Superior Testing, Training & Treatment Possibilities

“The Clinical Advantage”™ System 4 Superior Testing, Training & Treatment Possibilities PRO & MVP Biodex… the leader in neuromuscular evaluation & therapeutic exercise KNEE ANKLE ANKLE CLOSED ATTACHMENTS Work Ankle, Eversion/Inversion Ankle, Plantar exion/Dorsi exion Knee,EX Extension/FlexionTENSION/FLEXION EVERSION/INVERSION PLANTAR/DORSIFLEXION CHAIN simulation tools Closed Chain ClosedKN ChainEE, ANKLE, HIP (optional) EXTENSION/F36"LEXION 36" Away Toward Away Dorsiflexion 30° Toward Toward Toward Away 0° 0° Away Inversion 36" Eversion Away Extension 55° 36" 135° 40° Away Away 50° Toward 0° Plantarflexion Toward Flexion Toward Motion is towards and away from In neutral position, axis of rotation Axis of rotation passes through the body. Ankle, knee and hip flexion is SHOULDER ATTACHMENT THREE POINT prehension passes through the body of talus, varied by changing dynamometer Compromise axis is a line drawn fibular malleolus and the body of FOR INSERTION INTO SHOULDER/ELBOW ADAPTER fibular malleolus, and through or height, moving patient closer or with rotation through the lateral femoral condyle the talus at an angle of 35°. just below the tibial malleolus. in the sagittal plane. further from the dynamometer, or Away: Eversion Away: Plantarflexion changing seat back angle. Away: Extension Toward: Inversion Toward: Dorsiflexion Away: Extension Toward: Flexion Ready Position: Full Inversion Ready Position: Full Dorsiflexion Toward: Flexion Ready Position: Full Flexion (30 - 45° Knee Flexion) (20 - 30° Knee Flexion) Ready Position: Full Flexion

ATTACHMENT: KNEE ATTACHMENT ATTACHMENT: ANKLE ATTACHMENT ATTACHMENT: ANKLE ATTACHMENT ATTACHMENT: CLOSED CHAIN ATTACHMENT WITH FOOTPLATE AND HEEL SUPPORT DYNAMOMETER ORIENTATION: 90° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 90° DYNAMOMETER ORIENTATION: 0° DYNAMOMETER TILT: 50 to 70° (Shaft up) SEAT ORIENTATION: 90° DYNAMOMETER ORIENTATION: 90° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 90° DYNAMOMETER ORIENTATION: 90° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 90° SHOULDER/ELBOW ATTACHMENT SPHERICAL GRASP FOR INSERTION INTO SHOULDER/ELBOW ADAPTER SHOULDER SHOULDER SHOULDER shoulder EXTERNAL/INTERNAL ROTATION FLEXION/EXTENSION ABDUCTION/ADDUCTION diagonal (seated) Shoulder, Abduction/Adduction Shoulder,(modi External/Internalfied nRotation,eut Modi edral Neutralposition) Shoulder, Flexion/Extension Away Shoulder, Seated Diagonal (D1) Abduction Away 180° Flexion 180° 180° Away External Away 75° Extension LATERAL PINCH with 0° 50° 60° WRIST ATTACHMENT Toward rotation Adduction Toward Toward 90° Extension Flexion Toward 0° Axis of rotation approximates the 0° Internal axis of the acromioclavicular joint, 0° Axis alignment is longitudinal which connects the distal end of the through the head of the shaft of Compromise axis is acromion clavicle to the anterior medial Compromise axis is off axis through the humerus in a horizontal plane. process in the sagittal plane. portion of the acromion process. the glenohumeral joint.

