NeuroTrac MyoPlus Pro Operators Manual Jan 2017

NeuroTrac® MyoPlus PRO Operation Manual

Symbols on the unit and case

Caution! (electrical output). Follow operating instructions! Failure to do so could place the patient or operator at risk. Neuromuscular Stimulation (STIM) and EMG Triggered Stimulation (ETS) should not be used by Patients fitted with demand style cardiac pacemakers. Please seek advice from your health supervisor. Patient’s shock protection type: BF (Body floated) Equipment. Floating isolated applied part. It is only intended for connection to patient’s skin but has floating input circuits. No connections between patient and earth.

REF

Indicates the manufacturer’s catalogue number so that the medical device can be identified. Manufacturer's LOT/Batch number. Present it together with SN number when you report a technical fault or claim a warranty return. Manufacturer's serial number of the unit. Present it together with LOT number when you report a technical fault or claim a warranty return. Name and address of manufacturer. Date of manufacture. Conformity indication with the essential health and safety requirements set out in European Directives. 0088 - Notified body identification, see page 54. The Australian government requires that all imported or locally produced electrical and electronic equipment comply with electromagnetic compatibility (EMC) emission requirements. A compliant product must bear the C-Tick logo. This product should be kept dry.

IP20 on the unit IP02 on the case

This is an indication for protection against ingress of water and particulate matter. The mark IP20 on your unit means: your unit is protected against solid foreign objects of 12.5mm dia and greater. Not protected against water. IP02 on the carrying case means: Protected from the ingress of water droplets from a shower of rain. Do not dispose in normal dustbin (see page 42 for the disposal instructions).

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NeuroTrac® MyoPlus PRO Operation Manual

Table of contents Contents Unit symbols explanation Warnings Contra-indications and precautions

Page 2 4 5

OVERVIEW: Indications for use Introduction Buttons and basic operation Quick start instructions Built-in help screens

6 7 8 9 11

PROGRAMMES: Programmes overview Select preset groups Preset programmes list Running stimulation programme Custom programmes Setting up your custom treatment EMG programmes overview EMG templates EMG games EMG work/rest for training or assessment ETS Training

12 12 13 14 15 17 20 21 22 27 30

Device settings Lock function Statistics Electrode types & tips Care, maintenance, accessories and disposal Specifications Information regarding EMC Troubleshooting Warranty References and additional sources

32 34 35 41 42 45 47 51 54 55

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NeuroTrac® MyoPlus PRO Operation Manual

Warnings * * * * * * *

*

* * * * * * *

This unit must be used with the guidance of a clinician or therapist. Type BF equipment, Continuous Operation. Do not insert lead wires into a mains power supply. Do not immerse unit into water or any other substance. The unit is not protected from the ingress of water droplets from a shower of rain if used outside the carrying case. Do not use this unit in the presence of a flammable anaesthetic gas mixture and air or with Oxygen or Nitrous Oxide. This device is 4 x AAA Batteries operated. If using rechargeable Nickel Metal Hydride batteries, be sure to use a CE approved battery charger. Never connect this unit directly to a battery charger or to any other mains powered equipment. We advise not to use Ni-Cad rechargeable batteries. Caution: Do not use lithium batteries unless they comply with IEC60086-4. To avoid the effects of electromagnetic interference, never use this unit in the EMG Mode, within 4 metres of a cellular telephone or near any other powerful radio interference producing equipment that causes electrical sparks etc. In the EMG mode this unit may be susceptible to strong interfering radio type emissions that may lead to temporally increased EMG microvolt readings. The reading will immediately return to the correct value when the interference ceases. (Remember that a relaxed muscle should read below 3.5 µVolts). Patient Electrodes including all skin surface electrodes, vaginal and rectal probes are for single patient use only! Keep out of reach of children. Do not use stimulation on your facial area unless you are under strict guidance from a qualified clinician. Application of electrodes near the thorax may increase the risk of cardiac fibrillation. Operation in close proximity (e.g. 1m) to a shortwave or microwave therapy equipment may produce instability in the stimulator output. Simultaneous connection of a patient to a high frequency surgical equipment may result in burns at the site of the stimulator electrodes and possible damage to the stimulator. No modification of this equipment is allowed!

