Lab 4- H.E.A.R.T. Prototype User Manual
CS 411 Lab IV- User’s Manual
Heart Prototype
Prepared by Heart, Inc.
Date: 04/27/2009
Heart, Inc.-1
Lab 4- H.E.A.R.T. Prototype User Manual
Heart, Inc.-2
Table of Contents
1
INTRODUCTION (Ryan Null) ...........................................................................................5
1.1 H.E.A.R.T. Objectives and Goals (Ryan Null) ....................................................................6
2
PRODUCT FEATURES (Spencer Garland) .......................................................................7
3
SOFTWARE SITE MAP (Nicole Jackson) .......................................................................12
3.1 Rehabilitation Center’s Software Site Map .......................................................................13
3.2 Patient’s Software Map ......................................................................................................14
4
SET-UP (Andrew Cartwright) ...........................................................................................15
5
PRODUCT PROCEDURE (Nicole Jackson, David Norris, Ryan Null) ..........................34
5.1 Performing Your Exercise Regime ....................................................................................34
5.1.1 Attach the PASPORT Heart Rate Monitor ..................................................................37
5.1.2 Starting Recording Your Heart Rate ............................................................................38
5.1.3 Starting Your Exercise Session ....................................................................................40
5.1.4 Performing Your Exercises ..........................................................................................40
5.1.5 Performing a Prescription (Multiple repetitions of one or more exercises).................44
5.1.6 Completing Your Exercise Session .............................................................................44
5.1.7 Discriminate Your Exercise Data ................................................................................45
5.2 Login/Logout .....................................................................................................................46
5.2.1 Login ............................................................................................................................46
5.2.2 Logout ..........................................................................................................................47
5.3 Rehabilitation Specialist Software .....................................................................................48
5.3.1 Reports .........................................................................................................................49
5.3.2 Add Patient...................................................................................................................51
5.3.3 Synch............................................................................................................................53
5.3.4 Access Patient ..............................................................................................................54
5.3.5 Edit Patient Information ...............................................................................................56
5.3.5 Prescription Management ............................................................................................57
5.3.6 Patient Reports .............................................................................................................62
5.4 Patient Software .................................................................................................................67
5.4.1 Sync..............................................................................................................................68
5.4.2 View Prescription.........................................................................................................69
5.4.3 Reports .........................................................................................................................70
6
Troubleshooting (David Norris) ........................................................................................74
7
Definitions, Acronyms, Abbreviations (Spencer Garland) ................................................80
8
References (Spencer Garland) ...........................................................................................85
Figures
Set-Up
Figure 1:
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Prototype Major Functional Component Diagram ........................................................9
Rehabilitation Software Site Map ................................................................................13
Patient Software Site Map ...........................................................................................14
H.E.A.R.T. Prototype Case ..........................................................................................15
Prototype Hardware Components ................................................................................16
Lab 4- H.E.A.R.T. Prototype User Manual
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Propter Electrical Connection to ODU laptop .............................................................17
Proper Electrical Connection to Wall Outlet ...............................................................17
Power Button Location ................................................................................................18
Windows Vista Login Screen ......................................................................................19
Prototype Desktop ........................................................................................................19
Bluetooth Dongle Connection......................................................................................20
Wii Remote Backing Removed ...................................................................................20
Bluetooth Places Location ...........................................................................................21
Wii Remote Connection Option...................................................................................21
Wii Remote SYNC Button...........................................................................................22
Connect Wii Remote ....................................................................................................23
Success Wii Remote Connection .................................................................................23
Wii Remote Backing Replaced ....................................................................................24
Heart Rate Sensor Contents .........................................................................................25
Heart Rate Sensor Proper Connection .........................................................................25
Heart Rate Adaptor Proper Connection .......................................................................26
Proper Heart Rate Sensor USB Connection.................................................................27
Launch DataStudio.......................................................................................................28
Close Beats/Min Box ...................................................................................................29
Confirm Box Closing ...................................................................................................29
DataStudio Program .....................................................................................................30
DISCRINATION folder...............................................................................................30
Data Folder...................................................................................................................31
Open disc2.exe .............................................................................................................32
Improper Wii Remote Connection in disc2.exe ...........................................................33
Starting disc2.exe .........................................................................................................33
Product Procedures Figures
Figure 32: Wii Remote Home and A Button .................................................................................35
Figure 33: Wii Remote Infra Red Sensor ......................................................................................36
Figure 34: PASPORT External Fingertip Heart Rate Monitor Earlobe Set-Up ............................37
Figure 35: Location of Start button for DataStudio.......................................................................38
Figure 36: Heart Rate Data from DataStudio ................................................................................39
Figure 37: Vertical Arm Lift Proper Starting Position ..................................................................41
Figure 38: Vertical Arm Lift Proper Positioning ..........................................................................41
Figure 39: Upright Row Proper Starting Position .........................................................................42
Figure 40: Upright Row Proper Positioning..................................................................................42
Figure 41: Forward Arm Push-Pull Proper Starting Position ........................................................43
Figure 42: Forward Arm Push-Pull Proper Positioning ................................................................43
Figure 43: Heart Prototype Software Login Page .........................................................................46
Figure 44: Heart Prototype Software Logout ................................................................................47
Figure 45: Heart Prototype Software Cross Patient Report Parameter Page .................................49
Figure 50: Heart Prototype Software Cross Patient Report...........................................................50
Figure 47: Heart Prototype Software Add Patient .........................................................................51
Lab 4- H.E.A.R.T. Prototype User Manual
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Heart Prototype Software “Sync” Tab Location ..........................................................53
Heart Prototype Software Access Patient ....................................................................54
Selecting a Patient to Access .......................................................................................55
Heart Prototype Software View of Patient Name ........................................................55
Heart Prototype Software Edit Patient Information .....................................................56
Heart Prototype Software Prescription Management ..................................................57
Heart Prototype Software “Edit a prescription for a patient” Form .............................58
Heart Prototype Software “Add New Prescription” ....................................................59
Heart Prototype Software “Add New Prescription” Form ...........................................60
Heart Prototype Software Prescription Report ............................................................61
Heart Prototype Software Patient Reports ...................................................................62
Heart Prototype Software Patient Progress Report ......................................................63
Heart Prototype Software Prescription Report “Report Parameter” Page ...................64
Heart Prototype Software Prescription Report ............................................................65
Heart Prototype Software Exercise Session “Report Parameter” Page .......................66
Heart Prototype Software Exercise Session Report .....................................................66
Heart Prototype Software “Sync” Tab for Patient .......................................................68
Heart Prototype Software View Prescription ...............................................................69
Heart Prototype Software Reports Page ......................................................................70
Heart Prototype Software Progress Report ..................................................................71
Patient Exercise Session Report “Report Parameters” Page........................................72
Patient Exercise Session Report...................................................................................73
Troubleshooting Figures
Figure 70: Heart Prototype Software Location .............................................................................74
Figure 71: Heart Prototype Software Login Troubleshooting .......................................................75
Figure 72: Heart Prototype Software Report Troubleshooting .....................................................76
Figure 73: Desktop Search Icon ....................................................................................................78
Figure 74: Bluetooth Places Joystick Icon ....................................................................................79
Lab 4- H.E.A.R.T. Prototype User Manual
1
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INTRODUCTION
Thank you for expressing interest in H.E.A.R.T. (Heart Exercise Accelerometer
Rehabilitation Tool), an exciting innovative tool for cardiac rehabilitation specialists and
patients. Twenty-two million people have experienced cardiac failure world-wide (Svoboda,
Binns, Dyer, & Morgenstern, 2008). Cardiac failure is when the heart is unable to supply oxygen
for some period of time. Five million people in the United States are coping with the results of
cardiac failure and medical intervention (American Heart Association, 2007). 550,000 new
cases are diagnosed every year. According to MAYO Clinic, cardiac rehabilitation exercises are
critical to recovering heart strength, functionality, and independence after medical intervention
for cardiac failure (Cardiac rehabilitation, 2007). 79% of the patients that leave cardiac
rehabilitation without completing all sessions will unnecessarily die prematurely (Mini ECG gets
heart attack rehab patients mobile, 2008).