Away: External Rotation Away: Flexion Away: Abduction Away: Flexion KNEE ATTACHMENTS SCREWDRIVER SIMULATOR Toward: Internal Rotation Toward: Extension Toward: Adduction Toward: Extension Ready Position: Full Internal Rotation Ready Position: Full Extension Ready Position: Full Adduction Ready Position: Full Extension

ATTACHMENT: ELBOW/SHOULDER ATTACHMENT WITH CUFF ATTACHMENT: SHOULDER/ELBOW ADAPTER (REMOVE CUFF) WITH SHOULDER ATTACHMENT ATTACHMENT: SHOULDER/ELBOW ADAPTER (REMOVE CUFF) WITH SHOULDER ATTACHMENT ATTACHMENT: shoulder/elbow adapter (remove cuff) with shoulder attachment DYNAMOMETER ORIENTATION: 20° DYNAMOMETER TILT: 50° SEAT ORIENTATION: 15° DYNAMOMETER ORIENTATION: 0° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 15° DYNAMOMETER ORIENTATION: 0° DYNAMOMETER TILT: 10° SEAT ORIENTATION: 75° DYNAMOMETER ORIENTATION: 30° DYNAMOMETER TILT: 10 - 35° SEAT ORIENTATION: 0°

WRIST Wrist, WRadial/UlnarRI DeviationST FOREARM ELBOW Wrist, Extension/Flexion Forearm, Supination/Pronation Elbow,EX Extension/FlexionTENSION/FLEXION EXTENSION/FLEXION RADIAL/ULNAR DEVIATION SUPINATION/PRONATION COMBINATION PRECISION PINCH WITH Toward ANKLE ATTACHMENT ROTATION Flexion Away 70° Extension Away Away Toward Radial 160° 25° Supination Pronation

0° 0° 0° 80° 80° Away Extension Toward 0° Toward 35° 80° Ulnar Flexion HIP ATTACHMENT SPEEDER WRENCH Axis of rotation is the longitudinal Axis of rotation passes through the Axis of rotation lies between the line through the center of the head optional for mvp SIMULATOR center of the trochlea and the proximal row of the carpals, at the Axis of rotation is the approximate of the radius proximally, and capitulum, bisecting the longitudinal capitate bone, and the radius at the center of the capitate bone if viewed through the center of the head of axis of the shaft of the humerus. radiocarpal joint. from the palmar surface of the hand. the ulna distally.

Away: Extension Away: Extension Away: Radial Deviation Away: Supination Toward: Flexion Toward: Flexion Toward: Ulnar Deviation Toward: Pronation Ready Position: Full Flexion Ready Position: Full Flexion Ready Position: Full Ulnar Deviation Ready Position: Full Pronation

ATTACHMENT: ELBOW/SHOULDER ATTACHMENT (REMOVE CUFF) ATTACHMENT: WRIST ATTACHMENT ATTACHMENT: WRIST ATTACHMENT ATTACHMENT: WRIST ATTACHMENT CLOSED CHAIN ATTACHMENT UPPER EXTREMITY WHEEL DYNAMOMETER ORIENTATION: 30° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 0° DYNAMOMETER ORIENTATION: 0° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 0° DYNAMOMETER ORIENTATION: 0° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 0° DYNAMOMETER ORIENTATION: 0° DYNAMOMETER TILT: -5° SEAT ORIENTATION: 90° WITH HANDGRIP (OPTIONAL) HIP HIP FLEXION/EXTENSION ABDUCTION/ADDUCTION UE Hemiparetic Attachments Hip, Flexion/Extension (sidelying position) Hip, (Abduction/Adductionsupine POSITION)

Away Away CLOSED CHAIN ATTACHMENT PREHENSION WITH Flexion Abduction 45° WITH FOOTPLATE AND HEEL SUPPORT (OPTIONAL) PARALLEL GRIP 120°

0° 0° Toward Extension 30° Toward Watch setup and Adduction Axis of rotation is superior and anterior to the greater trochanter Axis of rotation is the anterior positioning videos when the limb is in neutral position. superior iliac spine. UPPER

Away: Flexion Away: Abduction EXTREMITY WRENCH Toward: Extension Toward: Adduction Ready Position: Extension Ready Position: Full Adduction ATTACHMENT: HIP ATTACHMENT ATTACHMENT: HIP ATTACHMENT Shoulder Extension/ Shoulder Abduction/ Shoulder Internal/ Elbow Extension/ Wrist Extension/ DYNAMOMETER ORIENTATION: 0° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 0° DYNAMOMETER ORIENTATION: 0° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 0° Flexion Adduction External Rotation Flexion Flexion www.biodex.com/videos/mjs-setup

The chart above shows just some of the more common patterns and applications possible with the Biodex System 4. For additional information visit our YouTube channel, refer to your manual or visit www.biodex.com/system4. Questions? Contact our Clinical Education Department at 800-224-6339 (Int’l 631-924-9000) or Email: [email protected].

