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Dear valued distributor,

lt gives me great pleasure to introduce the h/p/cosmos® health and performance compendium.

This comprehensive book provides you with valuable insights to our products, applications and recommended configurations - an all-in-one knowledge base for your daily work with our innovative products.

Since the foundation of h/p/cosmos in 1988, we have been dedicated to the design and manufacture of high-quality treadmills and ergometers. Our products are recognised worldwide for their precision, reliability and ease of use. This compendium is a testament to our continuing efforts to provide you with the best tools for your work.

Driven by our strive to support people in achieving their personal goals, the products have been concepted as a tool to reach and overcome personal goals and challenges. The successful first steps of a stroke patient are just as inspiring to us as the world records set on our treadmills.

The following pages contain not only all necessary technical information and product descriptions, but also inspiring application examples and success stories from users around the world.

We hope this information will help you better understand the benefits of our products and support your customers in the most effective way.

Thank you for your partnership and confidence in h/p/cosmos.

Together we can continue to develop innovative solutions and shape the future of treadmill technology. With cosmic regards

Alexander Böck

m @HM+i

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TABLE OF CONTENTS

Reliable treadmills made in Germany 6

Flexible handrail concept 7

h/p/cosmos treadmill series 8

Service, lifetime, spare parts 9

Why our systems are the right choice 10

Why do users choose our systems? 12

Options 14

h/p/cosmos connectivity 18

UserTerminal Touch (Pro) 19

Voice of customer 22

Microgate Witty SEM 2s

System solutions for biomechanics 2a

Microgate optogait® 28

Zebris FDM-T 29

Zebris FDM-T 3d kinematics 31

gaitway® 3d 32

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System solutions for therapy 38

robowalk® expander 38

airwalk® ap unweighting system 40

User application manual - treadmill therapy 45

locomotion system 46

Perturbation - individual applications 48

VAST.Rehab - functional training with virtual reality 53

torqualizer®- reliable ergometers made in Germany 58

Gase studies 62

System solutions for performance diagnostics 64

Oversize applications 73

saturn 450/300 rs „The Beast" 76

Recommended configurations for therapy applications 79

Recommended configurations for performance applications 94

Recommended configurations for biomechanics applications 116

Technical device specifications 120

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UserTerminal

rotatable

mercury®med with standard handrails

RELIABLE TREADMILLS MADE IN GERMANY

German Engineering since 1988

mercury® med with optional paediatric handrails [cos102400-01va01]

mercury® med with optional long handrails [cos102918-01] and safety arch fall prevention [cos10079-01 va01]

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

h/p/cosmos standard

h/p/cosmos has been developing and manufacturing 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 every treadmill produced.

The outstanding level of h/p/cosmos products and service as weil 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 llb) and sports treadmills

Our treadmills are available as risk class llb medical treadmills as weil 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 !arge 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.

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FLEXIBLE HANDRAIL CONCEPT

Some of our best selling handrail configurations: The renewed h/p/cosmos handrail concept allows quick and

flexible adaptions of the treadmill to various demands.

Standard and long handrail

The ingeniously simple plug-in concept makes it a child's play to change the handrails and adapt them to the required application. As standard we deliver all treadmills of the mercury® series with handrails, which cover about half of the running surface length. By quickly loosening two hex head screws, the short

mercury® med handrail can be easily removed and replaced by the therapist or trainer with a

with optional long handrails[cos 10 291-80 1] long handrail (reaching to the end of the running surface), either on one side

or on both sides (for extended safety when stepping onto the running deck).

[cos104732_150]

quasar" med

with optional adjustable handrails [cos102550-01]

mercury® med

with optional paediatric handrails [cos102400-01va01]

pulsar" med

with optional long handrails [cos103877]

Adjustable handrail

h/p/cosmos treadmills can also be supplied with height and width adjustable handrails. This variant is ideal if you serve a heterogeneous clientele. They offer the different patient types (from children, to small and lall persons as weil as for obese patients) optimal conditions for therapy and/or training. In combination with the optional arm support, you also enable patients to train more safely and without fear. As an additional feature, the optional arm support offers the possibility of a manual unweighting by the patient relieving partial body weight on these stable pads. Additionally the adjustable handrail "comfort" is now available with its pneumatic spring support for even easier handling.

Paediatric handrail

For all the small patients it is necessary to equip the treadmill with a paediatric handrail system. This is no problem, since it can easily placed in every treadmill instead of a standard handrail. This special addition for children is adjustable in just a few steps for max. flexibility. The handles on the sides can be adjusted with an allen key, the cross bar is adjustable tool free with a turning handle. The minimum height starts at 41cm and ends in 82cm above tread. The extra cross tube in front is also flexible in height and is continuously adjustable. This extra cross tube is an important safety feature for special excercises like sidesteps.

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H/P/COSMOS TREADMILL SERIES

pluto®med with standard handrails

mercury® med with standard handrails

quasar® med with standard handrails

pulsar® med with standard handrails

saturn® with standard handrails

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With more than 35 years of experience in the development, manufacturing and service of sports and medical treadmills, h/p/cosmos is globally renown as a leading supplier of safe, reliable and flexible systems. Over the years, the portfolio of treadmills, systems and peripheral solutions has diversified according to market requirements. Each treadmill series has been tailored to the specific needs of a branch. Feedback and suggestions for improvement from professionals constantly drive our development. With a wide range of accessories, retro-fit kits and value-adding solutions, the systems can be adjusted to varying demands at any point during the product life cycle.

The pluto® series forms the entry level and very basis of our portfolio. With a running deck size of 150 cm x 50 cm, a centrally located UserTerminal with touchscree,nspeeds up to 22 km/h and an elevation of 25% as weil as 1 year limited warranty, the pluto® series is the cost­ efficient entry to the h/p/cosmos ecosystem.

The mercury® series shares the technical platform of the pluto® series, but allows a free perspective to the subject on the treadmill due to the UserTerminal position on the right handrai,l especially valuable e.g. for therapy with mirrors. In addition the UserTerminal can be rotated 180°, allowing an improved visibility, access and control for the therapist all around the treadmill. The mercury® series comes with a 5mm thick running bell, an increased maximum user weight of 300 kg and a limited warranty of 2 years.

With a running deck size of 170 cm x 65 cm (quasar®) or 190 cm x 65 cm (pulsar®), the treadmills of the quasar® and pulsar® series provide enough space for special therapeutics (e.g adipositas) as weil as athletic and performance applications. Top speeds of

30 km/h or even 45 km/h (pulsar® 3p) established the series as gold standard for performance diagnostics in sports performance and athletic training labs! For high performance applications including rolling applications (e.g. rollerski, bike, handbike, wheelchair, ...), oversized treadmills with ultrawide and long running surfaces of 200 x 75 cm (venus®) or up to 300 x 125cm (saturn®) are available. These systems are reliable, safe and extremely powerful and versatile! Special features like wheelchair stabilizers, front rollers and automatic lubrication systems emphazise our strive for performance and safety. With maximum inclinations of (+/-) 27% and up to 80 km/h, the systems are the product of choice when it comes to benchmark the best of the best.

The ultimate spearhead in the h/p/cosmos portfolio is the oversize and high performance treadmill saturn® 450/300 rs or as we call it: "the beast".This treadmill has specifically been designed to meet the requirements of classic rollski applications as weil as skating. With its massive 10 mm thick belt, the treadmill allows the utilisation of spiked ski poles to reproduce utmust real training on the treadmill. With available options like automatic speedcontrol and the adjustable safety arch for up to three persons, the system is the platform of choice in leading olympic training facilities around the globe!

SERVICE, LIFETIME, SPARE PARTS

h/p/cosmos systems at their best:

Basic to advanced needs - always adaptable

As a default, all h/p/cosmos treadmills come with a standard handrail, covering approximately 1/3 of the running surface. The handrail as weil as various other options such as safety systems (safety arch or airwalk® ap unweighting system with emergency stop) can be retrofitted to the existing system. The system can be expanded as required, even if the initial system is "only" a treadmill.

Always reliable and optionally medically certified

The h/p/cosmos treadmills have been manufactured and continuously developed since 1988. This means

!hat almest 4 decades of know-how have gone into the current series of treadmills. Whether the challenge is 20+ years of therapeutic use or a 24-hour non-stop world record, our treadmills remain reliable with regular maintenance. All models are available as medically certified version for most countries, according to MDR and certified by TÜV SÜD Germany.

Service

The h/p/cosmos service centre is one ofthe core departments at the h/p/cosmos headquarters in Traunstein. The specially trained experts guarantee fast response times, spare parts availability and shipping as weil as the latest knowledge base - everything from one single source. With every h/p/cosmos treadmill you made a choice for long lasting (medical) equipment. To keep it !hat way, a regular maintenance and service check are recommended. This includes electric measurements and mechanic checks as weil as maintenance works like filling up the special oil between the bell and the deck. Further information is always available in the operating instructions.

Annual service routines are recommended - ask our international service partners in your territory for a service subscription at a favourable price. Service technicians, certified via special training and subsequent tests at h/p/cosmos are available worldwide.

Retrofitting

lf the need for a different request for your therapy emerges, it can easily be met with our retrofitting possibilities as most treadmills can be retrofitted to a certain point. Frequently sold retrofitting solutions include e.g. our safety arch, an airwalk® ap unweighting system or a different sei of handrails.

Lifetime of h/p/cosmos treadmills

The lifetime of our medical treadmills is 10 years. Based on regular maintenance and service, this lifetime can easily be met. To further extend the longevity of your treadmill, you can extend it up to a total of 20 years with our „Extension of life time" upgrade package. lf ordered, a service technician will need to exchange some components of the treadmill to assure compliance and safety for a total lifetime span of 20 years.

Spare parts and availability

All spare parts for all models are available for a minimum period of ten years after your purchase. From the smallest screw to oversized treadmill belts and of course electrotechnical components. Spare parts, consumables and supplies like lubrication oil or extra unweighting vests can be purchased in the online shop.

All our spare parts available in the onlineshop here

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WHY OUR SYSTEMS ARE THE RIGHT CHOICE

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The right solutions for applications in training, testing, research and rehabilitation

h/p/cosmos has the worldwide biggest portfolio by far of standard treadmill and ergometer systems with options, supplies and also custom-made solutions for fitness, sports, athletics, biomechanics, medicine, therapy and science. Full scale of various treadmill running deck sizes from standard 150/50 cm up to oversize 450/300 cm. Speed from standard O . .. 22 km/h up to high speed 80 km/h for cycling on treadmills. Elevation from O ... 25% up to -35 ... +35% for special applications. From normal running deck to instrumented versions with 3 component force (Fz,Fx,Fy), torque (Mz,Mx,My) & pressure distribution for biomechanics applications.

Highest performance for excellent accuracy and dynamics in acceleration and deceleration Depending on the size h/p/cosmos has extremely powerful, maintenance free and high-capacity drive motors of 2.2, 3.7, 11.0 or even 30.0 kW. This is necessary for propelling athletes in sprint applications or performance diagnostics, for speeding up very thick, heavy and extremely durable running belts and also for perturbation applications with programmable extreme accelerations. The drive motor of the saturn® model with 11 kW for example and the heavy rollers provide exceptional dynamics, precision and smoothness. The deviation of the speed is on average 0.148 % (average deviation of0 .044km/h, measured both with no load and under load with runners of 78 and 94 kg).

How much is 1%? How important is 1%? How important is data validity?

Often fractions of seconds decide between winning and losing. The scores of the Olympic Games and other competitions show this fact clearly. Accurate time measuremen,t strong drive systems and high accuracies for treadmills and other measuring instruments are prerequisites and an integral part of a successful training control - no matter if you are a competitive or a recreational athlete. For sport-specific training methods and athletic preparation tests (e.g. shuttle run, T-test, sprints, performance diagnostics, etc.) measurements are very important also to see the impact of changing training plans, fitness and performance levels as weil as change in motion and running styles. Comparing with other equipment: Same size and speed does not mean same performance! Only precise and valid data are worth it to integrale into the training routine and training planning.

Flexible handrail and design concept with options, accessories and upgrade options

Different applications require different designs and safety options. A safety arch with harness and ehest bell system including quick stop and fall prevention system gives necessary confidence to athletes, trainers, exercise physiologists and also to patients, therapists and doctors to improve performance during exercise and tests.

With most h/p/cosmos treadmill models the operator is able to change handrail designs depending on applications or upgrade to different versions and features. Also adjustable handrails (width and height} or arm support for gait training are available. The patented robowalk® expander, which can be even retrofitted

/ upgraded at a later stage, provides necessary concentric, eccentric and lateral forces for stimulation, perturbation, support or walking and running style correction. Extra wide footboards and specially designed shortsprint handrails allow ergonomic and safe operation duringjump-on and jump off in sprintand hyper-speed trainings and tests. For 3D motion capture systems and video analysis detachable handrails are important.

