Getting Started

System Requirements

Kinetisense is a motion capture (mocap) company that specializes in producing accurate biomechanical data for life science applications. We use computer vision and machine learning to produce an affordable markerless mocap solution. In order to use Kinetisense, you will require a Kinetisense License, Windows 10 Computer, Kinect Sensor, and Kinect Adapter for Windows.

Kinetisense Software

1-Year License$1395.99 + applicable tax
2-Year License$2512.99 + applicable tax
3-Year License$3350.99 + applicable tax

All licenses include:

✓ 1 Practitioner Profile✓ 3D Concussion Analysis
✓ ∞ Patient Profiles✓ 3D Balance Analysis
✓ ∞ Cloud Storage✓ 3D Functional Movement Assessment
✓ 3D Posture Analysis✓ Patient Reporting
✓ 3D Range-of-Motion Analysis✓ Ongoing Customer Support

Windows 10 Computer

Kinetisense is a powerful application that captures pictures and videos of human movement. You will need the following hardware specifications to operate Kinetisense.  In general, gaming laptops work well.

Computer       Specifications
Desktop
  • Windows 10 Anniversary Edition
  • Intel i5-6400 desktop with Intel USB 3.0 ports
  • 8 GB Memory
  • Nvidia GeForce GTX 740 or 750 ti7 or Intel 530 HD graphics
  • 1 TB fast 7200 RPM hard disk drive (Good) or a 1 TB SSD disk drive (Best)Please note that ASMedia USB 3.0 hubs and ports do not work.
Laptop
  • Windows 10 Anniversary Edition
  • Intel Core i5 7300HQ 6th gen or Intel i7-7500U laptop with Intel USB 3.0 ports.
  • 8 GB Memory
  • Nvidia GeForce GTX 1050  or Intel 530 HD graphics
  • 1 TB fast 7200 RPM hard disk drive (Good) or a 1 TB SSD disk drive (Best)

To check video card benchmarks, please click here. We recommend that you use a Nvidia video card that rates over 1,000 on the Passmark 3D mark test.

Kinect Sensor and Adapter Cable

The Kinect sensor, a physical device with depth-sensing technology, built-in color camera, infrared (IR) emitter and microphone array, can sense the location and movements of people.

Kinect hardware key features and benefits.

FeaturesBenefits
Improved body trackingThe enhanced fidelity of the depth camera, combined with improvements in the software, have led to a number of body tracking developments. The latest sensor tracks as many as 6 complete skeletons (compared to 2 with the original sensor), and 25 joints per person (compared to 20 with the original sensor). The tracked positions are more anatomically correct and stable and the range of tracking is broader.
Depth sensing512 x 424

30 Hz

FOV: 70 x 60

One mode: 1.6 feet (0.5–4.5 m)

With higher depth fidelity and a significantly improved noise floor, the sensor gives you improved 3D visualization, improved ability to see all objects more clearly and improves the stability of body tracking.
1080p color camera30 Hz (15 Hz in low light)The color camera captures full, beautiful 1080p video that can be displayed in the same resolution as the viewing screen, allowing for a broad range of powerful scenarios. In addition to improving video communications and video analytics applications, this provides a stable input on which to build high quality, interactive applications.
New active infrared (IR) capabilities512 x 424

30 Hz

In addition to allowing the sensor to see in the dark, the new IR capabilities produce a lighting-independent view—and you can now use IR and color at the same time.
The Kinect adapter cable allows you to connect a Kinect Sensor to your Windows 10 PC.

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Software Updates

Windows PC

The best way to keep your PC current is to turn on automatic updates. With automatic updates, you don’t have to search for updates online or possibly miss critical fixes or device drivers for your Windows PC. Windows Update automatically installs important updates as they become available.

Note: If your PC is connected to a network where updates are managed by Group Policy, you might be unable to change settings related to Windows Update. For more information, contact your organization’s support person.

Please close Kinetisense and follow the follow instructions:

How to enable automatic app updates

  1. Open the Store
  2. Tap or click the user icon on top, next to the search form
  3. Tap or click Settings
  4. Toggle On Update apps automatically

How to manually check for app updates

  1. Open the Store
  2. Tap or click the user icon on top, next to the search form
  3. Tap or click Downloads
  4. Tap or click Check for updates

Note: Windows 10 is a service, which means automatic updates are turned on by default and your PC always has the latest and best features.

Kinetisense

Kinetisense is a Microsoft Store application which is updated via the Windows 8.1 and Windows 10 store. The following instructions can be followed to keep Kinetisense up to date.

Windows 8.1 update

  • On the Start screen, select Store to open the Windows Store.
  • Swipe in from the right edge of the screen, and then select Settings.
  • Select App updates.
  • Make sure automatically update my apps is enabled.

Windows 10 Update

  • In the Windows Start menu, select Store to open the Windows Store.
  • Click on the account icon next to the search bar, and then tap Downloads and Updates.
  • Tap or click check for updates.
  • In the Windows Start menu, select Store to open the Windows Store.
  • Click on the account icon next to the search bar, and then select settings.
  • Make sure Automatically update my apps is enabled.

