perturbation

gait stability and fall prevention training

ahead of time®

UserTerminal

rotatable

mercury® med with standard handrails

reliable treadmills made in germany

German Engineering since 1988

mercury® med with standard handrails

mercury® med with standard handrails and safety arch fall prevention [cos10079-01va01]

Benefit from our experience since 1988 in building and servicing standard and customized treadmill solutions around the globe.

h/p/cosmos standard

h/p/cosmos has been developing and building treadmills since 1988 in Germany for various fields including fitness, competitive sports, sports medicine, orthopedic and neurological rehabilitation, sport science, biomechanics, uniformed services, performance diagnostics, cardiopulmonary diagnostics and rehabilitation. This experience, maximum standards in quality and advanced technology are the foundation of our business and reflected in all treadmills.

The outstanding level of h/p/cosmos products and service as well as attractive prices

form the h/p/cosmos standard.

Stable and low-maintenance

With their stable frame, the treadmills are almost indestructible, very low-maintenance and offer both runner or patient a pleasant running feeling thanks to their state-of-the- art design. They also stand out due to their smooth running, their versatile functions, their powerful drive system and their timeless and user friendly design.

Medical device (class IIb) and sports treadmills

Our treadmills are available as risk class IIb medical treadmills as well as sports treadmills. As a medical device, they are particularly suitable for the use in the fields of cardiology, neurology, cardiological rehabilitation and physiotherapy. The interface via coscom® v4 of the h/p/cosmos treadmill and ergometer series enables the connection to ECG, ergospirometry systems, blood pressure monitors and software programs.

Customer-specific configuration for individual solutions

Treadmills off the peg can be many, at h/p/cosmos you can also get your individually assembled treadmill solution with a large selection of options and accessories. Too little budget for the desired configuration? Changed demands on the treadmill system due to new business areas or new areas of application? No problem, most options and accessories can also be retrofitted at a later date. With h/p/cosmos you are always on the right track, because you cannot make the wrong decision due to the flexible and modular design.

improving gait stability

The ability to prevent or resist falls

Falls can be considered as a general life risk. Not only elderly or previously ill people are affected, but also young, healthy individuals are at risk of falls without recognizable cause. Hence, millions of people fall every year, leading to injuries of the musculoskeletal system and associated gait insecurity.

As every fall has the potential to cause serious health consequences, the ability to prevent or resist falls can be seen as a major threat to the indivual’s health. Due to the increasing aging of the population the problem and severe consequences of falls have already become a very significant topic and will further gain importance in the future.

Falls become a major threat to health during walking and everyday life

Walking is the most common activity that precedes fall-related events. Added to this is the unpredictability of fall events, which occur in a variety of scenarios in everyday life. The special h/p/cosmos perturbation module takes these aspects into account. The module offers a perturbation-based balance training by providing unexpected destabilizing balance perturbations - but in a controlled and safe environment. In other words, the module simulates common fall scenarios to improve the reactive stability and therefore the ability to compensate these destabilizing events and to resist falls.

Slips and trips

Falls are very often associated with walking and especially with slipping and tripping while walking (Kurz et al., 2016; McCrum et al., 2017; Pigman et al., 2019). This refers to a sudden and unexpected anterior or posterior change of speed.

In the real world examples are that the foot gets caught on the edge of a carpet (trip) or the foot slides forward (slips) when touching down, e.g. wet tiles or ice.

The h/p/cosmos perturbation module allows the transfer of activites of daily living (ADL) to the safe yet adaptable setting of a (medical) treadmill with safety arch fall prevention.

Fast pertubation events

Pertubation profiles - switching between selfmade and premade profiles

Quick Generator for a quick and reliable adjustment of perturbation parameters

Research

individual perturbation applications

Because of the majority of fall causes, research has focused on sudden accelerations, decelerations or stops of the treadmill (Kurz et al., 2016; Liu, Bhatt & Pai, 2016; McCrum et al., 2017; Pigman et al., 2019). While slips and trips are the main cause in real life, interferences in other planes can also happen. Science and industry have created various technical equipment, nevertheless they are cost-intensive and realism and relevance are often questionable.

h/p/cosmos perturbation module

The h/p/cosmos perturbation module can provide extremely sudden changes of the speed. This can be as sudden and unexpected, that it is mandatory to use a fall prevention system, such as the h/p/cosmos safety arch with harness or the unweighting system h/p/cosmos airwalk® ap. Due to the powerful motor, the acceleration can be as fast as 17.36 m/sec² (for comparison: the sportscar Bugatti Veyron needs 2.6 sec from 0 … 100 km/h, that equals 15.2 m/sec²). But most of the perturbation events within a training session will be on a lower level and allow a customized training to a wide spectrum of patients. In due course of the training progress, the intensity can be adjusted with a few clicks.

Random factor

As in the real world the disturbances happen unexpectedly, the h/p/cosmos perturbation “quick generator” module includes a “random factor”. Subjects will not predict the exact time or kind of the next event.

