Copyright ICAROS GmbH 2019

ICAROS GmbHMartinsried, Germany

2019

Level I Trainer‘s Certification

Welcome To The ICAROS Level1 TC:

It`s All About Balance & Control!

Level I Trainer‘s Certification

Level II Trainer‘s Certification

• II A: Icaros Sport & Fitness

• II B: Icaros Health & Therapy

Specific Workshops

• Shoulder

• Core

• Specific neuro

The ICAROS Trainer‘s Certification Program: An Overview

Agenda: Level I Trainer‘s Certification

1) About Icaros

1.a Device: description & developementThe frame: parts and adjustments

The software components

3) Training & Exercises

3.a Training EffectsThe 3 columns

Studies

3.b Step up and positioning procedureApparatus & Subject biomechanical adjustment

First words to say: comunication & spots

3.c Visual Guidance & TrainingAnalog

Electronic

Virtual

3.d Teaching to Flight (how much)The Ideal Progression

The First Flight

2) Apparatus and Body Setup

2.a Safety First

2.b Apparatus Setup

2.c Body Setup

About ICAROS

History

ICAROS GmbH was established in Munich, Germany in 2015 by Michael Schmidt and Johannes Scholl to

revolutionize the way people exercise and play by combining fitness and virtual reality.

Device Description: The Frame

Device Description: Adjustments

Device Description: Electronic & Software Components

Controller

Laptop

Wifi Router

TV

VR Headset

Tablet

Curved Monitor

Device Description: Oculus Rift Setup

USB Cable Connection (Laptop - Controller)

Oculus Rift Connection (Oculus Rift - Laptop)

HDMI Cable Connection (Laptop - Flatscreen)

Device Description: HTC Vive Setup

USB Cable Connection (Laptop - Controller)

HTC Vive Connection (HTC Vive - Laptop)

HDMI Cable Connection (Laptop - Flatscreen)

HTC Vive Laser Connection (Laser – Laser)

Device Description: Gear VR Setup

Bluetooth Connection (Controller - Gear VR)

LAN-Cable Connection (Router - Laptop)

HDMI-Cable Connection (Laptop - Flatscreen)

Wifi Connection (Gear VR - Router)

Device Description: Tablet Setup

Tablet with ICAROS Apps

• No controller needed!

Apparatus and Body Setup

Safety First

Safety First!

1) Environmental protection

2) Correct use of leg rests

3) Roll inclination

4) Pitch angle

Appartus Scan & Set-Up

12

3

4

5

1 5

From The Rear To The Front

1) Feet Position

2) Dampening System

3) ROM (Regulation) Roll

4) Roll Lock

5) Arms Position

Body Setup

Angles

1) Knee Angle: 115-125°

2) Shoulder Angle 95-105°

3) Mind The Spine

4) Thigh aligned with the Frame

Body-apparatus balance

1) Angles variation and effects on the system

115°-125°

95°-105°

Training & Exercises

• Assisted, global core training

• Plank position as base

• Safety and effectiveness

ICAROS Training

Knee Plank Core Training: By maintaining the

flying position (knee plank) in different space orientations.

The core activation is optimised by a stable body position

on an instable training surface.

Gaming Visual Guidance: It leads the exercises

trough new motor patterns with optimised working angles

and core muscles activation.

ICAROS Training: The Three Columnes

2 Planes Motor Learning: The machine structure

allows to separate the movements on the sagittal and

frontal planes as the combined sum of both them, granting

a really high quality of the repeatability of the base motions

and providing the optimal conditions for the motor learning

and core strengthening process.

Stable…

ICAROS Training: The Knee Plank Position

… v.s Unstable

ICAROS Training: The Visual Guidance

VISUAL BIOFEEDBACK

ICAROS Training: The Visual Guidance

EXERCISE WITHOUT BFEXERCISE WITH BF VISUALGUIDANCE

FEEDBACK BASEDINTERNAL MODEL(EXPERIENCE BASED)

DISTURBANCE / VARIATION

FEEDFORWARD PROCESS (ANTICIPATION)

SENSORIMOTOR CORRECTIONCO-ACTIVATION FEEDBACK – FEEDFORWARD PROCESSES

ICAROS Training: 2 Planes Motor Learning

ICAROS Training: The Gaming Factor

Application Of Game Elements To Exercise Or Therapy

The Science Board

Physical Medicine

and RehabilitationConsultant Orthopaedic

Surgeon

Sport Scientist Head of Vascular and

Exercise Biology Unit at

Universität Salzburg

Studies

• S. R., Energy expenditure and muscle activity during training on the innovative fitness device ICAROS, 2015 conducted at Technical University of Munich, 2018 Sports Science Faculty.

• T. K., “The influence of extra Icaros training in rehabilitation aftercare on the daily limitations and trunk muscles

strength in patients with lumbar spinal problems “, conducted at Technical University of Munich, 2018 Sports Science Faculty

• S.G. Effects on balance and coordination of a week training program on the Icaros device (pilot study & extended

version), 2018 Icaros S.B. internal study.

• S.G. Effects on balance, coordination and swing performance on golf amateur players after a season training

program on the Icaros device, 2019 Icaros S.B. internal study

Results: Energy Expenditure and Muscle Activity

• Calorie consumption increased by 30% compared to regular kneeling plank

• The muscle stimulation doubled (+100%) compared to regular kneeling plank

• Training effects depend also on VR gaming

16,017 10,50432,768

0,29 0,191 0,7160

0,1

0,2

0,3

0,4

0,5

0,6

0,7

0,8

0,9

1

0

5

10

15

20

25

30

35

40

45

Übung 1 Übung 2 Übung 3

RM

S M

ean

Inte

gral

Mea

n

Integral RMSN=12

270 247 395

4,50 4,12 6,590,00

1,00

2,00

3,00

4,00

5,00

6,00

7,00

8,00

9,00

0

100

200

300

400

500

600

Übung 1 Übung 2 Übung 3

kcal

/min

kcal

/hkcal/h kcal/minN= 14

Results:

The influence of extra Icaros training in rehabilitation aftercare on the daily limitations and trunk muscles strength in patients with lumbar spinal problems

• Isokinetic strength ratio not significantly improved → Expectation of pain?

