System 4 Pro

The fastest way to identify, treat and document the physical impairments that cause functional limitations.

• Advanced dynamometer technology for greater performance
• Touch-screen... see it, select it, adjust it...it's that simple
• Redesigned seat accommodates athlete to pediatric applications
• Software interface, no other system is faster or easier to use
• Software features include:
• End by % of fatigue in Biofeedback, an exercise session can be completed when the work for a repetition has dropped below a threshold (such as percentage of work)
• Rehabilitation Progress Report that plots strength, pain, ROM and other defined measurements...and much more
• Easy-to-follow wizards guide the inexperienced user through the software while the Windows® based application is flexible for the advanced user.
• Innovative, on-demand action videos demonstrate exercise and test patterns – so there is no forgetting how to set up! 
  
• Simplified patient positioning with on-screen audio and visual aids
• Reduced floor space
• Positioning set-ups are as simple as turning the dynamometer and chair to the labeled joint pattern. 
• Improved Work Simulation exercises
• Wider Range of Normative Data, athlete to pediatric
• Expanded after-sale support, installation and continuing education programs 

Biodex System 4 applications are supported by evidence-based clinical protocols.

Orthopedic

• Shoulder Dysfunction
• Knee Osteoarthritis
• Lateral Ankle Sprains
• Patellofemoral Dysfunction
• Anterior Cruciate Ligament Injury & Reconstruction

Movement Disorders

• Movement Disorder Protocol

For the Management of Persons with Movement Disorders, Neurologic Pathologies, or General Deconditioning: an Integrated Protocol Using Instrumentation

Industrial Medicine

Today, employers of all sizes are paying close attention to the cost of work-related injuries in their workforce.  Many employers are now using Functional Capacity Evaluations (FCEs) as part of new hire employment screening and return to work decision process as a way to minimize the expense of treating workplace injuries, decrease employee time lost from work and reduce medical claims.

A critical component to the Functional Capacity Evaluation (FCE), is the Biodex System 4, a progressive and innovative tool that provides an objective measure of an individual's safe maximum physical capability to perform work. The FCE evaluation process is designed to measure the individual's current level of function within the context of the physical demands of employment. It then measures the individual’s ability to perform functional or work-related tasks and predicts the potential to sustain these tasks over a defined period of time.

The physical capabilities achieved during the FCE are compared to the physical demands of a job or other functional activity and are used to make hiring, return to-work decisions, disability determinations, or to help develop an appropriate rehabilitation program.

Case Study: Industrial Physical Capability Services (IPCS)
Biodex System 4 — “New Hire” Screening and Return-to-Work Programs Begin Here

CSX Corporation, Inc. 
CXS uses physical capabilities testing with Isokinetics in pre-employment screening process.

CSX is a leading supplier of rail-based freight transportation in North America.  As part of the pre-employment screening process for certain jobs, candidates are required to take and pass a physical capabilities test. 

CSX utilizes the Biodex System 4 Dynamometer, for Isokinetic Strength Testing.  The purpose of this test is to safely evaluate the candidate’s muscular strength in the upper and lower extremities.  The System 4 impact-free design uses isokinetics to measure the amount of force a candidate’s muscles generate at different speeds and ranges of motion. A complete report is generated for scoring and evaluation of the candidate’s muscular strength.

Watch a demonstration of the Biodex System 4 for Isokinetic Strength Testing 

Combine the art and science of rehabilitation

The Biodex System 4 continues to offer pioneering breakthroughs in neuromuscular testing and rehabilitation technology. Biodex assessments of physical impairments provides patients a fast, effective, documented return to function. The Biodex System 4 is unusually sensitive to your patient's limits. Progressive and interactive features keep you in complete control. Dynamic and static muscle loading environments provide unlimited combinations of technique and application.

Isokinetic Resistance Mode

• The Isokinetic Resistance mode for testing and rehabilitation is totally accommodating throughout the entire range of motion. Biodex's unique impact-free acceleration and deceleration eliminates joint trauma, allowing patients to exercise and be tested at more functional speeds. Resistance continuously matches effort, accommodating to variations in patient force output due to weakness, pain or fatigue at specific points in the individual's range of motion.
• Research along with over 25 years of clinical application has demonstrated that isokinetic resistance is a safe, objective means to quantify physical impairments with a high correlation to function. Isokinetic testing is the standard for muscle and joint assessment.
• Applied torque response ensures that the patient's limb velocity increases or decreases in proportion to the torque applied during acceleration and deceleration, enabling neuromuscular control measurements.
• Choose concentric and eccentric contractions to perform isolated polymetric exercises. 
• Concentric torque up to 500 ft-lb (680 Nm) and eccentric torque up to 400 ft-lb (542 Nm) accommodates the demands of high performance athletes and sports medicine researchers.

