4.0 Rotational Training Platform Owners Manual Version 1.4
Overview and Safety Safety Instructions Hardware Overview and Safety Zone Warning Labels Intended Use
3 5 7 9
Getting Started Start-Up Screen User Set Up
Shoulder Alignment Hip Alignment
Working Out on the 4.0 RTP Workout Screen Workout Summary Screen
Assessment on the 4.0 RTP Assessment Selection Assessment: ROM & Isometric Strength Assessment: 30-Second Work Test
30 Trend Analysis
23 24 28
Turning Point BioTechnology ® and the Turning Point logo are registered trademarks of Turning Point, LLC. DISCLAIMER: Turning Point, LLC makes no warranties regarding the contents of this user manual. We reserve the right to revise this document as necessary and/or to make changes to the product described herein without obligation to notify any person or entity of such changes. © Copyright 2012, Turning Point, LLC. All rights reserved. Printed in the United States of America . www.turningpointbiotech.com
Safety Instructions WARNING: Serious injury could occur if these safety precautions are not observed. Follow the advice of a medical professional prior to beginning an exercise program. If a user has special needs (such as medical rehabilitation or disability) it is essential that the owner (or person with legal responsibility) of the equipment conducts a specific risk assessment to determine safe use and if necessary assure that trained staff is available to supervise the activity associated with the equipment. Injuries may result from incorrect or excessive training. Read and understand warning labels and user manual prior to exercising. Obtain instruction on proper use of the equipment from a qualified professional prior to use. Keep body and clothing free from and clear of all moving parts. Keep hands and feet away from pinch points designated on warning labels affixed to equipment. Inspect equipment prior to use. DO NOT use if it appears damaged or inoperable. If damaged or inoperable, discontinue use and contact Turning Point for repair. See Appendix B for inspection details. DO NOT attempt to fix broken or jammed equipment. Discontinue use and contact Turning Point for repair. Use this equipment only for the intended use. DO NOT modify the equipment. Any modification will void warranty. The 4.0 RTP is NOT intended to be used by children. Keep all children (12 and under) away from equipment. Teenagers (13 and over) must be supervised when using equipment. DO NOT remove any labeling from equipment. Replace any damaged, worn, or missing labels. Contact Turning Point for replacement labels (be sure to designate reference label number). Stop Exercising if you feel faint, dizzy or experience pain at any time while exercising and consult your physician. Maximum Load Rating:
SHOULDER BAR: 25 lbs HIP BAR: 25 lbs
Shoulder and/or Hip bars are to be used for user alignment to the equipment ONLY. Users or Bystanders should NEVER hang on either bar.
Safety Instructions Read the Ownerâ€™s Manual carefully before using the equipment. It is highly recommended that only Turning Point authorized service technicians perform repairs to the equipment. Unauthorized repairs by anyone other than a Turning Point approved technician will void the Warranty. Contact Turning Point directly (Appendix A) for service requests. Make sure that equipment is set up and operated on a solid level surface. Do not install equipment on an uneven surface. NOTE: If unit base does not contact surface evenly, level the equipment by sequentially raising or lowering the adjustable feet located at each corner of the base underside. Also note that it is highly recommended that the unit base is secured to the ground surface via proper anchoring hardware Do not lean on or pull or lift equipment by the front LCD stand. Only use handles at base of equipment for lifting or moving. Use extreme caution when lifting or moving the equipment, as equipment is heavy and contains moving parts and pinch points. Make sure that all users are properly trained on how to use the equipment and are properly supervised based on individual indication. Make sure there is enough room for safe access and operation of the equipment. NOTE: At least 18in of clear space around equipment is required when in exercise mode (See Diagram on next page) Bystanders should remain four feet away from moving parts of equipment to avoid injury. Perform visual inspection of equipment prior to use. See Appendix B for details. Immediately call Turning Point (Appendix A) for repair or replacement of worn or damaged components. Remove equipment from service until repair is made. Use only Turning Point supplied components to maintain/repair the equipment. Keep a repair log of all maintenance activities. NOTE: It is the sole responsibility of the user/owner or facility operator to ensure that regular maintenance is performed on equipment (see detailed maintenance instructions in Appendix B of this manual). Do not remove covers or panels of equipment. Refer any service requests to qualified service personnel. Removal of any covers or panels may result in an electrical hazard or shock. Before use of equipment, all users should review and complete a Physical Activity Readiness Questionnaire and Physician Clearance Form as appropriate. Attached as Appendices C and D of this manual, respectively.