A study conducted by Beaumont Hospital concluded that patient involvement is critical
to your success in a rehabilitation program (Cardiac Rehabilitation - Cardiac Rehabilitation,
2008). If you understand the concrete benefits of completing your exercise regimen and are
more involved in the rehabilitation process, you are more likely to be accountable for completing
and maintaining your long-term exercise regimen.
"We need to find ways to increase the use of cardiac rehabilitation, because it is used
very little by patients who could benefit a lot” (American Heart Association, 2007). Involvement
is a key factor in the use of rehabilitation services (Cardiac Rehabilitation - Cardiac
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Rehabilitation, 2008). "…if the patient is actively engaged…they feel like they have some
control over what they will do and how they will do it" (Cardiac rehabilitation, 2007).
1.1
H.E.A.R.T. Objectives and Goals
H.E.A.R.T. (Heart Exercise Accelerometer Rehabilitation Tool) will help you increase
your utilization of cardiac rehabilitation services, and allow your specialist better help you get
through cardiac rehabilitation quicker and more effectively. It monitors your exercises and
provides appropriate exercise and heart rate feedback to you and your rehabilitation specialist
while still being easy to use and understand. H.E.A.R.T. will help you and your rehabilitation
specialist keep track of your home exercise regimen. It will also allow your rehabilitation
specialist to provide you with beneficial feedback that will allow both of you to cater your
cardiac rehabilitation into something that is both beneficial and reasonable for the both of you. It
also allows your rehabilitation specialist to run anonymous reports across multiple patients to
allow them to study the effectiveness of attaining a target heart rate of a specific exercise on a
target group of people. It helps your specialist find the most efficient and effective exercises to
make rehabilitation more effective for you and other patients.
H.E.A.R.T. will be introduced to you by your rehabilitation specialist, who will train you
on how to use the device at the rehabilitation center during supervised exercise sessions. The
device is designed to help you perform you exercises properly and record your heart rate while
doing so. It does this by recording the movements of your exercises and then storing them. The
software that comes with the device will then determine what exercises and how many of each
you did. The H.E.A.R.T. System will store all of this information and allow you and your
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rehabilitation specialist to monitor your progress as you succeed in cardiac rehabilitation. By
allowing the capturing of historical data your specialist can tune your rehab program to you as an
individual.
2
PRODUCT FEATURES
The Hear Exercise Accelerometer Rehabilitation Tool (H.E.A.R.T.) Prototype is using
devices and computers provided to demonstrate a cost effective example of the basics of the
H.E.A.R.T. technology. It is proving the feasibility of receiving and recording raw data from the
piezoelectric accelerometer and heart rate sensor. It can discriminate exercises from the raw data
and correlate exercise and heart rate data into a database friendly file. The prototype provides
useful reports that improve long-term rehabilitation by offering concrete evidence and feedback
of exercises performed to the patient and rehabilitation specialist.
The prototype provides many innovative features such as automating the rehabilitation
exercise prescription process, patient in-home exercise regiment, and the patient exercise
assessment process. The rehabilitation exercise prescription process is easily done by the
rehabilitation specialist, using prototype GUIs, to input and apply a prescription for a patient.
Patients can view their prescription at home by synchronizing their prescription from the
prototype with their GUI. The automated patient in-home exercise regiment is done by
integrating sensors that automatically record exercises and associated heart rate. After
completing set-up and exercises, the recorded data uses the prototype software to provide
feedback to patients via session reports and a patient exercise progress report, to display
improvement over a period of time.
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Another feature of the prototype is the automation of patient and cross-patient history
reports. The reports share patient exercise data with their rehabilitation specialist, providing a
better relationship between patients and rehabilitation.
As shown in figure one, the main components of H.E.A.R.T. (piezoelectric accelerometer,
heart rate sensor, and algorithms) are present in the prototype, allowing the feasibility of
H.E.A.R.T. to be demonstrated. The piezoelectric accelerometer will be simulated by using the
three-axis Nintendo Wii remote with a wireless Bluetooth receiver connected to the simulation
interface computer by a Universal Serial Bus (USB). Motion on the Wii remote will generate gforce data that is transferred from the Wii remote into an ASCII file. The heart rate sensor in the
prototype is a PASPORT external fingertip heart monitor that connects to the simulation
interface computer via USB and uses PASPORT Data Studio software to transfer the heart rate
sensor data to an ASCII file. The simulation interface computer contains the proprietary
H.E.A.R.T. prototype software that uses the raw data (ASCII file) from the Wii Remote, in
correlation with the PASPORT heart rate sensor data (ASCII file), to display exercise type,
duration, and heart rate in real time. After patients start and end exercise sessions, the prototype
software will discriminate, correlate, and store the processed data into the MySQL database.
