Dynamic Neuromuscular Stabilization

Vaclav Vojta and Reflex Locomotion Therapy

Vaclav Vojta, MD was a pediatric neurologist and college professor whose life’s vocation is best remembered for his work with children inflicted with cerebral palsy, a brain disorder of unknown origins that affects muscle tor skills. Children with cerebral palsy often have difficulty speaking, standing and walking. In the course of his work, Vojta discovered […]

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August 10, 2017

Prague school of Rehabilitation

A group of neurologists and other specialists in Prague was since the early 1950s researching and developing new approaches to avoid what harms him. The patient must always leave your office with homework. 1) The Prague School promoted a synergy of clinical approach and radiology for better diagnostics, and manual therapy with an emphasis on […]

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August 10, 2017

Our Method

Dynamic Neuromuscular Rehabilitation is a revolutionary multidisciplinary rehab facility with the emphasis on physical therapy and rehabilitation of patients suffering from back pain, neuromuscular, orthopedic and sports-related disorders. Our approach is based on the functional model and the dynamic fusion of manual medicine into physical therapy and rehabilitation. Our experience with the DNS – a […]

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January 26, 2014

The Janda Approach to Pain Management and Body Mechanics

Vladamir Janda was a respected Czech neurologist, physical therapist and teacher who sadly died in 2002, at the age of 74. However, his life’s work left a legacy that is only now receiving the acclaim it deserves in the United States, in the fields of chiropractic, physical therapy, orthopedics and exercise science. The Janda Philosophy […]

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August 10, 2017

KAREL LEWIT, MD, DSC.

Karel Lewit was born on April 25, 1916 in Ljubljana, Slovenia, Austro-Hungary and died on October 2, 2014 in Prague, Czech Republic. 1) Karel Lewit was a neurologist and world authority in myoskeletal medicine. He was a pioneer of modern diagnostics and reflex therapy of musculoskeletal disorders in Czechoslovakia, and the world. As a young […]

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August 10, 2017

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

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Separation of muscle ends due to tear elicited
on dynamic sonography examination

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