NOTE: Carefully select subject Range of Motion for the Userâ€™s activity on the equipment and only gradually and carefully increase. Also, select resistance according to the individual indication. If you are unsure, start at lowest level. Perform exercises using smooth controlled movements.
Hardware Overview and Safety Zone SHOULDER PAD
USER DEFINED HANDLES
TOUCH SCREEN INTERFACE
POWER INPUT ON-OFF SWITCH TOWER PLATFORM
FOOT PLACEMENT GRID
Safety Guidelines and Practices Safety Guidelines and Practices Turning Point recommends that all training equipment be used in a supervised area. Control of equipment use and location is the responsibility of the owner of the equipment. It is the responsibility of the purchaser of the 4.0 RTP to read and understand the Ownerâ€™s Manual, Quick Start Guide and warning labels, as well as to instruct all individuals, whether end users or supervising personnel, on proper usage of the equipment. Proper Usage: Use equipment only as described in the Ownerâ€™s Manual and Quick Start Guide. Failure to follow proper instructions may result in injury. Do Not Lean Against or Pull on the framework or any component, whether equipment is at rest or in use. Inappropriate or improper use may result in injury to users or third parties (bystanders). Do not use equipment if it is not located on a solid level surface or appears to be inoperable or damaged. Provide an adequate safety perimeter (at least 18 inches on either side of unit) between the equipment, walls, and other equipment, to ensure that the facility has the proper clearance around the 4.0 RTP equipment. (See diagram on preceding page). Bystanders should remain four feet away from any moving parts of equipment to avoid injury. Use of a Ground Fault Circuit Interrupter (GFCI) power outlet is highly recommended.
US GFCI OUTLET
Warning Labels Warning/Caution Labels Warning labels indicate a potentially hazardous situation, which, if not avoided, could result in death or serious injury. Caution labels indicate a potentially hazardous situation, which, if not avoided, could result in minor or moderate injury. The warning and caution labels are shown below. The diagram on the next page shows where each label is located.
Product Serial Number can be found on label 5
Safety and Warning Labels
Intended Use This equipment is suitable for general exercise. It is only intended to be operated for use under the supervision of a qualified professional with the requisite training and instruction (i.e. medical professional or training professional). The equipment is intended for exercises and measurements detailed in this user manual and system software. Contraindications: The following conditions (including but not limited to) must be cleared by a physician before use of this equipment: fractures, recent surgeries, severe osteoporosis with less than 80% bone density, acute herniated disc with surgical indication, tumors and severe circulatory or vascular illnesses and pulmonary functional disruptions, asthma, severe diabetes, pregnancy, detached retina. The equipment is not sterile and should not be used by patients with contagious diseases or open wounds. If weakness, dizziness, or pain occurs during use of this equipment, require that the user stops and consults their physician. Uncontrolled or forced training can lead to pain/physical overloading. Only adjust the settings/weight intensity/number of repetitions after talking with your physician or qualified professional. A sample physician clearance form and sample PAR-Q are provided in Appendices B and C, respectively. Read and understand all instructions and warnings prior to using this equipment. Use equipment only as described in the Owner’s Manual and Quick Start Guide. Failure to follow proper instructions may result in injury. (Be sure to completely read and understand “Safety Instructions and Warnings” beginning on page 3).
Start-Up Screen Plug in and Turn On the RTP 4.0 on the Back Panel of the device (as shown on page 5). Following some boot-up protocols, the device software will arrive at the “Start Up” Screen as shown. This is the Start up Screen in Version 1.3.1 of the RTP 4.0 Software. NOTE: This is a touch screen interface. Lightly touch the selections at any time to advance to the desired area. In each area of the software we will define each button as follows:
Definitions QUICK START:
Access “Quick Start” Training Mode
ASSESSMENT: Access Assessment Protocols LOG IN:
Access Log In Screen
Create a New User Profile
Setup Screen Beginning with height, enter all information via touching the drop down menus. Enter accurate height, weight, date of birth and gender. NOTE: In version 1.3.1 of the 4.0 System Software, no "individually identifiable health information," (as defined by the US Dept. of Health & Human Services), is required to be entered. Therefore, this information request is fully compliant with the HIPAA Privacy Rule.