System 4 PRO & MVP

FN: 08-246P Rev D 12/19 Biodex Medical Systems, Inc. 20 Ramsey Road, Shirley, New York, 11967-4704, Tel: 800-224-6339 (Int’l 631-924-9000), Fax: 631-924-9241, Email: [email protected], www.biodex.com “The Clinical Advantage”™ System 4 Superior Testing, Training & Treatment Possibilities QUICK-SET Biodex… the leader in neuromuscular evaluation & therapeutic exercise KNEE ANKLE ANKLE CLOSED ATTACHMENTS Work Ankle, Eversion/Inversion Ankle, Plantar exion/Dorsi exion Knee,EX Extension/FlexionTENSION/FLEXION EVERSION/INVERSION PLANTAR/DORSIFLEXION CHAIN simulation tools Closed Chain ClosedKN ChainEE, ANKLE, HIP (optional) EXTENSION/F36"LEXION 36" Away Toward Away Dorsiflexion 30° Toward Toward Toward Away 0° 0° Away Inversion 36" Eversion Away Extension 55° 36" 135° 40° Away Away 50° Toward 0° Plantarflexion Toward Flexion Toward Motion is towards and away from In neutral position, axis of rotation Axis of rotation passes through the body. Ankle, knee and hip flexion is SHOULDER ATTACHMENT THREE POINT prehension passes through the body of talus, varied by changing dynamometer Compromise axis is a line drawn fibular malleolus and the body of FOR INSERTION INTO SHOULDER/ELBOW ADAPTER fibular malleolus, and through or height, moving patient closer or with rotation through the lateral femoral condyle the talus at an angle of 35°. just below the tibial malleolus. in the sagittal plane. further from the dynamometer, or Away: Eversion Away: Plantarflexion changing seat back angle. Away: Extension Toward: Inversion Toward: Dorsiflexion Away: Extension Toward: Flexion Ready Position: Full Inversion Ready Position: Full Dorsiflexion Toward: Flexion Ready Position: Full Flexion (30 - 45° Knee Flexion) (20 - 30° Knee Flexion) Ready Position: Full Flexion

ATTACHMENT: KNEE ATTACHMENT ATTACHMENT: ANKLE ATTACHMENT ATTACHMENT: ANKLE ATTACHMENT ATTACHMENT: CLOSED CHAIN ATTACHMENT WITH FOOTPLATE AND HEEL SUPPORT DYNAMOMETER ORIENTATION: 45° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 45° DYNAMOMETER ORIENTATION: 0° DYNAMOMETER TILT: 50 to 70° (Shaft up) SEAT ORIENTATION: 90° DYNAMOMETER ORIENTATION: 65° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 60° DYNAMOMETER ORIENTATION: 45° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 45° SHOULDER/ELBOW ATTACHMENT SPHERICAL GRASP FOR INSERTION INTO SHOULDER/ELBOW ADAPTER SHOULDER SHOULDER SHOULDER shoulder EXTERNAL/INTERNAL ROTATION FLEXION/EXTENSION ABDUCTION/ADDUCTION diagonal (seated) Shoulder, Abduction/Adduction Shoulder,(modi External/Internalfied nRotation,eut Modi edral Neutralposition) Shoulder, Flexion/Extension Away Shoulder, Seated Diagonal (D1) Abduction Away 180° Flexion 180° 180° Away External Away 75° Extension LATERAL PINCH with 0° 50° 60° WRIST ATTACHMENT Toward rotation Adduction Toward Toward 90° Extension Flexion Toward 0° Axis of rotation approximates the 0° Internal axis of the acromioclavicular joint, 0° Axis alignment is longitudinal which connects the distal end of the through the head of the shaft of Compromise axis is acromion clavicle to the anterior medial Compromise axis is off axis through the humerus in a horizontal plane. process in the sagittal plane. portion of the acromion process. the glenohumeral joint.