Reactive Eccentric Mode

• The Reactive Eccentric mode for submaximal neuromuscular re-education in the early phases of rehabilitation
• The System 4 responds only to the patient's force output. To initiate movement, the patient must produce and maintain a pre-determined minimum amount of force. This loads the muscles surrounding the joint, producing a pre- load, thus stabilizing and protecting the joint.
• Eccentric torque up to 400 ft-lb (542 Nm)
• Accommodates the demands of today's athletes and sports medicine researchers.

Passive Motion Mode

• The Passive Motion mode is a multi-function modality. Unique control properties allow for early intervention in all patients throughout all phases of rehabilitation.
• Torque limits can be set as low as .5 ft-lb (.7 Nm). If a torque limit is exceeded during an eccentric contraction, the System stops. Once the patient's torque output drops below the prescribed limit, movement is allowed. This unique capability allows patients to work safely at definitively prescribed sub-maximal force levels while combining isometric, concentric and eccentric contractions for:
  - decreasing joint effusion
  - increasing range of motion
  - developing strength
• Passive speeds can be set as low as .25 degree per second and as fast as 300 degrees per second. The very slow speeds allow for overcoming the natural stretch reflex. Ideal for proprioceptive testing in early stages of rehabilitation.
• Biodex software includes specific protocols for active and passive joint repositioning.
• Higher speeds in passive mode are ideal for active assistive exercise.

Isometric Mode

• The Isometric mode is commonly used pre and post operatively or when pain associated with motion is a factor. Isometric contractions are effective at developing strength and decreasing joint effusion while avoiding painful points in the range of motion.
• Biodex software automates the rehab process with automated multiple angle isometric protocols. Work the agonist, antagonist or both muscles at specified joint angles.

Isotonic Mode

• The Isotonic mode allows velocity to vary while providing inertia-free constant force and concentric or eccentric muscular contractions.
• Higher performance:
• Isotonic force to as low as .5 ft-lb (.7 Nm) = 6 inch pound; and as high as 400 ft-lb (542 Nm)
• Allows for functional task simulation when using work simulation tools, e.g. turning a doorknob.
• Because the force is selected, the Isotonic mode also provides protective pre-loading of the joint prior to movement.
• Ideal for work simulation. Constant force muscle loading is considered functional, as natural activities normally involve moving a constant weight object at varying velocities.

Enjoy complete freedom in planning the mode and level of clinician interaction that works best for each patient. Touch panel controls give clinicians the hands-on ability to adjust torque, speed, range of motion and other clinical parameters in real time.

The Biodex System 4 also allows clinicians the option to select automated test and exercise sessions. Any sequence of modes can be employed automatically.

Customized Motor Control

The Researcher's Toolkit Software (optional) allows for advanced specialized system control. Ideal for researchers investigating neuromuscular performance.

System 4 Pro Patient Positioning System with motorized seat height, front-to-back chair adjustment, fully assisted dynamometer height adjustment, and side-to-side adjustment.

System 4 Pro Features:

Touch screen interface for quick, easy multi-mode operation; isokinetic,
isometric, isotonic, reactive eccentric and passive

• Concentric speed up to 500 deg/sec
• Eccentric speed up to 300 deg/sec
• Concentric torque up to 500 ft-lb (680 Nm)
• Eccentric torque up to 400 ft-lb (544 Nm)
• Passive speed as low as .25 deg/sec
  - Passive torque as low as .5 ft-lb
  - Isotonic torque as low as .5 ft-lb

Clinical Data Station:

• Windows™-based PC (current model)
• Windows™ Operating System
• Biodex Advantage Software
• LCD Flat Panel Touch-Screen Color Monitor with integrated Speakers
• Color Printer

Attachments:

• Attachments for ankle, knee, shoulder, elbow, wrist and hip
• Attachment cart
• Calibration kit
• Manuals and wall chart
• 64 square feet operating space (6 square meters)

Approvals:

ETL and cETL listed to UL 60601-1, CAN/CSA C22.2 No.: 601-1-M90 and EN 60601-1,
CE conformity to M.D.D. 93/42/EEC*
*When sold complete with computer, monitor and printer.

Options to S4 Pro:

• Dual Position Back Extension/Flexion Attachment
• Closed Kinetic Chain Attachment
• Work Simulation ToolsAnti-Shear Attachments
• Pediatric Attachments
• Wide Seat Option
• Analog Signal Access Interface
• Pediatric Attachments
• Research Tool Kit

Site Plan for the System 4 Pro
Total operating floor space required: 64 sq ft (6 sq m) 

• Manual, System 4 Advantage Software
• Manual, System 4 Pro Operation
• Manual, Clinical Resource – Principles of Isokinetic
• Manual, Clinical Resource – Isokinetic Testing
• Manual, Clinical Resource – Data Analysis
• Manual, Clinical Resource – Curve Analysis
• Manual, Clinical Resource – Isomap Evaluation
• Manual, Clinical Resource – Sample Reports
• Manual, Clinical Resource – Sample Curves
• Manual, Clinical Resource – Normative Data
• Manual, Clinical Resource – Pediatric Normative Data

To order, call 1-800-224-6339

Export models available.

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