Definitions: Height:! Weight:! ! Date of Birth:! Gender:! ! Next:! ! Quit:! ! Back:! !
Height of User. Must be entered in feet and inches Weight of User. Must be entered in pounds (US version). Year of birth for User (MM/DD/YY) Gender of User. Select from drop down box. Advances to Unit Adjustments Screen Returns User to Start-Up Screen Returns User to Start-Up Screen
Adjustments Screen The primary function of this screen is to complete the userâ€™s set-up (proper alignment to the system) and to set, test, and adjust the desired resistance level.
Definitions The Up/Down buttons allow the shoulder and hip heights to be adjusted up or down to fine tune the system to the size of the user (Note: the system is preset to approximate appropriate settings, but individual to individual anthropomorphic variance requires â€œfine tuningâ€? at this screen). Movement of the hip and shoulder bars occurs as long as the button is touched and stops when the button is released. The Plus/Minus buttons allow the resistance for the hip and shoulder (separate values) to be set, tested, and adjusted. Minimum setting is 0 and Maximum setting is 20. NOTE: See Resistance Chart in Appendix E of this of manual.
Adjustments Adjustments (continued) To ensure proper set-up, the following procedure is required: Begin with the User stepping onto the 4.0 RTP. The User should position his/her body facing the computer screen, then back-up into the rear portion of the 4.0 RTP. The hands should be placed inside the curve of the shoulder bar handle on the black cushioned pads. Place hands where they are comfortable for the User. The User should move his/her body to fit hips inside the hip stabilizer harness. The feet should be placed in a comfortable position. Knees should be slightly flexed as instructed by a Qualified Professional. Note: When raising Hip and Shoulder bars-- Shoulder bar must be raised first. When lowering Hip & Shoulder bars-- Hip bar must be lowered first, then Shoulder bar. NOTE: The shoulders should REMAIN IN CONTACT with the pad while performing the activity. The Qualified Professional should emphasize to the User that rotation should come from the trunk of the body rather than using the hands and/or arms to create rotation.
SHOULDER BARS Raise FIRST Lower SECOND
HIP HARNESS Raise SECOND Lower FIRST
Setting up Shoulders: The purpose of the shoulder bar is to assist the user in keeping the shoulders back against the pad while performing the activity. The hands should be placed inside the curve of the shoulder bar handle on the black cushioned pads. Use the Up and Down buttons to adjust the shoulder bar height. The correct position for the shoulder bar is in-line with the C-7 vertebrae.
Setting up Hips:
The purpose of the hip stabilizer is to secure and isolate the hip area while performing the activity. The User should back his/her body up until fit hips inside the hip harness pads. The Qualified Professional instructs the User to place their hands on hips, level with the iliac crest. Use the Up and Down buttons to adjust the Hip Height Bar. The correct position for the hip harness is when the top of hip pads are aligned with top of iliac crest.
System Initialization Dialogue Screens: This dialog is displayed while the equipment is being initialized for activity. The initialization sequence is as follows: 1. The shoulder bar is raised to the specified height entered. 2. The hip bar is raised specified height entered. 3. The hip and shoulder assembly is tilted to a pre-specified angle, 4. The hip and shoulder resistances are set to specified values.
Ready Screen Ready Screen This is the final dialog in the initialization sequence. It is dismissed when the User starts movement, or touches the screen, at which point the Biofeedback Screen becomes fully visible.
Working out on the RTP 4.0
Workout Screen Once the set-up is finalized, the workout screen appears. This screen provides real-time feedback to the User. The center of the screen displays graphical information on current position of hips, current position of shoulders, peak range of motion for hips, peak range of motion for shoulders, as well as current and peak power outputs of shoulders and hips, separately. If locks are engaged, the power output bar switches to a “torque output” bar.
Definitions: Quit: Back: Done: Lock:
Resets System to the Start-Up Screen Aborts workout and returns to Adjustment Screen Ends current workout and displays Summary Creates restriction of of hip/shoulder bars
OUTER LINE: SHOULDER PATH (RED) INNER LINE: HIP PATH (BLUE) Green Markers Denote Range Achieved Green Triangles Denote movement in Real Time
POWER OUTPUT SHOULDER and HIP TORQUE achieved upon each rotation
Upon workout completion, the workout Summary Screen is displayed.
