DD Robotech Physical Therapy - NYDNRehab.com

DD Robotech

Artificial Intelligence meets Rehab for Brain-Muscle Training


DD Robotech (DDR) is a type of AI-powered robotic training equipment developed by Swiss company Dynamic Devices. It is the first robotic trainer that provides neuromuscular and neurocognitive training for patients and athletes with pain and/or reduced mobility in the lower kinetic chain (hips, knees, ankles and feet). DDR is based on linear force impedance robotic technology.

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DDR brainmuscleX® Training

The main idea behind DDR technology is to optimize conditions for training both the muscles and the brain. After an injury, or when movement dysfunction requires correction, neurological pathways between the brain and the muscles are altered. DDR’s brainmuscleX® training exercises are designed to promote neuroplasticity, restoring effective neuromuscular communication and facilitating motor recovery.

A DDR training session encompasses 4 fundamental components:

The user receives auditory, visual and force feedback from the robotic trainer via the ears, eyes, and proprioceptors.


Your brain processes the sensory input from the robotic trainer and you are given a sequence of motor commands for executing a particular task.


The user’s brain processes the motor commands and directs the musculoskeletal system to execute appropriate user actions.


Real-time performance evaluation and feedback encourage the user to focus on perfecting exercise execution, providing motivation while simultaneously engaging the brain and the muscles.


During a motivating and intense DDR training session, muscles are strengthened, neuromuscular and neurocognitive performance is optimized, and neuromotor skills such as coordination, strength, power and endurance are enhanced. During a DDR training session, data is automatically recorded, processed, stored, and interpreted.

Key Benefits of DDR

DDR connects your muscles with your brain while providing an engaging workout session that enhances neuromotor performance. Benefits of DDR include:

Individualized training protocols
Intrinsically motivated workouts
Autonomous interactive training
Enhanced neuromuscular and neurocognitive performance
Enhanced motor learning
Reduced stress on joints and kneecaps
Integrated data logging and reporting

DDR’s engaging interactive graphics take the boredom out of exercise, making a game out of rehab.

Conditions Treated with DDR

DDR addresses multiple conditions affecting the lower kinetic chain, speeding tissue healing and restoring synchronicity between the body and the brain. Conditions that can benefit from DDR training include:

Sports and orthopedic conditions
  • ACL rupture
  • Patellar tendinitis
  • Patellofemoral pain syndrome (PFPS)
  • Knee osteoarthritis
  • Strains and tears of the hamstrings quadriceps and calf muscles
  • Ankle sprains and instability
Neurological conditions
  • Stroke
  • Parkinson’s disease
  • Muscular dystrophy
  • Cerebral palsy
  • Other neurodegenerative disorders

DDR for Sports Injury Rehab

DDR provides amazing benefits for sports testing, injury prevention, performance enhancement and return to sports. For the first time in sports medicine, neuromotor performance can be measured and feedback delivered to the patient in real time. DDR helps us fine-tune motor force output, training muscles while unloading joints. At the same time, the brain is rewired, creating new neuromuscular connections.

DDR combines high-intensity force resistance training and challenging visual-motor tasks into a gamified workout system. The user’s scores are stored in a DDR database, encouraging the patient/athlete to challenge their past performance and beat their latest benchmark.

DDR can be programmed for each individual, and provides dozens of testing and training protocols. Workouts can be designed to emphasize strength, coordination, power or endurance, or countless combinations of those skills.


DDR Training Outcomes

DDR training offers multiple physiological and neurological benefits:


Improve strength, speed and reaction time with reduced loading of the knees and spine.


Improve neurocognitive performance training with visual attention, dual tasking, speed and reaction time.


Increase muscle strength and size, and rehabilitate tendons with maximum eccentric loading.


Stay motivated and engaged as you out-perform your personal best.


Improve symmetry with dual-pedal, dual-control, bilateral and limb-independent training.


Get sport-specific training and feedback.


Perform high intensity workouts with reduced post-exercise muscle soreness.

DDR taps into Swiss precision to provide the world of rehab, conditioning and performance with an artificial intelligence training device that promotes neruomuscular and neurocognitive rehabilitation.


Performance and Rehab Physical Therapy NYC

The sports medicine team at NYDNRehab is passionate about human movement. We use the most advanced technologies and innovative therapies to diagnose, treat, rehabilitate and enhance human performance. Our services include physical therapy telehealth, online physical therapy and in-clinic services.

Our clinical director, Dr. Lev Kalika, is a premier chiropractor in NYC.

DD Robotech Treatment

Professional associations and memberships

Dr. Kalika is currently a certified member of:


American Institute of Ultrasound Medicine


Active member of ISMST

International Society of Extra Corporeal Shockwave Therapy


Active member of GCMAS

Gait and Clinical Movement Analysis Society


Active member of NASS

North American Spine Society


Active member of IADMS

International Association of Dance Medicine and Science


Active member of Virtual Rehabilitation Society


Active member of ASRA

American Society of Regional Anesthesia and Pain Medicine


American Academy

Association of Orthopedic Medicine

Lev Kalika Clinical Director and DC, RMSK

Dr.Kalika revolutionized foot and ankle care by using high resolution diagnostic ultrasonography for structural diagnosis, combined with with gait and motion analysis technology. Dr.Kalika’s motion and gait analysis lab is the only private lab in the US that features research-grade technology found only at top research universities, made available to patients in his private clinic.

Our Specialists

Dr. Mikhail Bernshteyn MD (Internist)
Dr. Michael Goynatsky DPT
Dr. Daniela Escudero DPT
HyunJu YOO, PT, MPT, DPT, CPI (Licensed Physical Therapist)
Dr. Christina Pekar DC
Dr. Michelle Agyakwah DC

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)


Complete tear of rectus femoris
with large hematoma (blood)


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

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