The SmartWheel Session Wizard

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Welcome

The SmartWheel Session Wizard guides you through using the SmartWheel in a clinical setting. The Session Wizard is menu-driven and meant to be followed sequentially. Please take a tour though SmartWheel Set-Up and the SmartWheel Clinical Wizard.

Table of Contents

  1. Welcome
  2. Starting the SmartWheel Computer
  3. Setting Up The SmartWheel On a Wheelchair
  4. Turning on the SmartWheel
  5. The SmartWheel Session Wizard
  6. Client Selection
  7. Client Set-Up
  8. Session Information
  9. Real-Time Data Viewer
  10. Session Results
  11. SmartWheel Report Builder
  12. SmartWheel Session Report

Starting the SmartWheel Computer

Equipment you will need:

  • Notebook computer provided with all necessary software (including SmartWheel software) preinstalled and all settings preconfigured.
  • USB Wireless Adapter, ZyAIR G-220

Your notebook computer from Out-Front is already configured! Please do not install any other software.

(If you did not opt for a preconfigured notebook computer, then please contact Out-Front by calling 509-416-4317 or through e-mail at CustomerCare@Out-Front.com for a detailed instructions guide to help you setup your computer and software, along with necessary configurations.)

Setting Up The SmartWheel On a Wheelchair

Equipment you will need:

  • 3/16 inch Allen Wrench
  • SmartWheel
  • Charged SmartWheel Battery

The SmartWheel is integrated into a 24' wheel and is easily mounted to standard wheelchairs much like a quick-release wheel is taken on and off. It can be mounted to wheelchairs that the clinic provides or it can be mounted to a client's own wheelchair.

Slide the SmartWheel Axel into the Wheelchair. Make sure the axle goes in as far as possible.

Remove the Axle Hole Cover and tighten the Axle Tightening Screw until snug. Do not over-tighten. Replace the Axle Hole Cover when done.

Important Note: The Axle Tightening Screw must be snugly tightened each and every time the SmartWheel is installed on a wheelchair. Failure to tighten the Axle Tightening Screw can cause data to be invalid because the axle may slip causing the SmartWheel to have an error in the wheel angle it measures.

If not already inserted, insert a charged SmartWheel battery. Slide the battery securely into the battery holder, which is located between the spokes on the back of the SmartWheel hub.

Turning on the SmartWheel

While the SmartWheel and wheelchair are standing perfectly still, turn on the SmartWheel. The red power light will turn on. Older SmartWheels may have a green indicator light for power instead. Also, a yellow indicator light will turn on solid for 10-20 seconds and then turn off. Do not move or touch the SmartWheel during this period. After the yellow light turns off you may move or touch the SmartWheel as required.

Note: It is important to ensure the SmartWheel remains perfectly motionless while it is starting up. The SmartWheel will not continue unless the chair remains at rest and the handrim should not be in contact with anyone or anything during this period.

Now, start the SmartWheel software (click "ok" on the axle tighten reminder). Wait for the yellow SmartWheel light to start blinking: When the yellow light is steadily blinking, that means the SmartWheel is successfully communicating with your computer.

There are important things to know about removing the SmartWheel from a wheelchair. To learn more:

  • Removing the SmartWheel from a Wheelchair

    It is important to note that in order to remove the SmartWheel from the wheelchair it is on, it is not necessary to loosen the axle by any more than three turns, in order to have sufficient slippage to take off the SmartWheel. Excessive loosening will result in the axle nut jamming in the axle hole, and it becomes harder to remove the SmartWheel.

    Important Note: While removing the SmartWheel from the wheelchair, make sure to loosen the Axle bolt by no more than three turns in order to have sufficient slippage to easily take off or put on the SmartWheel.

    Take care of your axle nut and axle, as unnecessary force while installing or removing the SmartWheel will cause burrs and other issues with the axle, thereby making it harder to remove or install the SmartWheel on wheelchairs.

Each time you turn the SmartWheel on and off or move it to a different wheelchair you must turn the SmartWheel off and repeat the steps outlined above.

Now you are ready to start using the SmartWheel by the following each of the SmartWheel Session Wizard screens.

To learn more about charging the SmartWheel battery:

  • Charging the SmartWheel Battery

    A fully charged battery should last about 3 hours in the SmartWheel with continuous usage. Because the Lithium-ion battery has no memory effect, charging may take place at any time, even when the battery is not fully discharged. Keeping the battery fully charged at all times is recommended, to lessen the likelihood of the battery becoming depleted during a SmartWheel trial. The provided Lithium-ion charger should charge a fully depleted battery in one hour. Do not allow the battery to become fully discharged (for example, by leaving the SmartWheel turned on over the weekend) as this affects overall battery life. You may begin to notice deterioration in battery performance after about one year, due to normal oxidation effects that take place in all Lithium-ion batteries.

    Please note that the SmartWheel Session Wizard will display a message before the starting session data capture if it detects that the battery level is not sufficient to complete a capture session of at least 15 minutes. If you are shown such a message, please recharge your battery or swap in another charged battery.

