RECK MOTOmed gracile12 User manual

MOTOmed gracile12 – valid for Software-Version 3.16 and subsequent versions
Instruction manual
englisch

Please use the OTOmed only after you have read the instruction manual.
If you should not understand the language of the present version, please request
the instruction manual in your national language.
Benutzen Sie das OTOmed erst, nachdem Sie die Gebrauchsanweisung gelesen
haben. Sollten Sie die vorliegende Sprachversion nicht verstehen, fordern Sie
bitte eine Anleitung in Ihrer Landessprache an.
Avant de commencer votre entraînement OTOmed, veuillez lire le mode d’emploi.
Si ce mode d'emploi ne correspond pas à votre langue, n'hésitez pas à nous
demander une autre traduction.
Utilize el OTOmed sólo después de haber leído las instrucciones de uso.
Si no entiende el idioma de la presente versión, por favor exija un manual en su
lengua nacional.
Use o OTOmed somente, depois que você leu a instrução se operando.
Se você compreender a versão disponível da língua, peça por favor uma ovient
açao em sua língua nacional.
Per un ottimo funzionamento del OTOmed leggere le istruzioni per l'uso.
Se riscontrate qualche difficoltà riguardo la vostra lingua madre consultate il
vostro servizio assistenza.
Gebruikt alleen maar OTOmed, nadat u de gebruiksaanwijzing hebt gelezen.
Als u deze taalkundige versie niet moet omvatten, een gids in uw nationale taal
zal willen vragen
Använd OTOmeden endast, efter du har läst fungerande anvisningen.
Om dig bör inte förstå den tillgängliga språkversionen, förfrågan var god a
vägledning i ditt nationella språk.
OTOmed må først anvendes, når brugsanvisningen er gennemlæst.
Forstår du ikke vedlagte brugsanvisning, rekvirer en dansk vejledning hos ProTerapi.
Przed skorzystaniem z urządzenia MOTOmed prosimy zapoznać się z
instrukcją obsługi. Jeś i instrukcja obsługi jest napisana w języku obcym
ządajcie Państwo instrukcji w języku przez Państwa znanym.
GB
D
F
E
P
I
NL
S
DK
PL
RUS
big screw knobs
pediatric leg
guide with
calf shells
Velcro straps
operating panel
handlebar
pediatric safety
foot shell
small front leg
transport
rollers large tube
height adjustment
arm/upper body
trainer
hand grip
arm/upper
body trainer
mains cable
supporting module
start/stop button
(red)
leg insertion aid
(blue)
function buttons
(blue, 6 buttons)
operating panel
display
handlebar
height adjustment
leg trainer
OTOmed gracile12

gentle, attractive and intelligent…
Congratulations! You have made an excellent choice by purchasing
your OTOmed gracile12. This ovementTherapySystem provides
outstanding performance. Supported by the latest computer technology
it is an innovative quality product “made in Germany“ by RECK.
The OTOmed gracile12 is a motor assisted ovementTherapySystem
that thinks with you. Enjoy the benefits every day.
This instruction manual will help you to get to know the OTOmed
gracile12. It will guide you through the functions and give some
suggestions and tips on how to use your new movement therapy
system so as to gain optimal benefit from the training. Before starting
the training, please follow the safety precautions listed in chapter 13.
If you have further questions or comments, please don’t hesitate to
call your OTOmed representive or the RECK customer service team.
We are pleased to assist you.
Enjoy training with the OTOmed gracile12!
see page 85
see page 83
INTRODUCTION3

4
Introduction
Therapy suggestions
Set up, transport
Operation
Basic model
Accessories
Troubleshooting
Cleaning and care
Technical specifications, symbols
Warranty
EC Declaration of Conformity
Service
Safety precautions
E C information
Index
page 7
11
15
19
51
61
71
75
77
79
81
83
85
93
99
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
CONTENT5