The airwalk® ap unweighting system

The airwalk® ap unweighting system developed and manufactured by h/p/cosmos is not only for rehabilitation at low speed with 360° rotations but also for balance, perturbation and overspeed or co-ordination training. Wheelchair ramps or wheelchair stabilizers allow safe and ergonomic mounting, dismounting or even operation with sports wheelchairs on oversize treadmills for training and/or performance diagnostics. Various unweighting vests, harnesses, shorts or ehest belts in different sizes and for different applications are available.

Different running belts for different applications

Running belts for running may have a structured surface while running belts for cycling must have low rolling resistance. For use with ski-poles again different running belts with very thick structure of up to 10 mm are recommended to have non-slip characteristics even when they are getting wet and even during uphill skating/climbing and double-pole push tests to utilize maximum performance also with arms and upper body. lt is all about grip! h/p/cosmos has the suitable bell for your specific application.

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Connectivity, interface, compatibility and integration with other systems

Connectivity of treadmills and ergometers with hast ECG, VO2max, CPET, motion capture systems, EMG, IMUs, ergometry and fitness software and other systems are crucial for success, data validity and cybersecurity. h/p/cosmos provides excellent system integration with most reputable manufacturers via coscom® v4 interface through RS232, LAN / RJ45, USB, HDMI, optionally Bluetooth®, NFC/RFID, WiFi, FTMS for great connectivity with ECG stress lest and VO2 max. CPET Cardiopulmonary Exercise Testing equipment and fitness testing equipment. Even coscom_v4.dll is free for download: www.coscom.org

Softwarefeatures, multi-tasking, cognitive skills, perturbation, Stroop-Test

The new user terminal software features optional Stroop Test, dual tasking, cognitive skills, country flags, capitals, "ward salad" and mathematic tasks in various levels and has included lest profiles / protocols such as Bruce, modified Bruce, Graded Test, Naughton, Cooper, Balke, Super Balke, Ellestad A, Ellestad B, Gardner, UKK 2 km WalkTest, Conconi, Ramp, Fitkids, Chester Treadmill Walk, VO2/1Ok, VO2/11k, VO2/12k, VO2/14k, various interval tests incl. progressive interval, various pyramid tests, Hochfelln mountain protocol, etc.

Durability, Reliability, Economic Lifetime, Warranty, ROI Return of Investment

h/p/cosmos products convince with their lifetime and are built to last. Most other devices have an economic lifetime of 5 to 7 years based on the manufacturer's manuals. h/p/cosmos treadmills have an economic lifetime of 10 years plus another 10 years (20 years in total) after some preventive component replacements after 10 years of age. Many h/p/cosmos treadmills are even in use for 30 years. Furthermore, h/p/cosmos offers 20 years of warranty for the main drive motor and frame for almost all treadmill models. h/p/cosmos treadmills are outstanding in reliability, durability and return of investment! Almost all spare parts are available for decades.

Regulatory compliance for the safety and security of users and buyers

Already in the year 1990 the first h/p/cosmos treadmill has been tested in the laboratory of the TÜV SÜD Product Service in Munich. h/p/cosmos has been certified to ISO 9001 since 1998 followed by the EN ISO 13485 certification that represents the requirements for a comprehensive quality management system for medical devices. In Nov. 2022 h/p/cosmos got the MDR certification (EU) 2017/745 awarded.

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WHY DO USERS CHOOSE OUR SYSTEMS?

1 The right solution

h/p/cosmos has the worldwide biggest portfolio by far of standard treadmill systems with options, supplies and also custom made solutions for fitness, sports, athletics, biomechanics, medicine, therapy and science. In this catalogue there are just a few examples presented.

For customers and users it means that they have always made the right choice in choosing h/p/cosmos as their supplier even when the requirements of the machinery and system change at a later stage or an additional application is added.

With a significant number of standard treadmill models and an enormous program of options, supplies and configuration possibilities we are sure that we have the best solution for at least 99% of all customer applications. Many of our customers have several h/p/cosmos machines with differing run­ ning areas, functions, speeds, handrail designs, safety equipment etc. for which they value the identical user termina,lcoscom® interface, software, visualisation & analysis and the reliable service from one source.

1 Flexible and future-safe

Many of the valuable options and supplies are unique and can also be retrofitted. With the possibility to extend the usage the initial investment and future usage can be easily planned.

1 Safety for high performance

The design and ergonomics of the safety arch with ehest belt and fall prevention system motivate athletes and trainers and lead to unexpectedly high performance levels.

1 Running comfort

h/p/cosmos provide firstclass running comfort through the studded rubber profile of the running belt. The shock absorption properties can be adjusted to customer requirements (also retro-fit) e.g. research projects, studies or special projects.

1 Transparent data access

h/p/cosmos systems are open for all. Users can access nearly all of the raw data and parameters or even the formulas used for the calculations. An optional "scienceport" with raw speed data excluding the "smoothing algorithms" is available (also as retro-fit) for many models. Many parameters and measurements can be exported in standard format and used in spreadsheet programs.

1 Optimal compatibility through open interfaces

The very modern, powerful and extremely safe built coscom® v4 interface protocols and the coscom.dll library together with the coscom® controls are excellent features that make system integration and compatibilities both transparent and quickly implemented. Descriptions, implementation assistance and the coscom.dll are available free of charge from www.coscom.org, are therefore worldwide spread and have become very popular. Today almest all major ECG devices and cardiopulmonary exercise testing systems are compatible with all medical h/p/cosmos run­ ning machines through the coscom® protocol. Many other software manufacturers for motion analysis, biomechanics applications, lac­ tate and performance diagnostics, fitness diagnostics, entertainment and other applications also make use of the coscom® interface.

1 Automatie control

On-line self-diagnostics with error code displays of disturbances to heart rate monitoring, speed indicator, elevation angle, motor man­ agement, power supply stability and a number of other functions provide a high degree of reliability and support in monitoring, mainte­ nance or repair. According to the customer's wishes remote access, remote diagnostics, remote maintenance and / or training is possible.

1 Firstclass support

h/p/cosmos offers customers superior support in the planning stage (e.g. when installed in a pit) and later during the installation, training and appli­ cation use. Talk about your application and possible results expert to expert.

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OPTIONS

h/p/cosmos treadmill with safety arch [cos10079-01 va02] and ehest bell [cos14903-04-M]

powerful, reliable and accurate drive systems enable precise measurements as weil as high performance applications

pushing athletes to and beyond their limits is only possible as long as they feel safe and rely on the safety systems and material

Additional options for your individual treadmill solution

The numerous additional options allow you to adapt h/p/cosmos treadmills exactly to your needs and your field of application. Same of our most successful options:

Safety arch fall prevention

In the event of a fall, the patient or athlete is caught with a safety harness and the treadmill is automatically stopped. The h/p/cosmos safety arch with ehest belt prevents falling in case of tripping and by lass of coordination in the exhaustion phase. The fall­ stop stops the treadmill immediately and automatically by use of a quick-stop system. With this feeling of safety it is possible to train right up to the limit which is important for precise diagnostics.

Performance, high-speeds & -acceleration with 3-phase power supply systems Although performance diagnostics ofmarathon runners ortriathletes only place moderate demands on a treadmill system due to the very economical running style, the diagnosis of athletes from many other sports requires clearly increased performance. Also when sprint and speed tests are conducted with large and heavy athletes, the treadmill system must provide, in these short-term peak loads, accurate repeatable results. Single phase power supplies with only 230 volts are often overwhelmed. To deal with these requirements, we offer 3 phase power supplies for many of our treadmills.

The h/p/cosmos pulsar® 3p features above all a 3-phase power supply with 3 x 400 volts AC in addition to the larger running surface of 190 x 65 cm and the built-in reverse belt rotation for downhill training. Diagnostics for heavier athletes and many special applications are therefore possible up to 40 km/h (standard, optional 45 km/h). The high power capacities of 3-phase power drive systems allow extreme accelerations and to reach the maximum speed of 40 (or optional 45) km/h within 3 seconds when connected to 3 phase power supply! Sufficient power for sprint and acceleration trainings!

Built-in reverse belt rotation

As a standard on the pulsar series, the running direction of the belt can be reverted. With the incline set at the same time, downhill running can be simulated. The option is available for all h/p/cosmos treadmills with incline option.

Additional keyboard

The additional keyboard allows trainers or therapists to perfectly control the treadmill from the ideal external spot around the treadmill.

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OPTIONS

With optimal movement to success

A treadmill is particularly suitable for bio-mechanical analysis. Which wheelchair drive ring gives the best acceleration? At what cadence does the athlete have the lowest energy consumption? How can the movements be optimised? The design of the h/p/cosmossaturn® allows good visual access from all 4 sides. You can temporarily remove the handrail tube and handrail crossbar at the front for a completely unrestricted view during movement analysis.

The future acknowledged - possibilities for future retrofitting

h/p/cosmos treadmill systems are often in use for many years - for a large number of customers that's already over 20 years. Desires, needs and goals may change and develop over time. The h/p/cosmossaturn® offers you a wide variety of options and expansion possibilities. For example many systems are multi-use for movement analysis or coordination and technique training with unweighting which of course can also be retrofitted. Also for rehabilitation, functional training or speed training h/p/cosmosoffers you the ideal solution. Thanks to the integrated PC interfaces and the open coscom® protocol standard there is a tremendous range of compatible software solutions available.

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OPTIONS

comprehensive pressure plot visualisation

adaptive visual cueing [cos101291-01] with projected steps on the treadmill bell

gait and coordination training on a treadmill using virtual feedback [cos101062] and dual-tasking

zebris® pressure distribution

The pluto®, mercury®, quasar® and pulsar® series treadmills can be equipped or retrofitted with an integrated pressure distribution platform from the German manufacturer zebris®.

This upgrade allows versatile applications for rehabilitation, training and analysis! Underneath the bell, a pressure sensor matrix is installed !hat contains several thousand calibrated, capacitive pressure sensors.

The bell movement is compensated, so stable gait and roll-off parameters can be analysed and displayed in a comprehensive software interface as weil as in reports - a weil proven and established tool amongst therapists.

Gait training and adaptive visual cueing

The initial gait analysis is carried out without any measuring preparations to be done on the patient. The measuring process can be observed on the screen in real-time. The report is automatically generated. In order to prepare the gait training using adaptive visual cueing, the parameters from the gait analysis (step length & width and foot rotation) are automatically transferred and can be individually adjusted according to training objectives. The values remain constant or gradually approach the target settings during the course of the training. During training the steps are projected onto the treadmill bell in the shape of the actual footprints, or alternatively as rectangles. Throughout the gait training the patient is instructed to position his or her feet as accurately as possible within the projected area. The gait training including visual stimulation/cueing is also possible when using an unweighting system and thus also allows for patients who are suffering from severe functional limitations to start therapy even at an early stage. The report documents the adherence to the target settings. On

!hat basis, the target parameters can be adjusted to the patient's individual capability. For an optimal training control, two gait analyses are compared, e.g. before and after a training period.

Gait and coordination training using virtual feedback

Physical and cognitive abilities are simultaneously demanded during dual-task-training in the virtual walking environment. The patient solves simple perceptual and memory tasks as weil as arithmetic problems while walking and observing his or her footprints. Thus, reaction time and attentiveness are improved while simultaneously supporting automated walking. The various modules allow the training to be individually adapted to each patient.

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OPTIONS

h/p/cosmos treadmills with UserTerminal TouchPro can be connected directyl to virtual reality and training applications. The optimised tablet holder (cos102488_vesa) keeps the tablet in view.

h/p/cosmos speedcontrol [cos101000_speed_control] uses an optometric system to enable automatic speed and incline adjustment depending on the position of the subject on the running bell.

Versatile connection options

To serve the variety of peripheral devices in the best possible and secure way, h/p/cosmos devices communicate via the coscom® v4 interface protocol The latest UserTerminal Touch(Pro) additionally allows the connection of heart rate sensors and smart devices via Bluetooth. Various protocols (e.g. FTMS) facilitate the connection to virtual reality and training applications, motivating athletes and patients.

Speedcontrol

The speed of the running belt while running at higher speeds can be tiring and even distracting. The h/p/cosmos speed control system has been developed to automatically adjust the speed and incline according to the user's preferences. A optometric system tracks the exact position of the athlete on the treadmill and adjusts speed and/or inclination according to (customizable) presets.

Safety harness fall stop protection

In the event of a fall, the patient is safely caught in a ehest harness and the treadmill is automatically stopped thanks to the „quick-stop"system. This feature ensures the safety of athletes and staff alike.

The h/p/cosmos safety arch with ehest harness prevents a fall caused by tripping if coordination deteriorates during the exhaustion phase. This feature is essential for precise diagnositcs.

