NeuroCom® SMART EquiTest® CDP The SMART EquiTest System is the gold standard in balance assessment with Computerized Dynamic Posturography Key Treatment Areas: •Concussion Management/Traumatic Brain Injury •Fall Prevention - Older Adults •Vestibular Rehabilitation •Worker’s Compensation •Neuro Rehabilitation •Dizziness •Research & More Long Force Plate (Optional Add-on) SMART EquiTest CDP Dynamic System Objective Balance Assessment & Dynamic Training Protocols Count on objective, evidence-based information from the NeuroCom Family of Balance Manager Solutions inVision (Optional Add-on) www.natus.com Computerized Dynamic Posturography (CDP) The Industry Gold Standard for Over 30 Years Computerized Dynamic Posturography (CDP) comprised of the Sensory Organization Test (SOT), Motor Control Test (MCT) and Adaptation Test (ADT) protocols is the standard of care for the assessment and treatment of patients with balance, dizziness and mobility problems. Because CDP can identify and quantify the sensory (visual, vestibular and somatosensory) and motor functions involved in balance control, the information obtained provides an efficient means of understanding your patients’ balance deficits and can effectively guide your treatment planning. SMART EquiTest Advantages: Efficient CDP testing efficiently isolates and quantifies the impairments underlying your patients’ balance problems. Effective This impairment information is used to focus treatment on specific problems, effectively addressing deficits leading to improved outcomes. Practical CDP results can be used by multiple disciplines to guide treatment decision-making and provide superior case management to patients with balance and mobility disorders. Proven NeuroCom CDP test protocols have a 30 year record of clinical use supported by peerreviewed research. Only with NeuroCom Dynamic Systems Computerized Dynamic Posturography including the SOT, MCT and ADT is available only on NeuroCom EquiTest®, SMART EquiTest and Clinical Research Systems products. Balance assessment on NeuroCom SMART EquiTest® Clinical significance of CDP test information Patient case: • Train to maximize the use of vestibular cues for postural control and balance, and optimize center of gravity alignment 50 year-old male who complains of feeling unbalanced, A especially at night and in dimly lit environments. No history of falls. CDP impairments: • Education on balance strategies to compensate for decreased use of vestibular cues pending otologic examination results 1. Ineffective use of vestibular inputs for balance on SOT conditions 5 and 6 (see A below) Prognosis: Prognosis is good for resolution of symptoms, performance of safe mobility at night and prevention of future falls assuming stable vestibular system on subsequent testing. 2. Good awareness of body position in space on the SOT Center of Gravity Alignment display (see C below) 3. Normal automatic motor responses on the MCT (see B below) Significance: 4. Normal ability to adapt to abrupt changes in surface inclination on the Adaptation Test (ADT) euroCom© CDP efficiently identifies the functional balance N impairment to effectively plan your patient’s medical and rehabilitative care, address and decrease patient symptoms and complaints, and optimize functional outcomes. Treatment plan: 1. Refer patient for otologic evaluation 2. Refer for appropriate rehabilitation pending results of otologic exam SOT/MCT Summary Report Does the patient appropriately use each sensory system under a variety of environmental conditions? 100 Individual test conditions isolate and quantify the effective use of somatosensory, visual, and vestibular inputs and their adaptive interactions. A 75 50 25 FALL 1 100 100 Summarizes the overall function of the sensory systems and the ability to resolve conflicting sensory inputs. 3 4 Conditions 5 6 Is the strategy selected appropriate for the amount of instability present? Composite 61 Hip Dominant 75 75 Is the patient appropriately aligned to midline? 50 50 25 25 FALL 0 SOM VIS VEST Ankle Dominant Hip Conditions 1 PREF 25 2 50 3 75 4 5 160 120 120 4 M Left Ank 6 1 2 L M Forward Translations 200 160 80 C Mark Backward Translations 200 Does the patient react quickly enough to prevent a stumble or fall? 2 4 Right L Composite 132 80 4 M Left 4 4 L M 4 Right LATENCY quantifies the time between the forceplate translation and the patient’s automatic force response. B L www.natus.com SMART EquiTest CDP “Since investing in the SMART EquiTest system and inVision software, our revenues have increased by 104.9% over one year. We are opening up a Balance Center, as we are now known as the Balance Experts in Missoula. This equipment has provided us with the opportunity to treat those patients with a true balance impairment or problem with dizziness who otherwise would be thrown back into the loop of medical referrals without answers or solutions. It gives people a chance to feel normal again.” — Amy Downing, PT, Owner Element Physical Therapy, Missoula, MT Technical Specifications Components Include: • NeuroCom Balance Manager Clinical Software Suite Standard Software Protocols Include: Sensory Motor Impairments • ® ® Dynamic forceplate (rotate and translate) Sensory Organization Test (SOT) Motor Control Test (MCT) • Moveable visual surround with LCD display and illumination Functional Limitations Adaption Test (ADT) • Overhead support bar with patient harness set Unilateral Stance (US) Limits of Stability (LOS) • Windows -based computer Training Protocols Rhythmic Weight Shift (RWS) • Two LCD monitors for operator and patient Sequence Training Weight Bearing Squat (WBS) ® Weight Bearing Training • Medical-grade isolation power supply • Color printer • Wireless mouse Physical Dimensions Ergonomic point-of-care cart (W x D x H) • Accessories Include: • • • 53 x 61* x 94 135 x 155* x 239 53 x 61 x 6 135 x 155 x 15 System cart 25 x 24 x 44-57** 64 x 61 x 112-145** 18 x 18 46 x 46 NCM-FOAM Step height 6 15 Foam pad: 18 x 18 x 5 in (46 x 46 x 13 cm) Visual surround 42 x 36 x 74 107 X 91 X 188 P102604-00 Blocks for Prepkit include: Maximum subject height 80 203 Maximum subject weight 440 lb 200 kg NCM-LFP *Depth extends to 64 in (163 cm) with surround in resting position. ** Minimum-maximum monitor extension height. Minimum footprint required 96 x 75 244 x 191 Minimum ceiling height 95 242 Total system weight 775 lb 352 kg Electrical Characteristics • NCM-INV-D inVision software and head tracker (PTT, DVA, GST, HS-SOT & VOR Training) • Assembled dimensions Base Dual Forceplate 18“ x 60” static forceplate • cm B100012-00 Options • in Harness Kit (Sizes: S/M/L) Rocker board Step-up blocks: 4 in (10 cm) and 6 in (15 cm) Leveling block: 2 in (5 cm) Heel/toe wedges: 6° and 12° A/P Inversion/eversion wedges: 3° and 6° M/L • Custom Training NCM-GAMES 100-240 V / 50-60 Hz / 1200 W Compliant with the latest medical standards. Performance Characteristics NeuroGames Rotation of the dual force plate and visual surround is controlled by independent direct current servo motors. NCM-DATA-D • Force plate rotation ± 10˚, maximum velocity 50˚/sec Data Aquisition Tool Kit (D.A.T.a) • Visual surround rotation ± 10˚, maximum velocity 15˚/sec Natus Medical Incorporated 1501 Industrial Road San Carlos, CA 94070 USA 1-800-303-0306 +1-650-802-0400 www.natus.com For more information, please contact your local Natus District Sales Manager at 1-800-303-0306 or visit www.natus.com. Visit our NERVE Center® education portal at nervecenter.natus.com © 2015 Natus Medical Incorporated. All Rights Reserved. All product names appearing on this document are trademarks or registered trademarks owned, licensed to, promoted or distributed by Natus Medical Incorporated, its subsidiaries or affiliates. P/N 015368A
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