HPST is developed by Dutch biomedical engineer and a physiotherapist Maarten Prince PT, PHD in collaboration with the Dutch Royal Soccer academy.HSPT has gone rigorous validation process in research scientific community and won several awards.
HPST is perturbation based test utilizing C.A.R.E.N (computer assisted rehabilitation environment) 6 DOF (six degrees of freedom) instrumented platform, motion capture and force plates . HSPT is using COP (Center of Pressure) velocity and time to stability parameters to measure limb stability. This test is used in to zoom in on stability of the knee, and ankle beyond the capabilities of gait analysis technology in the orthopedic and sports medicine disorders such as ACL and meniscus tear, ankle instability, running disorders and other sports related trauma.
At NYDNRehab we use HSPT as a free standing or in conjunction with gait or running analysis.
Since HSPT is conducted in a matter of minutes we use it to not only for diagnostic purposes but also to establish a base line for monitoring rehabilitation progress.
and a faulty diagnosis can make treatment a total waste of time.
Failure to accurately diagnose a condition in its early stages can lead
to chronic problems and sometimes devastating results.
Diagnostic musculoskeletal sonography (MSUS) provides the perfect tool for the rehab practitioner. Yet many doctors and physical therapists have no experience with MSUS, are unaware of its advantages, and have no idea how to use it as a diagnostic tool.
Below is a prime example of how ultrasound can take the guesswork out of diagnosis.Successful Treatment
A bad physical therapy experience is one of the primary causes of unnecessary surgery.
We have equipped our clinic with the latest research-grade technology to arrive at objective and accurate diagnoses, and to objectively measure our patients’ progress.
Most importantly, we are the only facility in the US where structural medical diagnosis is reflected in functional treatment, and vise versa.
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
