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New York Dynamic Neuromuscular Rehabilitation & Physical Therapy

MS Patients Find Balance Through C.A.R.E.N — Computer Assisted Rehabilitation Environment

A compromised sense of balance and resulting falls are key concerns for patients with multiple sclerosis (MS). Past balance-control strategies have relied on tasks coordinating motor skills with sensory input, Feldenkrais moves and stretching exercises. However, a six-week pilot study published in the Journal of NeuroEngineering and Rehabilitation applied virtual reality (VR) gaming technology to […]

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March 25, 2017

Static Balance Differences Between Young And Middle-aged Adults

Today, scientists are still interested in the components of balance and what keeps a person’s body upright while sitting or standing. Several systems contribute to other functions in the body. Body Position Theory As we change positions with our bodies, our center of gravity also changes. A change in posture creates a change in force, […]

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March 24, 2017

Returning Athletes to Sport After ACL Reconstruction: What Are We Missing?

An injury to the anterior cruciate ligament, or ACL, can be debilitating to athletes from all disciplines. This is a serious injury that can ruin your career, and many athletes have a valid fear of this particular sports injury. It is also relatively common in many competitive sports, which only increases the sense of dread […]

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March 23, 2017

Extracorporeal Shockwave Therapy for Musculoskelatal Disorders

How does extracorporeal shockwave therapy work? This treatment is a highly refined way of delivering targeted electric shockwaves to hit their target. Doctors can generate the electrical shockwave in one of three ways: Electrohydraulic shockwaves are acoustic. This concentrated energy of sound comes from high-voltage electrodes operating under water inside the machine. Electromagnetic shockwaves harness […]

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March 22, 2017

Anti-Gravity Treadmill Reduces Running Pain, Helps Rehabilitate Athletes

Would you like to run long distances without the harmful effects of pounding your feet against a hard surface? You can accomplish this by using an AlterG anti-gravity treadmill. This equipment features sophisticated NASA technology that minimizes the negative aspects of running and promotes rapid rehabilitation. Advantages The treadmill lets you run in a completely […]

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March 21, 2017

Manual Physical Therapy for Pain Relief

Manual medicine is one of many physical therapy techniques used to treat muscle spasms and joint dysfunctions, those that use manual therapy often use those methods in conjunction with manual rehabilitation efforts. Manual Physical Therapy This type of therapy is one that involves practitioners using their hands instead of a machine or other device to […]

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March 11, 2017

Improving the Effectiveness of Clinical Trials for Chronic Pain Sufferers

Clinical research gives us the best possible information about how best to treat individual patients. What Research Is Appropriate for Evidence-Based Medicine? Evidence-based medicine requires published, peer-reviewed research that doctors of treatment plans can evaluate and verify. Ideally, the authors of the research should support their findings with randomized clinical trials. Trials generally provide ample […]

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March 10, 2017

Comparing Two Types of Programs That Can Help Athletes Who Have Injured Hamstrings

When an athlete’s hamstring becomes injured, the individual will experience tightness that significantly restricts the person’s movements and severe pain that occurs while the muscles contract. The person may choose a rehabilitation program that requires eccentric training, or the athlete can participate in a program that strengthens the muscles of the core and enhances the […]

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March 8, 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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