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Figure 1: Prototype Major Functional Component Diagram (Lab 1, 2009)
The prototype is easy to use for the patient by holding the Wii Remote and performing
exercises with the fingertip heart rate sensor connected to an earlobe. The online GUI interfaces
use a MySQL database to display user-friendly reports, while the simulation interface computer
displays the raw data recorded by the sensors from the Wii Remote and PASPORT heart rate
sensor. The MySQL database stores all information and provides you with prescription and
exercise progress via the online GUI interfaces.
You can use the GUIs to display informative feedback examples via reports on exercises
performed from predefined data in the online MySQL database. If you are a patient, the GUIs
display useful reports and allow management of your prescriptions and profile. You will be able
to administer your home exercise regimen as prescribed by your assigned rehabilitation
specialist, allow prescriptions to be viewed, and generate reports on exercises performed. You
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are able to generate session, prescription, and progress reports on exercises completed. There is
a login screen to allow multiple patients to use the same computer if more than one patient
within the home has been prescribed H.E.A.R.T. The GUIs will also control unauthorized access
and authentication to ensure security of exercise data. As a patient you can also view and change
personal information through the profile tab on the GUI interface.
If you are a rehabilitation specialist, you can access the same options as patients through
the GUIs and display reports for multiple patients while allowing management of your patients
and their prescriptions. Your reports on multiple patients display appropriate information based
on their attributes.
There is a login screen that permits rehabilitation specialists to gain access to one of their
assigned patients. As a rehabilitation specialist, you have the option to display the current
prescriptions for your patients and modify or add a prescription to them. When modifying or
adding a prescription, you enter the frequency, repetition, start date, and end date of the exercise
to be performed by your patient. Another ability you have is to add a new patient to your
assigned patients. You will also be able to run session, prescription, patient progress, and cross
patient exercise reports with the appropriate functional interface for each report. A detailed
explanation of each report is given later in this section.
A synchronize button is implemented into the GUI for a patient or rehabilitation
specialist that will update the database by using the Common Language Format (CLF) file that
contains the latest processed exercise and heart rate data. All users will have the logout button as
an option.
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If you are a rehabilitation specialist or a patient, the session exercise report will display
the exercises performed for one workout. The workout must be selected from the displayed list
of sessions. The report displays the exercise type, average heart rate, exercises completed, and
start and end time of exercise session.
The patient progress report requires an input of a specific start and end date. It retrieves
exercise sessions and prescriptions within the entered date range. If you are a rehabilitation
specialist or patient, the report displays the number of completed assigned exercises and the total
percentage of exercises completed when compared to a prescription. It also displays whether or
not prescription goals are met or not met.
For either a rehabilitation specialist or patient, the prescription report will display the current
prescriptions and what part of each prescription has been completed. It displays a message
stating that the prescription has met or not met its requirements. The prescription is met when
the frequency of completed exercise sessions and repetitions of each exercise type match the
exact requirements of the prescription.
If you are a rehabilitation specialist, the cross-patient reports will display multiple
anonymous patients’ exercise information according to a cross-patient search form that is filled
out by you. The form requires exercise type, age range, ethnicity, gender, weight, and height.
After the form is processed, a summary provides the percentage of exercises completed and the
average heart rate among multiple patients.
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We at Heart, Inc, thank you for participating in the beta testing of the rehabilitation tool
H.E.A.R.T. Please feel free to contact us if you have any questions or concerns by visiting
www.cs410.com or emailing us at HEART@gmail.com.
3
SOFTWARE SITE MAP
The software packages included with the H.E.A.R.T. prototype are for patients and
rehabilitation centers. The software packages will allows you to view prescriptions and
analytical reports on exercise routines. The software package for rehabilitation centers has
additional capabilities to further analyze the health of their patient.
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3.1
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Rehabilitation Center’s Software Site Map
If you are a rehabilitation specialist please read this section, otherwise go to section 3.2 for
a Patient Software Site Map.
As a rehabilitation specialist, you should be able to set up exercise prescriptions for your
patients and view their progress. The software provided allows you to select a patient from a list
of your assigned patients, add patients, manage the patient’s prescription, view reports on one
patient or multiple patients, alternate between patients, and modify the selected patient’s personal
information. Figure two is a site map to help you operate the Heart Prototype Software. The
elements within each site map are associated with a number that guides you to the section within
the book that addresses the element.
Figure 2: Rehabilitation Software Site Maps
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3.2
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Patient’s Software Site Map
As a patient, you should be able to view your prescriptions prescribed by your doctor and
receive reports on your progress. The Heart Prototype Software allows you to view your
prescribed exercises and view analytical reports on your exercise routine. Figure three is a site
map to help you operate the Heart Prototype Software. The elements within each site map are
associated with a number that guides you to the section within the book that addresses the
element.
Figure 3: Patient Software Site Map
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4
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SET-UP
The H.E.A.R.T. prototype requires several processes to be followed in sequence to allow
for its successful operation. You will need to connect the hardware: Wii remote, PASPORT heart
rate sensor, Bluetooth dongle, and laptop. The Data Studio software and Heart Inc. proprietary
software must also be started before exercises can be performed.
1.
Remove the components from the provided computer science bag (refer to Figure 4).
Figure 4: H.E.A.R.T. Prototype Case
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2.
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Confirm the contents of the bag: Laptop, Laptop power cable, PASPORT heart rate
monitor, PASPORT USB link, Wii Remote, and Bluetooth Wii Remote compatible
dongle (refer to Figure 5).
Figure 5: Prototype Hardware Components
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3.
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Plug the power cord into an electrical outlet (refer to figures six and seven), then plug the
other end into the power connector located on the back left corner on the Old Dominion
University (ODU) laptop. Confirm that the electrical cord is providing power to the
laptop by viewing a light emitting from the battery indicator on the front of the laptop.
Figure 6: Proper Electrical Connection to ODU laptop
Figure 7: Proper Electrical Connection to Wall Outlet
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4.
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Open the lid of the laptop and press the power button (refer to figure eight). Powering the
laptop to a useable state can take several minutes so patience is a virtue.
Figure 8: Power Button Location
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5.
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If prompted with the heart login screen, type “heart” into the password field and click the
arrow (refer to figure nine).
Figure 9: Windows Vista Login Screen
6.
Once the H.E.A.R.T. desktop group is visible (refer to figure 10), you should wait five
minutes to ensure that the laptop fully loads prior to performing any other actions.
Figure 10: Prototype Desktop
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7.
Plug the Bluetooth dongle into a USB port on the laptop and wait ten seconds to ensure
that the device was properly connected (refer to figure 11).
Figure 11: Bluetooth Dongle Connection
8.
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Remove the back cover from the Wii Remote (refer to figure 12).