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Using Intel Graphics

Updating the Driver Manually

  • Open Device Manager by typing Device Manager in the ‘Type here to search” area next to the Windows Start button.
  • In Device Manager, expand category Display adapters.
  • Find Intel Graphics card device under this category.
  • Right-click on it and select Update Driver Software from the pop-up menu.
  • Then update the driver manually

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Using Nividia Graphics

Updating the Driver Manually

  • Open Device Manager by typing Device Manager in the ‘Type here to search” area next to the Windows Start button.
  • In Device Manager, expand category Display adapters.
  • Find NVIDIA Graphics card device under this category.
  • Right-click on it and select Update Driver Software from the pop-up menu.
  • Then update the driver manually

Updating the Driver via the Nvidia Website

  • go to http://www.geforce.com/drivers
  • download and run the automatic driver update
  • please agree to the terms and Nvidia utilities will open.  you will have to create an account to login.
  • once logged in you will be able to click on the driver tab and install the latest driver.
  • download and install the driver.
  • restart the computer

Configuring Kinetisense to use the Nvidia Driver

On laptops which have both the Intel and Nvidia graphics the Kinect camera will default to the Intel graphics.  It is recommended that you set up the Kinect to use the Nvidia driver using the following instructions:

  • go to the system tray and right click on the Nvidia and open the Nvidia Control Panel
  • when you get to the control panel please go this setting in the control panel.
  • click add and select the kinectservice and click Add Selected Program
  • select High-performance Nvidia processor and change the settings that are in the bold to match the screen shot below.
  • press apply and restart the computer to have the kinectservice to use the Nvidia graphics driver.
  • when the computer restarts, please run the Kinect Verify software and ensure that the FPS is 28 to 30

 

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Installation

Download Kinetisense and Create Kinetisense Account

To download Kinetisnese, you need to sign in with a free Microsoft account. If you do not have a Microsoft account, you’ll have the option to create one when you make an order. Read more about Microsoft accounts.

  1. Click here to download Kinetisense, or go the Window Apps – Microsoft Store.
  2. Select ‘Get the app.’ Kinetisense will begin to download.
  3. Click ‘launch,’ Kinetisense will open.
  4. Enter a valid email address and password.
  5. You will be asked to repeat the password you entered.
  6. If your computer is secure, we recommend that you click the box next to ‘Remember me.’
  7. When all of your information is correct, click ‘Create my account.’
  8. Your Kinetisense account will be created and you will automatically be logged in.

Note: If you have not already purchased Kinetisense, you will be using the free 14-day trial. During your trial, enjoy all of the Kinetisense products that are included in an annual license. To purchase a Kinetisense license click here. All of the data that you obtained from the free trial will be transferred to the paid account.

Multi-Practitioner Management

In Kinetisense, you can have multiple practitioners access the same account. This allows data to be maintained in one database.

To set as a multi-practitioner Kinetisense account:

  • Update to the cloud version by connecting to the internet and clicking the Update to Kinetisense Cloud. Located at the bottom right of the practitioner profile.
  • This account is the Administrator account for the clinic.  This login will be responsible for creating practitioners and transferring patients between practitioners.
  • Administrators have access to the entire database within your organization. Administrators can edit the clinic information and add practitioners by selecting the buttons at the bottom left of the login screen.
  • Once a practitioner is created the administrator would send the login information to the new practitioner who can then log into the cloud version.  When logging in please select the cloud server that you belong to.
  • The main difference with the Cloud version is that the practitioner or Administrator can transfer patient/client records to another practitioner.  This is done by opening the patient/client record and selecting the transfer button.

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Room Dimensions

The assessment room dimensions may vary by Kinetisense module (3D Functional Movement vs. 3D Posture ), sensor placement and other factors.

  • The minimum recommended room size is: 3.0 m (10 feet) wide by 2.4 m (8 feet) long.
  • Clear the area between the sensor and subject.
  • The room should have bright, even lighting.
  • It is ideal for the field of view to be filled with one light, constant color rather than have clutter and dark colors surrounding the subject. I.e White or light wall vs black curtains or walls.

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Kinect Placement

For optimum performance, position the Kinect sensor in a location where it can see your entire body.

Avoid touching the front of the sensor. Fingerprints make it hard for Kinect to see you. Wipe with a soft, clean cloth.

kinect-sensor-placement1

Here are some tips on how to position your Kinect sensor:

  • Subject should stand between 1.8 – 3.5 metres (5.9 – 11 feet) from the Kinect sensor.
  • The recommended height of the sensor is 0.7-1.8 metres (2.2 – 5.9 feet) from the floor.
  • Place the sensor near the edge of a flat, stable surface.
  • Avoid positioning the sensor in direct sunlight or within 1 foot (0.3 m) of audio speakers.
  • Make sure that nearby objects are not obstructing the field-of-view.
  • Be careful not to drop the sensor.
  • Avoid the use of dark clothing.
  • Wear tight, fitted and non reflective clothing.
  • Avoid extremes in backgrounds (dark or glare-producing)
  • Avoid having the subject standing within 1 foot from the wall behind them.

The Kinect must be able to see your feet if you’re doing an assessment that involves the whole body. In addition, the sensor can detect you if you are in a seated position.

Optimal Angle of the Sensor

We recommend that the sensor is set up as level as possible, both vertically and horizontally. This will ensure consistency between assessments. If it is necessary to adjust the angle slightly to capture all of your usable space,  try to leave it set at the same angle for all assessments.

To adjust the angle, hold the base of the sensor at the back and move the top of the Kinect. (Avoid touching the front of the sensor.)

