Accelerated Care Plus ACP OmniCycle Elite 10 Motorized Therapeutic Exercise System User Manual

Accelerated Care Plus ACP OmniCycle Elite 10 Motorized Therapeutic

Exercise System

INTRODUCTION

• This manual and all content therein is owned exclusively by Accelerated Care Plus (“ACP”) and is protected by copyright.
• This manual or any portion thereof may not be photocopied, reproduced, or translated to another language without the express prior written consent of ACP.
• This manual may only be used by entities that have purchased the equipment or have implemented the ACP program and are covered by an executed lease agreement.
• This manual may not be used for any other purpose. Any additional copies of the Manual shall be ordered from ACP. No changes or modifications shall be made to the Manual without prior review and written authorization from ACP. No authorization is given to market, sell, disclose, or exploit this Manual except for purposes of using the Equipment.
• ACCELERATED CARE PLUS MAKES NO WARRANTY OF ANY KIND CONCERNING THIS MANUAL, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.
• Accelerated Care Plus shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this Manual. The information contained in this document is subject to change without
• notice.
• The OmniCycle® is a motorized cycling therapeutic exercise device and not a medical instrument for diagnostic purposes. The OmniCycle is for medical purposes, such as strengthening muscles, the restoration of motion to joints, or increasing aerobic capacity. The OmniCycle can be used both as a lower-body exerciser or an upper-body exerciser. Each exerciser has a separate motor. The motors cannot be used simultaneously and are suitable for assisted exercise as well as active therapeutic exercise.

Monitor Screen Size Feature Comparison

The OmniCycle® Elite may have a 10″ Screen or a 7″ Screen. Depending upon the screen the following features and benefits include

Calculated Calories Energy measured (Cal) by OmniCycle® multiplied by

5.3 to Estimate calories burned by the patient

QR code integration – Results| Yes| Yes
QR code integration Intervention points| No| Yes

Calculated Calories (available on 7″ screen only)
Consistent with other cycle manufacturers the energy in calories is a calculated estimate. Published research shows gross inefficiencies between the amount of energy measured by power meters vs. human output energy expenditure (Calories burned). Therefore, the measured calories are multiplied by a factor of 5.3 to estimate the calories burned by the individual.1 This data can be used to establish a baseline and monitor treatment progress for the patient.

Main Start Screen Functions

Exercise Run Screen Functions

Once the exercise has started:

• The system Settings icon becomes the Spasm Detector icon.
• Reset to Default icon becomes Forward/Backward Direction icon.
• The exercise Selector icon becomes the Exercise Duration Adjustor (-).
• The assisted Entry icon becomes Exercise Duration Adjustor (+).

Exercise Modes

Proper exercise dosimetry includes frequency, intensity (resistance level, speed), time, and type (exercise mode, biofeedback). Monitoring vital signs and analyzing the data summary allows the therapist to adjust the plan of treatment.

Isokinetic Exercise Mode

• A new feature on the OmniCycle® Elite with the 7″ monitor is the isokinetic exercise mode. Isokinetic exercise is a well-established type of strength training in which the speed of the movement remains constant, but the resistance varies.
• On the OmniCycle® Elite, when using the isokinetic exercise mode, the clinician sets the target speed (RPM), and the device resistance adjusts to maintain that constant speed. If the patient cycles at a faster RPM, the system increases the resistance, which
• requires more muscle force – this helps guide the speed back down to the target RPM. If the patient cycles at a slower RPM, the system decreases the resistance, which requires less muscle force – this helps guide the speed back up to the target RPM.
• Isokinetic exercise is a well-established exercise mode that can increase mobility, range of motion, strength, and muscular endurance following injuries. A significant advantage of isokinetic exercise is increased safety for the individual The device enforces a
• constant speed throughout the entire performance, whereas traditional/isotonic exercise has uneven speed, without control and consistency. Isokinetic exercise is a safe and effective way to strengthen muscles, with less strain and complications (e.g., delayed
• onset muscle soreness). As early as 1975 research has demonstrated a clear superiority of the isokinetic training procedures over the isotonic procedures relative to strength, anthropometric measures, and motor performance tasks.2
• Isokinetic devices provide a corresponding resistance to maintain the target velocity, allowing the individual to exert their maximum force throughout the range of motion.3 Isokinetic exercise is the only way to optimally load a dynamically contracting muscle
• to its maximum capacity throughout all degrees of range of motion. This mode was verified using electromyogram data, in which a large load was effectively applied to the gluteal muscles while protecting the ACL.4
• Clinicians should consider isometric training as an alternative to isotonic training to gain muscle mass, and isokinetic training to improve functional performance of daily activities and/or sports.5

Advanced QR Code Integration

• The OmniCycle Elite 10″ and 7″ screens both have the basic exercise summary metrics embedded in QR codes for transmission to the clients Electronic Health Record via the ACPlus® Application. The OmniCycle 7″ screen software has an additional feature,
• which allows up to 5 Intervention points where changes made by the clinician, to be recorded, time stamped and embed into the QR Code to enhance and support the skilled therapy documentation. The Exercise summary is cleared with the start of the next
• treatment. Note: Neither the OmniCycle Elite 10″ or 7″ has a patient data base

References

Calculated Calories

1. Haakonssen, E. C., Martin, D. T., Burke, L. M., & Jenkins, D. G. (2013). Energy expenditure constant- and variable-intensity cycling: Power meter estimates. Medicine and Science in Sports and Exercise, 45(9), 1833-1840. https://doi.org/10.1249/MSS.0b013e31828e18e6
   Isokinetic Exercise

2. Pipes, T. V., & Wilmore, J. H. (1975). Isokinetic vs isotonic strength training in adult men. Medicine andScience in Sports, 7(4), 262-274.

3. Downey, J. A., Myers, S. J., Gonzalez, E. G., & Lieberman, J. S. (1994). The physiological basis ofrehabilitation medicine (2nd ed.). Elsevier. https://doi.org/10.1016/C2013-0-06785-0

4. Koyanagi, K., Kimura, Y., Koyanagi, M., Inoue, A., Tamamoto, T., Sawai, K., Motoyoshi, T., Masuta, H.,& Oshima, T. (2018). ERIK: An isokinetic exercise device for the lower limbs. Robomech Journal, 5(15).https://doi.org/10.1186/s40648-018-0112-z

5. Lee, S. E. K., Lira, C. A. B., Nouailhetas, V. L. A., Vancini, R. L., & Andrade, M. S. (2018). Do isometric,isotonic and/or isokinetic strength trainings produce different strength outcomes?. Journal of Bodyworkand Movement Therapies, 22(2), 430-437. https://doi.org/10.1016/j.jbmt.2017.08.001

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