ATTACHMENT: ELBOW/SHOULDER ATTACHMENT WITH CUFF ATTACHMENT: SHOULDER/ELBOW ADAPTER (REMOVE CUFF) WITH SHOULDER ATTACHMENT ATTACHMENT: SHOULDER/ELBOW ADAPTER (REMOVE CUFF) WITH SHOULDER ATTACHMENT ATTACHMENT: shoulder/elbow adapter (remove cuff) with shoulder attachment DYNAMOMETER ORIENTATION: 20° DYNAMOMETER TILT: 30° - 50° SEAT ORIENTATION: 15° DYNAMOMETER ORIENTATION: 25° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 15° DYNAMOMETER ORIENTATION: 10° DYNAMOMETER TILT: 10° SEAT ORIENTATION: 75° DYNAMOMETER ORIENTATION: 30° DYNAMOMETER TILT: 10 - 35° SEAT ORIENTATION: 0°

ELBOW WRIST Wrist, WRadial/UlnarRI DeviationST FOREARM Wrist, Extension/Flexion Forearm, Supination/Pronation Elbow,EX Extension/FlexionTENSION/FLEXION EXTENSION/FLEXION RADIAL/ULNAR DEVIATION SUPINATION/PRONATION COMBINATION PRECISION PINCH WITH Toward ANKLE ATTACHMENT ROTATION Flexion Away 70° Extension Away Away Toward Radial 160° 25° Supination Pronation

0° 0° 0° 80° 80° Away Extension Toward 0° Toward 35° 80° Ulnar Flexion HIP ATTACHMENT SPEEDER WRENCH Axis of rotation is the longitudinal Axis of rotation passes through the Axis of rotation lies between the line through the center of the head FOR INSERTION INTO KNEE ADAPTER (Optional) SIMULATOR center of the trochlea and the proximal row of the carpals, at the Axis of rotation is the approximate of the radius proximally, and capitulum, bisecting the longitudinal capitate bone, and the radius at the center of the capitate bone if viewed through the center of the head of axis of the shaft of the humerus. radiocarpal joint. from the palmar surface of the hand. the ulna distally.

ATTACHMENT: ELBOW/SHOULDER ATTACHMENT (REMOVE CUFF) ATTACHMENT: WRIST ATTACHMENT ATTACHMENT: WRIST ATTACHMENT ATTACHMENT: WRIST ATTACHMENT CLOSED CHAIN ATTACHMENT UPPER EXTREMITY WHEEL DYNAMOMETER ORIENTATION: 15° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 15° DYNAMOMETER ORIENTATION: 25° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 15° DYNAMOMETER ORIENTATION: 25° DYNAMOMETER TILT: 0° SEAT ORIENTATION: 15° DYNAMOMETER ORIENTATION: 30° DYNAMOMETER TILT: -5° SEAT ORIENTATION: 60° WITH HANDGRIP (OPTIONAL)

UE Hemiparetic Attachments CLOSED CHAIN ATTACHMENT PREHENSION WITH WITH FOOTPLATE AND HEEL SUPPORT (OPTIONAL) PARALLEL GRIP

Watch setup and positioning videos UPPER EXTREMITY WRENCH

Shoulder Internal/External Shoulder Extension/Flexion Shoulder Abduction/Adduction Elbow Extension/Flexion Wrist Extension/Flexion Rotation www.biodex.com/videos/mjs-setup

System 4 QUICK-SET

Biodex Medical Systems, Inc. 20 Ramsey Road, Shirley, New York, 11967-4704, Tel: 800-224-6339 (Int’l 631-924-9000), Fax: 631-924-9241, Email: [email protected], www.biodex.com FN: 08-246Q Rev D 12/19