  • The Kinect must be able to see your entire body, including body movement. (Keep in mind that you will be using Kinetisense on many different body types and sizes). If space allows, move the patient further or closer to the camera, or adjust the height of the sensor before choosing the tilt the angle of the camera.
  • Ensure that the subject is positioned in the middle of the Kinetisense field-of-view. (There will be some floor captured with the Kinect sensor).

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General Usability

Practitioner Profile

To make changes, go to the practitioner profile. Your name or “Administrator” will be at the top of the page if you are in the correct spot.

Edit Personal Information

All practitioners that use Kinetisense should have their own profile which includes personal details. The information that is entered will be used for reporting purposes.

  • Select the edit button located at the bottom of the page.
  • Make the changes to the profile that you would like to and click the save button at the bottom right of the page.

Change Password

  • Select the edit button located at the bottom of the page.
  • Enter your old password and the new password you would like to have. You will be asked to confirm your new password.
  • After you have entered your new password click the save button at the bottom right of the page.

Change Profile Picture

  • Select the change button under the profile picture. Choose the image from your PC and click Use selected picture.  The recommended image size is 310 px by 310 px.
  • Click the save button at the bottom right of the page.

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Patient Profile

Add New Patient

All new patients must have their own Patient Profile. Once the patient profile has been created, all future assessments of that patient should be completed within that profile.

Note: In the case of a team assessment, such as a Baseline Concussion Screen , all members of the team must have their own patient profile, and should not all be assessed under one profile.

To create a new patient profile, go to the practitioner profile.

  • Select the ‘+ patient’ button at the bottom left of the page.
  • To add a profile picture select the change button, your patient must give you permission to use their photo.
  • Fill in all personal information, be sure to select the primary practitioner as this will affect assigned user roles. All the personal information that you include will be visible in chosen reports. The more information you include, the stronger your reports will be.
  • When complete, select the save button at the bottom left of the page. The new profile created will be securely saved.

Search for Patient

To search for a patient profile, go to the practitioner profile.

  • Select the patient profile by scrolling, typing name, or using the search bar at the top right of the page.
  • To change viewing preferences, click on the ‘gear button’ at the top left of the Kinetisense home page. You have the choice of viewing patient profiles as a list or as a portfolio based on the name. Order patient profiles based on the first or last name by selecting the option you prefer.

Edit Patient

To edit a profile select the patient profile that you want to make changes to.

  • Click the edit button located at the left side of the page.
  • Make the changes to the profile that you would like to and click the save button at the bottom right of the page.

Delete Patient

To delete a profile select the patient profile that you want to remove.

  • Select the delete button located at the left side of the page.
  • A pop-up window will appear asking you to confirm that you want to delete the profile. Select the delete patient button and the chosen profile will be deleted from Kinetisense.

Note: This action can not be undone. Once you delete a patient profile you will lose all the data you gathered.

Transfer Patient

To transfer a profile to another practitioner (Kinetisense colleague) select the patient profile that you want to move. You must have multiple Kinetisense practitioners on your license to transfer a patient.

  • Select the transfer button located at the left side of the page.
  • A pop-up window will appear asking you to select the practitioner you want to transfer the profile too. Click the practitioner and select the transfer patient button.
  • If the practitioner that you want to transfer the profile to does not appear, see Multi-Practitioner Management.

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Patient Reporting

Create Report

Kinetisense reports are a way to create, personalize, and share objective data with patient/clients and other practitioners.

  • To create a report select the patient/client that you want to extract the data from. Select the reports button at the bottom of the patient/client profile.
  • Select the assessments that you want to include in the report by clicking on them. When clicked on a white check mark will appear at the top right corner of the assessment.
  • Choose whether or not you would like to include pictures and or charts in the report by selecting or de-selecting the checkmark circles located in the bottom right corner of the page.
  • Once you have decided which assessments you want to include in the report, select the “–> Reports” button at the bottom right corner of the screen.

Posture Summary and ROM Summary

  • Posture summary and ROM summary allow for comparative reporting to be automatically viewed and generated into a customizable report.
  • Both summaries require 2 or more Posture or ROM assessments to be completed before the comparative function will be beneficial to use.
  • After selecting Posture Summary, you can select ‘Front’, ‘Left Side’ or ‘Overhead’ in the top center of the screen.
  • You can view a comparative line chart by selecting the chart button in the upper right corner of the screen.
  • Print the comparative report by selecting the green reports button, also located in the upper right corner. This will generate a comparative report that will include pictures, data and charts for all 3 planes.
  • After selecting ROM summary, a quick view of each ROM that you have completed will appear. This view will allow you to compare the progression in ROM and the pain-free ROM from each assessment. Change the ROM view by selecting from the drop down box on the right side of the screen.

SOAP Notes

  • SOAP notes are an easy way to monitor and make notes on your patient during the assessment.
  • SOAP notes are accessible from the assessment screen in Posture and Functional Movement once captures have been taken, before saving. Select on the capture which will appear in the bottom right corner of the page. This will open up the SOAP notes page where you can make Subjective, Objective, Assessment and Plan notes. Kinetisense will also provide a list of possible terms that can be used in each of the text boxes for the practitioners convenience.
  • SOAP notes can also be edited from the patient profile screen when viewing the assessment results. Select the Edit button in the upper right corner of the page in order to add notes to the SOAP note text boxes.
  • All SOAP notes added during or after assessment will appear automatically on the generated reports.

