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NuTek® Devices
New EMG\STIM Devices
Levator Mini 2 Channel STIM
Maxi Plus 1 1 Channel EMG
Levator Elite 1 Channel EMG \ 1 Channel STIM \ 1 Channel ETS
Maxi Plus 2 1 Channel EMG \ 2 Channel STIM \ 1 Channel ETS
New EMG\STIM Devices
Convenient stand
Colour dot matrix display and menu interface
Portable and user friendly
Auditory and visual EMG biofeedback signal
Accurate & sensiDve
OpDonal mulDlingual PC soFware with USB cable link to computer
Clinical CondiAons
FOR Clinical & Home Use
SPORTS
CONTINENCE
REHABILITATION
PAIN RELIEF
FITNESS
What is EMG?
EMG: Electromyograph ü The measurement of electrical acDvity that brings about muscle contracDons. ü EvaluaDng and training the muscles.
How To Measure EMG
• Clean the site of applicaDon of electrode ;
• Place NuTek ® surface skin electrodes , vaginal or rectal probe at muscle belly;
• NuTek ® device record muscle acDvity at rest;
• NuTek ® device record muscle acDvity upon voluntary contracDon of the muscle.
EMG Range: 0.2 to 2000 μV SensiDvity: 0.1 μV
Display Type From NuTek ® EMG
threshold threshold
Bar graph Line graph
STRONG MUSCLE CONTRACTION
WEAK MUSCLE CONTRACTION
EMG StaAsAcs 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 DeviaAon: the stability of the muscle.
5/5/5 EMG Assessment
• 5/5/5 = 5 sec Work /5 sec Rest/ 5 Trials
• Target: assess muscle condiDon and quanDfy the need for further treatment
Fast ContracAon/Relax
5 fast contracDons ( 10 sec Rest at least before contracDon) Target: Evaluate or Training fast twitch fibre funcDon
10/10/5 Muscle Endurance
• 10/10/5 = 10 sec Work /10 sec Rest/ 5 Trials
• Target: Evaluate or Training slow twitch fibre funcDon
STIM: Electrical SAmulaAon
Parameters Range Programme Dme 1-‐ 99mins Phase type W/R, CON Phase Dme(m) 1-‐ 99min Frequency (Hz) 2-‐100 Hz Pulse Width(μS) 50-‐ 450 μS Ramp down /up Dme (s) 0.1-‐ 9.9sec Work/Rest Dme (s) 1-‐ 99 sec
Waveform: Symmetrical SDmulaDon cycle: required to prevent faDgue
STIM: Effects
• Produce substanDal muscular tension. • Capable of increasing strength.
ü Used when limb is immobilized. ü Also slows the onset of atrophy.
STIM: Clinical CondiAons Clinical mode Frequency
[Hz] Pulse Width
[µS] Amplitude
[mA] ConAnence 3-‐35 200-‐300
0-‐90
Sports 4-‐100 220-‐350 RehabilitaAon 3-‐35 80-‐350 Fitness 4-‐60 175-‐320 Pain relief 2-‐100 100-‐200
Frequency: cycles per second (1Hz= 1 cycle per second 50Hz=50 cycles per second)
What Is ETS ?
ETS (EMG + STIM)== Electromyography Triggered SDmulaDon
Ac#vely par#cipa#ng in the training!
ETS Training Ø Closed loop training system
• PaDent aiempts a movement, at the same Dme, and generates a EMG signal. • When reaching a preset threshold of EMG, it triggers the sDmulaDon and helps the paDent complete the movement. • PaDent receives feedback about the movement and learns how to produce a normal movement.
Ø Goal • Helps the paDent gain strength and awareness of
muscles affected by neurological injury. Ø CondiAons known to respond to ETS
• Stroke. • Pelvic floor condiDons.
NuTek ® So\ware
Connect the device to the PC or Smartphone via the USB cable. This funcDon is an opDonal extra and the user will need to purchase the NuTek® PC soFware, the USB connecDon cable to the PC or the Bluetooth module . The Smartphone funcDon is realized by
communicaDng with Bluetooth module.
PaAents Data
• : Choose PaAent Firstly, Select PaAent
The list of finished sessions of the selected paAent
Available Protocol Session: One
1. Select Open Display
2. Complete Open Display sessions
Open Display it is for EMG only and advised to be used as a diagnosis
tool.
3. View staAsAc 4. View graph
Available Protocol Session: Two
Work/Rest Assessment And Training Those are for EMG only
Assessment is advised to be used by therapist evaluaDng muscle condiDon. Training is advised to be used for paDent daily exercise
Available Protocol Session: Three
Nu-‐Tek Control It is used for ETS or STIM controlled by the device.
When the paDent observes their EMG reaching the threshold, it triggers
sDmulaDon and encourage the paDent to contract longer and reach higher threshold level faster.
Available Protocol Session: Four
Available Protocol Session : Three
1. Draw the line, it can be repeated
2. Save the template
3. Template training:
PaAent should follow the line by his/her EMG
Home Reports
Using the PC SoFware, 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 funcDonality is especially useful if the PaDent exercises day by day at home and comes periodically to the Doctor/Clinician.
NuTek Control Reports
Note Icons
The recorded data is generated by NuTek Control, it stores daily EMG/STIM/ETS staDsDcs, the staDsDcs are organized in Monthly and Daily Report in the PC SoFware.
Clinical Progress Reports
Clinical progress reports are composed of Work/Rest assessment on PC and in device . Using the PC SoFware, The Doctor/Clinician can select the recorded sessions for the selected PaDent and create the Clinical Progress Reports. On the Report the EMG data can be compared day by day. This funcDonality is especially useful if the PaDent exercises day by day at home and comes periodically to the Doctor/Clinician for evaluaDng paDent condiDons.
Other FuncAon: PrecripAon
Periodically the doctor or therapist will be able to download newly developed programmes for Muscle SDmulaDon, 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 .
Other FuncAon: Forgocen Password
If you forget your password, you have to answer your secret quesDons to retrieve it