Training and analysis software para control

The para control software allows the full control of the treadmill from a connected computer with a convenient interface. The software also enables users to pre­ programme or edit tests and protocols on a computer prior to the training sessions. Profiles and tests can easily be set or modified even without the physical presence of a treadmill and transferred via USB stick.

selection buttons for speed Modified Borg Scale, Borg Scale, Pain Scale Graphical profile editor

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USERTERMINAL TOUCH (PRO) SPECIFICATIONS

10,1“

Display

1 High Sensitivity Touch display with TFT-LCD technology, 25,9 cm/ 10,1" (1280x800px)

1 Easily readable even with visual limitations

I Intuitive use with simple navigation

Usage

1 Everything can be controlled and adjusted with the touch display

1 Haptic buttons (Start, Stop, Pause , speed and inclination) provide additional safety in sweaty conditions or when wearing medical gloves

Connections / Interfaces

1 RS232

1 USB 2.0 /3.0

I LAN

1 optional NFC, RFID and Bluetooth®

System

1 Windows 10 lightweight

1 Computing unit integrated

1 Fanless (silent)

1 operating temperatures: min. 5° C ... max. +40° C 1 storing temperature: min. -20° C ... max. +55° C 1 humidity: min. 10 ... max. 95 %

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VOICE OF CUSTOMER

Sabine & Hans Lamprecht I HSH Lamprecht GbR, 73230 Kirchheim/Teck, Germany

Back in 1987, Sabine and Hans Lamprecht opened their first physiotherapy in Kirchheim/Teck close to Stuttgart. With more than 30 years of experience, they made their name in the German speaking territories and beyond for their evidence driven and practically oriented therapy approaches. Their science based but practical approach is the foundation for their daily work as therapists as weil as their activities as authors of various reference books and as lecturer at European universities.

Already in the second generation, 2019 marked a milestone with the opening of the new and extended therapy facility with additional floor space and updated equipment. The team of over 40 passionate specialists supports patients in the fields of physiotherap,yoccupational and speech therapy.

A free webinar series with Sabine Lamprecht has been recorded in her therapy facility on gait training and therapy and is available here:

When working with neurologic and orthopaedic patients, reliable and safe technology is key - both for the patient and the therapist. For many years, our team relies on h/p/cosmos when it comes to treadmills and ergometers.

Within the past 5 years, we were able to update, retrofit and extend our equipment. We are now able to adapt our equipment to the very individual needs of our customers - no matter if lall or small which is decisive for therapy success! One highlight and eye-catcher in our therapy is the unweighting system airwalk® ap with the locomotion® treadmill as weil as robowalk® expanders for active gait correction and training. The treadmill is an invaluable tool for neurologic therapy and enables us to provide early and safe return to therapy. In 2020, we were able to retrofit the existing system with a zebris pressure distribution platform and the visual cueing system, further extending the possibilities (e.g. for Parkinson's disease) and applications.

The h/p/cosmos pluto® med is daily used for gait training and therapy in our facility and the perfect companion to the locomotion®. lts smooth start and movement at very low speed - even with overweight patients - makes patients feel secure! Long handrails in combination with the adjustable arm supports allow a safe access onto the treadmill and a stabilisation and even light manual unweighting of the patient during the training.

Sabine Lamprecht

M.Sc. Neurorehabilitation Founder & Owner HSH Lamprecht GbR

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VOICE OF CUSTOMER

Corox by Hans Friedl - Institute for Rehabilitation, 83533 Edling, Germany

Corox by Hans Friedl was founded in 1996 and has always followed the guiding principle

,,Feel your senses". Our highly qualified and committed team of physiotherapists, sports scientists and office staff are dedicated to the well-being of our patients. Treatment methods that are precisely tailored to the needs of the individual and based on the latest scientific findings are the hallmark of our therapeutic activities.

With over 1,600 square metres of treatment area and more than 5,000square metres of outdoor space, we have all the facilities we need. Especially the rehabilitation of athletes is our strength.

Of course, we want to combine our expertise with the best technical possibilities. This is the reason why we have been relying on h/p/cosmos products for many years. For diagnostics in our movement laboratory we have chosen the h/p/cosmos treadmill with integrated zebris pressure distribution. The treadmill is a very valuable component of our testing for automated multi parametric gait analyses and optimises our therapy results in the long term through the insights it provides.

In our physiotherapy area, we offer active and passive therapy measures. Our therapists always do their best to achieve a treatment that is optimally tailored to the patient.

With our pluto® and mercury® medical treadmills in combination with zebris and the Witty SEM system by Microgate, we enable patients in gait and physiotherapy to train and improve their reactivity, agility and motor-cognitive skills.

We can start at a very slow treadmill speed and therefore have the time to analyse gait patterns and are able to even show the patients own walking pattern and therefore can adjust it in small steps.

Under laboratory conditions in our Corox Athletics Center with running track, jump and speed measurements, mobility tests and maximum strength measurements, we get to the bottom of your movements.

In the field of sports, we try to compensate for disturbed physical functions, regenerate, prevent secondary damage and promote health-oriented behaviour by means of various movement therapy measures.

Hans Friedl

Founder & Owner

COROX by Hans Friedl - Therapy Centre

m @HM+i

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VOICE OF CUSTOMER

Zentrikum Traunstein, 83278 Traunstein, Germany

At Zentrikum, people take centre stage. As an interdisciplinary neurological practice, we combine physiotherapy, occupational therapy and speech therapy in one location in order to offer patients holistic and individually tailored treatment.

Our goal is to improve the quality of life of our patients and to promote their independence in everyday life. In both locations of the centre (Traunstein and Altötting), 18 experienced therapists from various disciplines work closely together to ensure comprehensive care.

Thanks to interdisciplinary cooperation, we are able to treat complex neurological diseases from different perspectives and develop holistic treatment concepts.

The number of neurological diseases is increasing as the population ages, leading to a greater demand for neurological therapy. However, there is often a lack of specialized outpatient care for neurological patients. To address this gap, the "Zentrikum" offers a comprehensive range of interdisciplinary therapies based on the International Classification of Functioning, Disability and Health (ICF). The programme is focused on physiotherapy, speech therapy, and occupational therapy, with close collaboration between these areas to create optimal treatment plans.

The goal is to support patients in their daily activities, maintain or improve autonomy, and prevent secondary damage. The centre also offers innovative therapy and analysis technology, such as gait analysis and therapy-supported brain wave measurement. The use of standardized language in documentation and therapy reports improves patient compliance and justifies the economic necessity of

prescriptions. Overall, the "Zentrikum" aims to provide specialized and effective neurological care at one location. Gernot Pichler

Management Zentrikum

Witty SEM System - Microgate

The Witty SEM System from Microgate is a training tool that has been proven to be highly effective in therapeutic work with neurological patients. lt offers a wide range of training options aimed at promoting cognitive and motor functions, making it particularly useful in neurorehabilitation.

Therapeutic goals include training cognitive skills such as memory, attention, and concentration, as weil as promoting peripheral vision and stimulus perception. Training is often combined with exercises to strengthen muscles and improve mobility, supporting motor skills, trunk stability, and balance. Eye-hand coordination is also targeted, which is crucial for everyday tasks such as grasping objects or operating devices. Overall, the Witty SEM System helps to improve physical and cognitive resilience.

Training options and therapeutic goals

One of the key advantages of the Witty SEM system is its versatility and customisability. lt can be used in combination with other therapeutic devices and aids, such as standing tables, treadmills, unstable supports, weights, or everyday objects. This allows for a tailored approach that can be adapted to the specific abilities and needs of each patient. This flexibility is especially important in the rehabilitation of neurological patients, as the degree of impairment can vary widely.

Versatility and customisation

The Witty SEM system has proven to be particularly valuable in the rehabilitation of patients with Parkinson's disease, strake, multiple sclerosis, or traumatic brain injury. lt promotes neuroplasticity, which is crucial for motor learning and the restoration of neuronal connections. By challenging patients with both cognitive and motor tasks simultaneously, the system helps improve functional abilities.

Practical experience

Practical experience at the Traunstein and Altötting centres has shown very positive results. Patients report increased motivation, supported by the playful and interactive design of the training programme. The flexibility of the exercises leads to rapid expansion of their abilities and a noticeable improvement in their quality of life. The system's external focus, concentrating on external stimuli rather than the movement itself, has optimised movement sequences and cognitive processing. The user-friendliness and ease of use of the system also make the therapists' work more comfortable, as they can easily tailor the training to individual patients' needs and goals.

The Witty SEM System is an extremely flexible and effective training device in the rehabilitation of neurological patients. By combining cognitive and motor exercises that can be customised, it offers an excellent opportunity to promote neuroplasticity and support motor learning. lts use in practice has shown that patients not only benefit from a significant improvement in their physical abilities, but also from an increase in their motivation and quality of life. The system is therefore a valuable addition to therapeutic work in physiotherapy and occupational therapy.

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VOICE OF CUSTOMER

Ultra runner Florian Neuschwander • Run with the Flow, Germany

1 have been using the h/p/cosmos quasar for over 3 years now. 1 also ran the 50km treadmill world record on a quasar in 2020 at the start of the COVID pandemic. A year later, after my 50km world record had been broken three times, 1 set a new 100km world record on a h/p/cosmos quasar! And about six months later I had this treadmill in my basement and have been training very hard on it ever since.

lt's a great tool forme, especially in the winter with ice and snow or when the weather outside is bad. l'm very happy with it! 1 use it mainly for intervals and fast training sessions, but also

for easy endurance runs. 1 can also compare my performance on the treadmill 1:1 with running outdoors, i.e. everything I train on the treadmill can be directly transferred to good conditions outdoors - and vice versa. lt's a great training tool forme to improve and measure my performance.

1 also use the treadmill for a lot of my training and race preparation, especially for high speed intervals. The quasar is my number one training tool. In addition to the treadmill, 1 also use an h/p/cosmos altitude generator to further improve my performance. The system is positioned between my treadmill and my bike, so I can use it flexibly, depending on what l'm doing.

Florian Neuschwander World record & ultra runner Owner of „Run with the Flow"

Training session in virutal reality with FTMS Advanced connectivity

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MICROGATE OPTOGAIT®

Live biofeedback allows direct manipulation on gait parameters

optofix®mounts the 0ptoGail" bars in the ideal position, so jumping oll the running bell and onto the footboards is still possible

h/p/cosmospulsar with magnetic optofix® holder and 1.5m OptoGail"

OptoGail" system can be extended modularly at any time with connecting elements

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OptoGait® developed by the ltalian company Microgate is a pioneering system for movement analysis and functional assessment of a patient under normal or pathological conditions. The system is equipped with optical sensors that operate at a frequency of 1,000 Hz as weil as a resolution of approx. 1 cm and records spatiotemporal parameters during walking, running and other types of movement. With the magnetic optofix® holder system (developed by h/p/cosmos) the OptoGait® bars are magnetically attached to the side of the treadmill frame and placed at an optimal height above the running belt. While the athlete is moving on the treadmill, his steps, with the corresponding parameters, are measured precisely to the thousandth of a second. Relying on the proven and widely available coscom interface, the h/p/cosmos treadmill communicates with the OptoGait® software. lf the speed of the treadmill gets adjusted during the test or training, the determined parameters are automatically calculated and displayed correctly. For additional safety, the optional safety arch is available, which prevents a fall and stops the treadmill in such an event.

The OptoGait® system is used in conjunction with a treadmill, with a matching number of bars, based on the size of the treadmill. The software features a biofeedback tool that provides real-time visualization of gait parameters, such as symmetry or asymmetry, stride lengths , and ground contact times. Videosignals can also be fed and synchronised in the software. These visualizations are valuable for athletes and patients undergoing therap.yThe software also offers a trigger output, which provides a TTL trigger signal with every first ground contact,

!hat can be utilized in external systems, such as EMG or EEG analysis.

Speedcontrol [cos101000_speed_control], an h/p/cosmos solution for automated speed and inclination control, is also based on the OptoGait® system which can be additionally used for jump and gait analyses directly on the floor, in addition to its use on a treadmill.

Study overview Microgate OptoGait®:

Lienhard, K., Schneider, D., & Maffiuletti, N. A. (2013): Validity of the OptoGait photoelectric system for the assessment of spatiotemporal gait parameters. Medical engineering & physics, 35(4), 500-504.

Kirn, K. H., & Lee, S. M. (2014): Effects of forward & backward walking training with progressive body weight supported on stroke patients' ambulatory ability. Physical Therapy Rehabilitation Science, 3(2), 77-85.

Lee, A., Park, J., & Lee, S. (2015): Gail analysis of elderly women after total knee arthroplasty. Journal of physical therapy science, 27(3), 591.

Jaen-Carrillo, D., et al. (2020). Test-retest reliability of the OptoGait system for the analysis of spatiotemporal running gait parameters and lower body stiffness in healthy adults. Proceedings of the institution of mechanical engineers, part p: journal of sports engineering and technology, 234(2), 154-161.

