BioGraph Training Workshop Outline

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Overview of BioGraph 2.1 Software  Physiological measurements  Basic controls and features of software Main menu Use of mouse Display screens Protocols Data channels Work/Rest Database Multi-media features Advantages of Windows based software Resources for help: on-line, manual, bug   list ProComp+ Hardware Connecting hardware to computer Connecting sensors to the Procomp+ Sensor configuration Zeroing EMG sensors Recording a Session Loading a display screen Display screen categories Selection and addition of client Client confidential feature Button bar controls: record, pause, stop, audio on/off,  etc. Testing procedures: ranges, offsets, EEG sensors On the fly adjustments of display screens Marking events Saving recorded data Viewing Recorded Data on the Report Screen How to access the report screen Pop-up menus Listing of data channels Button bar controls: T+ and T-, play, forward, reverse, slider Markers Artifact rejection features Use of segments Thick or thin lines Multi-linegraph settings Color setting Scale position: right, left Scale size:  small, medium, big Y-range: manual, auto Smoothing Threshold setting for reports Saving report screen settings for display screen Computing and printing statistical reports Trend reports

Loading and Reviewing Previously Saved Sessions Display screen viewing Protocol viewing Building and Altering Display Screens Screen building canvas Instrument Toolbox Review of each instrument 11 Max Pop-up menu overview F-keys  Selection of data channels from default data channel set Data display modes Threshold types, manual, auto Scaling, auto, manual Averaging and smoothing Instrument properties  Feedback selections for instruments: (prop., inv.  Inhibit, clock) Color and texture options Instrument sizing and organization Saving changes by overwriting screens Creating New Data Channels Virtual and real channel Defining data channels Changing channel names Signal type assignment Computations  Saving data channel sets Saving data channel sets with display screens Building New Protocols Record and play modes Construction of protocol components Screens Audio options Pauses Segments for selected data reporting Prompts:  sound, text, image Event triggered protocols  Importing bitmaps, MIDI and wave files

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BOULDER, COLORADO

Workshop outline

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Overview of behavioral treatments Appropriate patient populations Methods and modalities Anatomy and physiology Pelvic floor muscles Lower urinary tract anatomy and micturition Anorectal anatomy and defecation mechanisms Bowel and Bladder Disorders Types of urinary incontinence: urge, stress, mixed, overflow, functional Fecal incontinence Post-prostatectomy urinary incontinence Bladder sphincter dyssynergia Urinary hesitancy and frequency Chronic constipation related to a non-relaxing puborectalis, anismus Chronic Pelvic Pain Syndromes Vulvodynia Levator ani syndrome Proctalgia fugax IBS

Assesment Intake and referral forms Surface EMG pelvic floor muscle assessment Rectal and vaginal sensors Diaries: bowel, bladder, pain Patient education with illustrations Sterile procedures Treatment Treatment Planning Therapeutic exercise assisted by EMG biofeedback Home exercise programs with and without home trainers Neuromusuclar relaxations exercises assisted by multimodal biofeedback Bladder retraining Bowel habit training Dietary issues Survey of treatment protocols Instrumentation (Lab) Pelvic floor muscle assessment procedures (use of protocols) Selection and instruction in appriopriate biofeedback training screens How to maximize biofeedback training, scaling, shaping, rewards,etc. Graph and report generation

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Behavioral treatments for bowel and bladder disorders (fecal and urinary incontinence, chronic constipation, irritable bowel syndrome, urinary hesitancy and frequency) and chronic pelvic pain syndromes, such as, vulvodynia and pelvic floor myalgia will be surveyed.  Relevant anatomy and physiology of micturition and defecation will be covered, as well as, the details of conducting a standard, non-invasive, sEMG assessment of pelvic floor musculature using vaginal or rectal sensors.  Treatment strategies for pelvic floor rehabilitation, normalization of bowel and bladder activity, and pain reduction will be explored using the mainstay of EMG, other modalities (EEG, heart rate variability, thermal, respiration), and patient education regarding diet and toileting habit.   The intent is to broaden the practitioner’s treatment options for the often-complex nature of the above disorders.

Maximize the use of your BioGraph or MultiTrace software.  Screen construction, criterion setting, protocol building, and other advanced features will be addressed.   There will be some laptops available.  However, to insure maximum learning, bring your own laptop.

Workshop Outline

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Viewing Recorded Data on the Report Screen How to access the report screen Pop-up menus Listing of data channels Button bar controls: T+ and T-, play, forward, reverse, slider Markers Artifact rejection features Use of segments Thick or thin lines Multi-linegraph settings Color setting Scale position: right, left Scale size:  small, medium, big Y-range: manual, auto Smoothing Threshold setting for reports Saving report screen settings for display screen Computing and printing statistical reports Trend reports Loading and Reviewing Previously Saved Sessions Display screen viewing Protocol viewing Building and Altering Display Screens Screen building canvas Instrument Toolbox Review of each instrument 11 Max Pop-up menu overview

F-keys Selection of data channels from default data channel set Data display modes Threshold types, manual, auto Scaling, auto, manual Averaging and smoothing Instrument properties  Feedback selections for instruments: (prop., inv.  Inhibit, clock) Color and texture options Instrument sizing and organization Saving changes by overwriting screens Creating New Data Channels Virtual and real channel Defining data channels Changing channel names Signal type assignment Computations  Saving data channel sets Saving data channel sets with display screens Building New Protocols Record and play modes Construction of protocol components Screens Audio options Pauses Segments for selected data reporting Prompts:  sound, text, image Event triggered protocols  Importing bitmaps, MIDI and wave files

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To enroll in workshop contact: 
Thought Technology, Ltd.
2180 Belgrave Avenue
Montreal, Quebec, Canada, H4A 2L8

Purpose:  This workshop is designed to educate participants regarding the technical procedures for monitoring and feedback of EEG, EMG, thermal, electrodermal, heart rate, and respiration biofeedback modalities.  Participants will be given an overview of neurofeedback and peripheral biofeedback clinical applications.
 