Figure 12: Wii Remote Backing Removed
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9.
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Find and open the Bluetooth Places link found on the laptop desktop (refer to figure 13).
Figure 13: Bluetooth Places Location
10.
Locate and right click the Nintendo RC instance on the Bluetooth Places screen (refer to
figure 14). Hover the mouse pointer over the connect option. Do not click yet!
Figure 14: Wii Remote Connection Option
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11.
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On the Wii Remote, press the red button on the back near the batteries (refer to figure
14). Immediately left, click the menu option “Connect” (refer to figure 15). A successful
synchronization of the Wii Remote to the laptop will be identified by the Nintendo RC
icon in Bluetooth Places, and the Bluetooth icon in the toolbar, changing from a grey
color to green (refer to figure 16). If no icons are green after twenty seconds, close the
window. Go back to step nine and repeat the procedures.
Figure 15: Wii Remote SYNC Button
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Figure 16: Connect Wii Remote
Figure 17: Successful Wii Remote Connection
12.
Close Bluetooth Places. Your desktop should be displayed (refer to figure 10).
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13.
Replace the cover onto the back of the Wii Remote (refer to figure 18).
Figure 18: Wii Remote Backing Replaced
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14.
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Remove the PASPORT USB device, PASPORT heart rate adaptor, and heart rate sensor
from their bags (refer to figure 19).
Figure 19: Heart Rate Sensor Contents
15.
Plug the heart rate sensor jack connector into the accepting port on the PASPORT heart
rate adaptor (refer to figure 20).
Figure 20: Heart Rate Sensor Proper Connection
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16.
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Plug the PASPORT heart rate adaptor into the PASPORT USB device (refer to figure
21).
Figure 21: Heart Rate Adaptor Proper Connection
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17.
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Insert the PASPORT USB plug into a USB connection on the laptop and wait for the
laptop to prompt you for an action (refer to figure 22). If after ten seconds you are not
prompted for action, remove the USB plug from the laptop, wait three seconds, and then
replace the USB plug into the laptop.
Figure 22: Proper Heart Rate Sensor USB Connection
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18.
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When the laptop recognizes the sensor, it will launch the PASPORT options dialog box
(refer to figure 23). Select “Launch Data Studio” from the PASPORT option dialog box
and wait for the Data Studio software to fully load.
Figure 23: Launch DataStudio
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19.
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Locate the Digits 1 screen within Data Studio containing dashes and “Beats/Min.” Click
the close button in the upper right corner of the Digits 1 box (refer to figure 24). When
prompted with “Should Data Studio completely remove this display from your activity?”
select OK (refer to figure 25). Once the Digits 1 has been properly closed, only Graph 1
should appear on your screen (refer to figure 26).
Figure 24: Close Beats/Min Box
Figure 25: Confirm Box Closing
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Figure 26: DataStudio Program
20.
Minimize the Data Studio software screen to the toolbar. Your desktop should be
displayed (refer to figure 10).
21.
Locate and open the “DISCRIMINATE” folder on the desktop of the laptop (refer to
figure 27).
Figure 27: DISCRIMINATE Folder
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22.
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Locate and open the “data” folder from within the “DISCRIMINATE” folder (refer to
figure 28).
Figure 28: Data Folder
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23.
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Locate and open “disc2.exe” form with the “data” folder (refer to figure 29). If the Wii
remote has NOT been properly connected, the command prompt will be continuously
scrolling text (refer to figure 30) in which case you should close all of the open
programs and screens on the laptop, remove the Bluetooth dongle, and begin back at step
seven. If the Wii remote has been properly connected, the command prompt should
have several lines of writing with the last line stating “Ready” (refer to figure 31). At
this point, setup is complete and the H.E.A.R.T. prototype is now ready for use.
Figure 29: Open disc2.exe
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Figure 30: Improper Wii Remote Connection in disc2.exe
Figure 31: Starting the disc2.exe
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5
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PRODUCT PROCEDURE
The “Product Procedure” section gives the patient and rehabilitation specialist step-by-
step procedures on how to use the Heart Prototype software. The software allows the patient and
rehabilitation specialist to view and manage prescriptions, and view exercise performance data.
The rehabilitation specialist has more capabilities than the patient to help them prescribe
appropriate exercise prescriptions and analyze the exercise routine of their patient. The patient is
able to view their assigned exercises and a report on their exercise performance.
5.1
Performing Your Exercise Regimen
Exercise is critical to recovering heart strength and mobility. Not all exercises are equal.
Exercise form can be incorrect, canceling some of the benefits of performing the exercises.
Exercises completed, using proper form, should take about 2 seconds to complete a repetition.
Please allow a one second pause between exercises and remember to breathe. It is important that
exercises are performed as described to ensure proper form, thus isolating a desired muscle
group for improvement.
Three common rehabilitation exercises are currently supported by H.E.A.R.T. (Heart
Exercise Accelerometer Rehabilitation Tool). The three allowable exercises are the vertical arm
lift, upright row, and forward arm push-pull. It is important to perform the exercises as
described to ensure proper form and exercise discrimination. If you do not use proper form
while exercising, the Session report will indicate that it could not discriminate exercises
performed while improper exercise form was used.
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Remember to carefully follow all of the set-up instructions found in section 4 before
starting your exercises!
Familiarize yourself with the Wii Remote. There are 3 parts of the remote you will need
to be able to identify. Refer to figure 32 and locate the following parts.
1.
“A” button
2.
“Home” button
Figure 32: Wii Remote Home and A Button
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Now refer to figure 33 and locate the black Infra Red sensor.
Figure 33: Wii Remote Infra Red Sensor
Now that you are familiar with the Wii Remote, you are ready to make your heart strong.
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5.1.1 Attach the PASPORT Heart Rate Monitor
Clip the metal pin to your clothing to secure the monitor during exercise. Attach the
black plastic clip to your earlobe. Refer to figure 34 to see the heart rate monitor attached
correctly to clothing and earlobe.
Figure 34: PASPORT External Fingertip Heart Rate Monitor Earlobe Set-Up
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5.1.2 Start Recording Your Heart Rate
Now that you have correctly attached the heart rate monitor, you are ready to start
recording your heart rate. Maximize the Data Studio window you minimized during the set-up
procedures. Click the Start button in the upper left corner of the screen. Refer to figure 35 for
the location of the Start button.
Figure 35: Location of Start button for DataStudio
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You know you have correctly started the heart monitor when your screen begins to
display data as shown in figure 36. Minimize the Data Studio window.