1
Introduction
Application
Normal use
Restriction of liability
page
8
8
9
6INTRODUCTION7

Application
The OTOmed gracile12 is suitable only for the active and passive
movement of a person’s lower and upper extremities. During the
training the OTOmed gracile12 can be operated with an operating
panel.
Normal use
During the training the user is seated in front of the device in a safe
and sturdy wheelchair or in a stable chair (without castors) with a
sufficiently high back. ake sure to sit up straight and that the
wheelchair (or chair) is secured sufficiently in order to prevent
tipping over.
The OTOmed gracile12 can also be used being in a lying position.
You are only allowed to use the OTOmed gracile12 following the
instructions and safety precautions in this manual and if no therapist
and doctor states any contraindication. Adjustments and changes can
only be carried out with the pedals not moving – except for the
operation via the operating panel.
Restriction of liability
The manufacturer doesn’t assume liability for consequences of
- abuse and misuse
- neglect of this instruction manual
- wanton damage and reckless usage
- over intensive training
- use with an unsuitable wheelchair or chair
- use without prior consultation of the responsible doctor and
therapist
- attachment of unapproved accessories
- repair or other interference by any person non-approved by the
manufacturer
INTRODUCTION8INTRODUCTION9
1

10 THERAPY SUGGESTIONS11
Therapy suggestions
Training hints
How do I train appropriately
Instructions in case of spasms
In general
page
12
12
13
14
2

Training hints
Before using the OTOmed gracile12 please consult your doctor and
therapist in order to adjust your training program and the duration
of your training sessions to your individual state of health.
Regular training with the OTOmed gracile12 is important in order to
achieve therapy benefits. At the beginning, you should not train for
more than 10-15 minutes continuously. It is better to train two to
three times per day for approximately 5 to 10 minutes each period.
Please start at a slow speed and with a small pedal radius. After about
one week you should slowly increase the duration of your training,
the speed and – if necessary – the pedal radius, according to your
individual response to the OTOmed gracile12 training.
How do I train appropriately
Do you have any questions about the training with the OTOmed
gracile12? Any problem that occurred? Please call your OTOmed
representative or the RECK company, phone ++ 49-73 74-18 85.
We are pleased to assist you.
THERAPY SUGGESTIONS12
see page 83
THERAPY SUGGESTIONS13
Instructions in case of spasms
If you are affected by spasticity, slow and regular movement with the
OTOmed gracile12 is important. Just like in physiotherapy, it is
recommended to train legs or arms in a way that no spasm will occur.
Particularly in the beginning it is recommended to train at a slow
speed. This is particularly suitable in order to loosen up muscles. You
will notice that through this way of training, you will experience less
tension.
The MovementProtector with SpasmControl should always be switched
on (ex works setting) in case a spasm might occur or in the case of
sensitive tendons, joints or ligaments. If a spasm or a resistance occurs,
the motor stops automatically by the ovementProtector. After a few
moments the pedals start rotating slowly again in the opposite direction.
The SpasmControl changes the direction of pedal rotation according
to the therapeutic principle looking for the direction in which the
spasm can be eased (antagonistic inhibition). Therefore, muscles can
relax and tensions are being relieved. This process will be repeated
until the spasm is released.
During the training the integrated MovementProtector adapts auto-
matically to the condition of your muscles (muscle tone). Therefore,
the ovementProtector is always optimally sensitive.
In case of strong spasticity it is recommended to use a wheelchair
stabilizer (item no. 8) or chair fixation with stabilizer (item no. 5 ).
For special cases (e.g. osteoporosis, very strong spasticity) the maximum
motor power can be adjusted during passive training by pressing the
buttons “extras“ and then “motor power“.
Low motor power: e.g. for osteoporosis
High motor power: e.g. for strong spasticity
Please consult your doctor and therapist before adjusting the motor power.
see page 37
see page 68
see page 69
see page 40
2

