the Activity Settings ..............................................................49
Recalibrating the Range of Motion .......................................................49
5: Viewing Results ..............................................51
6: Troubleshooting..............................................53
Installation and Password Issues .........................................................53
Transceiver Light Blinks or Does Not Come On...................................54
Motion Does Not Display Properly on the Computer Screen..............55
Linking Up the Transceiver and Base Station ....................................56
7: Core:Tx Exercise Instructions.........................59
Introduction............................................................................................59
Explanation of Setup Tables .................................................................59
Shoulder Internal/External Rotation in 0 Degrees Abduction..............60

Contents iii
Shoulder Internal/External in Abducted Position.................................62
Shoulder Flexion/Extension..................................................................65
Shoulder Abduction/Adduction ...........................................................68
Shoulder Horizontal Abduction/Adduction ..........................................73
Elbow Flexion/Extension.......................................................................77
Forearm Pronation/Supination .............................................................80
Wrist Flexion/Extension ........................................................................82
Wrist Radial/Ulnar Deviation.................................................................85
Lumbar Stabilization in Sitting Position on Therapy Ball ....................87
Lumbar Mobility.....................................................................................91
Body Mechanics Instruction ................................................................94
Lumbar Stabilization During Bridge .....................................................98
Lumbar Stabilization in Quadruped Position .....................................102
Lumbar Stabilization during Prone Walk-Outs with Therapy Ball.....105
Lumbar Stabilization in Plank Position...............................................108
Hip Hike................................................................................................111
Hip Abduction/Adduction ...................................................................112
Hip Flexion/Extension: Standing Flexion ..........................................115
Hip Flexion/Extension: Standing Extension.......................................118
Hip Internal/External Rotation ............................................................120
Knee Flexion/Extension: LAQ .............................................................123
Knee Flexion/Extension: Seated Hamstring Curl...............................126
Knee Flexion/Extension: Standing Hamstring Curl............................129
Knee Flexion/Extension: Terminal Knee Extension ...........................131
Knee Flexion/Extension: Closed-Chain Squat...................................133
Knee Flexion/Extension: Unilateral Squat..........................................137
Knee Flexion/Extension: Squat and Hold...........................................141
Knee Flexion/Extension: Step-Up ......................................................144
Knee Varus/Valgus ..............................................................................146
Ankle Dorsiflexion/Plantarflexion........................................................149
Ankle Inversion/Eversion.....................................................................151
Core:Tx Creative Solutions.................................................................155
CVA: Midline Orientation.....................................................................155

iv Core:Tx User Guide
Avoiding Knee Hyperextension with Weight Shifting.........................157
Foam Roller Exercises.........................................................................159
Exercise Templates .............................................................................162
Abbreviations .......................................................................................168
Limited Warranty .............................................. 169
Index ................................................................. 171

v
Foreword
The Facts about Neuromuscular
Reeducation (NMR)
Neuromuscular control is essential to maximizing a patient’s
functional outcome. In a healthy joint, proprioceptive information
is relayed to the central nervous system triggering a coordinated
muscular response.1This coordinated effort controls joint
excursion and loading,2which enables dynamic joint stability and
prevents injury.3
In an injured joint, proprioception may be compromised. As a
result, muscle activity associated with the joint is not well
synchronized, thereby reducing dynamic stability. This in turn
increases the risk of further injury.4Clearly, improving joint
stability is important in preventing reinjury in both early and late
stages of the recovery period.5A complete rehabilitation or
performance enhancement program should, therefore, address
these neural deficits to maximize recovery and prevent injury
recurrence.6
1. S. M. Lephart, D. M. Pincivero, J. L. Giraldo, and F. H. Fu, “The Role of Proprio-
ception in the Management and Rehabilitation of Athletic Injuries,” American Journal
of Sports Medicine, 25, no. 1 (1997): 130–37.
2. B. L. O’Connor and J.A. Vilensky, “Peripheral and Central Nervous System Mech-
anisms of Joint Protection,” American Journal of Orthopedics, 32, no.7 (2003): 330–36.
3. E. R. Laskowski, K.Newcomer-Aney, and JaySmith, “RefiningRehabilitation with
ProprioceptionTraining:ExpeditingReturntoPlay,”ThePhysicianandSportsmedicine,
25, no. 10 (1997): 89-97.
4. Laskowski et al., “Refining Rehabilitation.”
5. Lephart et al., “The Role of Proprioception.”
6. Laskowski et al., “Refining Rehabilitation.”

vi Core:Tx User Guide
Disclaimer Statement
Before operating this equipment, please read the instructions
contained in this user’s manual completely. Core:Tx™is an
interactive tool that is intended to assist healthcare professionals in
providing quality rehabilitation services to their patients. Core:Tx
is intended for use only under the direction and supervision of a
trained and qualified healthcare professional. Healthcare
professionals should not use this interactive tool in connection
with their patients until they are thoroughly familiar with how it
operates.
The exercises described and illustrated in this manual have been
provided as a resource to assist healthcare professionals in
understanding how the Core:Tx product may be applied in the
clinical setting. These exercises do not constitute advice applicable
to any particular case, nor are they intended to be (nor should they
be used as) a substitute for clinical judgment. Treatment decisions
must be made by the professional in light of all available resources
and circumstances presented by individual patients. It is the
responsibility of the healthcare professional to individualize
exercises to the specific characteristics of each patient and to use
Core:Tx in a manner that is appropriate and safe for each patient.
Performance Health Technologies does not guarantee the accuracy
or appropriateness of any of the exercises contained herein. In no
way will Performance Health Technologies or any persons
associated with Performance Health Technologies be responsible
for any injuries or problems resulting from poor clinical judgment
or misuse.
All information presented in this user’s manual is intended as a
resource for trained healthcare professionals only and is not
intended for use by the general public.