Figure 36: Heart Rate Data from DataStudio
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5.1.3 Starting Your Exercise Session
Locate the Icon labeled “Exercise.exe” on your desktop and double click, or right click to
display the shortcut menu and left click OPEN. You are ready to begin your exercise regimen
when the window that displays figure four in section four-Set-Up is open on your desktop. View
your prescription to find the exercises and repetitions you should complete. Refer to section
5.4.2 for instructions on viewing your prescription. The procedures for the exercises allowed are
listed in section 5.1.4.
5.1.4 Performing Your Exercises
Please read the following instructions before attempting your first exercise session.
Instructions must be carefully followed to insure proper exercise form and discrimination.
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Vertical Arm Lift:
Hold the Wii Remote next to your ear with the A button facing behind you and
the black Infra Red sensor pointing toward the ceiling. Refer to figure 37 for the proper
starting position. Press and hold the A button while smoothly extending your arm toward
the ceiling. Refer to figure 38 for the proper position. Smoothly return your arm to the
starting position and take a breath. Continue holding the A button while doing exercise
repetitions until the desired number of repetitions is completed. When the desired
number of repetitions is completed, release the A button. This procedure will record all
of the repetitions of the vertical arm lift.
Figure 37: Vertical Arm Lift Proper Starting Position
Figure 38: Vertical Arm Lift Proper Positioning
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Upright Row
Hold the Wii Remote with your arms at your sides, both hands grasping one of the
ends of the Wii Remote , with the A button facing the ceiling and the black Infra Red
sensor pointing to your left. Press and hold the A button with the thumb of your left
hand. Keep the A button facing the ceiling while smoothly lifting the remote to eye level,
and then smoothly return to the starting position. Remember to breathe between each
exercise repetition. Continue holding the A button while doing exercise repetitions until
the desired number of repetitions is completed. When the desired number of repetitions
is completed, release the A button. This procedure will record all of the repetitions of the
upright row. Refer to figures 39 and 40 for proper starting position and form.
Figure 39: Upright Row Proper Starting Position
Figure 40: Upright Row Proper Positioning
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Forward Arm Push-Pull
Hold the Wii Remote in your hand with the A button facing the ceiling and your
index finger overlapping the A button. Bring your arm to shoulder height as if preparing
to throw a punch. Keep the A button facing the ceiling. Press and hold the A button with
your index finger and then smoothly extend (push) your arm in front of you. Smoothly
retract (pull) your arm back to the starting position. Remember to breathe between each
exercise repetition. Continue holding the A button while doing exercise repetitions until
the desired number of repetitions is completed. When the desired number of repetitions
is completed, release the A button. This procedure will record all of the repetitions of the
forward arm push-pull. Refer to figure 41 and 42 for proper starting position and form.
Figure 41: Forward Arm Push-Pull Proper Starting Position
,
Figure 42: Forward Arm Push-Pull Proper Positioning
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5.1.5 Performing a Prescription (Multiple repetitions of one or more exercise)
Your rehabilitation specialist may ask you to complete several repetitions of all three
exercises. To complete repetitions of different exercises, complete the first set of repetitions for
your first desired exercise as indicated in section 5.1.3. Assume the proper starting position for
the next exercise and begin exercising as described in section 5.1.3 for your next desired
exercise. Continue changing exercises by starting at the appropriate position for the desired
exercise and following its associated instructions in section 5.1.3.
5.1.6 Completing Your Exercise Session
When you have completed all the exercises you wish to attempt and are ready for a break,
you should end your exercise session. When you are ready to end your exercise session, you will
need to close your Data Studio window and press the HOME button on the Wii Remote.
Remember not to over-exert yourself. If you feel like you are doing too much, rest for a
while and try again later. Any pain or discomfort while exercising should be discussed with your
rehabilitation specialist or primary care provider.
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5.1.7 Discriminate Your Exercise Data
Locate the Icon on your desktop labeled “Discriminate.bat.” Double Click the Icon. The
discriminated data that will be injected into the Heart, Inc. database will be displayed.
The discrimination algorithms err on the side of caution. If you do not perform exercises
in proper form as outlined in section 5.1.4, it might not be able to discriminate all of your
exercises. But don’t you worry, H.E.A.R.T. will let you know it could not discriminate the
exercise so that your specialist will know you were exercising!
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Login/Logout
The login and logout feature allows the patient and rehabilitation specialist to gain access
to exercise information or end their session. The Heart Prototype application is an access control
software package, which means that a user gains certain capabilities based on their permissions
within the system. The rehabilitation specialist has access to more features than the patient.
5.2.1 Login
“Login” allows the rehabilitation specialist to access their assigned patients’ exercise
information. The patient and rehabilitation specialist are able to log into the software to view
patient exercise information. Figure 43 is a visual of the “Login” screen.
Figure 43: Heart Prototype Software Login Page
1.
On the “Login” page, enter your valid username in the “Username” text field and
enter your valid password in the “Password” text field.
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Click the “Login” button to gain access to the prototype software.
5.2.2 Logout
While you are logged into the Heart Prototype software, you are able to end your current
session by clicking the “Logout” tab on the top of any software page. Figure 44 is an example
visual of the “Logout” tab.
Figure 44: Heart Prototype Software Logout
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Rehabilitation Specialist Software
If you are a rehabilitation specialist, please read this section; otherwise, go to section 5.4.
As a rehabilitation specialist, the Heart Prototype software allows you to access your
assigned patient’s exercise information. You are allowed to add a patient, manage the patient’s
prescription, view reports on the patient’s exercise routine, synchronize the prototype, and
modify the patient’s information. You are also allowed to view a variety of reports on your
assigned patients. You can view a “Patient Progress Report,” “Prescription Report,” “Exercise
Session Report,” and a “Cross Patient Report.” You can only access the features mentioned in
the “Rehabilitation Specialist Software” section if you have logged in. To learn how to log in,
go to section 5.2.1-Login.
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5.3.1 Reports
The “Reports” page allows you to view a “Cross Patient Report” before selecting a
patient. The “Cross Patient Report” allows you to view a multi-patient report based upon
selected patient attributes. You are able to view patient exercise data based on ethnicity, exercise
type, and age range.
1.
After logging into the prototype software with a valid username and password,
click the “Reports” tab on the top of the Home Page.
2.
Click the “Cross Patient Report” to view a multi-patient exercise report.
3.
Fill in the appropriate fields in figure 45.
Figure 45: Heart Prototype Software Cross Patient Report Parameters Page
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Click the “Run Report” button to see a “Cross Patient Report.” Figure 46 is a
visual example of a “Cross Patient Report.”