Workout Summary The Summary Screen appears at the conclusion of the workout, or if selecting DONE at any time.
Returns to Start-Up Screen
Presented in units of degrees, measured by displaced range of motion from zero degrees (neutral- facing forward) to either left or right side.
Presented in units of horsepower (hp) and calculated as a function of user generated peak torque- multiplied byangular velocity.
Presented in units of Horsepower seconds (hp-s) which is calculated by the system from the product of average horsepower output multiplied by the total time of activity.
Trend Analysis (if Logged In)
Saves Data to User Profile.
Assessment on the RTP 4.0
Assessment Assessments There are 2 assessments installed on the RTP 4.0. You can select these by entering the Assessment tab on the Start Up Screen. Both are measurable repeatable options that provide the clinician, trainer and user with data specific to individual range of motion (ROM), Isometric Strength, and Work Capacity. This screen provides for selection of assessment type as well as for entering the required, location-specific facility code. Note: The facility code is provided to the designated facility personnel at the time of the initial system installation. Use of a facility code prevents unsupervised use of the assessment protocols. Supervision is necessary to ensure proper procedures are followed and accurate results are obtained. Simply Select the Assessment you wish to perform and enter your facility code.
Definitions: Quit:! Back:! Next:!
Returns to Start-Up Screen Returns to Start-Up Screen Advances to the applicable assessment Set-Up Screen
ROM and Isometric Strength Assessment Range Of Motion (ROM) and Isometric Strength (Static contractions against a fixed input ) are bundled into one assessment for ease of user set up and data entry. Both assessments represent biomarkers that create professional insight into a users rotational capabilities. From the user perspective, this information provides valuable feedback and motivation to continue exercise on the 4.0 RTP.
Upon Selection of the ROM/ Isometric Strength Assessment, the RTP 4.0 Software will default to the “Adjustments” screen, allowing modification to the Shoulder and Hip height bars, if needed. (For Set Up information, refer to pages 15 and 16 of this manual) ISO Points refer to the adjustable “LOCK RANGE” where the assessment will occur. The primary function of this screen is to complete the user’s set-up (proper alignment to the system). The Up/Down buttons allow the shoulder and hip heights to be adjusted up or down to fine tune the system to the size of the user (Note: the system is preset to approximate appropriate settings, but individual to individual anthropomorphic variance requires “fine tuning” at this screen). Movement of the hip and shoulder bars occurs as long as the button is touched and stops when the button is released.
Shoulder and Hip ROM Assessment The ROM/ Isometric Strength protocol begins with a Shoulder ROM assessment. As instructed by the software, the user will actively rotate the shoulders only as far as they can without pain, to the left. The professional should instruct the user to rotate only as far as they can comfortably. Professionals should also establish protocol pointssuch as keeping the feet flat during rotation, keeping the knees “soft” and maintaining contact with the shoulder bar pad. The process for the Shoulder ROM assessment is: 1.)!Range of Motion (in Degrees) of the Shoulders Only to the Left 2.)!Range of Motion of the Shoulders Only to the Right Following the Shoulder ROM Assessment, the HIP ROM Assessment will begin. The sequence will be the same as the Shoulder Assessment: 3.)!Range of Motion (in Degrees) of the Hips Only to the Left 4.)!Range of Motion of the Hips Only to the Right
NOTE: Although the resistance is pre-set to zero (“0”) setting, the “tare weight” and inherent resistance of the mechanisms within the 4.0 RTP do elicit baseline resistance over which some individuals may be unable to successfully rotate. Qualified professional should also ensure that any user is deemed fit enough with regards to baseline strength and range of motion to attempt the assessment under their guidance.
Shoulder and Hip Isometric Strength Assessment Although this version of the software indicates TORQUE as the measurement value, it is ISOMETRIC Strength that is being measured. Torque refers to degrees of angular momentum, while isometric strength is a static measurement. This title will be modified in future software iterations. The Process is identical to the ROM Assessment: 1.)!Pressure (ft lbs of pressure applied) by the Shoulders Only towards the Left 2.)!Pressure (ft lbs of pressure applied) by the Shoulders Only to the Right 3.) Pressure (ft lbs of pressure applied) by the Hips Only to the Left 4.) Pressure (ft lbs of pressure applied) by the Hips Only to the Right The Torque bar indicator will reference the pressure in real time.