Weart, A. N., et al. (2020). Agreement Between the OptoGait and lnstrumented Treadmill System for the Quantification of Spatiotemporal Treadmill Running Parameters. Frontiers in Sportsand Active Living, 2, 571385.

ZEBRIS FDM-T

comprehensive pressure plot visualisation

adaptive visual cueing [cos101291-01] with projected steps on the treadmill bell

gait and coordination training on a treadmill using virtual feedback [cos101062] and dual-tasking

Most h/p/cosmos treadmill series can be equipped or retrofitted with an integrated pressure distribution platform from the German manufacturer zebris®. This upgrade allows versatile applications for rehabilitation, training and analysis. Underneath the belt, a pressure sensor matrix is installed that contains several thousand calibrated, capacitive pressure sensors. The belt movement is compensated, so stable gait and roll-off parameters can be analysed and displayed in a comprehensive software interface as weil as in reports - a weil proven and established tool amongst therapists.

Gait training and adaptive visual & acoustic cueing

The initial gait analysis is carried out without any measuring preparations to be done on the patient. The measuring process can be observed on the screen in real-time and a report is automatically generated. In order to prepare the gait training using adaptive visual cueing, the parameters from the gait analysis (step length & width and foot rotation) are automatically transferred and can be individually adjusted according to training objectives. The values remain constant or gradually approach the target settings during the course of the training. During training the steps are projected onto the treadmill bell in the shape of the actual footprints, or alternatively as rectangle.sThroughout the gait training the patient is instructed to position his or her feet as accurately as possible within the projected area. The gait training including visual stimulation/cueing is also possible when using an unweighting system and thus also allows for patients who are suffering from severe functional limitations to start therapy even at an early stage. The report documents the adherence to the target settings. On !hat basis, the target parameters can be adjusted to the patient's individual capability. For an optimal training control, two gait analyses are compared, e.g. before and after a training period.

Gait and coordination training using virtual feedback

Physical and cognitive abilities are simultaneously demanded during dual-task-training in the virtual walking environment. The patient solves simple perceptual and memory tasks as weil as arithmetic problems while walking and observing his or her footprints. Thus, reaction time and attentiveness are improved while simultaneously supporting automated walking. The various modules allow the training tobe individually adapted to each patient.

Study overview Zebris®:

Zhi-Qiang Fan, De-Wu Liu: lmpairment characteristics of static balance and plantar load distribution of patients undergoing tibial cortex transverse distraction for diabetic foot ulcers Mariusz Bedla, Pawet Pi ta, Daniel Kaczmarski, S. Deniziak

Estimation of Grass Motor Functions in Children with Cerebra! Palsy Using Zebris FDM-T Treadmill

Fan Y, Li Z, Han S, Lv Ch, Zhang B: The influence of gait speed on the stability of walking among the elderly

Holl B,. Wewerka G, Bartsch H, Malisa MI, lllhardt C, Wewerka G, Pilz G, Wipfler P,

Trinka E, lglseder B, Kraus J: Extensive Semi-Automated Gail Analysis by Zebris FDM during Treatment of Multiple Sclerosis Associated Gail Disturbancies with Fampridine-SR

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ZEBRIS FDM-T

Standardised and detailed reports visualise the results and create comparability

In gait training with adaptive visual stimulation, the parameters step length, step width and foot angle, which are automatically gathered from the conducted gait analysis, are individually adapted to the targets. The values can remain constant during the entire training or gradually approach the targets during the course of the training. With the intuitively operated software, the course of treatment can be automatically and easily documented by well-founded reports. Optional lighting and camera units are available to record kinematic parameters and for video documentation.

Dual-task training in the virtual reality / environment simultaneously challenges motor and cognitive skills. While walking, the test person solves tasks of varying difficulty that stress perception, memory and calculation. This trains attention skills and deepens the degree of automation of walking. The training can be individually tailored to each patient by choosing from the different modules available.

Study overview zebris FDM-T:

Hollander, K., Riebe, D., Campe, S., Braumann, K. M., & Zech, A. (2014): Effects of footwear on treadmill running biomechanics in preadolescent children. Gail & posture, 40(3), 381-385.

Nüesch, C., et al. (2018). Repeatability of spatiotempora,l plantar pressure and force parameters during treadmill walking and running. Gail & posture, 62, 117-123.

Van Alsenoy, K., Thomson, A., & Burnett, A. (2018.) Reliability and validity of the Zebris FDM-THQ instrumented treadmill during running trials. Sports biomechanics.

Steib, S., et al. (2019). Exploring gait adaptations to perturbed and conventional treadmill training in Parkinson's disease: Time-course, sustainability, and transfer. Human movement science, 64, 123-132.

Nüesch, C., et al. (2019). The effect of different running shoes on treadmill running mechanics and muscle activity assessed using statistical parametric mapping (SPM). Gail & Posture, 69, 1-7.

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3 axes force measurement Fz, Fy, Fx

Fz

Mz Fy

My

Mx Fx

GAITWAY®3D

h/p/cosmos gaitway® 3d

\

The gaitway® 3d has been developed in close cooperation between h/p/cosmos and Arsalis. lt measures ground reaction forces in three axes as weil as the centre of pressure (COP). The gaitway® 3d is currently available in three deck sizes: 150 x 50 cm, 170 x 65 cm or 190 x 65 cm. Each size is optimized for a range of speeds. A scientifically evaluated algorithm subdivides ground reaction forces during the gait of left and right ground contacts, which means that for the first time no split bell is needed for this application! Split bell systems separate left and right track and significantly change the natural gait pattern!

Based on its extremely rigid construction, the gaitway® 3d is able to record biomechanical signals ofmaximum quality. To further minimise the vibration characteristics, various components (such as the detachable handrails and the optional safety arch} have been decoupled from the treadmill and the measuring platform. The gaitway® 3d is bolted to the floor with its sub-frame and the optional inclination module. Optionally, the gaitway® 3d can also be seamlessly connected with other biomechanical systems such as zebris FDM-T and via a digital interface to video/ MoCap systems (e.g. Qualisys & Vicon). Furtherfunctions include a patient / athlete scale, the precise acquisition and recording of ground reaction forces at rates of up to 10 kHz, a left and right force measurement for vertical and horizontal force during walking and running and an extensive list of biomechanical parameters for normal and pathological gait patterns.

In addition, the system also allows the display of biofeedback for gait rehabilitation and performance training. Digital start / stop input triggers as weil as synchronisation outputs and analogue signal outputs enable the integration of the instrumented gaitway® 3d treadmill into e.g. EMG and motion analysis systems. Automatie software updates allow easy expansion of functionalities and a high level of customer support.

The combination of 3D force measurement and pressure distribution in a single system makes the gaitway® 3d one of the world's most advanced treadmills for biomechanics.

Optional pressure distribution measurement

The optional, additional installation of a zebris pressure distribution platform under the running bell can further enhance the field of possible gaitway® 3d applications. The evaluation of the pressure distribution provides valuable information such as the COP under each foot during the single and double contact phase, the foot rotation angles and the rolling characteristics.

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GAITWAY®3D

Gait symmetry measurement incl. foot rotation and roll-off characteristics more insights due to optional addition of pressure distriution sensors

Testing the virtual split bell feature on the gaitway® 3d Downloadthe video

Virtual split belt

The new optional „Virtual Split Belt", function of the gaitway® 3d biomechanics treadmill offers excellent value in rehabilitation and research. lt has been first time presented at ISBS Salzburg 2024.

The speeds for left leg and right leg can be adjusted in different ranges during contact gait phases. Fast acceleration of the sophisticated h/p/cosmos treadmill drive systems, which is also used for the optional perturbation mode allow the speedchanges to virtually simulate 2 different belt speeds but with the great benefit of having a single belt treadmill deck. On single belt treadmills runners and patients can move on the deck freely without focusing on any gap between left and right treadmill belt. There is no gap on the single belt h/p/cosmos gaitway® treadmill and therefore also the step width of the subjecUpatient remains normal. Even overcrossing is no problem on the single belt gaitway.

Study overview h/p/cosmos gaitway® 3d:

Dierick, F., Penta, M., Renaut, D., & Detrembleur, C. (2004): A force measuring treadmill in clinical gait analysis. Gait & posture, 20(3), 299-303.

Van Caekenberghe, 1., et al. (2013). Mechanics of overground accelerated running vs. running on an accelerated treadmill. Gail & Posture, 38(1), 125-131.

Meurisse, G. M., et al. (2016). Determination of the vertical ground reaction forces acting upon individual limbs during healthy and clinical gait. Gail & posture, 43, 245-250.

Bastien, G. J., Gosseye, T. P., & Penta, M. (2019). A robust machine learning enabled decomposition of shear ground reaction forces during the double contact phase of walking. Gail & posture, 73, 221-227.

Keshvari, B., et al. (2022). Evaluating the Effect of Shoes with Varying Mass on Vertical Ground Reaction Force Parameters in Short-Term Running. International Journal of Exercise Science, 15(1), 191-205.

m @HM+i

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CORE COMPETENCE BIOMECHANICS

Biomechanical applications have special requirements. We have the right solutions for your applications.

h/p/cosmosgaitway® 3d with UserTerminal MCU6 and inclination module in matt black

lnstrumented h/p/cosmos treadmill with ceiling-mounted fall prevention

On demand, unfiltered data and parallel data streams meet highest scientific standards and facilitate evaluation

1 Frame color in special matt black design RAL9005

to avoid disturbing reflections during camera applications

1 Flexible handrail concept

allows utmost flexibility and clear view of the hips

1 Detachable handrails & handrail pillars

for unrestricted vision, the cameras capture every angle

1 Fall-stop prevention through ceiling mount

safety for athlete or patient with simultaneous unrestricted view

1 Science Port

a speed-sensor delivers exact and unfiltered speed values

1 Flexibility

quick and uncomplicated transport of the treadmill e.g. with retractable wheels

1 Climate chamber / altitude chamber

technical special solutions for altitute, freezing and humid environments

1 Reverse belt rotation

enables eccentric training / downhill running

(when simultaneously using reverse belt rotation and inclination)

1 Extended connectivity

different remote controls and software solutions facilitate the work, e.g. with other systems such as ECG, spiroergometry, ECC, MoCap, IMUs, EMG, etc.

Perturbation

The perturbation option has been developed for special therapy and training applications. Relying on our powerful motors, extremely fast, jolting acceleration and deceleration of the running belt are possible, simulating slipping or tripping. A fall prevention is mandatory for these applications.

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ALWAYS THE RIGHT SOLUTION

gaitway® 3d

Mz Fy

My

Mx Fx

h/p/cosmosgaitway® 3d with inclination module

Fz A treadmill, developed by biomechanics for biomechanics. This innovative system has been designed and built in a close cooperation between the specialists from Arsalis in Belgium and h/p/cosmos. The entire treadmill (available sizes 150 x 50 cm/ 170 x 65 cm/ 190 x 65 cm) is mounted on 3D force sensors (strain gauges), which measure forces in three planes. In addition to the vertical ground reaction force, the lateral and forward­

backward forces are measured simultaneousl.y The treadmill thus

functions like a large force plate. A scientifically evaluated algorithm subdivides ground reaction forces during the gait of left and right ground contacts, which means that for the first time no split belt is needed for this application! Split belt systems separate left and right track and significantly change the natural gait pattern!

A particularly rigid frame construction underlines the highest standard for precision just as much as the removable handrails and the optional safety arch which are decoupled to minimise vibration characteristics. The gaitway® 3d is bolted to the laboratory floor with its subframe and the optional inclination module. Optionally, the gaitway® 3d can also be seamlessly connected with other biomechanical systems such as zebris FDM-T and via a digital interface to video/MoCap systems (e.g. Qualisys & Vicon).

With the release of our latest medical treadmill series, the gaitway®3d option is now also available for medical devices according to medical device regulation MDR (EU) 2017/745 with running deck sizes of 150 x 50 cm and 170 x 65cm!

m @HM+i

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Fz

Mz Fy

My

THE SYSTEMS AT A GLANCE

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EXAMPLE REPORT MICROGATE OPTOGAIT

EXAMPLE REPORT ZEBRIS FDM-T

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airwalk® ap [cos30028) with robowalk® front and back allows support or resistance in every direction and unweighting

robowalk® expander back [cos104836)

allows for supportive or resistance expander training

fully adjustable robowalk expander front for airwalk® ap [cos104835_aw] with width and heigth adjustment

fully adjustable robowalk® expander back [cos104836) with rotatable arms

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The active gait trainer robowalk®

ROBOWALK®EXPANDER

The gait trainer robowalk® is suitable for providing patients with different degrees of impairment with appropriate support or resistance during gait training. lt can support the patient in taking a step while walking or can also be used to strengthen the leg muscles. The full system gait trainer robowalk® consists of eight elastic expander cables. Two pairs of expanders are attached to the front and back ends of the treadmill via longitudinal bars. The expander cables are attached to one or both legs with cuffs, depending on the indication. The colour coding indicates the size of the cuff. lnstead of the cuffs, straps can be used which are held with the hands and thus include the arms in the training. The application technique determines the effect the expander has on the gait.