Copy and Paste Function

  • Every patient assessment can be copied and pasted into an external EMR by selecting the Page icon –>  . Once selected, a checkmark will appear indicating that the data has been copied. You can now use the paste function on your keyboard to place that data on any external document.

Customize Report

  • Once you have successfully created a Kinetisense report you have the option to customize the report.
  • To replace the Kinetisense logo with a custom logo, click the Kinetisense logo and select backspace on your keyboard. The Kinetisense logo will be deleted. To upload a custom logo select the picture button at the bottom left of the page and choose an image from file explorer. The recommended image size is 310 px by 310 px.
  • To change the font, highlight text you want to change, then select the font button located at the bottom left of the page. Choose the desired font appearance using the font toolbar.
  • To change the paragraph formatting, highlight the text you want to change, then select the paragraph button located at the bottom left of the page. Use the paragraph toolbar to edit formatting layout.
  • To add a comment to the report click the document where you would like to insert a comment and type the content you would like to include.
  • To add additional notes, or edit existing notes, simply click on the document where you would like to type, and add your notes. You can also delete any notes, pictures, tables by selecting the objects you wish to delete and pressing the backspace button on your keyboard.

Save, Print, and Email Report

  • Save and Print: Once you have customized the report, it is important to save the edited copy to a folder on your computer. This will allow you to access the edited copy once you have returned to the patient profile page within Kinetisense. You have the option to save as an editable copy, or as a PDF copy that cannot be edited once saved and emailed to the desired recipient.
  • Note: The customized report will revert back to the original copy once you return to the patient profile in Kinetisense.
  • Mail: The mail option housed within Kinetisense allows you to link your primary email address to your account, and email your customized reports directly from Kinetisense. The first time you access Mail, you will need to follow the simple instructions provided on your screen. Once your mail has been setup, you will not need to complete this process again.

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Assessment Protocols

Clothing Guidelines

Accuracy could be compromised if you don’t follow these guidelines.

  • Remove glasses.
  • If hair covers face or forehead, have hair held back away from the face.
  • It is ideal to have tight, fitted clothing rather than clothing that is baggy.
  • It is ideal to wear light colored clothing that is non-reflective.
  • Avoid the use of dark clothing.
  • If possible remove headwear.

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3D Posture

Instruction

3D Posture is a static assessment, so it is important that the patient remains as still as possible when capturing.

Front

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  1. Click on ‘New Assessment.’
  2. Click on ‘Posture’ option.
  3. Select: ‘Front.’
  4. Subject should stand with feet square to the camera. Place a marker on the floor or follow instructions shown below to ensure the feet and ankles are square to the camera.
  5. Instruction to Subject:
    • Stop and stand with a normal erect posture, take a deep inhale in and out and look straight forward.
  6. Once the patient has exhaled and relaxed, click the “Calibrate’ button.
  7. Click ‘Capture’ button.
  8. Press save.

How to Determine if the subject’s ankles are square to the camera:

  • The “Ankles” data needs to be “0. _ _ cm”   If the ankles are 1 cm or higher, this is an indication that one foot is placed in front or behind the other, which may give a false sense of rotation in the transverse view for the rest of the body.

Side

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  1. Select: ‘Side.’
  2. Instructions to Subject:
    1. Turn to your right  (left side towards Kinect Sensor).
    2. Take a deep inhale and exhale and relax.
    3. Stop and stand with a normal erect posture, feet in their ‘natural’ comfortable position and look straight forward.
  3. Once the patient is relaxed, click  the ‘Calibrate’ button.
  4. Click ‘Capture’ button.
  5. Press save.

Interpretation

Front

Films & TV 2017-01-12 2_12_36 PM (2)

Left-side of the page:

The green avatar in the left side of the screen is a representation of the data analysis of the Frontal plane. The avatar is represented in degrees and displays the lateral tilts in the body. Example: If the shoulder is 5.15 degrees R, this means that the right shoulder is 5.15 degrees lower than the left shoulder.

The data in the bottom left of the screen represents both the frontal and transverse plane data in centimeters.  In the example above, the first line of data is expressing the frontal plane data “Right shoulder is 2.67cm below left”. The second line expresses the amount of rotation between shoulders. In this example, the “Right shoulder is 3.70cm in front of left”

The rest of the data in this column will follow a similar pattern in relation to order of joints. First the frontal plane data, and then the transverse plane.

Right-side of the page:

The green avatar in the top right of the screen is a visual representation of the sagittal plane, specifically focusing on forward head carriage. This data is represented in degrees forward or ahead of the plumbline.

A visual of the transverse data is located in the right-hand side of the screen, along with color-coordinated numerical data directly below.

Side

Films & TV 2017-01-12 2_12_13 PM (2)

This assessment screen displays the postural data that is acquired using the sagittal plumb line. The plumb line originates on the posterior side of the Lateral malleolus and travels up the body in a straight line. This line and data will become visible once the patient has turned so their left side of the body is facing the camera.

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3D Range-of-Motion

Instruction

  1. Click on new assessment and select 3D Range-of-Motion.
  2. Choose the joint and movement that you want to create an assessment for. The system will automatically lock onto area of the body you want to analyze.
  3. When the patient is in the starting position (see below), click on the calibrate button. The range-of-motion number at the upper right corner of the screen should be zero. It may require pressing the calibrate button multiple times.
  4. Once calibrated, click on the start button. If the patient feels pain throughout the movement click the pain checkbox. Prior to the assessment, the patient should be instructed to verbalize when they feel pain or discomfort. If there is no pain then there is no need to press the pain button during the assessment.
  5. When max range-of-motion is reached, the patient should hold the end range for a manual count of 3 seconds. After the 3 seconds, select the stop button located at the bottom of the page.
  6. If the pain checkbox was selected, choose the type and severity of the pain.
  7. Click save, the assessment will be documented in the patient’s profile.