Figure 46: Heart Prototype Software Cross Patient Report
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5.3.2 Add Patient
The “Add Patient” screen allows you to add a new patient for the use of the H.E.A.R.T.
prototype. Adding a new patient allows you to keep a record of the patient and the patient’s
exercise performance.
1.
After logging in, click the “Add Patient” tab in figure 47 on the Home page.
Figure 47: Heart Prototype Software Add Patient
2.
Type the patient’s first name in the “First Name” text field.
3.
Type the patient’s last name in the “Last Name” text field.
4.
Select the patient’s gender in the “Gender” drop down menu.
5.
Type the patient’s age in the “Age” text field.
6.
Type the patient’s doctor’s name in the “Doctor’s Name” text field.
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7.
Type the patient’s height in the “Height” text field in inches.
8.
Type the patient’s weight in the “Weight” text field in pounds.
9.
Select the patient’s ethnicity from the “Ethnicity” drop down menu.
10.
Select the rehabilitation specialist from the “Rehab Specialist” drop down menu.
11.
Click “Save Changes” button to create a new patient. If the patient has been
successfully created, a “Your settings have been saved” message will appear.
In order to create a new patient, you must enter valid information in all of the text
fields or error messages will occur after clicking the “Save Changes” button.
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5.3.3 Synch
The “Sync” button allows you to synchronize the device with the Heart Prototype
software. Synch also gives you the ability to view reports on current exercise performances.
1.
To synchronize the device, click the “Synch” tab located on the top of the page.
Refer to figure 48 for location of “Sync” tab.
Figure 48: Heart Prototype Software “Sync” Tab Location
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Access Patient
The “Access Patient” page allows you to select a patient from a list of your assigned
patients.
You will not be able to view patients that you are not assigned to. Figure 49 is an example
of the “Access Patient” page.
1. After logging into the prototype software with a valid username and password, click
the “Access Patient” tab on the top of the Home page.
Figure 49: Heart Prototype Software Access Patient
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Click the “Select” link next to the patient you would like to view. Refer to figure
50 for location of “Select” link.
Figure 50: Selecting a Patient to Access
If a patient has been selected correctly, the patient’s name will show up in the
right hand corner of the software on the next page. Figure 51 is an example visual of
what should be seen on the next page.
Figure 51: Heart Prototype Software View of Patient Name
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5.3.5 Edit Patient Information
The “Edit Patient Information” page allows you to view and modify the selected patient’s
personal information. Figure 52 is an example of the “Edit Patient Information” page.
1.
After selecting a patient, click the “Edit Patient Information” tab to view and/or
update the profile of the current selected patient.
If you just want to view the patient’s information without updating the
patient, ignore steps three and four.
2. Edit the text field you would like to modify for the patient’s personal information.
Figure 52: Heart Prototype Software Edit Patient Information
3.
Click “Save Changes” to update the patient’s personal information. You will see
the message “Your settings have been saved.”
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5.3.5 Prescription Management
The “Prescription Management” page allows you to view prescriptions that have assigned
to the patient, modify the current prescription, add a new prescription, and view a report for that
prescription.
1.
After selecting a patient, click the “Prescription Management” tab.
If you just want to view the prescriptions that have been assigned to that
patient, skip steps two through four. Figure 53 is a visual of the “Prescription
Management” page.
Figure 53: Heart Prototype Software Prescription Management
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To edit a prescription, the “Edit” link on the “Prescription Management” next to
the prescription you would like to modify. Figure 54 is an example visual of the
“Edit a prescription for a patient” page.
Figure 54: Heart Prototype Software "Edit a prescription for a patient" Form
1.
Edit the desired text field on the “Editing a prescription for a patient” page
to modify the selected prescription.
2.
Click “Save Prescription” button to update a prescription. You will be
directed back to the “Prescription Management” page.
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To add a new prescription for a patient, click the “Add New Prescription”
button located at the top of the “Prescription Management” page. Refer to figure
55 for location of “Add New Prescription” button on “Prescription Management”
page.
Figure 55: Heart Prototype Software "Add New Prescription"
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Fill in all of the fields in figure 56 with appropriate and valid information.
Figure 56: Heart Prototype Software "Add New Prescription" Form
2.
Click the “Create New Prescription” button to create a prescription. You
will be directed back to the “Prescription Management” page, which will
include the newly created prescription.
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To view a “Prescription Report” for the desired prescription, click the “Show
Report” link. As a result, you will see a prescription report for the selected
prescription of the current selected patient. Figure 57 is a visual example of the
“Prescription Report.”
Figure 57: Heart Prototype Software Prescription Report
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5.3.6 Patient Reports
The “Patient Reports” page allows you to view reports on the patient’s exercise routine.
You are allowed to view the selected patient’s “Progress Report,” “Prescription Report,” and
“Exercise Session Report.”
1.
After selecting a patient, click the “Patient Reports” tab on the top of the page.
You will see the reports that can be accessed for the selected patient’s exercise
routine. Figure 58 is a visual of the exercise reports that can be viewed.
Figure 58: Heart Prototype Software Patient Reports
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“Patient Progress Report”
The “Patient Progress Report” allows you to view the progress of the patient over
three prescriptions.
1.
On the “Patient Reports” page, click the “Patient Progress Report” button.
2.
Figure 59 is an example of a “Patient Progress Report.”
Figure 59: Heart Prototype Software Patient Progress Report
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“Prescription Report”
The “Prescription Report” allows you to view an evaluation of a patient’s exercise
performance for the current prescription.
1.
On the “Patient Reports” page, click the “Prescription Report” button.
2.
On the “Report Parameters” page, select a prescription from the “Which
Date do you want reports from?” drop down menu (refer to figure 60).
Figure 60: Heart Prototype Software Prescription Report "Report Parameter" Page
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Click the “Run Report” button to see a “Prescription Report.” Figure 61 is
an example of a “Prescription Report.”
Figure 61: Heart Prototype Software Prescription Report
“Exercise Session Report”
The “Exercise Session Report” allows you to view exercises performed for a
selected date for each session.
1.
On the “Patient Reports” page, click the “Exercise Session Report” button.
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On the “Report Parameters” page, select a session from the “Which
Date do you want reports from?” drop down menu (refer to figure 62).
Figure 62: Heart Prototype Software Exercise Session Report "Report Parameter" Page
3.
Click the “Run Report” button to view exercises done for a selected
session date. Figure 63 is a visual example of an “Exercise Session
Report.”