THERAPY SUGGESTIONS14
see page 55, 66
In general
Pay attention to your seating position and posture when training –
especially when using the arm/upper body trainer. The wheelchair
or chair should be straight and in line with the OTOmed gracile12.
You should be sitting upright, back straight, resting on the back
support of the chair or wheelchair.
The degree of movement of the knee joint and hip joint depends
on the distance between the OTOmed gracile12 and the chair or
wheelchair. Position your chair from the OTOmed gracile12 according
to the flexibility of your joints. Avoid at all times overstretching or
locking of the knee joints and start off sitting reasonably near the
OTOmed gracile12.
When using the arm/upper body trainer make sure that the elbow
joints are never fully stretched during the training. Adjust the position
of the arm/upper body trainer to your height.
If you lack support due to the effects of paralysis it is absolutely
essential that leg guides and pediatric forearm shells with arm cuffs
(item no. 552K or 556K) are used. Always make sure that arms and
legs are properly secured in the forearm shells or foot shells.
SET UP, TRANSPORT15
page
16
17
18
Set up, transport
Set up
Stand-by mode
Moving/transporting
3

Stand-by mode
Please plug the mains cable into the OTOmed gracile12 and the
mains plug into a wall socket.
The red light next to the “start/stop“ button on the display module
is now blinking for 6 seconds. Then blinking changes to a continuous
light, the OTOmed gracile12 is now in stand-by mode. Only when
the “start/stop“ button is pressed the OTOmed gracile12 will go
into operation.
The OTOmed gracile12 is laid out for continuous stand-by mode.
For repair, cleaning or transportation of the OTOmed, the mains
plug has to be pulled.
In order to save energy, the OTOmed gracile12 switches into stand-by
mode a few minutes after the training. The energy usage in stand-by
mode is less than a television in stand-by mode. If the device is used
for training 1 hour daily and 23 hours in stand-by mode it will be
approximately 8 EUR in annual power costs (based on energy costs
in Germany).
Set up
Unpack your OTOmed gracile12 and put it in an upright position.
In case the packaging or the OTOmed gracile12 got damaged
through transportation, please contact your OTOmed representative.
If an arm/upper body trainer (item no. 599) is fitted, you should
extend the front leg by approx. 15 cm/6 inches. However, please keep
a minimum insertion of the front leg of 10 cm/4 inches for optimal
stability of the OTOmed gracile12. In order to adjust the front leg
of the device you have to tilt the OTOmed gracile12 backwards
carefully, open the Allen screw (13) at the front leg (12) of the
OTOmed gracile12 and pull out the front leg of the device. After
adjustment, please tighten the Allen screws. You can find an Allen
key at the bottom of the device.
see page 83
see page 64
red light
SET UP, TRANSPORT17SET UP, TRANSPORT16
(12)
(13)
Important: pull out the
small front leg and screw
it tight again
3
Tilt the OTOmed
gracile12 backwards
Allen key

Operation
Introduction
What is ServoCycling
SymmetryTraining
Short instructions leg training
Short instructions arm/upper body training
Settings
Leg insertion aid (insertion and securing of legs)
Start of training
Arm/upper body trainer
Adjustment of speed
Change of direction
Automatic direction change
Active cycling (with one’s own strength)
ServoCycling
How to shift gears when you cycle yourself
SymmetryTraining
End of training
Training analysis
Training suggestions
Leg removal aid
ovementProtector and SpasmControl
Duration of training
Change of motor power
Starting parameters
Adjust the contrast of the display
Adjust the volume
Hold/continue displayed information
Change of duration of displayed information
Button lock on the operating panel
aximum speed
Language option
page
20
20
20
21
24
25
25
26
26
27
27
28
29
29
30
31
34
34
36
36
37
39
40
42
44
45
46
47
48
49
50
Moving/transporting
The OTOmed gracile12 is equipped with two large transport rollers
so that it can be easily moved within a building.
To move the OTOmed, please hold the handlebar or the arm trainer
of the OTOmed gracile12 and tilt it backwards until you can easily
pull or push the OTOmed gracile12 on its large transport rollers.
The mains cable has to be detached completely prior to the transport.
If you have to move the OTOmed gracile12 over any small bumps,
make sure that both transport rollers move simultaneously over the
bump. Don’t use the transport rollers to move the OTOmed gracile12
across uneven ground (e.g. cobblestones). In both cases damage to
the casing of the OTOmed gracile12 and the electronics inside could
result.
For longer distances on uneven ground you should use a handcart
(i. e. trolley) in order to protect the transport rollers.
SET UP, TRANSPORT18 OPERATION19
4

