Motionlogger
Motionlogger
Motionlogger®
User’s Guide
Version 2K1.1
Phone: 1-914-693-9240
Toll Free: 1-800-341-0066
(International Users May Dial AT&T USA Direct® Access Code for their country
and then enter the above toll free number)
Fax: 1-914-693-6604
Email: info@ambulatory-monitoring.com
Website: http://www.ambulatory-monitoring.com
Introduction
System Requirements
Leakage Current
Motionlogger® models (including but not limited to the BASIC, ULTRA, and
SleepWatch®) with gold contact pins for serial communications present a small leakage
current amounting to 2.33 mA DC between the case and the I/O pins. This is caused by
the polling of the instrument for possible communications to it from an interface
connection. While this leakage current presents no detectable sensation to the user and
no adverse outcome has ever been associated with the wearing of a Motionlogger,
patients with heart disease or who wear an electronic pacemaker, are advised to cover
these communications pins with insulating tape, or to use the MicroMini model which
uses an optical technique for communications.
Battery Disposal
Motionloggers utilize Lithium batteries. In order to minimize environmental risk, these
batteries should be disposed of properly.
Intended Use
Motionlogger actigraphs are not intended to diagnose or treat any medical
condition. Just as a stethoscope can have many applications, it is considered a medical
device only when it is used in medical applications. Results from the Motionlogger
device can be used by a trained medical professional when information about activity
levels, activity distribution, activity rhythms and estimates of sleep quantity and quality
are required.
Motionlogger® Actigraphy
While Motionloggers vary in features, the following section is designed to explain the
general technology and define the terms used with the equipment.
Dual Mode
ZCM and TAT data may be collected simultaneously in what is known as the DUAL
mode. Mini Motionloggers® with version 8.00 firmware or higher (Motionlogger
firmware version number is displayed when manual communications are established. See
section on Act2000) have the ability to record ZCM and TAT data simultaneously. Two
data points (TAT followed by ZCM) are recorded for each epoch. Naturally, this mode
uses memory twice as fast as any single mode.
Proportional Integrating Measure (PIM) Mode
A high-resolution (maximum value is 32,000) measurement of area under the rectified
(absolute value) conditioned transducer signal is known as the PIM (Proportional
Integrating Measure) Mode. Proportional Integrating Measure is a measure of activity
level or vigor of motion.
Tri-Mode (PZT)
This measure collects Proportional Integrating Measure, Zero Crossing and Time-Above-
Threshold measurements simultaneously. Tri-Mode is useful when information about
frequency, duration, and vigor of motion is necessary.
Common Problem: Improper use of Military (24 Hour) style time, either in the header
or in setting the time of your computer can result in 12 hour time discrepancies.
Table 1- Run Time Duration in Days Based on Memory with Battery Life for
Comparison
Single
Single
Mode Tri-
Mode
ZC or Mode Battery
Memory PIM
Model TAT with 1 Life in
(Bytes) with 1
with 1 minute Days
minute
minute epochs
epochs
epochs
SleepWatch-O 2M** 1059 728 364 60
Auto-Zeroing is a PIM mode feature that is not supported by all Motionlogger actigraphs.
MicroMini and SleepWatch-O support this feature. If your actigraph does support this
feature then typically one should have the feature enabled unless specifically instructed
not to by AMI technical staff. If your device doesn’t support this feature then
inadvertently enabling the feature in this window here has no consequence. One will
merely be warned that the feature is not supported, but initialization will continue.
Full-Time Waterproofing
Full-Time Waterproofing is a feature that is critical to the precise and consistent
calibration that has made the Motionlogger Actigraph a commercial success. Seen by
many as simply a convenience to prevent device damage, it was a design feature for the
Motionlogger for another reason. The motion sensing element in all commercially
available actigraphs is a piezoelectric element. The nature of this material causes it to be
hygroscopic. This means the material will absorb moisture if it is present. In the
absorption of moisture the motion-sensing characteristics of the transducer will change.
While waterproofing the device in some temporary way (rubber plugs, sealant, or
covering) would prevent the device from being damaged in the event of submersion, it
does not allow for strict calibration standards to be maintained from one usage to the next
or across actigraphs.
Motionlogger® Operations
This section provides general instructions for installing interfaces, specific operating
instructions for the various types of Motionloggers and general instructions for wearing
and caring for Motionloggers.
While coming with varying features, the basics of using and operating the SleepWatch-O
(also referred to as the Octagonal or “OS2K”) with version “OCT 0.10” firmware are
presented in this section:
The Sleep Watch-0 uses a DL2430 or compatible Lithium Coincell battery commonly
used in standard wristwatches. Fresh batteries from a reputable manufacturer are
recommended for longest performance. The battery life is approximately 60 days.