Essentially, two application techniques can be differentiated: ,,Support mode", in which the expander cables support the direction of movement of the legs, and „Challenge mode", in which they provide resistance against the direction of movement. Therapeutic staff are greatly relieved when training the walking ability with impaired patients, as the necessary manual support when walking on normal surfaces is no longer required. Various optional features, such as the body weight support system and adjustable handrails, can further support the therapy. The robowalk® expander can additionally replace the manual guidance of the legs by one or two therapists for severely affected patients.

Benefits of the robowalk® system

1 rehabilitation of gait disorders in various orthopaedic, surgical and neurological clinical applications

1 applicable for fitness training as weil as for orthopaedic and neurological therapy

1 space-saving resistance trainer, without heavy weights

1 vertically or horizontally adjustable

1 the resistance is much more constant and has less progressive force curves over the entire range of motion compared to most other expander systems

Applications in rehabilitation

1 joint replacement

1 traumatic injuries of the lower extremities

1 stroke

Download

Prof. Dr. Cornelia Schlick, physiotherapist and application specialist for gait analysis and therapy wrote the "User Application Manual" for treadmill therapy in rehabilitation, providing a deeper understanding and knowledge on this system.

1 multiple svvclerosis 1 spinal cord injuries 1 brain injuries

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AIRWALK® AP UNWEIGHTING SYSTEM

pluto® med with adjustable handrails [cos102550-01,] airwalk® ap unweighting system [cos30028],

robowalk® front [cos104835_aw] and back [cos104836]

pluto® med with adjustable handrails [cos102550-01], airwalk® ap unweighting system [cos30028], robowalk front [cos104835_aw], back [cos104836]

and reverse bell rotation [cos10181-03]

clearly readable adjustment panel of the airwalk® ap

What makes the airwalk® ap so unique?

The airwalk® ap training-, diagnostic- and rehab-system allows you to start your gait training and functional training very early after an injury. The goal is to bring the athlete's or patient's movements back to a normal rhythm - even if the joints are not yet fully loadable (with normal gravity).

Another important field of application is stability- and fall prevention training. Therefore the airwalk® ap in combination with the robowalk® expander will facilitate a full body workout with focus on core-stabilization, stabilization of the lower extremities and balance. The robowalk® expander allows concentric, eccentric and lateral loads even for adductor and abductor muscles workout in all directions of walk.

Early rehabilitation start through individual weight release up to 80 kg or optional even up to 120 kg.

The unweighting system can easily be adjusted from approx. 0.5 kg weight relief up to 80 kg (standard) or even 120 kg (optional). The single point suspension allows 360° rotations as weil as side steps, lunges, etc.

The optional emergency stop makes the system even more safe and stops the treadmill in case of a fall while the patient is caught in a vest. The operation of the airwalk® ap requires a compressor.

Unweighting system airwalk® ap (with optional emergency stop)

In the event of a fall, the patient is caught with the unweighting vest or a safety harness and the treadmill is stopped automatically.

360° rotation is possible

For the runner it is possible to do side steps, lunges and even backward movements, as weil as uphill and downhill running - depending on the treadmills possibilities.

Full access and free sight to the legs, pelvis and upper body of the patient.

This is very helpful, especially in any therapeutic situation or with the use of robowalk® with which you can apply gait guidance, assistance and correction.

Retrofitting for your h/p/cosmos treadmill

The airwalk® ap can be retrofitted for treadmills up to deck size 190 x 65 cm. These treadmills are the series pluto®, mercury®, locomotion®, quasar® and pulsar®.

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AIRWALK®AP LT UNWEIGHTING SYSTEM

The airwalk® ap lt - your custom solution to fit any space To cope with complex room situations, a floor/wall/ceiling mounting of the airwalk® system has been developed. With the flexibility of floor or wall mounting of the base element, a location can always be found within your space.

Tested for patients up to 250kg

In the event of a fall, the patient is caught with a safety harness and the treadmill is automatically stopped - as known from the airwalk® ap

Planning of your custom solution

h/p/cosmos can support you with any technical subject while planning an individual unweighting solution based on your individual location.

Mounting of airwalk® ap lt

The floor/wall/ceiling mounting of the system must be performed by an appropriate specialist contracted by the customer. The final function check has to be performed by an authorized h/p/cosmos technician.

airwalk® ap lt [cos30028-lt] with two different moun­ ting systems as example - trough suspended ceiling with deflection roller mounted into the ceiling or with spaced mounting between ceiling and

suspended ceiling

m @HM+i

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SAFETY ARCH AND AIRWALK® AP

For h/p/cosmos, safety is the first priority. Both the safety arch and the airwalk® ap have been designed to provide utmost security during treadmill training. Depending on your specific needs, we have two solutions for you.

The h/p/cosmos safety arch and airwalk® ap with optional fall stop automatically stop of the running belt in the moment a fall occurs. The ehest belt or unweighting vest secures the subject and prevents falling over. The ehest belt do not restrict the patient during training.

additional height upgrade emergency stop unweighting

available as ceiling mount necessary accessories

for patients up to 220cm included

Fall prevention system for ceiling mount cos15866-01

individual height versions optional available starting at 250 cm

optional

up to 80 kg (optional up to 120 kg)

Unweighting system for ceiling mount cos30028-lt

compressor / compressed air supply

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Safety arch extension kit [cos14424-01] for height extension to a maximum user height of 220cm.

Also available as retrofit version [cos14424-01ret]

quasar® med with optional long handrails [cos103876] and safety arch [cos10079-01va02]

pluto® med with optional adjustable handrails [cos102010-01va01], airwalk® ap [cos30028] and wheelchair ramp [cos16186-02]

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USER APPLICATION MANUAL - TREADMILL THERAPY

Prof. Dr. Cornelia Schlick, physiotherapist and application specialist for gait analysis and therapy wrote the "User Application Manual" for treadmill therapy in rehabilitation, providing a deeper understanding and knowledge on this system.

Multimedia support

lt is supported with video examples for better visualisation including many use cases for the airwalk® ap unweighting device and its accessories. Aside many relevant exercises or illustrations you will find appropriate QR codes to scan and as clickable text links. These will lead you to the relevant example video.

In addition, a YouTube playlist has been created where you can watch all the videos produced in sequence.

- II

Following links will guide you to the matching playlist:

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YouTube

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h/p/cosmos cloud

Purpose and structure of the user manual

The user manual serves as a clinical reference book for users of h/p/cosmos treadmill systems in the field of rehabilitation. The first part introduces the treadmill with its features specific to rehabilitation. This includes for example the (dynamic) body weight support system „airwalk® ap" and the active gait trainer robowalk®. In the following part, exercises for treadmill therapy in neurological and orthopaedic related gait disorders are suggested. The exercises are sorted according to their degree of difficulty. In ad­ dition, different settings of the robowalk® are discussed. The third part contains some case studies, for each of which a possible treatment session is shown.

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LOCOMOTION SYSTEM

The locomotion system is the spearhead of our therapy solutions. For an early and safe start of therapy, the h/p/cosmos locomotion treadmill system can be combined with the unweighting system airwalk® ap. For a safe and fearless access to the treadmill, a wheelchair ramp can be mounted. Furthermore the handrails can contain telescopic extensions which can be pulled out 55 cm (21.65") to give additional stabilisation to the patientswhen accessing the treadmill. They can assist and hold the handrails in many cases.

Not only the patients profit from this system, also do the therapists who work with the patients. Especially manual gait adjustments of the patient result in a mostly uncomfortable crouching of the therapist, which we address in our systems. Foot rests and movable and rotatable therapist seats allow a near yet safe position for the therapist close to the patients' limbs. The additional keyboard for the treadmill enables a smooth operation without the need of using the terminal while performing manual therapy.

The comfort handrail can smoothly be rotated and is also adjustable in width.

The treadmill system can be equipped with variable footrests for therapists which are included with the seats.

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The treadmill system can be equipped with seats for therapists [cos104733_150]

The therapist seats are fully rotatable [cos10473_3150]

Handrail systemwith additional extension rods.

Why decide for a locomotio®ntreadmill system?

Due to an unergonomic working position and the difficulty of manually working with the patient's legs the therapists may find it difficult or even impossible to work with normal tread­ mills in manual locomotion therapy. Especially after several consecutive sessions, the thera­ pists experience fatigue and often pain in shoulders and back.

These problems can get worse when working with spastic patients. lt may even lead to an early termination of the therapy. Therefore h/p/cosmos has developed a very sophisticated and ergonomic solution, which also cares for the therapist.

We understand !hat only motivated and healthy therapists can optimally serve the patient's needs.

The simple to adjust rotatable therapist seats - with lumbar support - and corresponding foot rests on both sides of the treadmill allow the therapist to sit comfortably and firmly positioning themselves optimally.

For locomotion therapy the specially designed seats are positioned very close to the center of the deck, so the posture of the therapists is optimized. No obstructive bars from frames or other obstacles restric the therapists' access to the patient's legs. To maximise patient safety while avoiding interference with e.g. lateral motion analysis, the h/p/cosmos safety arch and unweighting system airwalk® ap have a "arch" design.

Benefits of locomotio®nand optional controls

Altering the speed, changing the elevation and stopping - the therapist must al­ ways have access to these functions. Frequently standing up of the therapists during locomotion therapy for re-adjustment of speed and elevation parameters would interrupt the manual motion support to the patient's legs. lt would mean confusion and burden to patient and therapist and would make the therapy much less attrac­ tive and effective.

To simplify this, the additional keyboard and the additional stop can be placed by the therapist quickly and easily in the desired position. Both controls come with a flexible magnetic attach­ ment and additional velcro strap for secure mounting and fast changing of positions either on the handrails (facing up or down), on the vertical telescope pillars or even on the nearby tubes of the arch shaped unweighting system frame.

Additional keyboard with magnetic attachment and additional velcro strap for secure mounting and fast change of positions either on the handrails or the vertical pillars.

Therapist using the system for manual gait therapy, manually adjusting the speed and elevation with the additional keyboard[cos104551.]

The comfort handrail is gas pressure spring supported and allows a smooth and easy adjstument in height and width.

Study overview

Stoller, 0., de Bruin, E. D., Schindelholz, M., Schuster-Amft, C., de Bie, R. A., & Hunt,

K. J. (2014): Cardiopulmonary exercise testing early after strake using feedback-controlled robotics-assisted treadmill exercise: test-retest reliability and repeatability

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PERTURBATION - INDIVIDUAL APPLICATIONS

'

1

cf

Fast perturbation events

Perturbation profiles - switching between selfmade

Research

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 orthe 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, !hat 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.

and preset profiles ►

►

Quick Generator for a quick and reliable adjustment of perturbation parameters

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.

lndividualization and progression matters

Single perturbation events or complex training sessions can be configured individually, within the profile editor. The fastest way to sei 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. lfthe subjects tolerate the training weil, the overall intensity can be increased in a controlled manner.

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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, 1., Gimmon, Y., Shapiro, A., Debi, R., Snir, Y., & Melzer, 1. (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/s12787-016-0223-4.

Liu, X., Bhatt, T., Pai, Y.-C. (Clive) (2016) 'lntensity 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 PhysicalActivity, 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/s1288-3019-1320-8.

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PERTURBATION AT A GLANCE

The user friendly interface with touchscreen allows an intuitive operation

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 Touch (Pro).

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:

1 reactive stability training

1 realistic slips and trips pattern in sagittal plane

1 short events in milliseconds

1 fixed pattern, activated by click

1 random pattern for unpredictable trainings

1 dual tasking and cognitive tests to distract

1 highest patient safety, due to fall-stop and harness

Of course, the treadmil'sl standard functionalities are retained when the

Mandatory fall preventionduring perturbation with safety arch and ehest bell

Perturbation and non-perturbed gait training on the same treadmill

perturbation mode is deactivated, so no additional devices are needed to perform standard therapeutic or performance trainings such as

1 non-perturbed rehabilitation training

1 endurance training walking or running

1 gait analysis e.g. with optionally available pressure distribution

1 cardio training

1 performance diagnostics

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PERTURBATION IN PRACTICE

Gail 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

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◄

►

PERTURBATION AT A GLANCE

mercury® med with adjustable handrails [cos102010-01va02], airwalk® ap unweighting system [cos3002B], robowalk® front [cos104835_aw] and back [cos104836]

mercury® med with adjustable handrails [cos102010-01va02], airwalk® ap unweightingsystem [cos3002B], robowalk® front [cos104B35_aw],back [cos104B36]

and reverse bell rotation [cos101000_reverseva02]

Perturbation training with h/p/cosmos treadmills

Perturbation is a special software mode for sudden and explosive decelerations and accelerations. The perturbation mode is a special option for treadmills with a Touch or Touch Pro Terminal, available at extra charge. The perturbation mode is designed as a special walking and running profile mode. lt allows sudden and explosive decelerations and accelerations and very short action intervals, typically ranging from 100 ... 1000 milliseconds.

