3 New EMG\STIM Devices Colour dot matrix display and menu interface Accurate ＆ sensitiveAuditory and visual EMG biofeedback signalPortable anduser friendlyConvenient standOptional multilingual PC software with USB cable link to computer
4 Clinical Conditions FOR Clinical ＆ Home Use REHABILITATION CONTINENCE SPORTSCONTINENCEREHABILITATIONPAIN RELIEFFITNESS
5 What is EMG? EMG: Electromyograph The measurement of electrical activitythat brings about muscle contractions.Evaluating and training the muscles.
6 How To Measure EMG Clean the site of application of electrode ; Place NuTek ® surface skin electrodes , vaginal or rectal probe at muscle belly;NuTek ® device record muscle activity at rest;NuTek ® device record muscle activity upon voluntary contraction of the muscle.EMG Range: 0.2 to 2000 μVSensitivity: 0.1 μV
7 Display Type From NuTek ® EMG STRONG MUSCLE CONTRACTIONthresholdthresholdWEAK MUSCLE CONTRACTIONLine graphBar graph
8 EMG Statistics From NuTek ® EMG Work Average: the average value in microvolt of all the Work segments excluding the first second of each segment. Rest Average: as low as you can manage, below 6µV is acceptable while below 4µV is ideal.Onset Time: most muscles contract within 1 second.Relax Time: readings below 1 second are considered normal for most muscles.Peak Value: working at peak value during the whole cycle of all the trials .Muscle Deviation: the stability of the muscle.
9 5/5/5 EMG Assessment 5/5/5 = 5 sec Work /5 sec Rest/ 5 Trials Target: assess muscle condition and quantify the need forfurther treatment
10 Fast Contraction/Relax 5 fast contractions ( 10 sec Rest at least before contraction)Target: Evaluate or Training fast twitch fibre function
11 10/10/5 Muscle Endurance 10/10/5 = 10 sec Work /10 sec Rest/ 5 Trials Target: Evaluate or Training slow twitch fibre function
12 STIM: Electrical Stimulation Waveform: SymmetricalStimulation cycle: required to prevent fatigueParameters RangeProgramme time1- 99minsPhase typeW/R, CONPhase time(m)1- 99minFrequency (Hz)2-100 HzPulse Width(μS)μSRamp down /up time (s)secWork/Rest time (s)1- 99 sec
13 STIM: Effects Produce substantial muscular tension. Capable of increasing strength.Used when limb is immobilized.Also slows the onset of atrophy.
14 STIM: Clinical Conditions Clinical modeFrequency[Hz]Pulse Width[µS]Amplitude[mA]Continence3-350-90Sports4-100Rehabilitation80-350Fitness4-60Pain relief2-100Frequency: cycles per second(1Hz= 1 cycle per second50Hz=50 cycles per second)
15 What Is ETS ?ETS (EMG + STIM)== Electromyography Triggered StimulationActively participating in the training!
16 ETS Training Closed loop training system Patient attempts a movement, at the same time, andgenerates a EMG signal.When reaching a preset threshold of EMG, it triggersthe stimulation and helps the patient complete themovement.Patient receives feedback about the movement andlearns how to produce a normal movement.GoalHelps the patient gain strength and awareness ofmuscles affected by neurological injury.Conditions known to respond to ETSStroke.Pelvic floor conditions.
17 NuTek ® SoftwareConnect the device to the PC or Smartphone via the USB cable. This function is an optional extra and the user will need to purchase the NuTek® PC software, the USB connection cable to the PC or the Bluetooth module . The Smartphone function is realized by communicating with Bluetooth module.
18 Patients Data : Choose Patient Firstly, Select Patient The list of finished sessions of the selected patient
19 Available Protocol Session: One Open Displayit is for EMG only and advised to be used as a diagnosis tool.1. Select Open Display2. Complete Open Display sessions3. View statistic4. View graph
20 Available Protocol Session: Two Work/Rest Assessment And TrainingThose are for EMG onlyAssessment is advised to be used by therapist evaluating muscle condition.Training is advised to be used for patient daily exercise
21 Available Protocol Session: Three Nu-Tek ControlIt is used for ETS or STIM controlled by the device.When the patient observes their EMG reaching the threshold, it triggers stimulation and encourage the patient to contract longer and reach higher threshold level faster.
22 Available Protocol Session: Four 1. Draw the line, it can be repeatedAvailable Protocol Session : Three2. Save the template3. Template training:Patient should follow the line by his/her EMG
23 Home ReportsUsing the PC Software, The recorded data can be uploaded to PC, create the home report. On the Report, the data of first and last day are display, the EMG, ETS ,STIM data can be compared day by day. This functionality is especially useful if the Patient exercises day by day at home and comes periodically to the Doctor/Clinician.
24 NuTek Control ReportsNote IconsThe recorded data is generated by NuTek Control, it stores daily EMG/STIM/ETS statistics, the statistics are organized in Monthly and Daily Report in the PC Software.
25 Clinical Progress Reports Clinical progress reports are composed of Work/Rest assessment on PC and in device Using the PC Software, The Doctor/Clinician can select the recorded sessions for the selected Patient and create the Clinical Progress Reports. On the Report the EMG data can be compared day by day. This functionality is especially useful if the Patient exercises day by day at home and comes periodically to the Doctor/Clinician for evaluating patient conditions.
26 Other Function: Precription Periodically the doctor or therapist will be able to download newly developed programmes for Muscle Stimulation, EMG Biofeedback and EMG- TRIGGERED STIMULATION. This helps this unique product to keep abreast of any clinical trials where the conclusion is that a specific programme or programme set may assist in enhancing the treatment .
27 Other Function: Forgotten Password If you forget your password, you have to answer your secret questions to retrieve it