Because this device utilizes non-volatile memory for data storage, data will not be lost if
the battery becomes exhausted. While the battery voltage can be displayed while the
device is in the interface, it is important to note that battery voltage cannot predict the
remaining capacity in a battery. Lithium batteries are characterized by an excellent
discharge profile, maintaining very close to their nominal voltage until almost exhausted.
This means that the voltage may appear normal (approximately 2.7 to 2.9 Volts) while
very little capacity is left in the battery. For this reason, the battery log maintained
internally by the SleepWatch is the sole criteria that should be judged when deciding to
change a battery. The battery log can be found by downloading data from an instrument
(or opening the most recently saved data file) using ACT2000. Use the Summary
command from the File menu and inspect the value for “Battery Runtime Days.”
When the battery is first installed, all segments of the LCD will turn on. If the left button
is pressed at this time the display switches to a single-segment test mode. In this mode,
only one segment is turned on at a time. If the right button is pressed in this single-
segment mode, the display advances to the next segment. These display modes are
provided to test the LCD display.
The time of day on the display may be set by hand at this point (see below) and the
SleepWatch-O will function as a wristwatch without data collection. (Note that version
0.10 firmware does not have the “auto-start” capabilities of the SleepWatch-R
model). Initializing the SleepWatch also sets the Time-of-Day display.
The battery voltage of the SleepWatch is displayed as seen below. “2v78” indicates a
battery voltage of 2.78 Volts. The SleepWatch will run with a battery voltage between
2.7 and 2.9.
The RIGHT button is used for event marking if this feature is enabled during
initialization. No audible feedback is provided in the SleepWatch-O
Setting Time
At any point the Time-of-Day display can be modified. This is a wristwatch-like
convenience provided to accommodate time-zone changes or changes in Daylight
Savings Time. Note that modifying the Time-of-Day display does NOT effect the
internal time of the SleepWatch. This remains synchronized with the time set at
intialization by the host computer. The procedure for setting/modifying the Time-of-Day
Display is as follows:
1. Press and hold the LEFT button on the SleepWatch for 2 seconds. At the end of
this time the “hours” value is shown flashing. Release the left button.
2. Press the RIGHT button briefly to increment the “hours” value. After “12” is
reached the display cycles back to “1.” There is no provision on the display for
AM/PM or military style time display (hours 13-23).
3. When the “hours” value is correct, press the LEFT button once, briefly. The
“hours” value is locked in. The current time display is shown with the “tens-of-
minutes” digit flashing.
4. Press the RIGHT button briefly to increment the “tens-of-minutes” value. After
“5” this value cycles around to “0.”
5. When the “tens-of-minutes” value is correct, press the LEFT button once, briefly
to lock in this value. The current time is now shown with the “minutes” value
flashing.
6. Press the RIGHT button briefly to increment the “minutes” value. After “9” this
value cycles around to “0.”
7. When the “minutes” value is correct, press the LEFT button once, briefly to lock
in this value. The two digit “seconds” value is now flashing. Pressing the
RIGHT button clears the “seconds” value to 0. The Time-of-Day display is
incremented a minute if the seconds value is 30 or more. This feature is useful for
time synchronization with other sources.
8. Press the LEFT button to return to the Time-of-Day Display.
Once you have initialized one or more Motionloggers, you may want to verify that they
are collecting data. There are multiple methods of obtaining this information, usually.
Note that some operational modes do not provide data collection feedback. See the
section on Special Features and Limitations.
Wearing a Motionlogger
Actigraph Placement
Historically most studies have applied actigraphs to the non-dominant wrist. Such
placement would give a conservative measure of human activity, since sedentary
activities (writing, reading, snacking) tend to employ the dominant hand primarily.
Placing the actigraph on the dominant wrist would attain a more confident discrimination
of completely quiescent periods. Of course, specialized applications may require other
actigraph placements. For instance, studies investigating activity levels, ADHD, and
energy expenditure have historically used a belt or truncal placement, while
investigations into periodic leg movement have employed an ankle or knee placement.
Some such studies may require a specialized band for placement. Contact AMI for more
information.
Consistency in Orientation and Placement
In wrist-worn applications where movement is primarily rotational about the ulna, elbow
and shoulder, orientation of the actigraph is not very important. Studies using precision
tri-axial measurements have shown that human motion is fairly evenly distributed in
space. However in studies of energy expenditure, etc, where the gross locomotion of the
body against gravity is a key measure, Motionloggers should be mounted flat against the
body in a consistent manner.
Wrist Attachment
For wrist-worn application Motionloggers should be worn at the location where a
wristwatch would be worn. If the subject is wearing a wristwatch on this wrist the
actigraph may be placed just above the actigraph (towards the elbow).