1Action is defined as speed changes, eithera maximal short burstacceleration or deceleration.

1 A sudden acceleration is considered to simulate a slip, e.g. on icy roads

I Asudden deceleration or stop is considered to simulate a trip, e.g. on the edge of the carpet I Also a series of randomized and less sudden intervals can be programmed, in order to

provide frequently altered perturbation moments

Playlist: Example videos of perturbation in gait therapy and webinars on the topic perturbation.

Compatible are all h/p/cosmos treadmills with a Touch (Pro) UserTerminal installed when ordered. Retrofitted Touch (Pro) Terminals are NOT compatible.

Study overview treadmill training with perturbation

Jan Mehrholz 1, Joachim Kugler, Alexander Storch, Marcus Pohl, Bernhard Elsner, Kathleen Hirsch: Treadmill training for patients with Parkinson's disease.

Colleen G Canning 1, Serene S Paul, Alice Nieuwboer: Prevention of falls in Parkinson's disease: a review of fall risk factors and the role of physical interventions

Marissa HG Gerards 1 2, Christopher McCrum 1 3, Avril Mansfield 4 5 6 7, Kenneth Meijer 1: Perturbation-based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Ulrike Sonja Trampisch 1, Alexander Petrovic 2, Diana Daubert 2, Rainer Wirth : Effects of treadmill slip and trip perturbation-based balance training on falls in community­ dwelling older adults (STABILITY): study protocol for a randomised controlled trial.

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segment

Schedule

...

0

000

Add segment Preview settings Add tasks to Add minute Subtract minute Remove segment

0

90s

Allow negative numbe

No

90s

Time between objects Time to react

2s 2s

180o

180o

Angle

90s

Player speed

100%

Duration

Difficult

1

Difficulty

1/3

Active positions Duration

Difficulty

1/4

Duration Angle

>

<

>

<

Math

Problem solving

Vampires

Functional movements

)

Range of motion )\

Crystals

20min(s)

~2.67 loop(s)

20+min(s)

Edit workout

0min(s)

0min(s)

Sorter

Divided attention

< >

Difficulty

1/3

Duration Range

90s

Number of objects Gap size

4 150%

Speed of objects

100%

THERAPIST PANEL

Range of moion

Functional movements

Problem solving

Dual tasking including the upper limbs for a full body workout on a treadmill

Divided attention

20% 80%

Create specific trainings in the VAST.Rehab software

Huge task generator with many variations of games, choices for body regions to address,

as weil as time and difficulty.

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@HM+i

THERAPEUTIC POSSIBILITIES

VAST.Rehab uses a wide variety of therapeutic tasks to enable training in all rehabilitation domains:

Musculoskeletal 1 Range of motion 1 Strength

1 Endurance

1 Fitness and cardiovascular training

Example task: swing a sword and defend yourself against vampires

Example task: steer the spaceship via your upper body movement

Example task: balance balls into their targets with your arms

Neurological

1 Movement quality (gross and fine motor skills)

1 Movement awareness and proprioception

1 Bilateral movements in response to bilateral stimulation

Balance and Equilibrium

1 Trunk and postural control

1 Anticipatory postural responses

I Adequate reactions to stimuli and distractors placed in preplanned or random positions

Technical specifications - What do you need for VAST.Rehab?

1 h/p/cosmos treadmill with UserTerminal Touch Pro incl. coscom® v4 (via Ethernet)

1 high resolution camera for body detection

1 optionally needed to measure and transmit step frequency:

speed sensor (cos101000_brake_as) and FTMS interface (cos101000_FTMS)

1 State of the art PC system, recommended: h/p/cosmos satellite PC (cos14970-03)

1 TV (e.g. cos102397) and TV stand (e.g. cos101624) or wall mount

Minimum system requirements for VAST.Rehab

1 Windows 10 ! Intel i3 CPU or better 1 8 GB RAM

1 2 PC monitors

1 available USB, Ethernet and Bluetooth interface

1 Utilization of Touch screen is possible

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RETURN TO SPORTS

Example task: Punch a boxing bag

Using the wireless keyboard with integrated mause control

Return to sports with virtual reality

The VAST.Rehab system in combination with a treadmill and fall prevention can be used for advanced return to sport activities. Since injuries are common in sports a versatile and balanced therapeutic support is necessary maybe even after full recovery for follow-up care. VAST. Rehab combines different exercises for different body goals, all of which can of course be customised in terms of variation, strength, speed and flexibility of the user.

The h/p/cosmos satellite tower

For a sleek and simple setup, the h/p/cosmos satellite tower has been developed. The simple setup and the slim design allow for fast placement and start of the virtual reality experience. No additional table or periphery is needed. lf not needed, a storage behind the tower fits the keyboard perfectly. Additional TVs or displays can be connected using HDMI.

VAST.Rehab also available as stand alone setup

The best results will be achieved while using a treadmill for gait therapy or in a return to sport environment, but the use of VAST.Rehab is also possible as standalone version. With this special licence you are able to use the software with your previously purchased equipment from h/p/cosmos or even your own equipment. Note: Since many therapists have different systems with different setups, we can only guarantee the functionality for the setup acquired from h/p/cosmos.

quasar® med treadmill at a therapy centre.

Equipped with the safety arch and speedplate it is a great device for return

to sports training. YouTube

The video is featuring many games with a wide variety of movements. This is also possible with simultaneous perturbation events.

using the

on the

VAST.Rehab system

A short video clip

satellite tower as standalone solution

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CONFIGURATION MERCURY® MED: FUNCTIONAL TRAINING WITH VIRTUAL REALITY

E & OE. Subject to alterationswithout prior notice. The illustrations may showaccessories and items of optional equipment which are not part of standard specificationor the recommended configuration. Subject to our general terms of trade: www.hpcosmo.scom

ESSENTIAL CONFIGURATION FOR FUNCTIONAL TRAINING WITH VIRTUAL REALITY (ALREADY EXISTING H/P/COSMOS TREADMILL, SAFETY ARCH AND PERIPHERY)

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 tenms of trade: www.hpcosmos.com

Game: Defend from cute vampires.

A short video clip using the vast system on our treadmill. The person is wearing the harness for the mandatory fall stop with the safety arch.

The video is featuring the games

• "sorter" send the falling balls to the correct target

• "umbrella" save the hippo from weather

• "ambulance" drive trough the traffic

[!- 11[!]

r:, .. .

L:.I ...

YouTube

m @HM+i

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German Engineering since 1988

h/p/cosmos torqualizer® ef med 900 with 7" TFT display

stainless steel length adjustable cranks [cos30021ef-acr] for an easy and tool-free adaption of the ergometer available at extra charge

horizontal seat adjustment allows a perfect adjustment of the recumbent ergometer to the individual needs for small and lall patients

Benefit from our experience since 1988 in building and servicing standard and customized 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, orthopaedic 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 reflect in every h/p/cosmos product.

The torqualizer series is the perfect addition to the existing portfolio of treadmills to support therapists and trainers with a matching series of realiable ergometers for professional use. Correspondingly, all components are manufactured in best quality, jointly creating reliable and durable ergometers. The outstanding level of h/p/cosmos products and service as weil as attractive prices form the h/p/cosmos standard.

The perfect match for your cardio circle

To allow a seamless look and feel as weil as a perfect integration of h/p/cosmos treadmills into a torqualizer cardio circle, the plutoef med treadmill is equipped with the same UserTerminal as the torqualizer series.

Your advantages

All torqualizer® 900 ergometers can be ordered according to the planned application either as sports or medical devices (MDD 93/42/EEC certified with CE labeling) and the treadmill pluto® ef med 900 will be released already with the new certification MDR (EU) 2017/745.

With a keen eye on therapeutic demands, a very low step through allows easy access to the ergometers for patients with limited mobility. The 7" TFT touch display with biofeedback indications is easy to handle, clearly readable and grid independent (except for treadmills or when ordering 24 Volt permanent power supply option).

Customer-specific configuration for individual solutions

Ergometers offthe peg can be many, at h/p/cosmos you can also get your individualized torqualizer® ergometer with a large selection of options and accessories. Various options and pre­ configured packages allow you to customize your ergometer for the planned applications.

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OVERVIEW OF THE H/P/COSMOS TORQUALIZER® SERIES:

applications endurance training legs / obese trainees / lang training sessions

applications endurance training, mobilisation & stabilisation of upper body / arms

applications full body endurance training, easy on the joints

' Power range of all medical torqualizer s•: 15 ... 500 watts rpm independent (cross ef med: 100 .. 500 watts rpm independent); 7 watts minimum resistance if the optional 24 Vol permanent power supply option is used,

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CONFIGURATION PLUTO® EF MED: REHABILITATION AND DIAGNOSTICS

To allow a seamless look and feel for therapists and patients as weil as a perfect integration of h/p/cosmos treadmills into a torqualizer® cardio circle, the pluto® ef med treadmill is equipped with the same user terminal as the torqualizer® series.

The specific terminal must be originally equipped and cannot be retrofitted to existing pluto® treadmill.s

•

Many further h/p/cosmosaccessories (e.g. different handrails, safety or unweighting systems) can be retrofitted.

E & OE. Subject to alterations without pnor 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 tenms of Irade: www.hpcosmos.com

Our recommended upgrades for pluto® ef med:

300

(o )

adjustable handrails [cos10201Ova05] allow an easy, fast and tool-free adaption of the handrail height and width

standard maximum user weight of 250 kg can optionally be upgraded

to 300 kg max. user weight

the optional connect package [cos30021ef-con] allows wireless (RFID, NFC, Bluetooth, Barcode) transmission

of training data to compatible PC software

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CONFIGURATION TORQUALIZER® EF MED 900:

E & OE. Subject to alterationswithout 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.hpcosmo.scom

CARDIAC TESTING AND TRAINING

E & OE. Subject to alterationswithoutprior notice. The illusrtations may show accessories and items of optional equipment which are not part of standard specification or the recommended configuration.

THERAPY BASIC

E & OE. Subject to alterations without prior notice. The illusrtationsmay show accessories and items of optional equipment which are not part of standard specificaitonor the recommended configuration. Subject to our general terms of trade: www.hpcosmo.scom

cos01-en-com

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@HM+i

CASE STUDIES

Therapy example - ,,return to sport"

After an accident, the way back to the old form can be challenging. lnitially, deficits can be diagnosed and documented by a gait analysis with Microgate optogait® before the therapy takes place with body weight support in the airwalk® ap.

The medical treadmill mercury® med with its cushioned running surface and a maximum speed of 22 km/h as weil as max. 25% incline is also suitable for athletic patients.

The use of h/p/cosmos therapy equipment within a return to spart setting at a therapy center in southern Germany .

YouTube

With its optional emergency stop, the airwalk® ap offers additional safety for the patient and at the same time maximum freedom of movement due to the single-point suspension. Thus, side steps, lunges or rotations are possible.

The optional reverse bell rotation of the treadmill enables eccentric training and provides additional stimuli.

Physiotherapy - rehab and functional training After an injury or a surgery it is very hard to start with a gait training soon, since most patients need a walking aid. These tools may often be physically hindering the patient in developing a proper gait pattern. When the doctor recommends body weight supported training, this early start into rehabilitation can often be done without any further help.

Practising to walk again with body weight support can replace the walking aid and enhance learning to walk again correctly in the very early stages.

lntegrated "air cushion mode" allows rehabilitation to start earlier, using task-specific functional exercise without pain whilst the therapist permanently controls the reduced body weight.

Additional therapeutic advancement with robowalk® expander system

Progresses in earlier therapeutic use back to a normal

sports schedule can be achieved through full body muscular training based on the different adjustments of the expander system and the correspondingly trained muscles. The therapist can decide which part of the body to train and is able to specify the settings of the expander system for support or resistance at the specific muscle or muscle group.

Frank Haile (Head of Physiotherapy & authorized signatory of VfB Rehawelt) explains the use of the airwalk® ap for Rehab and Functional Training.

YouTube

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CASE STUDIES

h/p/cosmos visits HSH Lamprecht

The interdisciplinary physiotherapy HSH Lamprecht is one of the leading physiotherapy practices in Germany for neurological and orthopaedical rehabilitation.

In a six-part video series: ,,h/p/cosmos visits HSH Lamprech"t, the HSH Lamprecht team puts the spotlight on their own patients and shows the possibilities of targeted treadmill therapy.