 

Neck

neck

*Note: All Cervical ROM assessments should be done from a seated position.

Extension

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  • Use the backrest of the chair to ensure there is no posterior body shift or shoulder movement during extension.
  • Hands placed comfortably on the thighs.
  • Maintain contact between upper and lower teeth during movement.

Flexion

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  • Use the backrest of the chair to ensure there is no posterior body shift, anterior trunk flexion or shoulder movement during flexion.
  • Tuck chin to the chest without rotating through the cervical spine.
  • Hands placed comfortably on thighs

Lateral Flexion

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  • Use the backrest of the chair to ensure that patient has no lateral or rotational body or shoulder shift during the movement, as well as no lateral shift or tilt in the shoulder axis.
  • Hands placed comfortably on thighs.
  • Move ear towards shoulder without any cervical rotation and maintain consistent distance between chin and chest (avoid tucking the chin).

Rotation

 

  • Place the chair at a 35-45 degree angle to the camera. If you are assessing LEFT cervical rotation, turn your chair slightly to the RIGHT; and vice versa. This will allow the sensor to detect the face for the entire rotation.
  • Use the backrest of the chair to ensure the scapula maintains equal contact with the backrest throughout the entire assessment.
  • Hands placed comfortably on thighs.
  • Maintain equal distance between the chin and the chest during the movement.

Shoulder

shoulder

Abduction

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  • Stand facing the camera.
  • Patient must limit excessive lateral spine flexion during movement.
  • Neck muscles should remain relaxed during movement.
  • Start with the arm and hand relaxed down by the side. The patient can rotate his/her arm into an external rotation as the movement occurs.

Adduction

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  • Stand facing the camera with a slight lumbar flexion to allow the arm to move freely in front of the body.
  • Extend elbow and move the arm across the body.
  • Patient should limit excessive lateral spine flexion.

Flexion

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  • Stand sidelined to the camera with arms relaxed by the side.
  • With the elbow extended, flex at the shoulder joint.
  • Limit excessive spine flexion or extension.

Extension

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  • Stand sidelined to the camera with arms relaxed by the side.
  • With the elbow extended, extend at the shoulder joint.
  • Limit excessive spine flexion or extension.

Shoulder Internal and External Rotation

  • Stand facing the camera, with shoulder abducted to 90 degrees, elbow flexed to 90 degrees and palm down.
  • Calibrate when the arm is in the “0 degree” position as shown in the picture.
  • *Although shown as a side profile in this example, these assessments need to be done with the patient facing the camera.
  • Try to keep the elbow stable and in the starting position during the movement.

Elbow

elbow

Extension

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  • Stand sidelined to the camera and start with the arm being assessed relaxed to the side.
  • The upper arm should remain in a vertical plane while the patient slowly extends (straighten) the elbow to end range.
  • Have the patient limit excessive spine flexion and/or spine extension.

Flexion

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  • Stand sidelined to the camera and start with the arm being assessed relaxed to the side.
  • The upper arm should remain in a vertical plane while the patient slowly flexes (bends) the elbow to end range.
  • Have the patient limit excessive spine flexion and/or spine extension.

Pronation

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  • Stand facing the camera with the elbow being assessed flexed 75 degrees with the upper arm to the side.
  • Starting position is handheld in the vertical position (thumb up). Thumb and fingers should be maximally abducted (outstretched) with the wrist in neutral position.
  • Instruct the patient to slowly rotate the palm face down (pronate) to end range.

Supination

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  • Stand facing the camera with the elbow being assessed flexed 75 degrees with the upper arm to the side.
  • Starting position is handheld in the vertical position (thumb up). Thumb and fingers should be maximally abducted (outstretched) with the wrist in neutral position.
  • Instruct the patient to slowly rotate the palm face up (supinate) to end range.

Back

back

Extension

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  • Stand sidelined to the camera with arms relaxed by the side, and palms facing back.
  • Avoid excessive knee flexion as the hips move forward, hands and arms push back and head and eyes gaze towards the ceiling.
  • Maintain contact between lower and upper teeth throughout the movement.
  • Extend spine until end range is reached.

Flexion

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  • Stand sidelined to the camera with arms relaxed and hands placed on front of thighs.
  • Move into a “toe touch” position. Hips should move posteriorly and knees should remain extended through the movement.
  • Tuck chin and relax arms in front of the body during the movement.

Lateral Flexion

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  • Stand facing the camera with arms relaxed by the side and hands placed on the side of the thighs.
  • Laterally flex and slide one hand down the leg torwards the outside of the knee.
  • Avoid excessive rotation of the upper body during the movement.

Rotation

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  • In a seated position, sit facing the camera on the edge of the chair.
  • Place hands on thighs and sit up as straight as possible.
  • Instruct the patient to rotate low back towards the side of assessment (L or R). The patient should maintain balanced pressure on both ischial tuberosities during the entire movement.
  • Limit spine lateral flexion and spine flexion during this assessment.