The actigraph superficially resembles a digital watch. It is easy for the user to assume
that it will operate under the same conditions that we all expect from expensive
wristwatches. A digital watch, of even the most sophisticated variety, is quite simple in
comparison, requiring much less power to operate, and having the advantages of a much
lower parts count and no external interfacing. The Motionlogger is really more like a
scientific calculator than a wristwatch, and has durability somewhat better than most
calculators but somewhat less than a sports watch.
Exposure to Moisture
The waterproof case of the SleepWatch-O has been tested at great depths, but prolonged
submersion in contaminant laden water could cause corrosion of a communications pin
on the case. As a rule, submersion should be kept less than 10 feet.
Physical Shock
All watch wearers avoid dropping the watch onto hard surfaces from great heights, or
striking it into concrete walls, steel posts, etc., when moving about. The actigraph should
be afforded the same physical respect by the wearer. The accelerometer, time base
components, and the internal circuitry mountings can be damaged from extreme physical
shock. When shipping or transporting the unit, damage can also occur through sustained
mechanical vibration. Always use the supplied padded shipping containers.
Troubleshooting
Troubleshooting Communications
You can verify proper communications by accessing the Direct Communication window.
AMI technical service may direct you to this feature when troubleshooting a difficulty
over the phone.
More ACT2000
File Submenu
The File submenu contains items that permit you to open, save, and print
actigraph files. An exit item is also included in this submenu to leave the program.
Actigraph submenu contains items that permit you to initialize and download Actigraphs.
The Telecom menu permits you to have direct communication with the Actigraph. The
Configuration menu permits you to make various ACT 2000 setup changes such as Baud
Rate, Communication Port, Actigraph Type, and Interface Type. The Diagnostics
submenu contains items which permit you to perform testing operations on the actigraph
and interface unit.
Opening a File
To open a file with ACT 2000, simply select File:Open from the menu or click the
Button from the ToolBar. An Open dialog box like the figure below should appear which
will permit you to choose a file to open. Notice that you have the option of changing the
file type. Currently ACT 2000 supports DAT and AMI file formats. Both version 3 and
4 AMI files can be read with this software. You can either double-click the desired file
or single-click it and click the Open button on the dialog box to open the file.
Upon the successful opening of an actigraph file, ACT 2000 will display a graphical
representation of the data as shown in the figure below. Note the large number of toolbar
buttons in the graphics screen. These functions will be covered in a later section.
Saving an Motionlogger file
After downloading or opening an actigraph file, you can save it by selecting the File:Save
menu item or by simply clicking the button on the Toolbar. ACT 2000 responds by
displaying the Save File dialog window as shown in the figure below:
As with the Open File Dialog window, you have the choice of selecting either DAT or
AMI (version 4 only) file formats.
Upon successful data download or after loading a file, a graphical presentation of data
will appear on the computer screen. These graphics are designed to allow the user to
visually inspect data. For data analysis, the user is directed to Action-W for (clinical
sleep studies) or Action3 (Action4 for Windows when available) for circadian or more
general statistical and mathematical processing.
To illustrate the capabilities of the graphics in ACT2000, let’s open the sample file
SAMPLE.DAT included in your installation.
To the left of the graph are four values associated with the data at the current cursor
position. The cursor is the thin black vertical bar that appears in each graph and which
responds to mouse clicks by moving. Cursor navigation will be discussed in a later
section. At the top of the graph the Mode, Serial number, ID, Start Time, End Time,
Epoch Length, Event mode and Compression are displayed as the heading.
Lets say that you have an 800x600 display screen. This means that your monitor can
generate graphics 800 dots wide and 600 dots high. Let’s say that we could use all of the
width for displaying graphs (not practical because we need space for the window frames
and labels.) Now at the absolute minimum we would need 1 dot to describe the width of
each histogram (three is probably a more practical minimum). This would mean we
could only display 800 epochs of data on the screen at one time. At one minute epoch
lengths this would only be about 13 hours.
Most users would like to be able to display much more than 13 hours of data at a time.
There are two techniques used to permit the user to view data greater than their screen
resolution; Paging and Compression.
Paging is a technique that breaks the graph into equally sized parts that can be easily
displayed. You can move through the pages by using the page navigation buttons (or
keys) explained below. Page width is controlled my zooming. By default, the graphics
display starts out with 128 epochs per page. Increasing the page width will affect the
graphics parameter; Compression.
Lets go back to our ideal graphics situation (800 x 600). Lets say that we want to display
1600 epochs. This would mean that each width dot would have two epochs drawn on it
(assuming one dot width histograms). From a computer performance issue, one of the
slowest operations to do is draw graphics. Most of the time it does not make sense to
redraw graphical data on top of each other. First of all, only the largest value would be
displayed. Second it would take twice as long as drawing the data only once.