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NeuroTrac® MyoPlus PRO Operation Manual

Contra-indications and precautions STIM: Neuromuscular Stimulation (NMS) Before using this equipment you must first seek the advice of your doctor or therapist. Neuromuscular Stimulation should not be used by: * * * *

*

* * * *

EMG

Patients fitted with demand style cardiac pacemakers During pregnancy (unless medically advised) Patients with undiagnosed pain conditions Do not place electrodes: - Over carotid sinus nerves - Over larynx or trachea - Inside mouth - On anaesthetised or desensitised skin - Do not drive a vehicle while the device is stimulating and attached to your body - Do not apply stimulation across or through the head, directly on the eyes, covering the mouth, on the front of the neck (especially the carotid sinus) or via electrodes placed on the chest and upper back or crossing over the heart. Skin irritation from the treatment of NMS or EMG itself does not generally occur. However, rubber electrodes may irritate some skin types, therefore, in this case we recommend to use hypoallergenic self adhesive electrodes. The patient should only use the unit for what it was prescribed for Do not immerse the unit in water or any other liquid substance Do not use stimulation on your facial area unless you are under strict guidance from a qualified clinician. Do not apply stimulation across or through the head, directly on the eyes, covering the mouth, on the front of the neck (especially the carotid sinus) or via electrodes placed on the chest and upper back or crossing over the heart.

There are no precautions when using EMG unless used for pelvic floor exercising or assessment. In this case EMG should not be used: * During menstrual period * If symptoms of bladder infection are present * With patients who have diminished mental capacity or physical competence who cannot handle the device properly

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NeuroTrac® MyoPlus PRO Operation Manual

Indications for use EMG * pelvic pain * patellofemoral pain syndrome * rehabilitation after stroke, and paresis NMES * stress incontinence * overactive bladder (urge incontinence) * muscle atrophy * upper limb rehabilitation in stroke

TENS * general pain (including back pain) * pelvic pain ETS * urinary incontinence * rehabilitation after stroke and paresis

Also used for non medical purposes: * * *

Pelvic floor strength, endurance, sensitivity, vascularisation and relaxation Pelvic floor work out As a warm up prior to exercise

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NeuroTrac® MyoPlus PRO Operation Manual

Introduction This unit is one of a new breed of modern EMG and Neuromuscular Stimulators which Verity Medical Ltd have developed with the Therapist and Patient in mind. Our main goal is to design products that have a high level of functional use, are sensibly priced, compact and user friendly. The MyoPlus Pro units come with one, two or four channels. This is a single channel unit, easy to use at home. It has a colour touch screen with a lot of helpful information under the “i“ touch button which helps the user to understand the use of a selected programme. This single channel model is ideal for advanced incontinence treatment with the combination of most effective modalities of Stimulation, ETS and Biofeedback training, all in one unit. The MyoPlus device can be used with or without a linkup to a PC. The MyoPlus is always bluetooth-ready so there is no need to switch the bluetooth on or off. Please note that the MyoPlus switches off the bluetooth automatically after 3 minutes of no connection with PC Software in order to save energy. To establish the connection, power the unit off and back on again to switch the bluetooth on. Once connected, the bluetooth stays on as long as the unit is in operation. Additionally, the unit has a concealed button which enables the therapist to accurately monitor the Patient Daily Compliance with a prescribed home treatment course. EMG helps the therapist diagnose and treat a broad variety of conditions and it enables the patient to monitor their progress with an accurate visual and audio biofeedback. Up until recently there has been little equipment available on the market for the therapist and patient to choose from at an affordable price. The NeuroTrac® MyoPlus is the solution to this problem. Neuromuscular Stimulation is increasingly understood by therapists and doctors. Nowadays, there is a better understanding of the mechanisms between nerves and muscles, which make it possible to stimulate the neuromuscular system with precise electrical signals. The MyoPlus unit offers precise signals giving full control of Pulse Widths, Rates, Ramp up times, Work / Rest cycles or cycles from the pre-defined template.

Customer care We welcome constructive comments regarding our equipment, particularly those that might help us to improve existing features, add new ones and/or develop new products for the future.

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NeuroTrac® MyoPlus PRO Operation Manual

Buttons and basic operation 1 4

Welcome!

3

Programmes

Last used: 3.Stress

Settings

2 5 6 7

1. ON/OFF - press to power on or switch off the unit. 2. HOME - press to go back to the main page. Here you can select the treatment modality or go to the device settings. 3. Please use the touch screen to navigate: select the desired programme, start and pause, review the settings and read more about each treatment. 4. Press THRS +/- buttons to adjust the EMG or ETS threshold. 5. Press + (START) button to begin the selected Programme. Press mA+/buttons to adjust the intensity of stimulation from 0 to 90mA. In Home->Settings you can set the mA limit so that user cannot go above the set level of intensity. 6. Press BACK to go back to the previous screen. 7. Press SET to go to the next phase in multiphase programme. Please note that many of the above button options are duplicated by the touch screen buttons. Press the concealed button (small hole-like button, accessible after removing battery cover) using the lead wire pin to Lock the programme and record information.