The use of h/p/cosmos therapy equipment at HSH Lamprecht in Kirchheim unter Teck

Playlist on Youtube

The series cover interviews of long-time patients with many different limitations like multiple sclerosis or cerebral haemorrhage. Also other patients who had major accidents are treated at HSH Lamprechts, but one !hing they have all in common. They all are fighting their way back into everyday life.

All patients regained a quality of life and freedom through the personal care and intense training on the treadmill and/or additional training with the unweighting system airwalk® ap.

Patient with Parkinson's disease

For 2 units a week, she actively works against the deterioration of her gait on the treadmill, also relying on the visual stimulation. The virtual reality zebris

„Forest Walk" is not only a great distraction from the physical training, but also offers further advantages for the patient's therapy through dual-tasking. Together with the therapist Simon, the lady was able to curb the symptoms of her progressive Parkinson's disease through intensive treadmill training.

Stroke patient

After a stroke in January 2020, Mr D. feil into a coma. His way out of the wheelchair and back onto his own feet is a very impressive story. The gait therapy takes place under body weight support in the airwalk® ap unweighting system. The single-point suspension and neoprene unweighting shorts allow maximum freedom of movement with simultaneous safety. Additional stability is provided by the height and width adjustable handrail.

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MEASURE, ANALYSE, IMPROVE

1 Safe on the treadmill - even when you fall?

1 Motivated to train to the limit - but how?

1 Perfect control and documentation - with just one person?

Without worries and with motivation to the limit

A formula 1 driver can only go to his limits when he knows that his car and the track are as safe as it can be. Without a safety cockpit, a special seat belt and helmet, he would hardly get the same performance or be able to push himself to his limits. lt is similar in performance diagnostics: an athlete who feels insecure and afraid of falling will not find it so easy to go to his limits. To get the complete picture from both the diagnosis and training, the maximum physical exertion is often a prerequisite for an accurate test result, respectively for a predictable increase in performance.

The h/p/cosmos safety arch with ehest belt prevents falling in case of tripping and by loss of coordination in the exhaustion phase. The fall-stop stops the treadmill immediately and automatically by use of a quick-stop system. With this feeling of safety it is possible to train right up to the limit which is important for precise diagnostics.

Because performance counts

Although diagnostic performance of marathon runners or triathletes only place moderate demands on a treadmill system due to the very economical running style the diagnosis of athletes from many other sports requires clearly increased performance. Also when sprint and speed tests are conducted with large and heavy athletes the treadmill system must provide, in these short-termpeak loads, accurate repeatable results. Single phase power supplies with only 230 volts are often overwhelmed.

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YOU CAN ONLY IMPROVE WHAT YOU MEASURE

Basic performance diagnostics

The h/p/cosmos quasarID med with a speed of up to 25 km/h (15.53 mph optional 30 km/h), 28 % elevation (15.64° gradient) and a running deck of 170 x 65 cm (66.93 x 25.59") cov­ ers many requirements of the classical performance diagnostic with step and elevation pro­ tocols. As an alternative, if purely for fitness or for patient diagnosis, there is the smaller entry-level h/p/cosmos mercury® med with a running deck of 150 x 50 cm (59.05 x 19.68") available. A single phase voltage power supply 230 V/ 16 Ais needed by both models. The natural performance limitations apply for single phase voltage power supply and therefore these models are not recommended for high performance applications.

normal PVC running belt

special studded rubber running belt profile 5 mm

Professional performance diagnostics

The h/p/cosmos pulsarID 3p features above all a 3-phase power connection with 3 x 400 volts AC in addition to the larger running surface of 190 x 65 cm (74.8 x 25.59") and the built-in reverse bell rotation for downhill training. Diagnostics for heavier athletes and many special applications are therefore possible. As part of sprint and speed tests speeds of up to 40 km/h (standard, optional 45 km/h - 28 mph ) are possible. Here it is all about the speed stability and not just the speed of the bell.

Scientific performance diagnostics

The h/p/cosmos venus® 200/75 offers a running surface of 200 x 75 cm (78.80 x 29.53") and elevation angles of -35 ... +35% (-19 ... +19°) and speeds up to 40 km/h as stand­ ard (optional 60 km/h) even more power, precision and capabilities. The drive mo­ tor with 11 kW and the heavy rollers provide exceptional dynamics, precision and smoothness. The accuracy of the speed is on average 0.148% (average deviation of 0.0441 km/h, measured both with no load and under load with runners of 78 and 94 kg). lt is especially suitable for scientific studies and applications in athletic training and research. Alternatively there are even bigger treadmills, the h/p/cosmos saturn®, with running surface sizes of 250/75 cm up to 450/300 cm and custom models for specific applications.

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SYSTEM SOLUTIONS FOR PERFORMANCE DIAGNOSTICS

Best possible compatibility with up to 4 communication ports

Especially in sports medicine, biomechanics, research and in professional sports there are often many different systems and devices that are con­ nected to the treadmill: ECG, spirometry, blood pressure monitor, EMG and possibly other software solutions for motion analysis and biofeedback. The h/p/cosmos software solutions can serve the user as important tools to assist controlling, recording and documentation, although they are not medical software products according to EN 62304 and do not provide clinical data or treatment recommendations.

For that reason the h/p/cosmos treadmills of the venus® and saturn® series provide for up to 4 optional PC-interfaces with different transmission speeds (e.g. 9600 or 115,200 bps) for high demands.

We achieve the best possible compatibility with the proven and reliable coscom® interface protocol, which is now supported by almost all major ergometry systems, ECG's, ergospirometry equipment and numerous software solutions. A „science-port" is also optionally available to provide the raw data from the speed sensor as a digital signal without averaging (,.smoothing algorithm"). These signal taps are even possible for other parameters opening the path for other scientific applications both now and in the future.

Standards aren't always applicable - many need more

Soccer, rugby, American football, basketball, handball, tennis, boxing, decathlon, biathlon, marathon, hurdles, sprinting, triathlon, cross country skiing - are sports where specific system solutions are mostly required. Team sports athletes are often large, heavy, and some have very specific requirements. Many train in intervals with high velocities and accelerations - and corresponding step length.

Standard 230 voll power supplies and standard treadmills (smaller 1-phase 230 V h/p/cosmos devices) do not have sufficient power under heavy loads and there may be major speed drops during the athletes landing phase. Often special running belts are required on which the tips from metal poles and running spikes are Jolerated" .

h/p/cosmos running surfaces are available in various lengths, widths and combinations. Both for the acceleration of the treadmill speed and de­ celeration all h/p/cosmos treadmill ergometers are equipped with several intensity levels. The individually selectable acceleration and deceleration levels range from extremely slow to extremely fast. In 3 ... 131 seconds from O to maximum speed. Depending on the speed and combination, acceleration values from 0.021 to 7.407 m/s2 (as a digital value directly programmable} or custom designs are possible.

This allows the programming of professional true life tests and sport specific training to simulate specific situations. On the other hand a normal fitness treadmill only lets you run fitness applications.

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Safety - whilst taking blood samples and measuring blood pressure

In many cases taking a blood sample from the ear or blood pres­ sure measurement on the upper arm are both part of a performance lest. This requires the treadmill to come to a fast stop so the blood can be sampled quickly, easily and safely.

Also here different acceleration levels and programmable pause times are valuable features allowing optimum concentration to blood sam­ pling or blood pressure measurement. The h/p/cosmos pulsar® 3p mod­ el provides acceleration and deceleration from 0.085 m/sec2 (very slow) to

4.167 m/sec2 (very fast; for optional 45 km/h model). For patients and insecure users the speed can be changed very slowly. For professionals and athletes it can be set to 3 sec­ onds from O to 45 km/h if required. h/p/cosmos systems have both a visual and audible countdown so that both the subject and MTA (medical technical assistant) are warned in time for the next acceleration or change. Additionally there is an optional wide footboard with a non-slip surface for optimum stability and control for both subjects and supervising personnel.

lf no compromise with your running shoe ... why then compromise on the running surface and the machine?

Athletes are very demanding in the selection of their running shoes. You should also be so in the choice of running belt and the running machine. Depending on requirements and the application h/p/cosmos offers not only smooth but grooved or notched profiles. Our running belts are also part of the device's warranty and are often seen running after 8 to 15 years. h/p/cosmos treadmill systems are often in use for very lang periods, for many of our customers that's already 20 years. Requirements, needs and goals may change and expand over time.

The h/p/cosmos system for performance analysis provides a variety of expansion options: for example almost all systems can be extended for motion analysis or functional coor­ dination and running technique training with unweighting and/or used with the robowalk® expander system.

h/p/cosmos also offers the corresponding solutions for rehabilitation, functional training or speed training and agility / flexibility training. And thanks to the built in PC interface and the open coscom® v4 protocol they can be used with the widest variety of compatible software solutions.

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quasar® med 3p with MCU5 [cos30003va20]

quasar® med [cos30003-01 va02]

TECHNICAL COMPARISON QUASAR®

Discover the h/p/cosmos medical treadmills quasar® med series.

The quasar® med series offers a wide range of options and accessories. With the next generation UserTerminal TouchPro with a graphic user interface (GUI) as weil as a widely advanced connectivity and additional features, a new milestone in treadmill experience has been set.

Article number: cos30003va26 cos30003-01 va02

Device dimensions: L: 230 x W: 105 x H: 149 cm (7ft 6,6"x 3ft 5,3" x 4ft 10,7") L: 230 x W: 105 x H: 149 cm (7ft 6.6" x 3ft 7.3" x 4ft 10.7")

Device weight: approx. 375 kg (825 lbs) approx. 335 kg (740 lbs)

Speed range: 0 ... 40 km/h (optional at extra charge: 0 ... 10 or 45 km/h) 0 ... 25 km/h (optional at extra charge: 0 ... 10 km/h)

Running surface: L: 170 x W: 65 cm (5ft 6.9" x 2ft 1.6") Max. user weight: 300 kg (660Ibs)

Elevation: Drive motor system: Power supply:

0 ... +28% (optional at extra charge: -28 ... +28%)

4.3 kW (5.8 HP) brushless 3-phase AC motor, 3.3 kW (4.5 HP) brushless 3-phase AC motor 400 Volt AC 3~/N/PE 50/60 Hz 16A fuse 230 Volt AC 1~/N/PE 50/60 Hz 16 A fuse

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pulsar® 3p with MCU5 (cos30004va04)

TECHNICAL COMPARISON PULSAR®

pulsar® med with UserTerminal TouchPro [cos30004-01va02]

Discover the h/p/cosmos medical treadmills pulsar® series.

The pulsar® med series offers a wide range of options and accessoires. With the next generation UserTerminal TouchPro with a graphic user interface (GUI) as weil as a widely advanced connectivity and additional features, a new milestone in treadmill experience has been sei.

Article number: cos30004va04

Device dimensions: L: 250 x W: 105 x H: 149 cm (8ft 2,4" x 3ft 5,3" x 4ft 10,7") Device weight: 385 kg (850lbs)

cos30004-01 va02

L: 230 x W: 105 x H: 149 cm (8ft 2,4" x 3ft 7.3" x 4ft 10.7")

385 kg (850Ibs)

Speed range: 0 ... 40 km/h (0 24.9 mph)

(optional at extra charge: 45 km/h (0 28.0 mph))

0 ... 25 km/h (0 15.5 mph)

(optional at extra charge: 0... 30 km/h (0 18.6 mph))

Running surface: Max. user weight:

L: 190 x W: 65 cm (6' 2.8" x 2' 1.6'')

300 kg (660Ibs)

Drive motor system:

4.3 kW (5.8 HP) 3-phase AC motor

3.3 kW (4.5 HP) 3-phase AC motor

Elevation: -25 ... +25% (0 14.0°) motorized adjustment

Running bell:

Wireless heart rate:

reinforced running bell with profiled surface, - 5 mm thick

shock load reduction for the joints; running bell with slip resistant surface

5 kHz receiver incl. POLAR® ehest belt 5 kHz & Bluetooth® receiver incl. POLAR® ehest belt

Power supply:

400 Volt AC 3-/N/PE, 15 ... 16A fuse; dedicated line

230 Vd.t.AC, 15 ... 16A fuse, dedicated drcuit, line and proteclion;

Classification & safety

for sport devices

pulsar®sport3p I cos30004va07

CE; machinery directive 2006/42/EC; EN 60601-1-2 (EMC tested); ISO 20957-1; EN 957-6; EN 14971

pulsar® sport I cos30004-01va01

C E; machinery directive 2006/42/EC; EN 60335-;1EN 6 0601-1-2 (EMC tested); ISO 20957-1; EN 957-6; EN 14971

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FASTER THROUGH SPECIFIC TRAINING IN A SPEEDLAB®

1 Speed training on a treadmill?

1 lmproved knee litt and better tensile behaviour?

1 Safer sprints and over-speed training on a treadmill - but how?

Performance for more speed

In nearly all performance sports speed, agility and elasticity have become more important in recent years. The faster athletes have a definite advantage. A treadmill system can make a crucial improvement to speed training - subject to certain essential requirements and the application of the latest methodology.