Hip

hip

Abduction

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  • Stand facing the camera with the hands placed on the top of the iliac crests. If the patient requires a balance aid, the aid should be placed on the side of the body not being assessed. It cannot be in front of the patient.
  • Instruct the patient to laterally abduct the leg (L or R) away from midline. Patient should maintain balance during the entire movement while maintaining extension in both knees (if possible).
  • It is important to limit spine lateral flexion and knee flexion of the planted leg during this assessment. *It is common for patients to want to drastically lean away from hip that is being assessed. It is crucial that the practitioner cues the patient away from this to accurately assess true hip abduction.

Adduction

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  • Stand facing the camera with hands placed on the top of the iliac crests.
  • Instruct the patient to adduct the leg of assessment (L or R)  across the midline of the body. The patient should maintain balance during the entire movement, both knees extended.
  • Have the patient limit spine lateral flexion and knee flexion of the planted leg during this assessment.

Extension

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  • Stand sidelined to the camera with the hip that is being assessed closest to the camera.
  • The patient/client may require a chair or countertop to hold with hand for stability during the assessment. If possible place hands on top of the iliac crests.
  • Instruct the patient to slowly extend the leg (move leg behind/away from the body) with the knee in extension.
  • Limit excessive spine extension and rotation.

Flexion

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  • Stand sidelined to the camera with the hip that is being assessed closest to the camera.
  • The patient/client may require a chair or countertop to hold with hand for stability during the assessment. If this is the case, the balance aid must be slightly behind the patient as to not obstruct the view of the sensor. If possible place hands on top of the iliac crests.
  • Instruct the patient to slowly flex the hip (move leg in front of body) with the knee in flexion (approx. 90 degrees knee flexion).
  • Have the patient limit excessive lateral spine flexion and rotation.

Hip Internal Rotation

  • Sit on the edge of a chair or a bench
  • Start with hips, knees and ankles in line with one another, as represented by the representation of the goniometer in the picture above
  • Slowly internally rotate the hip, while maintaining equal pressure on both ischial tuberosities during the movement.

Hip External Rotation

  • Sit on the edge of a chair or a bench
  • Start with hips, knees and ankles in line with one another, as represented by the representation of the goniometer in the picture above.
  • Slowly externally rotate the hip, while maintaining equal pressure on both ischial tuberosities during the movement.

Knee

knee

Extension

 

  • Stand sidelined to the camera with the knee that is being assessed closest to the camera.
  • The patient/client may require a chair or countertop to hold with hand for stability during the assessment. If possible place hands on top of the iliac crests.
  • Instruct the patient to stand with the feet together, with most of the body’s weight in the supporting leg. The leg being assessed should be relaxed with a soft knee joint.
  • Slowly straighten the knee.

Flexion

 

  • Stand sidelined to the camera with the knee that is being assessed closest to the camera.
  • The patient/client may require a chair or countertop to hold with hand for stability during the assessment. If possible place hands on top of the iliac crests.
  • Instruct the patient to stand with the feet together, with most of the body’s weight in the supporting leg. The leg being assessed should be relaxed with a soft knee joint.
  • While keeping the knees stacked pull the heel posterior while you flex at the knee.
  • Ankle should remain doris-flexed during the movement.

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3D Functional Movement

How to Capture 3D Functional Movement:

  • Select the view that you would like to capture (spit-view, avatar, overhead, and color). All assessments are captured with the patient/client standing front-on to the camera
  • Once you have selected a screen to use, you have the option to capture screenshots (default) or video recording. To change the capture settings to video recording select the ‘Options’ button located at the bottom right of the page. A pop-up menu will appear. Select video under the recording heading. Kinetisense will now record functional movement in a video format.
  • Once the patient/client is in proper position and you are satisfied with the settings, select the start or capture button located at the bottom right of the page.
  • When the patient/client has completed their selected movement, select the stop button at the bottom right of the page.
  • If you have recorded video you will have the choice to capture screenshots during the video playback. Playback occurs once ‘Stop’ has been selected.  To capture a screenshot select the capture button at the bottom right of the page.
  • To finalize the functional movement analysis select the save button.

Real Time Interpretation

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This default screen is set to display the patient moving in real time on the screen (color) as well as an overhead view that provides a visual of how the joints stack on one another.

The numbers and lines displayed on the body represent how each joint relates to the same joint on the opposite side of the body. Note: These lines and numbers can be removed by selecting the ‘Options’ button in the bottom right corner, and removing the check-mark from the options you wish to hide from the picture.

Saving Video Capture:

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  • If you have chosen to record a video of the assessment, the above options will appear at the time of saving.

Save to Cloud: This option will allow you to save your video and captures to the Cloud. This will allow you to transfer the video file safely and securely to another practitioner or open on another computer using your Login information. This option will require the software to compress the video so may take a bit extra time, depending on your internet connection.

Save to Local Drive: This option will allow you to save your video and captures to the specific computer you are using at the time of capture. You will not be able to transfer this video file to another practitioner via the cloud.  This option should save quicker than saving to the Cloud, if time is an issue.

Save Snapshots only: This option allows you to save only the Captures you took during video playback.

View Report:

Once the captures/video have been saved, the full report can be viewed by simply clicking on the appropriate assessment in the Patient Profile. SOAP notes will be recorded here for each capture that you chose to save during the assessment.

