Kinetisense Newsletter
July 2023
RockTape and Kinetisense Partnership
There is a good reason Rocktape established the foundation of the Functional Movement Training (FMT) Movement Pyramid with Screening and Assessment. Rocktape considers these aspects of the clinical and performance experience critical for optimal outcomes. The data Rocktape acquires from our patients and clients should arm the decisions made with respect to treatment and training programs.
Kinetisense software has emerged as a game-changer in the realm of efficient but effective motion capture. As the world’s first patented marker-less motion capture analysis system, Kinetisense allows you to engage with your patients/clients and provide them real-time biofeedback (data) for how they truly move. Leveraging the power of depth-sensing cameras and sophisticated algorithms, Kinetisense allows for the real-time tracking and analysis of human movement without the need for markers. Here are some key features that make Kinetisense stand out:
Depth-Sensing Camera: Kinetisense is portable with the newer iPad Pro, which captures depth information and generates a detailed 3D skeleton model of the subject. This new software can track movement in real-time, providing precise data without the need for markers. Gain the data you need to analyze range of motion, movement, balance, risk of falling, dynamic hop tests, posture and more, with the click of a button.
Real-Time Analysis: Kinetisense software processes the captured data in real-time, enabling immediate feedback and analysis. This feature is particularly valuable in applications such as sports training, physical therapy, chiropractic, workplace safety, and rehabilitation, where instant feedback can enhance performance and aid in injury prevention.
Range of Motion Analysis: With Kinetisense, measuring joint angles and range of motion becomes seamless. By tracking skeletal movements, the software can precisely quantify joint flexion, extension, abduction, and other important metrics. This information is invaluable for assessing movement patterns, identifying limitations, and developing targeted intervention strategies.
Posture Assessment: Kinetisense software includes posture analysis capabilities, allowing for the evaluation of body alignment and posture-related issues. Whether for ergonomics assessment, injury prevention, or athletic performance optimization, this feature provides valuable insights into body mechanics and helps identify potential risks or imbalances.
Movement Screenings: Kinetisense offers pre-built movement screenings and assessments, tailored for various applications such as sports, fitness, workplace, and healthcare. These screenings can identify movement deficiencies, muscular imbalances, and asymmetries, enabling professionals to design effective training or treatment programs.
Clinical Advantages of Kinetisense Motion Capture
Improved Accuracy: Kinetisense leverages advanced algorithms to track skeletal movements accurately. This level of precision ensures reliable and trustworthy data for professionals in fields such as biomechanics, physical therapy, and sports performance.
Enhanced Flexibility and Freedom of Movement: Unlike marker-based systems, Kinetisense allows subjects to move freely without any constraints. This unrestricted environment facilitates natural movement patterns, making it particularly useful for sports analysis, dance, and rehabilitation settings.
Cost-Effectiveness: Traditional marker-based motion capture systems can be costly, requiring specialized hardware and numerous markers. In contrast, Kinetisense utilizes off-the-shelf depth-sensing camera, making it a more cost-effective solution without compromising accuracy or performance.
Objective Screen/Intervene/Re-Screen Tool: Kinetisense streamlines and augments the use of the data captured about a patient/client’s movement. By quickly and effectively gathering information about movement, the therapist can be assured that prescribed procedures (manual therapies, corrective exercises, taping applications) were effective in managing the issue with validated objective data. Within our FMT Education we demonstrate how to integrate the use of different technologies, including Kinetisense to support our intuition and fuel our decisions in the clinical and performance arena.
How to Interpret Functional Data
There are three different types of reports that can be generated from a functional assessment:
The first type of report is through the scorecard, this is the screen that pops up after saving the assessment. This report will showcase SOAP notes, pictures, frontal plane tilts, transverse plane diagrams as well as joint angles in the “assessment” section of the SOAP notes. This is a visual report providing a lot of valuable information. If a practitioner would like to capture a particular frame within a functional assessment, this can be done by selecting the functional assessment you wish to capture a particular frame in, from there select the video playback function. Within the video playback the capture button can be selected to capture all the data points at that particular time. The capture button can be selected as many times as a practitioner would like in order to capture the joint angles at that second in time. An example of when someone may use this is to compare the left and right knee/hip joint angles at a patient’s lowest point in a squat, as well as looking at their joint angles as they move down and lift back up. Once all of the points have been captured, “done” and “save” must be selected in order to save the newly captured data points.
Please close and reopen the functional assessment in order to view the newly captured data points, these new data points will then appear in all reports. To generate a report through the scorecard open the functional assessment you would like to generate the report for, select the “reports” icon in the top right corner and select the report you would like generated.
The second type of functional data report is generated through manual reports, this is located on the main screen underneath “Tools”. “Tools” can be seen in the top right corner, select “Export Data”. The “Export Data” will pull a list of assessments, select “Functional”, from this screen multiple functional assessments can be pulled. This type of report is going to be a file with every joint angle captured when the “capture snapshots” were taken. This type of report does not include any pictures or graphs, rather numbers and a time snap of when the capture snapshot was taken.