see page 29
see page 31
Introduction
The following pages will explain how to operate the OTOmed gracile12.
First, short instructions will be given for the basic functions of the
“leg training“ and the “arm/upper body training“. Chapter “settings“
offers a detailed explanation of the operation, step-by-step.
What is ServoCycling
ServoCycling is a special function of the OTOmed gracile12 for users
with very little residual muscle strength. The OTOmed ServoCycling
function has an effect similar to a servo-assisted steering system,
which could enable you to steer a truck using your little finger.
Even with minimal muscle strength, OTOmed ServoCycling supports
complete and even pedal movements. Active cycling builds up strength,
coordination and motor activity.
The OTOmed gracile12 recognizes your active impulse and the
OTOmed ServoCycling reinforces it throughout one whole revolution.
The OTOmed gracile12 accelerates noticeably. That is why you
immediately see and feel the effects of your own activity. As soon as
you stop giving active impulses the speed drops gently. This increases
the benefit of the therapy. ServoCycling is a great experience!
SymmetryTraining
During active cycling with your own muscle strength, the Symmetry-
Training function shows how much either leg “is working“ at that
moment. Due to this display you can practice to train and put strain
on both legs equally and apply your strength more deliberately.
The displayed values are not suitable for diagnostic purposes as the
OTOmed gracile12 is not medical measuring equipment. Due to
spasticity and contractures, the displayed values are distorted. We
recommend relaxing the muscles by training passively before starting
active cycling with one’s own strength.
OPERATION20
1.
see page 53
2.
see page 62
3.
Short instructions leg training
Set up: Place the OTOmed gracile12 on a non
slip surface with the large tube 11 against a
wall if possible. Sit in a wheelchair or in a stable
chair in front of the OTOmed gracile12 within
a reasonable distance to the trainer – the legs
must be able to turn freely but the knee joints
must not be stretched out completely at any
time while training. Please adjust the correct
height of the pedal axle before starting the
training in order to ensure an optimal training
process.
Important: ake sure the wheelchair or chair
is secure so that it will not move or slip.
Insertion and securing aid (if needed): Press
the long blue button “ “ 2 . The buttons
“pedals forward“ 3 and “pedals backward“ 4
allow you now to move the foot shells 10 to
the lower position to help you insert your legs
one after the other simply and comfortably.
Hint: If your legs are not equally flexible, we
recommend inserting the stiffer one first.
Then fix your feet and legs with the Velcro straps
or the self-operating foot holders (item no. 598)
in the foot shells.
Start the training: Press the red “start/stop“
button 1 . The foot shells automatically start
moving slowly and the display 9 turns on.
Have your legs moved “passively“ for a short
warm-up of a few minutes.
OPERATION21
4