Proficiency Objectives: To know the basic neuroanatomy of the peripheral and central nervous systems. To become proficient in the use of the 10-20 International System of Electrode Placement. To know the history of peripheral and EEG biofeedback and obtain an overview of current applications and protocols using neurofeedback and peripheral biofeedback. To know how to monitor and provide meaningful feedback for EMG, EEG, thermal, respiratory, electrodermal, and cardio-vascular feedback modalities. To learn how to generate meaningful reports for communication with other health care professionals. First day Basic neuroanatomy of peripheral and central nervous systems Overview of biofeedback modalities  Electroencephalographic (EEG) Frequency ranges and rhythms Referential and bipolar recording 10-20 international system of electrode placement Electrodermal  Electromyography (EMG) Bandwidths Principles of electrode placement Peripheral temperature  Heart rate Blood pulse volume Respiration Neuromuscular relaxation training assisted by multi-modality biofeedback  Diaphragmatic breathing and paced respiration training Hand warming strategies Progressive muscle relaxation scripts Autogenic training scripts Guide imagery scripts Tense/release, resistance Stretching exercises Alpha/theta training Practicum Multi-modality hookups and selection of appropriate monitoring and feedback display screens Second day Respiratory sinus arrhythmia (RSA) Dynamic EMG  Neurofeedback clinical applications Overview of treatment of stress related disorders Practicum: Display screen design for multi-modality feedback Multi-modality hook-up and recording of data Report generation

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BEHAVIORAL THERAPIES ASSISTED BY BIOFEEDBACK
for
BOWEL AND BLADDER DISORDERS AND CHRONIC PELVIC PAIN SYNDROMES

Learn how to treat patients with elimination disorders and chronic pelvic pain sydromes using biofeedback assisted behavioral methods.  Consultations and/or workshops can be tailored to your individual needs.  Training is available in Boulder, Colorado or at your facility.

A two-three day training program is suggested which can include all or a portion of the following components depending upon your individual requirements.  Contact:  Louise Marks, M.S., O.T.R. at 303-546-6639 or by e-mail biomarks@yahoo.com.
 

Overview of behavioral treatments Appropriate patient populations Methods and modalities Anatomy and physiology Pelvic floor muscles Lower urinary tract anatomy and micturition Anorectal anatomy and defecation mechanisms Bowel and Bladder Disorders Types of urinary incontinence: urge, stress, mixed, overflow, functional Fecal incontinence Post-prostatectomy urinary incontinence Bladder sphincter dyssynergia Urinary hesitancy and frequency Chronic constipation related to a non-relaxing puborectalis, anismus Chronic Pelvic Pain Syndromes Vulvodynia Levator ani syndrome Proctalgia fugax IBS

Assesment Intake and referral forms Surface EMG pelvic floor muscle assessment Rectal and vaginal sensors Diaries: bowel, bladder, pain Patient education with illustrations Sterile procedures Treatment Treatment Planning Therapeutic exercise assisted by EMG biofeedback Home exercise programs with and without home trainers Neuromusuclar relaxations exercises assisted by multimodal biofeedback Bladder retraining Bowel habit training Dietary issues Survey of treatment protocols Instrumentation (Lab) Pelvic floor muscle assessment procedures (use of protocols) Selection and instruction in appriopriate biofeedback training screens How to maximize biofeedback training, scaling, shaping, rewards,etc. Graph and report generation

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Workshop outline

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Overview of behavioral treatments Appropriate patient populations Methods and modalities Anatomy and physiology Pelvic floor muscles Lower urinary tract anatomy and micturition Anorectal anatomy and defecation mechanisms Bowel and Bladder Disorders Types of urinary incontinence: urge, stress, mixed, overflow, functional Fecal incontinence Post-prostatectomy urinary incontinence Bladder sphincter dyssynergia Urinary hesitancy and frequency Chronic constipation related to a non-relaxing puborectalis, anismus Chronic Pelvic Pain Syndromes Vulvodynia Levator ani syndrome Proctalgia fugax IBS

Assesment Intake and referral forms Surface EMG pelvic floor muscle assessment Rectal and vaginal sensors Diaries: bowel, bladder, pain Patient education with illustrations Sterile procedures Treatment Treatment Planning Therapeutic exercise assisted by EMG biofeedback Home exercise programs with and without home trainers Neuromusuclar relaxations exercises assisted by multimodal biofeedback Bladder retraining Bowel habit training Dietary issues Survey of treatment protocols Instrumentation (Lab) Pelvic floor muscle assessment procedures (use of protocols) Selection and instruction in appriopriate biofeedback training screens How to maximize biofeedback training, scaling, shaping, rewards,etc. Graph and report generation

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Maximize the use of your biofeedback instrument with individualized instruction via telephone or e-mail, in Boulder or at your site.

For details and arrangements contact: 

Louise E. Marks, M.S., O.T.R. 
3478 16th Circle
Boulder, CO 80304
Tel and Fax:  303-546-6639