Figure 63: Heart Prototype Software Exercise Session Report
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Patient Software
It is good that you are starting a new healthy life; welcome to your software section! The
Heart Prototype software allows you to view your exercise information. You are allowed to
view your current prescription, view reports, and synchronize the device. You are allowed to
view a variety of reports on your exercise performance. You can view a “Patient Progress
Report,” “Prescription Report,” and “Exercise Session Report.” You can only access the features
mentioned in the “Patient Software” section if you have completed section 5.2.1-Login.
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5.4.1 Synch
The “Sync” button allows you to synchronize the device with the Heart Prototype
software. Synch also gives you the ability to view reports on current exercise performances.
1.
To synchronize the device, click the “Synch” tab located on the top of the page
(refer to figure 64).
Figure 64: Heart Prototype Software "Sync" Tab for Patient
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5.4.2 View Prescription
The “View Prescription” page allows you to view your current prescription.
1.
After logging in, click the “View Prescription” tab located on the top of the page.
2.
The current prescription is displayed. Figure 65 is a visual example of the
“View Prescription” page.
Figure 65: Heart Prototype Software View Prescription
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5.4.3 Reports
The “Reports” page allows you to view reports on your exercise routine. You are
allowed to view your “Progress Report” and “Exercise Session Report.”
1.
After logging in, click the “Reports” tab located on the top of the page. You will
see the reports that can be accessed (refer to figure 66).
Figure 66: Heart Prototype Software Reports Page
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“Progress Report”
The “Progress Report” allows you to view your progress over three prescriptions.
1.
On the “Reports” page, click the “Progress Report” button.
2.
Figure 67 is an example of a “Progress Report.”
Figure 67: Heart Prototype Software Progress Report
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“Exercise Session Report”
The “Exercise Session Report” allows you to view exercises performed for a
selected date for each session.
1.
On the “Reports” page, click the “Exercise Session Report” button.
2.
On the “Report Parameters” page, select a session from the “Which
Date do you want reports from?” drop down menu (refer to figure 68).
Figure 68: Patient Exercise Session Report "Report Parameters" Page
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Click the “Run Report” button to view exercises done for the selected
session date. Figure 69 is a visual example of an “Exercise Session
Report.”
Figure 69: Patient Exercise Session Report
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Troubleshooting
We all run into trouble. Hopefully, we can solve your problem here. Look below for the
component that is troubling you and we will try to help!
H.E.A.R.T. Software
Where is the H.E.A.R.T. software?
You need to make sure you have opened an Internet browser (preferably Mozilla
FireFox). Make sure the address bar contains the following URL:
http://www.cs410.com/heart/app/index.php
When you have correctly opened a browser and entered the above URL, your browser should
look like figure 70.
Figure 70: Heart Prototype Software Location
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H.E.A.R.T. Software
Why can’t I log in?
If a log-in failure occurs, figure 71 will be displayed.
Figure 71: Heart Prototype Software Login Troubleshoot
If you are a patient, you must be added to the system by your rehabilitation specialist.
Make sure you are using the correct log-in name and password. The log-in and password can be
verified with your rehabilitation specialist.
If you are a rehabilitation specialist, you must be added to the system by your network
administrator. Make sure you are using the correct log-in name and password. The log-in and
password can be verified with your network administrator.
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H.E.A.R.T. Software
Why doesn’t my report work?
You must enter data in all fields for the reports to work. If a report failed to run, figure
72 will be displayed.
Figure 72: Heart Prototype Software Report Troubleshoot
Click on ok and make sure all fields are entered correctly. Click Run Report.
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Simulation Interface
When I try to exercise, the screen is continually printing text and scrolling.
What is wrong?
The Wii Remote is not synched to the simulation interface. Close the scrolling window
and refer to section 4-Set-Up for the proper set-up procedures.
Why isn’t Data Studio displaying my heart rate data?
Make sure you remembered to click the START button in Data Studio before you started
exercising. If you forget to press start, refer to section 5.1-Performing Your Exercise Regime for
instructions on starting the heart rate meter. Refer to section 4-Set Up if you need to close Data
Studio and set-up the PASPORT heart rate meter again.
Simulation Interface
My Wii Remote will not work. I have followed all of the set-up procedures.
What is wrong?
The very first time a Wii Remote is used, the Simulation Interface is unaware of a special
“code” needed for wireless communication. Heart, Inc. tests the remote before delivery, so it has
already established a “code” for communication. If your Wii Remote should break, or if you
should need to use a different Wii Remote, you can add the device to the simulation interface.
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Open Bluetooth Places as described in section four-Set Up. Right click on the icon labeled
“Nintendo RVL-CNT-01.” Left click “unplug” from the shortcut menu. Right click on the icon
labeled “Nintendo RVL-CNT-01.” Left click “delete.” Left click “yes” when prompted for a
delete confirmation. Your previous Wii Remote has been removed from the system. Remove
the back cover from the Wii Remote and locate the red synch button, as described in section
four-Set Up. Locate the search devices icon in Bluetooth Places. The search icon is displayed in
figure 73.
Figure 73: Desktop Search Icon
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Press the red synch button on the Wii Remote (refer to section four-Set-Up to locate synch
button) and immediately double click the search icon. Your screen should display a flashlight
icon indicating the system is searching for the Wii Remote. You know the system has correctly
identified the Wii Remote when Bluetooth Places displays a joystick icon. Your screen should
look similar to figure 74 and you can refer to section 4-Set-Up to complete the set-up procedures.
If a joystick icon is not displayed, close Bluetooth Places and start the procedure over.
Figure 74: Bluetooth Places Joystick Icon
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Definitions, Acronyms, Abbreviations
Accelerometer: A reference to the piezoelectric accelerometer used in the H.E.A.R.T.
device.
Algorithms: See Exercise Discrimination Algorithms.
Bluetooth: A protocol used for devices to communicate with each other wirelessly.
Bluetooth Receiver: Receive wireless information from a Bluetooth transmitter.
Bluetooth Transmitter: Transmit wireless information.
Cardiac Patient: See Cardiac Rehabilitation Patient.
Cardiac Rehabilitation: See Cardiac Rehabilitation Program.
Cardiac Rehabilitation Patient: An individual who has been diagnosed with cardiac
complications and referred to cardiac rehabilitation.
Cardiac Rehabilitation Program: A medically supervised program that assist patients
after being diagnosed with cardiac complications. The program is meant to improve the
health of cardiac patients through limited activities.
Customer: The initial customer of H.E.A.R.T. is cardiac rehabilitation centers. Customer
is also a reference to cardiac rehabilitation centers.
Data: Collected information from the piezoelectric accelerometer and heart rate sensor.