PUSH 8

NeuroTrac® MyoPlus PRO Operation Manual

Quick start instructions 1. Insert four AAA batteries Remove battery cover. Insert batteries as labelled inside the battery compartment. Please mind the polarity and replace battery cover.

Rear view and battery compartment 2. Connect your leads to the unit. The round black reference [REF] plug of the lead wire should be connected to the round black socket of the unit, marked as REF. All sockets are situated on the bottom of the unit, in one place. The reference electrode should go on your thigh or anywhere on your body. The stimulation lead wires (probe, skin electrodes) should be connected to CH socket.

CH

Note! When in EMG or ETS, touch this metal plate when you hold the unit to avoid using the REF electrode.

REF

Bottom and front view

REF electrode.

CH

REF

Leads connection IMPORTANT! If you don’t use round EMG reference wire (REF), your EMG and ETS results will be inaccurate.There is no need to use REF or touch metal plate if you use stimulation only.

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NeuroTrac® MyoPlus PRO Operation Manual

3. Turn on the unit by pressing the ON/OFF button once. Press the touch screen buttons to navigate. We recommend to use the supplied stylus to navigate through the screens to prevent grease from your fingers building up on the surface. 4. Select your treatment and start the programme 4.1 Use the on-screen buttons to select your programme.

4.2 Press + button on the keypad to begin the programme.

Welcome!

Programmes

Last used 5.Mixed

Settings

4.3 Follow the on-screen prompts. Use the touch buttons to review and adjust parameters, scroll the pages or go back to the previous page. 5. For PC Software connection, make sure Bluetooth is enabled, which is indicated by the white Bluetooth symbol on the device screen. Please Note! The unit switches off the bluetooth transmitter after few minutes of no connection to save battery. Tap the bluetooth icon and the icon changes color from gray to white. Alternatively, restart the device which enables bluetooth for another few minutes. Once connection is established to PC, it stays connected. For more information about the software, please visit: www.neurotrac.emgsoft.info Bluethooth connection status : Gray logo - Bluetooth is off to save battery. Power the unit off and back on again to switch on Bluetooth. White logo - Bluetooth is ready, please allow connection from PC Software. Blue logo - Connection to PC Software is established.

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Bluetooth connection indicator

NeuroTrac® MyoPlus PRO Operation Manual

6. When you have finished, remove and replace the skin electrodes onto the clear plastic film, reseal them in the plastic zip bag and store them in a cool place. If using a vaginal or rectal probe, thoroughly clean the probe and seal it in plastic zip bag. Refer to other parts of this manual for detailed instructions on each programme.

Built-in help screens Your unit has built-in help screens, which explain each programme and suggest the overall step-by-step use of each programme. These screens are available in the home screens of each programme, under “i“ button.

Programme name

Select any programme to see the below “i“ button. Condition and Treatment Application

Electrodes Placement

Please Note! The suggested general use of each programme cannot cover all aspects of your treatment and some important issues may still need to be considered by the specialists. Please consult the pathology specialist or your General Practitioner to revise your treatment before you start using this device.

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NeuroTrac® MyoPlus PRO Operation Manual

Programmes overview There are the following protocols to choose from: • Preset programmes organised in groups, see the chapter below. • 10 custom programmes. This is the most advanced way you can set up your programme which can be simple, or a combination of Stimulation (STIM), Biofeedback (EMG) and ETS. See page 15 for details. • Wide range of EMG tools: training templates, biofeedback games, relaxation protocols. See page 20-30 for details. • EMG and ETS buttons on home screen - these two buttons allow you to set up your simple and easily accessible biofeedback or ETS training. You can find more about each individual protocol by selecting the programme button and pressing the “i“ - information and help button.

Select preset groups About Settings About

Note! Once you are in the “About” screen, you can hide or show the button “Preset Programmes”. Hiding might be useful if the target audience needs to be focused on the pre-selected programmes only. Use the same sequence of keypad pressing to hide or show:

Preset Programmes

Factory Defaults

Preset Programmes Group 1 Group 2 Group 3

When you are in “Preset programmes” screen, you can select which programme group you would like to be accessible back on your home screen. You cannot hide any custom programmes, this is for preset groups only. If you do not tick any option, there will only be Custom programmes available, which is useful if you intend to use your personalised programmes only. For more information on narrowing the programme choice, see page 34.