Summary Screen The summary screen appears when the assessment is completed. The data indicated provides information to the user and/or qualified professional about the assessment conducted. This is a valuable screen that indicates symmetry, or asymmetry in both Shoulder and Hip rotational Range of Motion and Isometric Strength. This information may form a baseline of data for future comparison, provide insight into specific movement deficits or weaknesses. A qualified professional should assist in the interpretation of data.
Definitions: Trend: Done:!
Provides Analysis (if logged in) Returns to Start-Up Screen
30-Second Work Assessment The 30-Second Work Assessment function allows a qualified professional to establish a “baseline” or “snapshot” of the user’s current functional status with regards to core strength/stability and range of motion. This 30-Second Assessment is designed to allow the user to rotate with as much range of motion and speed as comfortably possible for the duration of the test period. In most cases, the user is instructed to complete as many “quality” repetitions as possible within an appropriate and comfortable range of motion and under an appropriate level of resistance as defined by the Qualified Professional. NOTE: Users should graduate to this assessment. If functional standing trunk rotation exercises are new to the user, this assessment can promote overtraining or over exertion due to the nature of accumulating a work response. Qualified Professional caution is recommended. “Power Output” over a 30-Second period is provided, graphically on this screen, as a function of (1) user-generated peak torque multiplied by (2) angular velocity. NOTE: This is a valuable work assessment, in the context of standing trunk rotational capacity on the 4.0 RTP. Qualified analysts should make determinations of this assessments transference into functional work environments.
30-Second Work Summary Screen The summary screen appears when the assessment is completed. The data indicated provides information to the user and/or qualified professional about the assessment conducted.
Definitions: Trend: Provides Trend Analysis Save: Saves Data to User Profile (if logged in) Done: Returns to Start-Up Screen
“Peak Range” is defined as the system output of maximum degrees of displaced range of motion from zero degrees (neutral, forward facing) to either the left or right side. “Peak Power” is calculated as a function of user-generated peak torque multiplied by the angular velocity. “Total Work” is presented here as calculated is (1) average power (average torque x average angular velocity) multiplied by (2) total time for the exercise bout. It is presented in “horsepower seconds” (average horsepower output x total time). This information may form a baseline of data for future comparison, provide insight into specific movement deficits or weaknesses. A qualified professional should assist in the interpretation of data.
Log In Logging In to the 4.0 allows a User and Professional to manage information stored on a “User Profile” Start by Selecting a USER ID (1-12 Characters) along with a 5-9 character PIN that you can easily recall. All information entered is compliant with the US Department of Health and Human Services Health Insurance Portability and Accountability Act.
Definitions: Quit: Return to Start Up Screen Enter: Proceeds to Log In Menu.
Log In Menu Screen Once a user is logged in to the 4.0, a Workout or Assessment can be performed, or the information stored on the device under â€œProfileâ€? can be reviewed.
Definitions: Workout: Start using the 4.0 Profile: Review the user profile. Assessment: Measure Strength, Range or Motion, or Work
Profile and Trend Analysis On the Profile Screen-a trend analysis is also available. By simply selecting the option in the drop down menu, to review progress graphically. Use the â€œEXPORTâ€? button to save this file to a pdf on a USB memory stick (not supplied) and inserted to the USB slot at lower ear of the 4.0 device.
Definitions: Quit: Back: Edit Profile: Export:
Return to previous screen Returns to Log In Selection Screen Modify Data (such as current weight) Sends a PDF to the USB Drive
Customer Service Contacting Customer Service Turning Point values its global customer portfolio, and is available to answer your questions as follows:
1. EMAIL :!!
Contact us at: service@TPBiotech.com A representative will respond promptly.
2. CALL:! !
Call (419) 724-1234 or 877-686-8876 to connect directly to the Turning Point Service representative. Please have your account information available, including the serial number of your device, and the software version. Service Technicians are available Monday- Friday from 8am â€“ 5pm Eastern Standard Time in the USA. International accounts: Please contact your local distributor directly.