The efficient way of handling this situation is to compress the two epochs and display
only one histogram. You may ask "Which epoch value should you use?" This would
depend upon your preference. Selecting the maximum value of the two would be
equivalent to simply allowing the data to be drawn on top of each other (no compression).
The average value of the two epochs could prove useful in displaying rhythms. ACT
2000 supports both modes (explained later).
By default ACT 2000 limits the initial number of histograms to 128. This means that a
day's worth of data would have to be compressed by a little over 11 to 1. (Each histogram
would contain 11 epochs). ACT 2000 permits the user to change the number of
histograms up to 1024 per page. This sometimes helps with graphic details but will cause
slower screen updates and some corruptions to the graph.
ACT 2000 permits you to change the page width, compression technique and
compression ratio in order to optimize your data viewing. The lower right corner of the
heading shows the compression type and ratio. They can be changed by simply clicking
on them.
Page Navigation
These keys are used to page through the actigraph file. The button or the Home key
places the graph in the beginning of the data file. The buttons (Page up and Page
Down keys) permit you to page through the actigraphy data like you were paging through
a word processing document. The button (or the End key) will place the graph at the
end of the data file.
Cursor Movement
The cursor is a vertical line associated with each graph used to isolate individual epochs
and their values.
The and buttons with the Left and Right arrow keys move the cursor one epoch
to the left or right. Notice the cursor time should change in response to the operation.
Additionally, the values to the left of the graphs should change as well. These values are
the data stored in the epoch at that cursor position. An important note - If you are
viewing data that is compressed, the cursor will not move one histogram position per
keystroke. If the compression ratio is 2:1 then it will take two key presses to move the
cursor one histogram. Remember there is not always a 1:1 ratio between a histograms
and epochs. In compressed graphs the next buttons provide a faster way of moving
cursors:
The and buttons with the <Shift> Left and Right arrow keys move the cursor
exactly one histogram to the left or right. This will change the cursor time as well as the
cursor values to reflect the new position. If the compression is 1:1, these buttons operate
exactly like the previous two (one epoch).
The and buttons with the <Control> Left and Right arrow keys move the cursor
10% of the current graphics window to the left and right. These keys are useful to
quickly move the through the graph.
In addition, clicking the mouse on a histogram will cause the cursor to be moved to that
location.
Marker Manipulations
Markers are used to select areas of the graph for later zooming. Markers are displayed by
red vertical lines extending partially down the graph.
The button or Insert key causes a marker to be placed at the current cursor position.
A maximum of two markers can inserted.
The button or Delete key causes the marker at the cursor location to be deleted.
The button or <Control-Z> keys zooms zooms the graph to the marker values
The button or <Control-M> keys clears all markers
Zooming
Zooming permits you to change the page size (in epochs) of the graphics screen. The
compression ratio gets changed to reflect the current resolution setting (more later).
The button permits you to reposition the start of the page to the location of cursor.
Notice in the screen below that the cursor is currently positioned at 7/24/98 16:26:00.
After repositioning, the starting location is now at 7/24/98 16:26:00.
The and buttons with the + and - keys permit you to zoom in and out of graphs
by a factor of two. ACT 2000 attempts to center the new graph on the last cursor
position. Note that the compression ratio should change based on the number of epochs
being displayed.
The button or <Control> D keys displays an entire day's worth of data on one page.
Note that the compression ratio has changed due to the increased number of epochs
displayed.
The button with the <Control> V keys permits the user to display all the epoch data
on one graph.
Again the compression ratio will change based upon the increased number of epochs.
The button with <Control> R simply resets the graph and displays it with original
settings (128 epochs per page).
Compression
Lets say you have your entire data displayed on one page. Clicking on the Max
Compress label will switch the compression mode to average.
Notice the label now displays Ave Compress. The overall graph appears to have lower
values since we are now using average values rather than maximum values to compress
our epochs.
Pressing the compression value label (23.00) will double the number of histograms
displayed.
Now we are using 256 epochs per page, the compression ratio has dropped to 11.5. You
can see that the graph looks a little rough. This is because the histograms are overlapping
each other. Clicking the ratio label again yields this display:
Finally for the finest resolution (1024 epochs per page):
This presentation of this graph is good. However moving the cursors around much is not
recommend (very slow). Clicking on the ratio label (now 2.88) will restore the graph to
full compression (23).
The above Icons represent, respectively, print, print setup and copy to clipboard. These
functions should be self-explanatory to Windows users. For further explanation please
consult your Windows manual.
ACT2000 Diagnostics
Except for functions specifically designated in this manual such as the LOOP TEST,
diagnostic features should not be used without consultation with AMI technical staff.