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NeuroTrac® MyoPlus PRO Operation Manual

Preset programmes list To select any programme from the list below, select the group you want and scroll down the list of available programmes. See page 12 if the group you require is not displayed on home screen. Pelvic Floor (22 programmes)

Rehab (25 programmes)

1. Period Pain using skin electrodes

1. Warm Up 1 (small muscles)

2. Tibialis TENS

2. Warm Up 2 (large muscles)

3. General Pelvic Pain and Prostatitis Pain using skin electrodes

3. After Stroke - Muscle Recovery 1 (small muscles)

4. Warm Up & Sensation

4. After Stroke - Muscle Recovery 2 (large muscles)

5. Stress Incontinence after Childbirth 1

5. Workout 1 {large muscles}

6. Stress Incontinence after Childbirth 2

6. Workout 2 {small muscles}

7. Stress Incontinence 1

7. After Stroke - Shoulder Subluxation

8. Stress Incontinence 2

8. After Stroke - Upper Limb

9. Mixed Urge and Stress Incontinence 1

9. Foot Drop Rehabilitation

10. Mixed Urge and Stress Incontinence 1

10. Foot Drop Exercise

11. Overactive Bladder 1 (Urge Incontinence) 11. Multiple Sclerosis 1 (small muscles) 12. Overactive Bladder 2 (Urge Incontinence) 12. Multiple Sclerosis 2 (large muscles) 13. Overactive Bladder 2 (Urge Incontinence) 13. Multiple Sclerosis 3 (spasm reduction) 14. Faecal (Bowel) Incontinence 1

14. Quadriceps workout

15. Faecal (Bowel) Incontinence 1

15. Small muscles training 1

16. Pelvic Floor Work Out

16. Small muscles training 2

17. Building up muscle Endurance

17. Metabolism Improvement

18. Lack of Sensitivity and Vascularisation

18. Vascularisation 1

19. Pelvic Floor Toning

19. Vascularisation 2

20. Pelvic Muscle Relaxation

20. Vascularisation 3

21. EMG Biofeedback Training

21. EMG to improve muscular management

22. ETS Training

22. ETS for neuromuscular re-education

Pelvic Floor (reduced list of

23. Low frequency TENS

the most essential six programmes: 24. High frequency TENS 1, 2, 8, 9, 11 and 16. 25. HAN-type Modulated Frequency TENS

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NeuroTrac® MyoPlus PRO Operation Manual

Running stimulation programme 1. You can start any stimulation programme by pressing the + button on the keypad. 2. Your treatment may have one or many time phases (STIM MOD, STIM WR (▲▼), STIM CON, ETS, EMG). The phase is a portion of treatment with the specific parameters. For example, one phase could be for warm up, another for the actual training, another for relaxation, etc. For preset programme, follow the programme instructions. For custom programme, ask your treatment supervisor what the phases are for and which intensity level should be used. 3. The overall programme timer [minutes] counts down. 4. The current phase timer [minutes: seconds] counts down. 6. The graphical animation of stimulation. 7. Frequency [Hz] and Pulse Duration [µS] are the technical parameters of actual stimulation output 5. When you press + or button on the keypad, the mA intensity level is adjusted. 8. If the phase type is WR (▲▼), the unit stimulates for some time and then goes to idle period (rest) where it measures your EMG [µV] . This is very useful, as you should be relaxed in between stimulation periods (work). Try to relax as much as you can when you don’t feel stimulation. The ball on the screen represents the level of your relaxation. When the ball on the screen goes down (below 4 µV) then your relaxation ability is excellent, otherwise you may be overstimulated and this is an indication to take a break. Note! For the ball to work properly you should either use the REF electrode or touch the metal plate with your fingers (see page 9).

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NeuroTrac® MyoPlus PRO Operation Manual

Custom programmes You can find the list of the custom programmes by pressing the HOME button, then select from the touch screen: 1. Programmes ► 2. Right arrow: you will see the new list of programmes comes from the right-hand side. Tap one of the on-screen buttons: 1.Custom, 2.Custom, ...,10. Custom to select your custom programme. Welcome!

