NSI Part 1

NSI Setup

• Load patient profile, creating a new one if necessary, with a first name as the birth year and last name as the first two letters of the first name and first letter of the last name.
• Turn on headphones and have the patient wear them.
• Place the patient on a balance board that challenges but is not too difficult.
• Adjust the distance between the patient and the TV so they can touch the top two corners of the screen without difficulty.

Basic Training

• Four primary modules in NSI: Proactive, Reactive, Saccade 1, and Tachistoscope.
• Proactive Module
  • 25-35 stimuli, adjustable session length.
  • Central Fixation: patient taps the middle if it flashes, causing a distraction.
  • Stimuli type: default is circles, can be changed to numbers and letters.
  • Stimuli size: adjustable based on patient's visibility.
  • Location: generally both, but can be set to Central for young children or as instructed by doctors.
• Reactive Module
  • Time: 0.1-0.2 seconds faster than Proactive module.
  • Settings are the same as Proactive module.
• Saccade 1 Module
  • 20-30 stimuli, adjustable session length.
  • Central fixation: patient taps the middle if it flashes, causing a distraction.
  • Stimuli persistence: if enabled, stimuli don't disappear when tapped, and patient receives audio feedback.
  • Reverse sequence: if enabled, the stimuli order is reversed.
  • Stimuli size: adjustable based on patient's visibility.
• Tachistoscope Module
  • Time: adjustable session length, generally 2 minutes.
  • Audio/verbal: one set of each.

Advanced Training

• Auditory/Visual Module (NSI Metronome)
  • Change settings to 1 minute, 60 BPM, auditory/visual, and level 2.
  • Patient taps circles in sync with anticipated beats, with green, red, and white circles as feedback.
  • Patient performs 4-4-8 breathing exercise simultaneously.
• Visual Motor - Geoboard Module
  • Patient reproduces diagrams on the screen by drawing.
  • Start with simple diagrams and gradually increase difficulty.
  • Flip images horizontally or vertically to increase challenge.
• Rotator 3 Module
  • Similar to Saccade 1, with a spinning background.
  • Adjust direction and speed as desired.
  • Patient tilts head to the right for counterclockwise (CCW) and left for clockwise (CW).
• Memory Saccades Module
  • Patients remember location of dots and touch the correct location.
  • Memory Saccades 1 has three parts, and Memory Saccades 2 has two parts with auditory or visual distractors.
• Quadrant Loading Module
  • Choose where stimuli will go on the screen.
  • Oftentimes, specific quadrants are weighted, e.g., 65 up and 65 right.
• Dual Tasking Module
  • Patient performs cognitive tasks while standing on the balance board.
  • Tasks include math problems, rhyming with words, or synonyms/antonyms.

Balance Training

• Vestibular Balance Module
  • Select "Exp. 1 - Vestibular-Balance" and "Limits of Stability".
  • Set up the Wii Balance Board and ensure it's connected and ready.
  • Patient stands on the board and follows the red target, holding balance until it moves to a new spot.
  • Adjust time on target, difficulty level, and provide Trail feedback.
• Balance Targeting Module
  • Select "Exp. 5 Balance Targeting" and "Balance Targeting 1".
  • Set up the Wii Balance Board and ensure it's connected and ready.
  • Choose stimuli type (circles, letters, or numbers) and set time on target.
  • Patient moves to targets following the stimuli sequence, with Trail feedback.
  • Rehab clicks squares in a LARP or RALP plane to select targets.

This quiz is about setting up the Neurosensorimotor Integrator (NSI) for a patient, including creating a patient profile, preparing the headphones and balance board, and determining the ideal distance for the patient. It's an essential step in the NSI process. Test your knowledge of the setup procedure!