With a Kinetisense Diamond license, advanced data tools are added to your license. These included a CSV file export for functional data. In the CSV file each joint is broken down every second in the X,Y and Z planes. For example the data will say Head X, Head Y, Head Z. With an understanding of three-dimensional from “The Advantages of 3D Motion Capture Versus 2D Motion Capture” and the X,Y, and Z planes, this helps to break down the data points captured. A specialized program is required to convert the CSV file into a C3D file in order to better interpret the data.
How to Connect Your iPhone or iPad to Your Big-Screen TV
(Originally published by TechHive)
Wireless Mirroring with AirPlay
The easiest way to mirror your iPhone or iPad to your TV is through Apple’s wireless AirPlay protocol. This allows you to either stream your entire screen’s contents straight to the TV.
While AirPlay used to require an Apple TV streaming box, it now works on most modern Roku devices, select LG TVs from 2018 onward, select Samsung TVs from 2018 onward, select Sony TVs, all Vizio SmartCast TVs, and 2020 Fire TV Edition TVs from Toshiba and Insignia.
Here’s how to mirror what’s on your iPhone or iPad display:
- Ensure that both the TV device and iOS device are on the same Wi-Fi network. (For TVs with AirPlay support, make sure you’ve set up their smart TV software.)
- If you have an iPhone X or newer or an iPad running iOS 12 or later, swipe down from the upper-right corner to reveal the Control Center. Otherwise, swipe up for Control Center instead.
- Tap the screen mirroring button, which looks like two overlapping boxes.
- Select your TV from the list. (If you have multiple AirPlay-compatible devices, consider labeling each one based on the room it’s in.)
- On your iOS device, enter the four-digit code that appears on your TV screen. (By default, you’ll only need to do this once for each device.)
- To disconnect from the TV, follow steps 1 through 3, and then select “Stop Mirroring” from the list.
To start mirroring your screen wirelessly to an Apple TV, just open Control Center and select “Screen Mirroring.”
Image: Jared Newman / IDG
Connect an iPhone or iPad with an HDMI Cable
While a wired HDMI adapter isn’t as convenient as AirPlay for screen mirroring, it’s a more straightforward way of connecting, especially if Wi-Fi is flaky or unavailable.
For an iPhone, iPad, or iPod touch with a Lightning connector, you can use Apple’s Lightning Digital AV adapter.
Setup is easy: Just plug the HDMI cable into your TV on one end and the adapter on the other, plug the Lightning cable into your iOS device, and set the TV to the appropriate input. You can also plug a charger into the adapter’s second Lightning port to keep your iOS device’s battery from draining.
Image: Jared Newman / IDG
How to Screen Mirror iPad to an Apple TV
(Originally published by Support.com TechSolutions)
- Open the Control Center.
- On the Control Center, tap Screen Mirroring.
- Select your Apple TV.
- If an AirPlay passcode appears on your TV screen, enter the passcode on your iOS device.
Reference
https://www.techhive.com/article/601545/how-to-connect-your-iphone-to-your-tv.html
https://www.techsolutions.support.com/how-to/how-to-screen-mirror-iphone-or-ipad-to-an-apple-tv-12423
Examining Gait Speed and the Link to Fall Risk
Gait speed, which refers to the speed at which a person walks, is a commonly used measure in geriatric assessments and is known to be associated with various health outcomes in older adults. One important aspect related to gait speed is its association with the risk of falls.
Research studies have consistently shown that slower gait speed is associated with an increased risk of falls in older adults. Here are some key points regarding the relationship between gait speed and fall risk:
- Gait speed as a predictor: Slower gait speed has been identified as an independent predictor of falls in older adults. A decrease in gait speed is associated with a higher likelihood of falling.
- Balance and stability: Gait speed is closely related to balance and stability during walking. Slower gait speed may indicate reduced muscle strength, impaired balance, or diminished neuromuscular control, all of which can contribute to an increased risk of falls.
- Physical limitations: Slower gait speed is often observed in individuals with physical limitations, such as muscle weakness, joint problems, or chronic diseases. These factors can affect the ability to maintain a steady and safe gait, leading to an increased risk of falls.
- Fall-related injuries: In addition to the risk of falling itself, slower gait speed has also been associated with a higher likelihood of sustaining fall-related injuries. The impact of a fall may be greater in individuals with slower gait speed due to reduced ability to recover balance or protect themselves during a fall.
It’s important to note that gait speed is just one factor among many that can contribute to fall risk. Other factors, such as muscle weakness, balance impairments, medication use, visual deficits, and environmental hazards, also play significant roles. Falls are complex events influenced by multiple factors, and a comprehensive assessment is typically necessary to evaluate fall risk accurately.
Check out the Kinetisense Risk of Fall System that combines several proven assessments to provide multiple outcome metrics involved in a person’s risk of fall.
Resources
1. Research Papers and Studies:
– Verghese, J., et al. (2009). Gait and the Risk of Incidence of Falls in Older Adults: A Longitudinal Study. Journal of Gerontology: Medical Sciences, 64(8), 896-901.