Individualization and progression matters

Single perturbation events or complex training sessions can be configured individually, within the profile editor. The fastest way to set up a gait stability training session, is to use the “quick generator”. Sliding bars for the total training duration, the frequency and intensity (speed change and length in milliseconds) can be defined easily. If the subjects tolerate the training well, the overall intensity can be increased in a controlled manner.

evidence-driven development

Dual Tasking - name the country flag

Dual Tasking - Stroop Test

Quick Generator for quick and reliable adjustment of perturbation parameters

Focus matters

As long as the subjects focus on their perturbed walking task, they will probably learn to handle it. Like in reality, a rather simple task can get difficult if subjects perform a second task (e.g. typing a message on the mobile phone when walking). To create a more difficult and realistic training, the h/p/cosmos perturbation module allows to add dual tasking exercises, to redirect the focus to another task, away from walking. Cognitive tests, such as the Stroop test, simple - medium - hard mathematics, name the country flag, guess the countries capital, logical number sequences and other brain teasers will distract the subject from walking while stimulating the play instinct.

Literature:

Kurz, I., Gimmon, Y., Shapiro, A., Debi, R., Snir, Y., & Melzer, I. (2016) ‘Unexpected perturbations training improves balance control and voluntary stepping times in older adults - a double blind randomized control trial’, BMC Geriatrics, 16(1), p. 58.

Available at: https://doi.org/10.1186/s12877-016-0223-4.

Liu, X., Bhatt, T., Pai, Y.-C. (Clive) (2016) ‘Intensity and generalization of treadmill slip training: High or low, progressive increase or decrease?’, Journal of Biomechanics, 49(2), pp. 135–140.

Available at: https://doi.org/10.1016/j.jbiomech.2015.06.004.

McCrum, C., Gerards, M. H., Karamanidis, K., Zijlstra, W., & Meijer, K. (2017) ‘A systematic review of gait perturbation paradigms for improving reactive stepping responses and falls risk among healthy older adults’, European Review of Aging and Physical Activity, 14(1), p. 3.

Available at: https://doi.org/10.1186/s11556-017-0173-7.

Pigman, J., Reisman, D. S., Pohlig, R. T., Wright, T. R., Crenshaw, J. R. (2019) ‘The development and feasibility of treadmill-induced fall recovery training applied to individuals with chronic stroke’, BMC Neurology, 19(1), p. 102.

Available at: https://doi.org/10.1186/s12883-019-1320-8.

perturbation at a glance

The user friendly interface with touchscreen allows an intuitive operation

Mandatory fall prevention during perturbation with safety arch and chest belt

Perturbation and non-perturbed gait training on the same treadmill

Perturbation as an add-on feature

The perturbation module is an innovative add-on feature to h/p/cosmos

treadmills of the latest generation with UserTerminal MCU6.

The treadmill can easily be retrofitted with the perturbation module, provided that the treadmill is equipped with either a safety arch or an airwalk® ap unweighting system with emergency stop and harness to prevent subjects from falling.

Overview

Programmable via convenient user interfaces, the perturbation module enables therapists and trainers to perform a wide range of trainings without time consuming configuration or preparation:

reactive stability training

realistic slips and trips pattern in sagittal plane short events in milliseconds

fixed pattern, activated by click

random pattern for unpredictable trainings dual tasking and cognitive tests to distract

highest patient safety, due to fall-stop and harness

Of course, the treadmill’s standard functionalities are retained when the perturbation mode is deactivated, so no additional devices are needed to perform standard therapeutic or performance trainings such as

non-perturbed rehabilitation training endurance training walking or running

gait analysis e.g. with optionally available pressure distribution

cardio training performance diagnostics

perturbation in practice

Gait stability training with an elderly patient with Parkinson‘s disease

Stability training and gait training with a patient with weakness in foot dorsiflexion

Random perturbation with a geriatric patient to improve his reactive stability

configuration pluto med: gait rehabilitation - perturbation

recommended configuration gait rehabilitation perturbation pluto® med (Certification pending. Product launch planned for Q3 2024)

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recommended configuration gait rehabilitation pertubation pluto® med

E & OE. Subject to alterations without prior notice. The illustrations may show accessories and items of optional equipment which are not part of standard specification or the recommended configuration. Subject to our general terms of trade: www.hpcosmos.com

mercury® med with UserTerminal MCU6, safety arch and perturbation module

configuration quasar med: gait rehabilitation - perturbation

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recommended configuration gait rehabilitation pertubation quasar® med

recommended configuration gait rehabilitation perturbation quasar® med

E & OE. Subject to alterations without prior notice. The illustrations may show accessories and items of optional equipment which are not part of standard specification or the recommended configuration. Subject to our general terms of trade: www.hpcosmos.com

UserTerminal MCU6 featuring a quick generator module for fast and easy perturbation setup and several tests (e.g. Stroop test)

specifications pluto® med (Certification pending. Product launch planned for Q3 2024.)

Weight and dimensions may differ depending on accessories.