Maintenance All preventive maintenance activities must be performed on a regular basis. Performing routine preventive maintenance actions can aid in providing safe, trouble-free operation of all Turning Point BioTechnology equipment. Keeping a log sheet of all maintenance actions will assist you in staying current with all preventative maintenance activities. NOTE: Turning Point is not responsible for performing regular inspection and maintenance actions for your equipment. Instruct all personnel in equipment inspection and maintenance actions and also in accident reporting/ recording. CAUTION: Use only Turning Point replacement parts when servicing. Failure to do so could result in personal injury and will void the warranty. Daily Procedures NOTE: All inspections and repairs must be performed by trained service personnel only. 1. Upholstery - Wipe down all upholstery daily, using water based disinfection solution. 2. Metal framework, base and unit exterior – Use only a damp cloth. Spray soap on cloth and then wipe down all exterior surfaces (except LCD screen) using a mild solution of warm water and a mild soap. Be sure to dry thoroughly. AVOID acid or chlorine based cleaners and also cleaners containing abrasives as these could scratch or damage the equipment. 3. LCD User Display- Use a dry soft cloth or a display monitor cleaning solution and rub gently to remove fingerprints. Do not allow any water or liquid to drip on LCD. Be sure to dry thoroughly. AVOID use of Windex or chlorine based cleaners and also cleaners containing abrasives as these could scratch or damage the display surface. 4. Guidelines for cleaning exterior panels: • Use clean soft cloths or sponges for application of cleaners and again for washing and rinsing. • Follow up the application with warm water rinse. • Don’t use abrasives or high alkaline cleaners. • Don’t leave cleaners on for long periods, wash immediately. • Don’t apply cleaners in direct sunlight or at elevated temperatures. • Don’t use scrapers, squeegees or razors. • Don’t clean with gasoline.
Maintenance Weekly Procedures 1. 2. 3 4. 5.
Check all nuts and bolts for looseness. Tighten as required. Inspect exposed moving parts wear or damage and proper movement. Contact Turning Point directly for repairs and/or replacement parts. WARNING: Replace all worn parts immediately, by contacting Turning Point directly. Remove equipment from service until repairs are made. Inspect bars and handles for wear, paying particular attention to tab area-connecting points. Replace all worn handles immediately. Contact Turning Point directly for repairs and/or replacement parts. Remove equipment from service until repairs are made. Inspect for loose or worn grips. Replace all loose or worn grips immediately. Contact Turning Point directly for repairs and/or replacement parts. Remove equipment from service until repairs are made. Inspect all labeling for readability. This includes instructional placards, warning and caution decals. Replace all worn labeling immediately. Contact Turning Point directly for repairs and/or replacement parts. Remove equipment from service until repairs are made.
Environment Static Electricity - Depending upon where you live, you may experience dry air, causing a common experience of static electricity. This may be especially true in the wintertime. You may notice a static build-up just by walking across a carpet and then touching a metal object. The same can hold true while working out on your unit. You may experience a shock due to the build-up of static electricity on your body and the discharge path of the unit. If you experience this type of situation, you may want to increase the humidity to a comfortable level through the use of a humidifier. Humidity - The unit is designed to function normally in an environment with a relative humidity range of 30% to 75%. NOTE: Do not install or use the unit in an area of high humidity, such as in the vicinity of a steam room, sauna, indoor pool or outdoors. Exposure to extensive water vapor, chlorine and/or bromine could adversely affect the electronics as well as other parts of the equipment. Temperature - The unit is designed to function normally in an environment with an ambient temperature range of 50o F (10o C) to 104o F (40o C) degrees. . Storage Humidity - The unit can be shipped and stored in an environment with a relative non-condensing humidity range of 10% to 90%. NOTE: Do not store the unit in an area of high humidity, such as in the vicinity of a steam room, sauna, indoor pool or outdoors. Exposure to extensive water vapor, chlorine and/or bromine could adversely affect the electronics as well as other parts of the equipment. Temperature - The unit can be shipped and stored in an environment with an ambient temperature range of 32째F (0o C) and 140째 F (60째 C) degrees.
To replace this manual, if damaged or lost, please contact Turning Point, or visit the website.