7.
8.
9.
SymmetryTraining: The SymmetryTraining
function applies only while cycling actively when
the bicycle icon appears. SymmetryTraining is
supposed to help you train towards an even force
output of each leg by indicating the activity of
both legs in a bar graph. Whenever the display
shows 50 % on both bars, both legs are equally
active, one bar showing more than 50 % however indicates that the
corresponding leg is pedaling with more strength. Try always to train
both your legs equally. You can hold the SymmetryTraininig bar graphs
on the display by pressing the button “hold display“ 6 . The button
“change display“ 6 brings you back to other screenshots.
End of training/analysis: Before you finish your
training you are advised to have your legs moved
passively again for a few minutes in order to loosen
up your muscles. To stop the training press the
red ”start/stop” button (see 1 , paragraph 2).
Press then the button “analysis“ 6 before the
display 9 switches off. The analysis will show
you e.g. how long you have been training with the assistance of the
motor (passively) and with your own strength (actively).
Removing the legs: To remove your legs after training, press the
button “removal aid“ 3 . Last, press again the red “start/stop“ button
(see 1 , paragraph 2) to switch off the OTOmed.
OPERATION22
4.
5.
6.
Change speed/direction: With the “speed“
buttons you can increase or decrease the number
of revolutions of the foot shells per minute.
Upon pressing the button “slow“ (turtle) 4 you
reduce speed, pressing the button “fast“ (rabbit)
3 you increase it. The button ”direction” 5
allows you to switch the direction of movement
from forward to backward and vice versa. The buttons 3 to 6 have
several functions depending on whether you are training with the
assistance of the motor or cycling actively, i.e. you pedal yourself.
Cycling “actively“, without motor: After you’ve
relaxed your muscles enough you can start
cycling actively with your own strength. Press
the button “ServoCycling“ (see 6 , paragraph 4).
Pedal yourself and the OTOmed makes out your
own activity. The display 9 gives you feedback
showing a bicycle icon and the remark “you are
cycling yourself“. With the buttons “light“ (small weight) 4 and “heavy“
(large weight) 3 you can change gears according to your muscle
strength (from gear 0 to 20). Please choose the appropriate gear that
allows you to cycle without intense strain. It is recommended to cycle
in the low gears for some time.
Important: Due to the very small pedal radius it can partially be very
difficult to train actively. The larger the pedal radius is, the easier the
active training.
Breaks: In case you get tired we advice you to
finish your active training. The OTOmed gracile12
will recognize this and take over automatically,
moving your legs passively again. After a while
you can try cycling yourself again (but only if
you feel able to) – the OTOmed will recognize
this input and switch automatically to active
mode again. The bicycle icon appears on the display 9 together with
the feedback: “you are cycling yourself“ (see paragraph 5).
OPERATION23
shift gear
motor is taking over again
speed [rpm]
hold display
4
22

Short instructions arm/upper body training
Whenever you attach an arm/upper body trainer 4 (item no. 599)
to your OTOmed gracile12 you have to extend the front leg 12 by
approx. 15 cm/6 inches). However, please keep a minimum insertion of
the front leg of 10 cm/4 inches) for optimal stability of the OTOmed.
Open the two screw knobs 13 located underneath the arm/upper body
trainer 14 and swivel the arm/upper body trainer 14 clockwise by
180 degrees. After that tighten the screw knobs 13 again.
Open the screw knob 18 at the supporting module 16 and adjust it
to the desired training height (after consultation of the doctor and
therapist).
Start of training: Press the red “start/stop“
button 1 (see leg training page 21, paragraph 3)
and then the button “arm trainer“ 6 . The hand
grips 17 now begin to move slowly. Let the
motor move your arms passively in a short
“warm-up“ phase first.
If the hands are fixed (e.g. in the forearm shells) training may only be
done under supervision.
Further instructions for arm training are very similar to the leg training
(see pages 21 – 23, paragraphs 4 to 6 and 8).
1.
2.
3.
4.
5.
6.
OPERATION24
see page 62
see page 53
Settings
Leg insertion aid (insertion and securing of legs)
Before you start the training, you have to place your feet into the
foot shells and fix them with the Velcro straps. The leg insertion aid of
the OTOmed gracile12 offers the possibility to bring the foot shells
into a suitable position to help you insert your legs more comfortably.
Please press the blue button (leg insertion aid).
Press button “pedals forwards“ or “pedals backwards“ until the first foot
shell is at the desired position. As soon as you stop pressing the button
the pedals stop moving. Now you can insert and fix your first leg with
the Velcro straps or self-operating foot holders (item no. 598) in the
foot shell. After that you repeat this procedure with your other leg.
The training starts as soon as you press “start/stop“. Important: Only
start your training when both your legs are inserted and fixed.
Suggestion: If your legs are not equally flexible, step in first with the
leg that is less flexible than the other.
For some types of wheelchairs it may be necessary to remove the
foot plate or to swivel it aside in order to allow sufficient access to
the OTOmed gracile12. Please adjust the correct height of the pedal
axle before starting the training in order to ensure an optimal training
process. However, if you decide not to train, the OTOmed gracile12
goes into stand-by mode after a few minutes.
pedals
backwards
Easier leg insertion:
Keep button “pedals forwards“ or
“pedals backwards“ pressed
until pedals are in a suitable
position for leg insertion.
pedals
forwards
pedals
backwards
pedals
forwards
OPERATION25
4
small front leg
screw knob
for height adjustment
18
screw knob
to swivel the arm trainer
13
12
supporting module
16
hand grips 17
arm/upper body trainer 14