Database: The storage utility used to store information about the patient and the patient’s
exercise performance.
(the) Device: See H.E.A.R.T.
Discrimination Algorithms: See Exercise Discrimination Algorithms.
ECG (ElectroCardioGram): A visual representation of a heart rate over time.
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End-User: The end user of H.E.A.R.T. is cardiac rehabilitation patients.
Exercises: See Prescribed Set of Exercises.
Exercise Discrimination Algorithms: Developed methods that will be used in the
software of H.E.A.R.T. to distinguish exercise type.
Exercise Performance: See Prescribed Set of Exercise.
Exercise Routine: See Prescribed Set of Exercises.
Exercise Session: A set of exercises that take place within a finite amount of time.
Feedback: See Informative Reports.
FITT (Frequency Intensity Type Time): The principle of exercise that recommends:
exercising three to five times a week, to reach target heart rate for 20 min each exercise
session, to do exercises that work a range of large muscle groups for 30 minutes to an hour
per session.
GUI: An abbreviation for Graphic User Interface. GUI refers to the displaying of the
informative reports for the patient and rehabilitation specialist.
H.E.A.R.T.: The Heart Exercise Accelerometer Rehabilitation Tool. It was created to
increase the retention rate of cardiac rehabilitation by helping the patient feel a part of in
their rehabilitation program. H.E.A.R.T. uses sensor technology to monitor the patient’s
heart rate and distinguish exercise type.
H.E.A.R.T. Prototype: a simulated demonstration of how H.E.A.R.T. will collect and
correlate data from the piezoelectric accelerometer and heart rate sensor to create
informative reports to the cardiac rehabilitation specialist and cardiac patient.
Heart Rate Monitor: A reference to the external fingertip heart rate monitor.
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Historical Data: Data stored in the database of the rehabilitation and patient’s computer
on past exercise performances of the cardiac patient.
(the) Information: See Data.
Informative Feedback: See Informative Reports.
Informative Reports: Reports that are displayed on the computer to the cardiac
rehabilitation specialist and cardiac patient. The reports analyze the exercise performance
of the patient.
Long-Term Rehabilitation Process: A process within the cardiac rehabilitation program
where cardiac patients are not supervised during their prescribed exercise routine. During
the long-term rehabilitation process, the patient is expected to do in-home prescribed
exercises without being monitored by a rehabilitation specialist.
Medical Professional: See Rehabilitation Specialist.
MET (Metabolic Equivalent Tasks): A measure of exercise intensity. A MET is the
number of calories expended at rest.
MySQL: A computer language used to develop and manage databases. MySQL is an
abbreviation for My Structure Query Language. MySQL will be used in the prototype on
the rehabilitation’s and patient’s computers to store information on patient’s exercise
routine.
Non-Intrusive: Not intruding on the cardiac rehabilitation program.
PA: See Piezoelectric Accelerometer.
Patient: See Cardiac Patient.
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PC: An abbreviation for Personal Computer. The patient and rehabilitation specialist are
expected to have PCs that fit certain requirements.
Piezoelectric Accelerometer: A sensor that generates signals representing the direction
and force applied to the sensor.
Prescribed Set of Exercises: In-home prescribed exercises given to cardiac patients by
the cardiac rehabilitation specialist. The cardiac patients are expected to do the prescribed
set of exercises without the supervision of a rehabilitation specialist.
Professional: See Rehabilitation Specialist.
(the) Program: see Cardiac Rehabilitation Program.
(the) Prototype: See H.E.A.R.T. Prototype.
Real-Time Data: Data collected immediately.
Rehab: An acronym for rehabilitation, specifically cardiac rehabilitation services.
Rehabilitation: See Cardiac Rehabilitation Program.
Rehabilitation Professional: See Rehabilitation Specialist.
Rehabilitation Program: See Cardiac Rehabilitation Program.
Rehabilitation Specialist: A medical professional who assist the cardiac patient with their
cardiac rehabilitation process. The professional monitors cardiac patients during their
rehabilitation exercises, and prescribes the cardiac patient in-home rehabilitation exercises
during the long-term rehabilitation process.
“Rehab Only”: See Cardiac Rehabilitation.
Reports: See Informative Reports.
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SBIR: An abbreviation for Small Business Innovation Research proposal. HEART
Incorporated wrote a SBIR for H.E.A.R.T. during the fall of 2008. The SBIR included a
description of the project, target market analysis, the hardware and staffing budgets,
facilities used to develop H.E.A.R.T., and business plans.
Scope: The overall time, staff, and money constraints on a project.
Short-Term Rehabilitation Process: The well-defined process of the cardiac
rehabilitation program. During the short-term rehabilitation process, the patient is
supervised by the cardiac rehabilitation specialist three days a week while performing their
prescribed exercise routine.
Simulation Interface: The prototype input and output device which represents the
programmable unit in the primary band of H.E.A.R.T.
Simulation Machine: Reference to Simulation Interface.
(the) Specialist: See Rehabilitation Specialist.
(the) System: See H.E.A.R.T. Prototype.
USB: An abbreviation for Universal Serial Bus. A USB is used to physically connect
devices to computers.
Lab 4- H.E.A.R.T. Prototype User Manual
8
Heart, Inc.-85
References
American Heart Association. (2007, September 20). Rehabilitation underused after heart attack
and bypass surgery. Retrieved December 4, 2008, from American Heart Association:
http://www.americanheart.org/presenter.jhtml?identifier=3050603
Cardiac Rehabilitation - Cardiac Rehabilitation. (2008). Retrieved December 4, 2008, from
Beaumont Hospital: https://www.beaumonthospitals.com/health-library/P06321
Heart, Inc. (2009). Lab I: H.E.A.R.T. Product and Prototype Description. Norfolk, VA:
Author.
Heart, Inc. (2009). Lab 2 – Heart, Inc. Prototype Product Specification. Norfolk, VA: Author.
Mayo Clinic Staff. (2007, August 24). Cardiac rehabilitation: Building a better life after heart
disease. Retrieved October 2008, from MayoClinic.com: http://www.mayoclinic.com/
health/cardiac-rehabilitation/HB00017
Mini ECG gets heart attack rehab patients mobile. (2008, July 17). Retrieved December 4,
2008, from e! Science News: http://esciencenews.com/articles/2008/07/17/
mini.ecg.gets.heart.attack.rehab. patients.mobile
Svoboda, E., Binns, C., Dyer, N., & Morgenstern, S. (2008). Health-Reanimating Retired
Organs. Popular Science , 61-63.