Optionally available at extra charge are special frame colours, other handrail designs, special voltage supply, other options and accessories. Weight and package specifications can deviate according to options, accessories packing and way of transport. E&OE. Subject to alterations without prior notice. Please consider the natural and physical performance limitations of the single phase 230 volt power supply. The single phase 230 volt power supply is sufficient up to normal fitness or therapy applications. For all special high performance applications (speed running, controlled jump-ons, sidesteps, heavy subjects at higher speed, extreme elevations, etc.), we recommend models with a 3-phase, 3x400 volt power supply (for example model h/p/cosmos quasar med 3p, pulsar 3p, venus or saturn).

Warning! Installation, commissioning, instruction, maintenance and repair work only to be conducted by h/p/ cosmos trained and authorised personnel. For treadmills with oversized deck (width >65cm), for children, spe- cial applications, without sufficient safety space behind the treadmill, for subjects and / or patients with health or other limitations (e.g. visual impairment, etc.), for running at high speed and / or for all individuals, where a fall triggers a dangerous risk of injury or death (e.g. newly operated hip patients, invasive probes, etc.), a fall prevention system is obligatory (e.g. safety arch with chest belt and harness or a weight support system). For more information see the instructions for use. Safety space behind the treadmill: min. L: 2 m (6ft 6.74“) x treadmill width. Children are only allowed to be on the treadmill, if under permanent supervision and secured by a fall prevention system.

page: 10 cos01-en-pert

specifications quasar® med

Weight and dimensions may differ depending on accessories.

Optionally available at extra charge are special frame colours, other handrail designs, special voltage supply and other options and accessories. Weight and package specifications can deviate according to options, accessories packing and way of transport. E&OE. Subject to alterations without prior notice. Please consider the natural and physical performance limitations of the single phase 230 volt power supply. The single phase 230 volt power supply is sufficient up to normal fitness or therapy applications. For all special high performance

applications (speed running, controlled jump-ons, sidesteps, heavy subjects at higher speed, extreme eleva- tions, etc.), we recommend models with a 3-phase, 3x400 volt power supply (for example model h/p/cosmos quasar med 3p, pulsar 3p, venus or saturn).

page: 11 cos01-en-pert

Warning! Installation, commissioning, instruction, maintenance and repair work only to be conducted by h/p/ cosmos trained and authorised personnel. For treadmills with oversized deck (width >65cm), for children, spe- cial applications, without sufficient safety space behind the treadmill, for subjects and / or patients with health or other limitations (e.g. visual impairment, etc.), for running at high speed and / or for all individuals, where a fall triggers a dangerous risk of injury or death (e.g. newly operated hip patients, invasive probes, etc.), a fall prevention system is obligatory (e.g. safety arch with chest belt and harness or a weight support system). For more information see the instructions for use. Safety space behind the treadmill: min. L: 2 m (6ft 6.74“) x treadmill width. Children are only allowed to be on the treadmill, if under permanent supervision and secured by a fall prevention system.

sports / athletics

sports

quasar®

cycling & athletics

saturn® med 300/100r

performance diagnostics

pulsar® med 3p

German Engineering since 1988

inline skating

saturn® med 300/125r

fitness

pluto® / mercury® / quasar® / pulsar®

functional training

pulsar® med 3p + robowalk®

motion analysis

quasar® med

cross country skiing skating / biathlon

saturn® med 450/300rs

expander training

robomove®

wheelchair

saturn® med 300/125r

bike ergometer

torqualizer®

speed training / speedlab®

quasar® 3p

biomechanics gait parameters

optogait

rehabilitation

active gait correction

robowalk® expander / mercury® med

senior fitness

mercury®

orthopaedic rehabilitation

mercury® med / arm support / airwalk® ap

cardiac rehabilitation

mercury® med

body weight supported treadmill therapy

© 05/2024 h/p/cosmos [cos01-en-pert] Errors and omissions excepted. h/p/cosmos is certified according to EN 13485 for medical treadmills.

All technical data, descriptions, equipment variants and illustrations of devices, options and accessories are non-binding, in particular do not represent warranted characteristics and can deviate from offer and delivery.

The Bluetooth®, Windows®,, NFC and further word marks and logos are registered trademarks. All word marks, logos and trademarks are the property of their respective owners.

airwalk® ap / mercury® med

angiology

mercury® med

gait analysis / biomechanics

gaitway® 3d with force and pressure measurement

cardiovascular stress testing / CPET

mercury® med

locomotion therapy

locomotion® med 150/50

bike ergometer

torqualizer® 1200

medical certification pending

special applications

Fz

Mz

Fy My

Mx Fx

environmental & climate chambers

quasar® med 3p with external UserTerminal

h/p/cosmos dealer contact:

biomechanics

gaitway® 3d

military / army

quasar® special version

manufacturer

speed training

sprint trainer comet®

fire fighter ladder training & fitness

discovery®

h/p/cosmos sports & medical gmbh Am Sportplatz 8

83365 Nussdorf-Traunstein

Germany

phone: +49 86 69 86 42 0

fax: +49 86 69 86 42 49

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