4
Start of training
Press button “start/stop“. The OTOmed gracile12 starts with a short
and gentle warm-up phase.
The speed automatically increases (Pre-setting: leg trainer warms up
to 15 rpm, arm/upper body trainer warms up to 5 rpm). Without
pressing any further buttons the motor of the OTOmed gracile12
will gently move your legs in a safe way.
Arm/upper body trainer
If there is an arm/upper body trainer (item no. 599), you will be asked
to choose between arm or leg trainer before starting the training. If
you choose arm/upper body training, you will have about 10 seconds
to place your hands onto the handles, then the training will start. In
case you want to start your training immediately, press the button
“start now“.
Apart from that the functions and settings of the arm trainer are
comparable to the leg trainer (excluding the SymmetryTraining function
(item no. 20 ) which has to be ordered specifically with the arm trainer).
warm-up
1:05 min
015
speed [rpm]
slow
direction fast
ServoCycling
duration extras
see page 64
OPERATION26
Adjustment of speed
With the buttons “slow“ (turtle) and “fast“ (rabbit) you can easily
adjust the speed according to your needs. You can choose any speed
between 0 and 60 (rpm).
Change of direction
Upon pressing the button “direction“ the OTOmed gracile12 slowly
reduces the speed until it stops, changes the direction of movement
and finally accelerates back up to the adjusted speed.
change of direction
022
5:36 min
speed [rpm]
slow
direction fast
ServoCycling
duration extras
direction
speed [rpm]
5
5:49 min
slow
direction fast
ServoCycling
duration extras
slow
fast
OPERATION27

Automatic direction change
With the back
+ forth program you can set a period of time after
which the OTOmed gracile12 will change the direction automatically.
For this press at first the button “extras“ (1.), then the button “more“ (2.),
once again the button “more“ (3.) and finally the button “back+forth
program“ (4.).
Upon pressing the buttons “-“ and “+“ (5.) you can set the time period
for the change of direction from 2 to 30 minutes.
If you want to go back to continuous operation, please press the button
“switch off“. Upon pressing the button “done“ you finish this setting.
done
autom. direction change [min]
10
please adjust with -/+
+
-
switch
off
8:34 min
+
-
5.
velocity [rpm]
5
5:49 min
slow
direction fast
ServoCycling
duration extras
extras
1.
motor
power
Spasm
Control
done
starting
parameters
infor-
mation
more... 4:54 min
extras 1 2 3
more...
2.
adjust
contrast
adjust
volume
done
duration
display
more... 5:34 min
extras 1 2 3
language
options
more...
3.
symmetry
display
softkey
position
done
back+forth
program
more... 6:11 min
extras 1 2 3
max
rpm
back+forth
program
4.
Active cycling (with one’s own strength)
Whenever you start cycling actively with your own strength, the display
gives the following feedback:
“You are cycling yourself gear 5“. Upon pressing the buttons “light“
and “heavy“ you can shift to a lower or higher gear. When you would
like to get moved by the OTOmed gracile12 again, just stop cycling.
The motor automatically takes over and moves your legs or arms
gently.
The OTOmed gracile12 is however not designed for continual active
training at high resistance. It is not suitable for physically well trained
people as a sports trainer. The manufacturer doesn’t grant warranty
for damages occurred due to intensive active cycling in high gears
(high resistance levels).
ServoCycling
The button ServoCycling allows you to switch to active cycling. This is
particularly important if you don’t have enough strength to immediately
cycle yourself in the pre-adjusted gear 5 or if your previously set gear
is too high. Press the button “ServoCycling“. Now you may cycle your-
self in the pre-set gear and try to accelerate the OTOmed gracile12.
As soon as the bicycle icon appears on the display you are cycling
with your own strength!
duration extras
You are cycling yourself
gear 5
heavy
light
direction
2:25 min
shift gear
hold display
OPERATION28 OPERATION29
4