For sports such as American football, rugby, soccer or handball speeds of up to 40 km/h and more are necessary. These speeds need to be reached on a treadmill with athletes who sometimes weigh more than 100 kg (220 lbs). For !hat a treadmill needs power apart from anything eise. Comparable with industrial machinery or electric ovens and many other types of equipment the standard 230 Volt/ 16 Amp power supply doesn't provide enough power and a 3 phase supply with 3 x 400 Volt is necessary. This avoids unwanted speed reduction or even automatic shut downs due to overload.

Speeds of 40 km/h (optionally 45 km/h/ - 28 mph) and programmable acceleration levels together with many other functions and design de­ tails make the h/p/cosmos pulsar" 3p with its 3 phase power supply unique, particularly for speed training. The drive system allows even heavy subjects to reach speeds of over 40 km/h within a few seconds and thus creates the ideal conditions for effective speed training.

But this has to be approached carefully. Firstly the 100% performance limit needs to be established so !hat the training stimulus can be sei to between 101 and 105%. Additionally unweighting through a body weight support and vest system or holding on to the handrails may be used.

Overloading can cause negative training results or even injury and must be avoided at all costs. Know-how of the correct systematic and meticulous documentation is essential. h/p/cosmos offers various expandable configurations of a SpeedLab®. We support you not just in the selection of the hardware but also in the methodology, analysis and documentation with the support from experts from the fields of speed training, flexibility training and functional training.

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FASTER THROUGH SPECIFIC TRAINING IN A SPEEDLAB®

Only safe training can be effective!

A formular 1 driver can only drive on the limit when he knows !hat both his car and the track are as safe as possible. Without the safety cockpit and helmet it is unlikely !hat he would reach the same level of performance. lt's similar for speed training. A subject who feels insecure and is worried !hat he may fall will not train to the limit and certainly won't train over the threshold. lt would also be irresponsible for the trainers and diagnosticians to expose an athlete to the dangers of a fall at high speeds since under maximum demand on the 100% performance limit lack of coordination or even stumbling may occur.

Therefore h/p/cosmos offers a complete package of safety measures for speed training. The safety arch with ehest bell and har­ ness not only prevents from falling in case of stumbling or fatigue, but at the same also brings the running bell automatically to a complete stop through the quick-stop system. The optional solid steel foot board on the left hand side has been widened for speed training and has both an anti-slip surface and clear hazard markings. This allows the subject to jump on and off from the treadmill safely, if necessary. In addition the left hand handrail has been shortened (option at extra charge) to prevent impact injuries to the hip and a hand grip has been added "just where you need it". Often the treadmill will be jumped on to first when it is running at 36 km/h then accelerated within a few seconds to 40 km/h or more. The right ergonomic design and methodology is necessary to achieve the best results. This way, the athletes can train safely up to their individual limits. The shortened handrail also serves for unrestricted visual access during motion capturing and therefore makes up for a very ergonomic solution in this field of application.

Over-frequency training for more speed

Particularly during the introduction to higher speeds over-frequency training with unweighting is a good, new and high intensity training stimulus.

For effective over-frequency training h/p/cosmos offers a range of possibilities. The special crossbar developed for speed training is the quiekest and easiest form of unweighting and allows full concentration on the footwork for example during knee-lift exercise. In case !hat arms also need tobe used during over-frequency training the h/p/cosmos airwalk® ap offers the ideal solution with its single point dynamic suspension giving total freedom of movement, even for side stepping, 360s and backwards running.

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OVERSIZE APPLICATIONS

1 Performance diagnostics of wheelchair athletes on a treadmill? 1 Safety for cyclists on a treadmill • even when falling?

1 Perfect documentation - but how?

The correct choice

The choice of the right treadmill ergometer for bicycles, wheelchairs, hand­ bikes and ski rollers is a very demanding one. Not only performance diag­ nostics but also sport-specific training needs to be conducted safely. With a view to the capital costs and the often limited space in a sports laboratory a multifunctional treadmill that can also be used by runners should be selected.

Based on the h/p/cosmos saturn® there are several hundred treadmill solutions worldwide for running, cycling, wheelchair applications, hand-biking and skiing in use. The customers for such systems are many well-known universities, olympic training centres, biomechanics and performance diagnostic institutes, training centres, football clubs, clinics as weil as sports, rehabilitation and research centres. Based on this experience most of these treadmill solutions are medically approved and are tailored to their specific requirements.

Cycling

Whoever has had the privilege to train on a treadmill designed for cycling will know the vast difference to a normal ergometer and will not want to miss the possibility for training and testing.

Cyclists achieve some of the highest speeds of all sports, 80 km/h (~ 50 mph) and more in the top class. A treadmill that is to be used in this environment needs to offer enough space and have extremely fast acceleration - also al­ lowing quick riding out-of saddle. lt is crucial that the running belt has a very low rolling resistance for the wheels. The h/p/cosmos saturn® 300/100r with a special speed of 80 km/h allows both physiological performance and biome­ chanical analysis - under optimal and repeatable conditions. The running belt has a very low rolling resistance for the wheels.

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OVERSIZE APPLICATIONS

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Wheelchairs and hand-bikes

There are many different types and widths of wheelchairs: the classic wheel­ chair, hand-bike and racing wheelchair or specially built chairs for wheelchair rugby or basketball. Top athletes can achieve very high speeds. A treadmill for this application must offer enough width - at least 100 cm, 125 cm is better. In addition it needs to accommodate various different tyre and wheelchair frame designs and must also run fast enough.

The h/p/cosmos saturn® 300/125r with its deck length of 300 cm and 125 cm width fulfills nearly all requirement.sThe safety arch with ehest harness and fall stop together with the wheelchair stabiliser with integrated „rangelimiter" ensure the safety and motivation of the athlete as weil as ensuring correct tracking. The special speed of 60 km/h (37.28 mph) ensures !hat even top athletes can lest themselves to the limit.

Cross country skiing

For classical style cross-country skiing not only the length and width of the running bell but also the use ski poles is important. Therefore the running bell needs both optimum roll characteristics (low rolling resistance) and must be resistant to piercing by the sharp ski pole tips.

The h/p/cosmos saturn® 300/125rs meets these requirements enabling a standardized and repeatable diagnostics and first-class training possibility.

The h/p/cosmos saturn® 450/300rs offers the ideal system solution for in-line skating and cross-country skiing, particularly using the skating technique. With a running surface of 450 cm x 300 cm and a reinforced very thick running bell it provides optimal diagnostics and perfect training opportunities in every season of the year.

OVERSIZE APPLICATIONS

Motivation and safety - for bikes and wheelchairs

A formula 1 driver can only go to his limits when he knows that his car and the track are as safe as can be. Without a safety cockpit, a special seat belt and helmet, he would hardly get the same performance or be able to push himself to his limits. lt is similar for cross country skiers, wheelchair users and cyclists if they feel unsafe and are afraid of falling.

Training or testing at speeds of 40, 60 or even up to 80 km/h (49.71 mph) on a treadmill demand a healthy respect. An increased adrenaline level for the athlete and operating personnel is necessary for testing to the limits but nothing must go wrong.

The h/p/cosmos safety arch prevents a fall in case of loss of coordination or stumbling. The fall stop safety system stops the treadmill immediately and automatically by means of a quick-stop device. The strong safety rope prevents the subject from falling down onto the running bell. The wheelchair stabiliser keeps the wheelchair in the correct position and on track. With this sense of safety it's possible to lest to the important and sometimes decisive level of exertion necessary for a precise diagnostics.

Compatible and future-safe

Particularly in the field of sports medicine, research and professional sports there is often the need to connect a number of systems to the treadmill such as EMG, ECG, spirometer, blood pressure monitor, external printer as weil as various software solutions for motion analysis or bio feedback.

Therefore most h/p/cosmos treadmills offer an option of up to 4 PC interfaces. For the best level of compatibility and safety the coscom® v4 protocol are fully supported.

Linder www.coscom.org you will find an impressive list of manufacturers and coscom® compatible devices, the free of charge coscom.dll v4 program library and the protocol description together with tips for implementation and download. A free treadmill simulator is temporarily provided for partners in order to support programmers during the implementation and testing of the coscom® interface protocol.

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BEAST

© BASPO / Ueli Känzig

SATURN 450/300 RS „THE BEAST"

Professional cross-countyr skier on the „beast"

"The Beast"

The saturn treadmill, with a running deck width of 3 metres and a length of 4.5 metres, is the largest treadmill of its kind. lt is used in high-class professional sports locations such as winter sports centres, olympic training centres and other high-class training centres. With a weight of approximately 12 tons, the treadmill is normally not brought into a building, but the building is constructed around the treadmill.

Due to its enormous size, the treadmill is affectionately called "the Beast" by our team.

Benefits of an oversized treadmill

1 specially designed for sports with a wide range of movement, such as skiing or cross-country skiing

1 the best possible way to recreate the vast landscape of a cross-country ski run

1 speeds of up to 60 km/h are possible

1 a moveable safety arch covers all areas of the treadmill and automatically positions itself horizontally with a winch and vertically with operator adjustment. This can also be automated by using an optogait system with our speedcontrol

software

Where to use an oversized treadmill

1 sports & fitness, medical, rehab and scientific use

1 cross country skating and roller skating

1 usable with ski rollers, poles, spike shoes, bicycles

1 safety system dependent - multiple athletes can be in training at the same time

Transpor,t delivery and commissioning. © BASPO/ Ueli Känzig

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Running application with automatic speed control Cycling with safety arch fall prevention Cycling application

Rollerskating application Rollerskating application Cross country skiing application

The oversize treadmill saturn 450x300rs comes with a range of features and an extended safety system !hat can be tailored to suit specific requirement.s

© BASPO / Ueli Känzig

© BASPO / Ueli Känzig

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RECOMMENDED CONFIGURATIONS FOR THERAPY APPLICATIONS

Experience in therapy solutions

h/p/cosmos is in business since 1988 and therefore built a huge know-how. In cooperation with leading therapists, the development of treadmills, the adjustment of equipment or new inventions were made according to the markets needs.

Why recommendations?

Based on our experience of almost 40 years of manufacturing and promotion of treadmills for therapy, we have developed a sei of recommended configurations. These recommendations can always form the basis for your personal therapeutic device and must be tailored to your specific needs. Some key factors which must be reviewed when deciding for a treadmill system can be:

1 Physiotherapists usually work with various kinds of different patients (height, weight, ...) on the treadmill - a versatile and flexible basic treadmill is needed.

1 Gail therapy and rehabilitation is in demand of analysing tools to document and visualize progress

1 Elderly patients with need for support and/or the possibility for self-support for example via adjustable handrails or arm supports

1 Sports rehabilitation is often paired with return to sports activities or the need for advanced speed for sports training in general

1 Rehabilitation from diverse diseases like stroke, head injury and more require individual approaches and therefore adjustable systems

1 Pediatrics has its own very special needs regarding the height of the small patients

Even though the recommendations fit most needs modern therapy usage - a personal consultation is recommended before acquiring a treadmill. Since every dient is different, so are the needs. Since every therapy itself is different for every patient, the treadmill system has to be adjusted accordingly. The h/p/cosmos sales team and also our distributors in your country are trained specifically to support you in finding the best matching solution.

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CONFIGURATION PLUTO® MED: GAIT REHABILITATION BASIC

E & OE. Subject to alteralions withoutprior notice. The illustraitons may show accessories and items of optional equipment which are not part of standard specification or the recommended configuraiton. Subject to our general terms of Irade: www.hpcosmos.com

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CONFIGURATION PLUTO® MED: GAIT REHABILITATION PEDIATRICS

E & OE. Subject to alterations without prior notice. The Illustartions may show accessories and itemsof optional equipmentwhich are not part of standard specification or the recommended configuration. Subiect to our general terms of Irade: www.hpcosmos.com

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CONFIGURATION MERCURY® MED: DIAGNOSTICS

E & OE. Subject to alterations without prior notice. The illusrtationsmay show accessories and items of optional equipment which are not part of standard specificationor the recommended configuration.

Subject to our general terms of Irade: www.hpcosmos.com

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CONFIGURATION MERCURY® MED: GAIT REHABILITATION ADVANCED

robowalk® expander front for safety arch

•

robowalk® expander back

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CONFIGURATION MERCURY® MED: GAIT REHABILITATION ADVANCED

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cos01-en-co

mm @HM+i

E & OE. Subject to alterations without prior notice. The illusrtationsmay 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

CONFIGURATION MERCURY® MED: GAIT REHABILITATION PROFESSIONAL

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robowalk® expander front for airwalk®ap

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robowalk® expander back

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CONFIGURATION MERCURY® MED: GAIT REHABILITATION PROFESSIONAL