Sample Physician Clearance Form Dear Doctor: Your pa(ent _____________________________________________ wishes to take part in an exercise program and/or ﬁtness assessment. The exercise program may include progressive resistance training, ﬂexibility exercises, and a cardiovascular program; increasing in dura(on and intensity over (me. The ﬁtness assessment may include a sub-‐maximal cardiovascular ﬁtness test and measurements of body composi(on, ﬂexibility, and muscular strength and endurance. AEer comple(ng a readiness ques(onnaire and discussing their medical condi(on(s) we agreed to seek your advice in seIng limita(ons to their program. By comple(ng this form, you are not assuming any responsibility for our exercise and assessment program. Please iden(fy any recommenda(ons or restric(ons for your pa(ent's ﬁtness program below (Physician's Recommenda(ons). Pa+ent's Consent and Authoriza+on
I consent to and authorize __________________________________________ to release to __________________________________________, health informa(on concerning my ability to par(cipate in an exercise program and/or ﬁtness assessment. I understand this consent is revocable except to the extent ac(on has already been taken. Authoriza(on is not valid beyond one year from date of signature. Further disclosure or release of my health informa(on is prohibited without speciﬁc wriQen consent of person to whom it pertains. User signature Date Trainer's signature Physician's Recommenda+ons I am not aware of any contraindica(ons toward par(cipa(on in a ﬁtness program. I believe the applicant can par(cipate, but urge cau(on because: The applicant should not engage in the following ac(vi(es: I recommend the applicant not par(cipate in the above ﬁtness program. Physician's signature ____________________________________ Date:________/___________/______________ Physician's name (print) ______________________________________________________________________________ Phone ____________________________________ Fax ______________________________________ Address ______________________________________________________________________________ City ______________________________________ State & Zip_______________________________
Physical Activity Readiness Questionnaire (PAR-Q) PAR-Q For most people physical activity should not pose any problem or hazard. PAR-Q has been designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them. Common sense is your best guide in answering these few questions. Please read them carefully and check the yes or no opposite the question if it applies to you. 1. 2. 3. 4. 5. 6. 7.
Has your doctor ever said you have heart trouble? Do you frequently have pains in your heart and chest? Do you often feel faint or have spells of severe dizziness? Has a doctor ever said your blood pressure was too high? Has your doctor ever told you that you have a bone or joint problem such as arthritis that has been aggravated by exercise, or might be made worse with exercise? Is there a good physical reason not mentioned here why you should not follow an activity program even if you wanted to? Are you over age 65 and not accustomed to vigorous exercise?
If you answered YES to one or more questions: If you have not recently done so, consult with your personal physician by telephone or in person before increasing your physical activity and/or taking a fitness test. If you answered NO to all questions: If you answered PAR-Q accurately, you have reasonable assurance of your present suitability for an exercise test. Signed:
Resistance Settings* *All resistance values are based on factory settings. Variability exists between equipment and units. Please note that for research applications, independent verification is highly recommended.
**The 0+ Level Setting places the resistance at 0, but note that hydraulic factors result in some residual resistance, even at a setting of zero.
FT. LBâ€™S RESISTANCE
Turning Point BioTechnology Quality Statement
Turning Point BioTechnology Quality Statement Turning Point BioTechnology is committed to understanding and meeting the quality needs and expectations of all our customers. Turning Point BioTechnology is establishing its reputation by delivering quality manufacturing and touch points on all components. We have established a detailed quality assurance process with our partner manufacturers that allows our company to meet all of the requirements of the ISO 9001:2008 quality assurance standard. Our quality assurance system focuses on the following principles: • • • •
Quality is the responsibility of every employee Ethical workmanship and customer satisfaction are paramount Products and services must be delivered on time and at the agreed upon price Continuous improvement and training are vital to ensure that our customers receive World Class products and services • Our management systems, practices, products, customers and employees must be measured in terms of performance. Performance indicators guide us to the area(s) in need of corrective action and review The entire Turning Point BioTechnology team will adhere to the spirit and intent of our quality policy, as well as the directives of the quality assurance practice and its supporting quality system documentation.
We will continue to aggressively strive to ensure that customer satisfaction is achieved at all times, and in all things.
(c) April 2012, Turning Point Biotechnology This user manual (version 1.4) screen shots, contents or descriptions may not be transmitted, copied or shared without the express written consent of Turning Point BioTechnology. Printed in the United States of America. All Rights Reserved.