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3D Balance (Concussion Protocol)

The Kinetisense balance for concussion management protocol consists of three stances on two different surfaces. The three stances are double leg stance, single leg stance, and tandem stance. The two different surfaces include both firm ground and foam surface. The patients stance involves placing the hands on the iliac crests with eyes closed, shoes and socks should not be worn.  It is important to instruct the patient of the following faults prior to the start of the assessment:

  • All assessments are done with the eyes closed. The patient may not open their eyes during the assessment to help regain balance.
  • The score will reflect if the hands leave the hips, if the raised foot touches the ground or moves away from the center of the body, and if the stationary foot moves from the starting position.

Administering the 3D Concussion Protocol: Establish baseline score prior to the start of the athletic season. After a concussive injury, re-assess the patient and compare to the baseline score. To maintain the most current baseline score, it is recommended to re-assess during mid-season and post-season.

Scoring: Each of the trials is 20 seconds. The Kinetisense system incorporates a proprietary scoring algorithm that analyzes the sway of the head, shoulders, hips and knees in the transverse, sagittal and coronal planes. All of the data is stored in our HIPPA compliant cloud, making the system highly portable in your clinic/facility, or on the field of play. Post-concussion assessment scores are easily compared to the baseline score, giving insight as to when it is safe for the athlete to return to play. After the 3D Concussion protocol is complete, average all of the trials to produce one total score out of 10 (best). There is a 0% standard deviation from the baseline to the post-concussion assessment. So in order for the athlete to return-to-play, they must score equal to or greater than their baseline score. Download the balance scorecard below (section 4). For questions, please email support@kinetisense.com.

Additional Requirements:

Instruction

All six trials must be done to complete the 3D Concussion protocol. This assessment should take between 6 and 8 minutes. For 3D Balance you can choose to do as little, or many balance assessments as you want.

Two Feet Stance Assessment (Floor)

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  1. Select: ‘Both feet together’ in drop down list.
  2. Uncheck ‘eyes open’ and ‘foam’ boxes.
  3. Instructions to Patient:
    • Stand with feet together approximately pelvic width apart.
    • Place your hands on hips.
    • Focus on a visual marker in front of you.
    • Balance as well as you can.
    • When instructed, close your eyes.
  4. Once the participant is ready to begin, press the ‘calibrate’ button.
  5. Press the start button and count down 3, 2, 1 with computer.
  6. Instruct the participant to close their eyes.
  7. Allow program to run for the preset 20 seconds.
  8. Instruct the patient to open their eyes and relax.
  9. Press save.

One Foot Stance Assessment (Floor)

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  1. Select: ‘Left leg down’ or ‘right leg down’ in drop down list.
  2. Uncheck ‘eyes open’ and ‘foam’ boxes.
  3. Instructions to patient:
    • Stand on non-dominant foot.
    • Raise dominant leg and bend at ~45 degrees at the knee  (legs do not touch).
    • Place your hands on hips.
    • Focus on visual marker in front of you.
    • Balance as well as you can.
    • When instructed, close your eyes.
  4. Once the participant is ready to begin, press the ‘calibrate’ button.
  5. Press the start button and count down 3, 2, 1 with computer.
  6. Instruct the participant to close their eyes.
  7. Allow the program to run for the preset 20 seconds.
  8. Instruct the patient to open their eyes and relax.
  9. Press save.

Tandem Stance Assessment (Floor)

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  1. Select: ‘Left foot in front of right’ or ‘right foot in front of left’ in drop down list.
  2. Uncheck ‘eyes open’ and ‘foam’ boxes.
  3. Instructions to patient:
    • Stand with their non-dominant foot behind the dominant foot in a heel-to-toe stance.
    • Place your hands on hips.
    • Focus on visual marker in front of you.
    • Balance as well as you can.
    • When instructed, close your eyes.
  4. Once the participant is ready to begin, press the ‘calibrate’ button.
  5. Press the start button and count down 3, 2, 1 with computer.
  6. Instruct to close their eyes.
  7. Allow the program to run for the preset 20 seconds.
  8. Instruct the patient to open their eyes and relax.
  9. Press save.

Two Feet Stance Assessment (Airex Foam)

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  1. Select: ‘Both feet together’ in drop down list.
  2. Uncheck ‘eyes open’ box.
  3. Instructions to patient:
    • Stand on the Airex foam pad with feet together.
    • Place your hands on hips.
    • Focus on visual marker in front of you.
    • Balance as well as you can.
    • When instructed, close your eyes.
  4. Once the participant is ready to begin, press the ‘calibrate’ button.
  5. Press the start button and count down 3, 2, 1 with computer.
  6. Instruct to close their eyes.
  7. Allow the program to run for the preset 20 seconds.
  8. Instruct the patient to open their eyes and relax.
  9. Press save.

One Foot Stance Assessment (Airex Foam)

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  1. Select: ‘Left leg down’ or ‘right leg down’ in drop down list.
  2. Uncheck ‘eyes open’ and ‘foam’ boxes.
  3. Instructions to patient:
    • Stand on non-dominant foot on Airex Foam pad.
    • Raise dominant leg and bend at ~45 degrees at the knee  (legs do not touch).
    • Place your hands on hips.
    • Focus on visual marker in front of you.
    • Balance as well as you can.
    • When instructed, close your eyes.
  4. Once the participant is ready to begin, press the ‘calibrate’ button.
  5. Press the start button and count down 3, 2, 1 with computer.
  6. Instruct to close their eyes.
  7. Allow the program to run for the preset 20 seconds.
  8. Instruct the patient to open their eyes and relax.
  9. Press save.