– Studenski, S., et al. (2011). Gait Speed and Survival in Older Adults. Journal of the American Medical Association, 305(1), 50-58.
– Montero-Odasso, M., et al. (2012). Gait Velocity as a Single Predictor of Adverse Events in Healthy Seniors Aged 75 Years and Older. Journals of Gerontology: Medical Sciences, 67(9), 989-995.
– Mirelman, A., et al. (2012). Gait Impairment in Parkinson’s Disease: The Role of Depression and Anxiety. Archives of Physical Medicine and Rehabilitation, 93(11), 1936-1941.
2. Organizations and Websites:
– Centers for Disease Control and Prevention (CDC): The CDC offers resources on falls prevention, including information on risk factors, assessment tools, and interventions. www.cdc.gov/steadi
– American Geriatrics Society (AGS): AGS provides clinical practice guidelines and resources related to falls prevention and gait assessment in older adults. Their website is: www.americangeriatrics.org
3. Books:
– Tinetti, M. E., & Kumar, C. (2010). Falls in Older People: Risk Factors and Strategies for Prevention. Cambridge University Press.
– Sherrington, C., & Tiedemann, A. (2016). Physiotherapy in Aged Care: A Survival Guide. Elsevier Health Sciences.
UI update in patient profile
Kinetisense has been moving forward with very exciting projects!
For that reason, the UI in the patient profile has been altered to accommodate the new additions on both the desktop and iPad platforms. To navigate this change, follow the detailed instructions below.
The patient assessments and information are now separated by tabs. To edit the patient profile, select the “actions” drop down menu on the top right corner of the screen and select “edit”. The report’s can be found under the same “actions” drop down menu to bring up the report module list.
Tom Erickson
Working for an alliance of nonprofit senior living communities in western PA, we needed a way to identify deficiencies in our residents to prevent falls. Kinetisense was our answer with multiple fall prevention screens that only Kinetisense can perform. Kinetisense offers a tool to identify milestones of rehabbing seniors but also gives a proactive approach to fall prevention.
We use Kinetisense in a variety of ways, one is on admission, we are able to obtain baseline data with every resident. This provides us with concrete data if a resident’s mobility is improving or declining which acts as a part B identifier. Too often we would see part Bs being reactive to one of our resident’s falling. This tool now allows us to identify and treat before a fall occurs and allows therapy to objectively capture outcomes. We have used a similar product in the past, but the cost and lack of mobility were issues for many of our members. With Kinetisense, we only need an iPad Pro and a tripod which makes the system very portable. The user-friendly interface allows any employee to perform the assessment and relay the data to our therapy team for treatment identification. The ROI has been proven to be well worth the investment in the product. I would highly recommend Kinetisense for any senior living community.
-Tom Erickson
How to Capture Data Points in the Functional Module
The Functional Module allows for a large amount of freedom for the user to be creative and adapt the system to their personalized assessments. The functional module can be used to break down a variety of movements, this can be anywhere from looking at an overhead squat with a patient who is unable to reach 90 degrees with their thighs to watching an athlete swing a golf club. In this module the body tracker will automatically lock onto the body and joint angles will be displayed, data points can be captured at any point by playing the video playback button and selecting capture.
- Select the video playback button, this will playback the functional assessment that was just completed.
- While reviewing the video there will be a “capture” button on the bottom of the screen, the “capture” button will capture a snapshot of all of the data points (joint angles, joint distances and all three planes of movement) from that exact second. Capture can be selected as many times as you would like within a video, the screen will briefly flash white indicating that a snapshot has been taken.
- Once all of the data points have been captured, select “done” which will pull up a scorecard to review the captured data points.
- Select “Save”.
- Close and reopen the assessment in order to review the “captured” data points. The data points can now be seen in a report.
- Repeat steps 1 through 5 if more data points would like to be captured.
Functional Assessment Data
Once a functional assessment has been completed there are five options. In the scorecard (as seen below) there are five green round circles located in the top right corner.
Edit Button
This is where you can edit the SOAP notes. These can be copy and pasted in any document a clinic chooses.
Video Playback Button
An assessment can be rewatched in real time, in this screen you will see a breakdown of the frontal plane tilt, transverse plane and joint angles throughout the movement.
Report Generation Button
A report can be generated by selecting this button. The report breaks down the joint angles of the body during the starting frame of the assessment. All three plans of the body will be shown as well as the joint angles in the plan of movement.
Download Button
A CSV file is created from all the data points over the duration of the assessment. All joints are broken down in the X (Sagittal Plane), Y ( Transverse Plane), Z (Frontal Plane). Joint data is collected every 33 seconds, beginning when the assessment begins and finished when the stop button is pressed. By looking at these data points a clinician is able to see the joint movement change over time.
Archive Button
By selecting this button an assessment can be archived. This means that the assessment is taken off of the device and put in the cloud storage. An assessment can be redownloaded on the device. Here is a full tutorial on how to upload and remove an assessment from the archived section.