During active cycling, the operating sound might increase due to
increasing speed or higher gears.
How to shift gears when you cycle yourself
Just like using a bicycle you can shift gears by pressing the buttons
“light“ (small weight) or heavy (large weight). Gears range from 0 – 20.
That way you can adjust the training parameters according to your needs.
Training suggestion: Always cycle in a gear which allows you to
train without exhaustion. Whenever your own strength begins to
fail and you have to make big efforts you are advised to stop active
cycling and change to get moved passively or to shift to a lower gear
until you are able to train actively again. Don’t break your limits and
avoid overexertion!
Important: Due to the very small pedal radius it can partially be
difficult to train actively. The larger the pedal radius is, the easier the
active training.
4:32 min
gear shift
gear
duration extras
heavy
light
direction
7
heavy
light
SymmetryTraining
SymmetryTraining is a function which you can only use while actively
cycling with your own strength.
SymmetryTraining divides the entire individual performance into right
and left leg activity, i. e. it shows the activity of the left and right leg
separately. This function is supposed to help you to train towards an
even force output of each leg.
You can choose between two displays as SymmetryTraining feedback
options. The pre-set bar graph shows the activity of your two legs in
two bars with the respective percentage (e.g. left leg 63 %, right leg
37 %). Whenever the display of the SymmetryTraining shows 50 % on
both bars, the activity of the left and right leg is equal.
The one bar graph works with a ball which moves to the right or left
following the more active leg. Whenever the activity of both legs is
equal the ball will be exactly in the middle of the bar.
3:35 min
SymmetryTraining
63 %
left
leg
37 %
right
leg
duration extras
heavy
light
direction
change displ.
4:29 min
SymmetryTraining
duration extras
heavy
light
direction
change displ.
OPERATION30 OPERATION31
4
speed [rpm]
5
5:49 min
slow
direction fast
ServoCycling
duration extras
ServoCycling

The displayed values are not suitable for diagnostic purposes. Due to
spasticity and contractures, the displayed values are distorted.
Distortion also occurs if the user isn’t pushing the pedals with both
legs equally but pulling with one leg while pushing with the other.
Suggestion: We recommend to loosen up the muscles by passive
training before starting active cycling.
How to get into SymmetryTraining
As described above you have to start cycling yourself or to start
ServoCycling. You can do this by simply starting to cycle with your
own strength or by pressing the button “ServoCycling“.
As soon as you cycle yourself, the OTOmed gracile12 will detect
your impulse and respond with the bicycle icon on the display. Then,
various information appears on the screen successively: Symmetry-
Training, duration of training, distance covered, current speed, ….
As soon as “SymmetryTraining“ appears on the display, press the but-
ton “hold display“ and you hold the automatic change of displayed
information in order to specifically do SymmetryTraining. A small pin
will appear on the top of the display indicating that you are holding
the display.
3:35 min
SymmetryTraining
63 %
left
leg
37 %
right
leg
duration extras
heavy
light
direction
change displ.
hold display
active cycling
change displ.
see page 29
Change of SymmetryTraining display
To change the SymmetryTraining display press the following buttons:
Button “extras“ (1.), button “more“ (2.), again button “more“ (3.) and
finally the button “symmetry display“ (4.).
Now you may choose between the one bar graph and two bar graph (5.).
By pressing the button “done“ you can close the program and save
this setting.
5.
done
one
bar
2:18 min
two
bars
symmetry display
two bars
set ref.
point
two
bars
one
bar
2:25 min
duration extras
You are cycling yourself
gear 5
heavy
light
direction
hold display
shift gear
extras
1.
motor
power
Spasm
Control
done
starting
parameters
infor-
mation
more... 4:54 min
extras 1 2 3
more...
2.
adjust
contrast
adjust
volume
done
duration
display
more... 5:34 min
extras 1 2 3
language
options
more...
3.
symmetry
display
softkey
position
done
back+forth
program
more... 6:11 min
extras 1 2 3
max
rpm
symmetry
display
4.
OPERATION32 OPERATION33
4