Tandem Stance Assessment (Airex Foam)

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  1. Select: ‘Left foot in front of right’ or ‘right foot in front of left’ in drop down list.
  2. Uncheck ‘eyes open’ and ‘foam’ boxes.
  3. Turn foam pad diagonally to the Kinect camera.
  4. Instructions to patient:
    • Stand on Airex foam pad with non-dominant foot behind the dominant foot in a heel-to-toe stance.
    • Place your hands on hips.
    • Focus on visual marker in front of you.
    • Balance as well as you can.
    • When instructed, close your eyes.
  5. Once the participant is ready to begin, press the ‘calibrate’ button.
  6. Press the start button and count down 3, 2, 1 with computer.
  7. Instruct to close their eyes.
  8. Allow the program to run for the preset 20 seconds.
  9. Instruct the patient to open their eyes and relax.
  10. Press save.

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3D Balance (Geriatric Evaluation)

Falls in elderly people rarely have a single cause or risk factor. A fall is usually caused by a complex interaction among the following:

  • Intrinsic factors (age-related decline in function, disorders, and adverse drug effects).
  • Extrinsic factors (environmental hazards).
  • Situational factors (related to the activity being done, eg, rushing to the bathroom).

Some falls are promptly recognized because of an obvious fall-related injury or concern about a possible injury. However, because elderly people often do not report falls, their balance should be evaluated multiple times per year. Patients who require more frequent balance assessments are:

  • Those who score below a 3.5 on the Kinetisense Geriatric Balance Protocol.
  • Those who report multiple falls during screening.
  • Those who are being evaluated after a recent fall (after acute injuries are identified and treated).
  • Those who preparing to undergo a surgical procedure.
  • Those who are taking prescription drugs that could interfere with balance.

The Kinetisense Geriatric Balance Protocol consists of five stances. The stances are double leg stance, single leg stance on right then left, and tandem stance first with right foot in front of left, then vice versa. The patient’s stance involves placing the hands on the iliac crests with eyes open, shoes and socks should not be worn.  It is important to instruct the patient to do their best to continue the assessment even if they step out of their initial stance. The score will reflect the sway and the tilt that occurs in the body as they try to maintain their balance.

Administering the Kinetisense Geriatric Balance Protocol: Establish a balance score during the patient’s initial visit. Re-assess and compare as often as needed in order to track balance progression.

Note: For the safety of the patient, the practitioner can choose to stand behind the patient during the assessment.

Scoring: Each of the trials is 20 seconds. The Kinetisense system incorporates a proprietary scoring algorithm that analyzes the sway of the head, shoulders, hips and knees in the transverse, sagittal and coronal planes. All of the data is stored in our HIPPA compliant cloud, making the system highly portable in your clinic/facility.  After the balance protocol is complete, average all of the trials to produce one total score out of 10 (best). Download the balance scorecard below (section 4). For questions, please email support@kinetisense.com.

Instruction

All five trials must be done to complete the Geriatric Balance Protocol. If the patient is unable to do one of the assessments, only average the completed scores. This assessment should take between 6 and 8 minutes.

Two Feet Stance Assessment (Floor)

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  1. Select: ‘Both feet together’ in drop down list.
  2. Check ‘eyes open’ and uncheck ‘foam’ boxes.
  3. Instructions to Patient:
    • Stand with feet together approximately pelvic width apart.
    • Place your hands on hips.
    • Focus on a visual marker in front of you.
    • Balance as well as you can.
  4. Once the participant is ready to begin, press the ‘calibrate’ button.
  5. Press the start button and count down 3, 2, 1 with the computer.
  6. Allow the program to run for the preset 20 seconds.
  7. Instruct the patient to relax.
  8. Press save.

One Foot Stance Assessment (Floor)

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  1. Select: ‘Left leg down’ or ‘right leg down’ in drop down list.
  2. Check ‘eyes open’ and uncheck ‘foam’ boxes.
  3. Instructions to the patient:
    • Stand on right foot then left foot for next assessment.
    • Raise  leg and bend ~45 degrees at the knee  (legs do not touch).
    • Place your hands on hips.
    • Focus on the visual marker in front of you.
    • Balance as well as you can.
  4. Once the participant is ready to begin, press the ‘calibrate’ button.
  5. Press the start button and count down 3, 2, 1 with the computer.
  6. Allow the program to run for the preset 20 seconds.
  7. Instruct the patient to relax.
  8. Press save.

Tandem Stance Assessment (Floor)

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  1. Select: ‘Left foot in front of right’ or ‘right foot in front of left’ in drop down list.
  2. Check ‘eyes open’ and uncheck ‘foam’ boxes.
  3. Instructions to the patient:
    • Stand with their non-dominant foot behind the dominant foot in a heel-to-toe stance, and then opposite for the following assessment.
    • Place your hands on hips.
    • Focus on the visual marker in front of you.
    • Balance as well as you can.
  4. Once the participant is ready to begin, press the ‘calibrate’ button.
  5. Press the start button and count down 3, 2, 1 with the computer.
  6. Allow the program to run for the preset 20 seconds.
  7. Instruct the patient to relax.
  8. Press save.

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Downloads

Validation Reports

Download Kinetisense Validation Documents:

  • Human Performance Lab Validates Kinetisense
  • Kinetisense 3D Concussion White Paper
  • Kinetisense 3D Geriatric Balance White Paper

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