The SmartWheel Session Wizard

Once a client is seated in a wheelchair mounted with the SmartWheel, you may begin the Session Wizard. The Session Wizard keeps track of information about your clients and links that information with data you collect using the SmartWheel. This information can be used to generate a report at any time.

The SmartWheel automatically manages a client database for you. You enter client information just once and then every specific SmartWheel Session conducted with that client is stored for you by the SmartWheel software.

Client Selection

This screen is to select the client for whom you are about to collect data. This screen allows you to add a new client, remove a client, or edit the profile for an existing client.

The "Test Now" button is a quick test that you can run periodically to verify that your SmartWheel is working properly. To insure that the test is done correctly, carefully follow the instructions presented. Several keys to a successful test include:

  • Test on a smooth surface
  • Make sure that no one touches the SmartWheel handrim during the test
  • Do NOT test with the removable vinyl handrim cover on the SmartWheel

Client Set-Up

This screen allows you to enter information when adding a new client.

Enter as much information as possible. If you want to compare your client to the SmartWheel User Group Database, then you must enter a measured or estimated weight. If you do not enter a weight, you will get an error message. Also, use of the "Additional Information" notes section is encouraged for entry of general information about your client that might be useful to know when conducting SmartWheel evaluations. The information you enter into the "notes section" will be automatically stored and will also be part of the SmartWheel Report, should you choose to generate one. Remember that these are client specific notes (eg, other diagnosis or relevant personal information), not session specific notes which are contained on the next page.

Session Information

Each time you conduct a session with a client, this screen allows you to enter the specifics about the session. If you want to be able to compare your client to the SmartWheel User Group Database, then you must do the following:

  • Select the auto-start AND auto-stop session after 10 meters or 10 seconds. This is the User Group Standard Clinical Protocol.
  • Select the tile, carpet, or ramp protocol. If you do not select a protocol, you will get an error message.

This screen also allows you to enter information about the purpose of the session (e.g., general evaluation, insurance justification, wheelchair comparison, propulsion training, etc.). If you select auto start and auto stop, then with your client's first push, the SmartWheel will begin collecting data and data collection will stop automatically based on what you selected.

Again, use of the "Notes" section is encouraged for the entry of additional detail or information about the session. The "notes" for that session will be automatically stored for later retrieval and will also be part of the SmartWheel Report, should you choose to generate one.

Real-Time Data Viewer

While your client is propelling the wheelchair, live data can be viewed on the SmartWheel Data Viewer, shown below. This viewer shows a host of information including elapsed time, speed, distance, and push force. And, for each individual push, summary data is provided for that push.

The real-time Data Viewer collects data for the first 30 seconds of any trial. The Data Viewer graphic is also automatically stored for you with your client session data.

Session Results

When data collection has finished, you will see the Session Results screen. This screen shows all the information you have collected.

This information can be automatically placed into a report at any time by clicking "Make a Report".

Or, the screen allows you to click "Finish" to perform another session, or click "Exit" to close the SmartWheel software.

SmartWheel Report Builder

Each time a SmartWheel client session is completed the SmartWheel automatically stores the client session data in a database. Then, using the SmartWheel Report Builder, you can automatically generate a report of the session you just completed or of any session that you may have completed over time.

For example, if you did several trials during a client visit, each of those trials can be compared on a side-by-side basis using the Report Builder. Or, as another example, you can use the Report Builder to compare a current client session to one you did with the client 6 months ago. The Report Builder lets you review up to 4 different sessions so you can compare the results side-by-side.

The Report Builder also enables you to:

  • View the Real Time Visual Data produced by the SmartWheel
  • Delete client sessions
  • Search for client specific data
  • Automatically upload data to the SmartWheel User Group database
  • View definitions of the SmartWheel measurement parameters and the Standard Clinical Protocol for SmartWheel usage

You can print individual pages of the report or the entire report or save the report, or simply close it. You can create this report again at any time.

SmartWheel Session Report

Page 1 (View Report) has general client and session information, but most importantly reports the key measurement parameters based on the Clinical Practice Guidelines for Upper Limb Preservation and the Archives published article. The key parameters are velocity, push frequency, push length and weight normalized force. For these key parameters tabular comparisons are made to the database average data and top 25%.

Page 2 (View Report), based on the Archives article, plots the client session data vs. velocity for push frequency and weight normalized force. Different symbols identify different conditions based on your client's comparison to the database. A circle indicates a positive comparison to the database even though there still may be opportunities for improvement. Arrows indicate that your client is either below functional velocity or has a higher push frequency or weight normalized force as compared to the database averages. Based on client assessment, possible interventions might be considered for improvement.

Page 3 (View Report) contains the additional push parameters, beyond the key parameters present on page 1.

Although it is a three page report, each page can be printed and edited separately since it is an MS Word document.

Learn more about Definitions and Descriptions of Each of the Measurements.

We Don't Make the Wheelchair. We Make the Wheelchair Better.
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