(Al-Obaidi, 2000)

• All other parameters improved more than in the control group

• Isometric flexion at 60° and 45° significantly more improved than in

the control group → Task-specific training (Hubbard et al., 2009)

• Isometric extension and strength ratio at 30° flexion significantly

more improved than in the control group → regular training?

Results: Effects on Balance and Coordination

Our internal pilot trial indicates that every subject improved his global

coordination abilities significantly.

• Precision (%): Ability to reach the target angle at the exact moment.

• Stability (%): Ability to maintain balance. (+6,7% / 1Week)

• Accuracy (%): Ability to avoid compensations.

Step-Up / Step-Off & Positioning Procedure

1) Mounting

2) Unlock the roll axis

3) Take position leaning forward & keeping weight back

4) Move weight back

5) Lock the roll axis

6) Step-off

Trainer`s Spots

1) Be clear with „economy of words“

2) Use clear and simple reference points (room or machine)

3) Talk always positive (what‘s to do not the mistakes)

4) Be aware of your voice (tone and volume)

5) The right position at the right place

6) Steering properly

7) Mind the (VR) game!

Teaching to Fly : The Ideal Progression

Digital

Variation on games and

apparatus setup

Virtual

Variation on games and

apparatus setup

Analog

Variation on theplanes

Teaching to Fly: The First Steps

Analog: Variation on the planes

1) Step-on & positioning procedure

2) Experiencing balance

3) On the sagittal plane

4) On the frontal plane

5) Use the safety blocks for individual needs

Digital: Variation on games & setup

1) Fly low at the beginning (take it easy)

2) Core stability easy is a very good tuning game

3) Try another modality or level once the player reach a 33% score

4) Use the safety blocks for individual needs

Virtual: Variation on games & setup

1) Fly low at the beginning (take it easy)

2) One minute Aim if no motion sickness symptomes

3) Try Core stability easy VR if motion sickness symptomes appear

4) Move back to Electronic support if it doesn‘t work (it will)

5) Try another modality or level once the player reach a 33% score

6) Use the safety blocks for individual needs

Contraindications (optional)

• Fever

• LBP acute phase

• Not identified pain

• Pregnancy

• Acute inflammatory driven

disease

• Generic medical

contraindications

References

1) Comparison of three different surface plank exercises on core muscle activity, J.L., K.J., H.L., J.S., J.C., S.K., B.H.L., Phys Ther Rehabil Sci 2016, 5 (1), 29-33

2) Exercises for spine stabilisation: motion/motor patterns stability progressions, and clinical technique. S.M.McG., A.K., Arch Phys Med Rehabil 2009;90: 118-26.

3) Electromyographic Analysis of Core Trunk, Hip, and Thigh Muscles During 9 Rehabilitation Exercises. R.A.E., R.AD, K.C.C., J Orthop Sports Phys Ther 2007;

37(12):754-762.

4) Sport-specific endurance plank test for evaluation of global core muscle function T. K. T., S.W., J.N., Physical Therapy in Sport 15 (2014) 58-63

5) Low Back Exercises: Evidence for Improving Exercise Regimens. S. Mc.G., 1998 Physical Therapy 78

6) Ultimate Back Fitness And Performance 4thedition. S. McG, 2009

7) Trunk Muscle Activity During Lumbar Stabilization Exercises on Both a Stable and Unstable Surface, A. I, K. K., Y. O., I. S., M. T., S. I., I.S.

journal of orthopaedic & sports physical therapy (40) 2010 p369

8) Trunk muscle activity during bridging exercises on and off a Swissball. G. L., W. H., S. O. Chiropr Osteopat. 2005 Jul 30;13:14

9) Comparison of the thicknesses of the transversus abdominis and internal abdominal obliques during plank exercises on different support surfaces. Y. D., W. Y., J.

Phys. Ther. Sci. 27: 169–170, 2015

10) Tate J J, Milner C E. Real-time kinematic, temporospatial, and kinetic biofeedback during gait retraining in patients: a systematic review.

Phys Ther. 2010; 90 (8): 1123 – 1134

11) Gabriel E, Moss S, Moss D. Chronic Muscle Pain, Biofeedback, and the Neurophysiology of Pain. Biofeedback. 2016; 44 (1): 19 - 23

12) Schmidt, R A, Young, DE, Swinnen, S, Shapiro D C. Summary knowledge of results for skill acquisition: Support for the guidance hypothesis.

J Exp Psychol Learn Mem Cogn. 1989; 15 (2): 352 – 9

13) Wei K, Körding K. Relevance of error: what drives motor adaptation? J Neurophysiol. 2008; 101 (2): 655 – 664

14) Morone G, Girardi S, Ghanbari Ghooshchy S, Iosa M, Paolucci S. (2019) Wearable Devices and Virtual Reality for Neurorehabilitation: An Opportunity for Home

Rehabilitation. In: Masia L., Micera S., Akay M., Pons J. (eds) Converging Clinical and Engineering Research on Neurorehabilitation III. ICNR 2018. Biosystems &

Biorobotics, vol 21. Cham: Springer p.601 - 605

Test

ICAROS Trainer‘s Certification Level 1 Final Test

1) Aparatus parts

2) Safety precautions

3) The three columnes

4) Step-up & positioning procedure

5) Apparatus setup & scan

6) The first training