Preset Programmes

1.Preset Programmes

Last used 4. Urge

2.Preset

Settings

3.Preset

touch to navigate

Your Custom 1.Custom 2.Custom 3.Custom

Each custom programme can have upto 5 phases, each phase can be programmed in the following modality:

EMG

EMG is available as a stand-alone button (Home ►EMG ►Work/ Rest), or you may select EMG as one of the phases in your custom programme. For example, by placing your Biofeedback EMG phase at the very end of the programme, to test your muscle performance after stimulation. When in EMG phase, the unit measures the muscular activity when you contract muscles voluntarily. You can use Biofeedback EMG for assessment or training. You can use EMG just for neuromuscular training. When you see or hear the Work prompt, contract and hold your muscles until you see the Rest prompt. Relax your muscles when you see the Rest prompt. This visualized biofeedback training allows you to see and hear and measure your performance and progress. To assess neuromuscular activity, follow the Work and Rest prompts with your voluntary contraction and relaxation. The unit measures your muscular performance and the result is displayed as a set of EMG statistics by the end of the programme.

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NeuroTrac® MyoPlus PRO Operation Manual

ETS

ETS (EMG Triggered Stimulation) is a highly effective training technique, available as a stand-alone button on your home screen, or you may select ETS as one of the phase in any custom programme. ETS combines voluntary contractions with neuromuscular stimulation. This combination is regarded as the best approach for muscle rehabilitation, the results are achieved faster than EMG on its own or using stimulation only. In Classic ETS, user is prompted to contract muscles during work period of time and relax during Rest period of time. As soon as the certain threshold of effort is reached, the stimulation appears to help sustain the contraction. If you set auto-threshold in general settings (see page 33), the unit will rise or drop the target threshold depending on actual performance. This way, auto-threshold encourages better stronger contractions, but keeps threshold within the limits of possibilities. If you set nETS type of the phase, your stimulation will be triggered by the end of Work period, regardless of voluntary effort or can be triggered earlier if you reach the target threshold sooner. nETS is a good start up in case of very weak muscles.

STIM Continuous stimulation is typically used for TENS pain relief, blood CON flow improvement or as a warm up before Work/Rest stimulation. Please seek the advice of specialists when selecting the parameters. This type of stimulation produces a constant output intensity (mA) level during the whole programme. STIM Work/Rest stimulation is typically used for NMS (neuro-muscular WR stimulation). This stimulation type is used to perform non-voluntary ▲▼ muscular contractions to build up pelvic floor endurance. The Work time is when the stimulation provokes the muscular contractions, typically for 4-8 seconds, followed by Rest time during which there is no stimulation and the patient should relax the pelvic floor. The rest time is typically twice the Work time to allow proper resting in between efforts. Please seek the advice of specialists when selecting the parameters. STIM The modulated stimulation. It works similarly to the above Work/ MOD Rest type. The difference is on Rest period of time where the unit stimulates with the lower frequency and higher pulse width. This is particularly useful for pelvic strength exercises where during the rest time you want a lower frequency stimulation to improve the relaxation. The MOD phase can also be easily adjusted as modulated TENS used for pain relief and variety of other applications. Please seek the advice of specialists when selecting the parameters.

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NeuroTrac® MyoPlus PRO Operation Manual

Setting up your custom treatment See on page 15 how to find the list of available 10 custom programmes. Please note that other custom programmes, such as ETS programme on your home screen, can be set following the same logic described below. 1. Select your custom programme. Each of 10 custom programmes can be re-named on this list to suit the functionality you are about to set. Press and hold 3 seconds to start renaming. Type the name you want and press OK. Programme re-naming will not alter any programme settings. 2. To change custom programme settings, press Settings button. Use the on-screen buttons to set up your multi-phase treatment. See on page 15-16 which phase types are available. See on page 18-19 the parameters available for each phase type. 3. When all parameters are set, go back to the home screen of the programme by pressing DONE button. 4. Follow the on-screen messages to begin your programme. 3. Custom

3. Custom

Your Custom 1.Custom 2.Custom 3.Custom

Touch the phase number to select the phase. Touch + to create new phase.

Done

Press Settings to set your own treatment. Use on- screen buttons to adjust values of each parameter of the phase.

phase type

CON

frequency

5Hz

... parameter

...

Press up/down buttons to see all available parameters.

value

Deleting the phase There are upto 5 phases to be set in your treatment, but you can reduce the number of phases. To delete the selected phase and all the following phases, set the phase type to the value “--“.

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NeuroTrac® MyoPlus PRO Operation Manual

Phase settings for EMG (Work/Rest) Parameter

Value

Phase type

EMG

Work Time

Press +/- buttons on screen to select the value: 2-99 sec.

