How To Use

Prepare a desk and chair and a three-port outlet before starting training.
Therapists prepare equipment on the desk that is necessary for training, such as hand units, supporters, EMG cables, and electrodes beforehand.
Attach the EMG cable to the electrode

The hand unit can be used for both the left and right hands by replacing the thumb unit.
Set the hand unit according to the patient’s hand in advance.
Arrange the equipment in the order of MELTz body, the weight-bearing device FRETO, and the patient.

Start the system on the main unit after the device is ready for use.
Turn on the power to the main unit, start the system, and initialize the device.
During initialization, adjust the orientation of the thumb unit so that fingers do not collide with each other, and then press the “▶” key on the initialization window.

Wrap the EMG cable band around the patient’s upper arm to secure it. After attaching the reference electrode (GND/RLD) to the patient’s elbow, attach electrode Ch1 to the extensor digitorum muscle, electrode Ch2 to the flexor digitorum profundus muscle, and then attach electrode Ch3 to the flexor digitorum superficialis muscle.

With the supporter’s hand unit attachment facing the back of the hand, pass the hand through the supporter, and then tighten the hook and loop fastener strap. The hand unit is worn over the supporter and secured with the MP belt.

Adjust finger spacing by raising the finger spacing adjustment lock lever. The hand unit's finger size is adjusted to the length of each finger, and the DIP joint is secured with the DIP belt.
Attach the thumb unit to the thumb. Adjust the position of the thumb joints in accordance with the training to be performed.

Press the “Adjust Range of Movement” button and select extension or flexion to adjust the range of movement for each finger. Press the [▲] (extension side movement) and [▼] (flexion side movement) buttons to adjust the range of movement for extension of the thumb and fingers. The four fingers can also be adjusted together.

There are 10 adjustment levels for speed, flexion force, and extension force. Speed adjusts the device’s operating speed, while flexion force and extension force adjust the motor output in these respective directions.

To run the assessment (Optional), press [Run] under “Assessment”. Electromyography and force, AROM, and spasticity will be measured.

Press [Task], [Times], and [Progress] in the lower left training box to configure the exercise pattern. The Task tab configures the amount of time each position is held. The Times tab configures the number of movements, the number of sets, and the rest time between sets. Finally, the Progress tab is used to turn audio on/off and configure relax movements.

Press the [▶︎]Button to start training.

AShows Training Time and Total Time. BShows movement instructions and countdown. CPause and Stop buttons. DShows the time elapsed for the current task. Displays the progress status bar. EShows the configured range of movement.

Press [Task], [Times], and [Progress] in the lower left training box to configure the exercise pattern. The Tasks tab is used to configure the three exercise patterns “Make fist, extend fingers, relax,” “Make fist, relax,” and “Extend fingers, relax,” as well as the duration. The Counts tab is used to configure the number of movements, sets, and rests between sets. Finally, the “Progress” tab is used to turn audio on/off and limited mode on/off.

Pressing the [▶︎] button starts automatic calibration. The device identifies when an exercise (attempt) is performed in accordance with the instructions. The equipment assists with the exercise (attempt) during training.
Note: Calibration can also be configured manually.

AShows Training Time and Total Time. BShows movement instructions and countdown. CPause and Stop buttons. DShows the time elapsed for the current task. Displays the progress status bar. Displays how many movements have been configured and the progress of the number of sets. EShows the configured range of movement. FRepresents identified myoelectric patterns as graph positions and colors. GDisplays myoelectricity shape and identification status (as colors).

When the task display box displays “Calibration is required to start” press the [Calibrate and Commence Training] button. Have the patient perform the exercises in accordance with the instructions to calibrate.

If the automatic calibration fails to recognize the myoelectricity, manual calibration is required. Stop the device and press the Calibration button located in the EMG pattern box, then select Manual in the Calibration Mode box on the left.

AShows Training Time and Total Time. BPause and Stop buttons. CShows the time elapsed for the current task. Displays the progress status bar. Displays how many movements have been configured and the progress of the number of sets. DShows the configured range of movement. ERepresents identified myoelectric patterns as graph positions and colors. FDisplays myoelectricity shape and identification status (as colors).