Change the display
A small pin on the top of the display indicates that you are holding
the display.
If you wish to reactivate the change of information, just press the
button “change display“. The “pin“ symbol will disappear and various
information will appear on the display successively.
End of training
The training can be finished at any time by pressing the button
“start/stop“. The OTOmed gracile12 gently stops. After having finished
the training you can use the leg removal aid to remove your legs
from the OTOmed gracile12. Also, you have the option to get
interesting training suggestions or a short training analysis.
Training analysis
After you’ve finished the training by the “start/stop“ button you can
query your training results by pressing the button “analysis“.
Now all training results will appear successively. In order to keep a
record of all training results, you can inquire a training log.
end of training
See you soon!
hints leg re-
moval aid
analysis
analysis
Upon pressing the arrow buttons you may switch between the
different results:
duration of training distance covered
muscle tone performance
energy consumption symmetry analysis
Please note the values shown on the display can vary slightly from
the real values. They are not suitable for a diagnostic evaluation, but
do give a good indication of performance and progress.
muscle tone
in the beginning: ~ 5.8 Nm
in the end: ~ 0.9 Nm
average: ~ 2.3 Nm
leg re-
moval aid
hints
analysis
performance
average: peak:
~ 12.1 W ~ 20.2 W
leg re-
moval aid
hints
analysis
energy consumption
calories: joule:
~ 4.52 kcal ~ 18.80 kJ
leg re-
moval aid
hints
analysis
symmetry analysis
activity activity
left leg right leg
49 % 51 %
leg re-
moval aid
hints
analysis
duration of training
total: 7:37 min
with motor: 5:23 min
YOU cycled: 2:14 min
leg re-
moval aid
hints
analysis
distance covered
total: 0.70 km
with motor: 0.42 km
YOU cycled: 0.28 km
leg re-
moval aid
hints
analysis
OPERATION34 OPERATION35
see page 32
see page 36
see page 83
4

While the OTOmed gracile12 operates in stand-by mode and its
display is dark you still can query the training results of your last
training. You just have to press any of the 6 blue buttons around the
display in order to see the analysis of the last training.
Training suggestions
At the end of any training there are further OTOmed gracile12
training suggestions available. Just press the button “hints“ to read
them through.
Remark: The training suggestions are general advice. Please consult
your doctor and therapist if they apply to your special needs as well.
Leg removal aid
At the end of the training you can remove your legs with assistance
of the leg removal aid. Press the button “leg removal aid“ (1.).
While you keep the button “pedals forwards“ or “pedals backwards“ (2.)
pressed, the foot shells can be moved slowly to an appropriate position.
Then you can unfasten the Velcro straps and remove your first leg
from the foot shell. Just proceed in the same way to remove the
other leg as well.
end of training
See you soon!
hints leg re-
moval aid
analysis
leg re-
moval aid
1. 2.
pedals
backwards
Easier leg removal:
Keep button “pedals forwards“ or
“pedals backwards“ pressed
until pedals are in a suitable
position for leg removal.
pedals
forwards
analysis hints
pedals
backwards
pedals
forwards
MovementProtector and SpasmControl
During the training, the OTOmed MovementProtector constantly
monitors your muscle condition. Due to this, the MovementProtector
(the motor power) automatically adapts to your muscle condition
and is therefore optimally sensitive at any time. This means additional
safety, especially if your muscle stiffness changes through the course
of the training with the OTOmed gracile12.
Suggestion: SpasmControl and thus also the MovementProtector are
activated by the manufacturer. In some cases, however, it is necessary
to switch them off. Please consult your doctor and therapist before
doing so or call your OTOmed representative or the RECK company.
What to do if a spasm occurs
As soon as the weakest spasm occurs, the MovementProtector stops
the pedals automatically. The SpasmControl eases the spasm through
a gentle back and forth movement of the legs. This is similar to what
your therapist does.
see page 83
ease spasm
020
5:03 min
speed [rpm]
slow
direction fast
ServoCycling
duration extras
OPERATION36 OPERATION37
4