Gyrostim PDF Instructions

Gyrostim 7/29/24 Gyrostim Gyrostim is just a stimulation – build metabolic capacity, simulate the tissue, exercise the tissue then integrate it Figure out what you’re trying to accomplish but also figure out if the stimulation is something that the patient can handle What are you trying to accompli...

Gyrostim 7/29/24 Gyrostim Gyrostim is just a stimulation – build metabolic capacity, simulate the tissue, exercise the tissue then integrate it Figure out what you’re trying to accomplish but also figure out if the stimulation is something that the patient can handle What are you trying to accomplish with the therapy? 1. Are you trying to change the OPK stimulation? Are you trying to facilitate the eye mm? 2. Are you going to get a better response with a slow phase or fast phase? 3. Are you doing x0, x1, or x2? For a whole instructional on how to operate the machine - SETUP Turning On 1. Turn on the switch on the bottom left of the Gyrostim, and turn on computer 2. Push the green button on the control panel next to the computer 3. Start the Gyrostim software, click Calibrate and Center chair Putting Patient In 1. Have all the straps unstrapped, loosened and put to the sides, put steps up 2. Instruct pt to climb in and watch their head 3. Adjust the height of the shoulder strap as needed, put the belts of the 5 point harness in and tighten 4. Put lap belt on and tighten 5. Adjust the height of the foot rest so the knees are slightly higher than the thighs 6. Put feet together and against the back rest, put feet belt on 7. Lower the steps down to the ground 8. Close the door Turning Off 1. Go to the main tab, then shut off the program and computer 2. Set up the Gyrostim as if you were about to run it ◦ 5 point harness ◦ Lap belt ◦ Feet belt ◦ Steps are down on ground 3. Turn the switch off on the bottom left of the Gyrostim Using the Program - link 1. Create new patient or select existing patient from the “Subject Information” tab 2. To create a new profile, click “Add NEW Subject” 3. Put in the last name, first name, gender, birthday, and dominant hand 4. Use the “RUN Gyrostim” tab for the basic protocols 5. Use “RUN Custom” for custom protocols Nomenclature Custom protocols have a specific nomenclature that must be followed to ensure proper protocol usage Ex. VS LA 5 RPM A1 D1 R1 Velocity Storage Left Anterior Canal Protocol 5 RPM – Rotations per minute/speed, higher is faster A1 – Acceleration of 1 second D1 – Deceleration of 1 second R1 – Rotation of 1 Basic Principles 1. Make sure patient is fine before and after spins 2. Check HR, sweatiness of palms, pupil dilation, and other signs of fatigue in between reps 3. Take advantage of time in between reps – you have facilitation of the presynaptic pools that prime the brain for additional exercises 4. Complex movements, hypertropia treatment, divergence, specific eye movements 5. Spend 10-20 minutes for patients and reserve your spot on the sign in sheet Basic Protocol Basic protocol is great for people who haver ventral striatal gating issues ◦ Nutjobs, FND, athletes who chase dopamine ◦ It combines head-eye integration and multiple VOR cancellations Information ◦ Purpose: General visual/vestibular stimulation, increasing reaction time, cognition ◦ Position: Limit amount of head movement if possible ◦ Tips: Start at 2 non invert for anxious people, then increase to 5 w/ invert. After can jump to 8+, doing 30 sec at a time. Get them to be excited to beat their score, can add dual tasking such as naming as many words starting with a certain letter, or doing math problems Sinusoidal Allows us to isolate visual/vestibular, limited C-spine involvement thus preventing sensory mismatches With cross axis adaptation horizontals can help verticals and vice versa Yaw ◦ Purpose: Helps improve gaze stability, SWJ, ocular impersistence – horizontal eye movement pathology ◦ Position: Eyes fixated on target directly in front, head still ◦ Tips: Use as a warm up, or as light stimulation in between sets Pitch ◦ Purpose: Helps improve gaze stability, SWJ, ocular impersistence – vertical eye movement pathology ◦ Position: Eyes fixated on target directly in front, head still ◦ Tips: Use as a warm up, or as light stimulation in between sets Velocity Storage Gyrostim will spin at a constant velocity with no acceleration/deceleration for most of the test Anterior canal VS are in direction of paired eye movements ◦ R anterior= forward pitch L yaw ◦ L anterior= forward pitch R yaw All canals ◦ Purpose: VS stimulation to a canal, weak eye mm, gentle stimulation to central integrators in brainstem ◦ Position: Eyes fixated on dot in chair for gentle stimulation, eyes looking forward for optic flow/VS ◦ Tips: Start w/ fixation at a slow speed, if pt can tolerate stimulation try without fixation. Then slowly progress to faster speeds without fixation, going back to fixation or slower speeds if pt has symptoms VOR Gyrostim will spin at an acceleration/deceleration WITHOUT any constant velocity Anterior canal VS are in direction of paired head movement ◦ R anterior= forward pitch R yaw ◦ L anterior= forward pitch L yaw All canals ◦ Purpose: VOR to a canal, weak eye mm, increase gain VHIT ◦ Position: Eyes fixated on dot in chair for gentle stimulation, eyes looking forward for VOR ◦ Tips: Start w/ fixation at a slow speed, if pt can tolerate stimulation try without fixation. Then slowly progress to faster speeds without fixation, going back to fixation or slower speeds if pt has symptoms