Rest Time

Press +/- buttons on screen to select the value: 2-99 sec.

Trials

Press +/- buttons on screen to select the value: 2-99.

Touch Up / Down buttons to see all available parameters. When finished, either select the next phase to be set up or escape from settings by touching the Done button.

Phase settings for ETS Parameter

Value

Phase type

ETS (Classic or nETS) - see page 16

Work Time

Press +/- buttons on screen to select the value: 2-99 sec.

Rest Time

Press +/- buttons on screen to select the value: 2-99 sec.

Trials

Press +/- buttons on screen to select the value: 2-99.

ETS Stim time Press +/- buttons on screen to select the value: 1-99 sec. Pulse width

Press +/- buttons on screen to select the value: 50-330 µS.

Frequency

Press +/- buttons on screen to select the value: 2-100 Hz.

Ramp Up

Press +/- buttons on screen to select the value: 0.1-9.9 sec.

Ramp Down

Press +/- buttons on screen to select the value: 0.1-9.9 sec.

Touch Up / Down buttons to see all available parameters. When finished, either select the next phase to be set up or escape from settings by touching the Done button.

Phase settings for CON Parameter

Value

Phase type

STIM CON

Frequency

Press +/- buttons on screen to select the value: 2-100 Hz.

Pulse width

Press +/- buttons on screen to select the value: 50-330 µS.

Phase time

Press +/- buttons on screen to select the value: 1-99 min

Touch Up / Down buttons to see all available parameters. When finished, either select the next phase to be set up or escape from settings by touching the Done button.

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NeuroTrac® MyoPlus PRO Operation Manual

Phase settings for ▲▼ (Work/Rest) Parameter

Value

Phase type

STIM WR (▲▼)

Frequency

Press +/- buttons on screen to select the value: 2-100 Hz.

Pulse width

Press +/- buttons on screen to select the value: 50-330 µS.

Phase time

Press +/- buttons on screen to select the value: 1-99 min

Work Time

Press +/- buttons on screen to select the value: 1-99 sec.

Rest Time

Press +/- buttons on screen to select the value: 1-99 sec.

Ramp Up

Press +/- buttons on screen to select the value: 0.1-9.9 sec.

Ramp Down

Press +/- buttons on screen to select the value: 0.1-9.9 sec.

Touch Up / Down buttons to see all available parameters. When finished, either select the next phase to be set up or escape from settings by touching the Done button.

Phase settings for MOD Parameter

Value

Phase type

STIM MOD

Frequency High

Press +/- buttons on screen to select the value: from Frequency Low value set below to 100 Hz.

Frequency Low

Press +/- buttons on screen to select the value: from 2 Hz to Frequency High value set above.

Pulse width Low

Press +/- buttons on screen to select the value: from 50 µS to Pulse width High value set below.

Pulse Width High

Press +/- buttons on screen to select the value: from Pulse width Low value set above to 450µS.

Phase time

Press +/- buttons on screen to select the value: 1-99 min

Work Time

Press +/- buttons on screen to select the value: 1-99 sec.

Rest Time

Press +/- buttons on screen to select the value: 1-99 sec.

Ramp Up

Press +/- buttons on screen to select the value: 0.1-9.9 sec.

Ramp Down

Press +/- buttons on screen to select the value: 0.1-9.9 sec.

Note! Work period has High Hz, Low µS, Rest period has Low Hz, High µS. Touch Up / Down buttons to see all available parameters. When finished, either select the next phase to be set up or escape from settings by touching the Done button.

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NeuroTrac® MyoPlus PRO Operation Manual

EMG programmes overview You can find all EMG Programmes by pressing the HOME button, then select from the touch screen: EMG. These programmes will not produce any stimulation as they function as EMG biofeedback training or assessment. You will be prompted to contract or relax voluntarily. EMG is found to be very useful tool to facilitate the muscular control when the unit encourages your own neurological system to work better, more efficient and in a controlled manner so you can watch, measure and trace your performance and progress. Welcome!

Programmes

Select EMG protocol:

Last used 4. Urge

Open Display

Work / Rest

Settings

Templates

Biofeedback Games

2. Selection of EMG protocols

1. ON ►Home screen Select Your Template

Biofeedback Game

Custom Shape

3. Selection of EMG Templates

Bunny

Plane

Rose (Work/rest)

Rose (Relaxation)

4. Selection of EMG biofeedback games

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