We are very excited to announce that we have finally adjusted our C.A.R.E.N system to the brilliant software application invented by world famous scientist Van den Bogert .HBM diagnostic and feedback capabilities brings cutting edge analysis and treatment to all our patients who suffer problems in the lower extremities and low back pain.
The HBM have been developed as a system that performs a full biomechanical analysis of human movement in real-time. The analysis that is performed by the system is identical to existing approaches for inverse kinematic analysis ,inverse dynamic analysis , and muscle emg.
We have developed a system that performs a full biomechanical analysis of human movement in real-time. The analysis that is performed by the system is identical to existing approaches for inverse kinematic analysis ,inverse dynamic analysis and muscle force estimation .The real-time performance is not achieved by simplifications of the model or the analysis, but by several innovations in computational methods to solve the analysis.
Intersegmental forces and moments are useful for orthopedic questions related to joint injury. We have not yet implemented this for all joints in the model, but we do have this information available for the knee joint , where these variables have been shown to be relevant to the risk of ACL injury and progression of osteoarthritis .The ability to calculate knee joint loads and provide feedback on these variables in real time can help athletes and patients modify these variables via gait retraining exercises . AT NYDNRrehab using HBM we have developed intersegmental joint load analysis and -phase by -phase gait retraining therapy. We are currently working on syncing this information with surface EMG and COP excursion data. We are very excited about the diagnostic and feedback capabilities it brings to our patients who suffer problems in the lower extremities and low back pain.
Mechanical forces are invisible by nature. Normally we can only see the results of the forces applied to the surrounding world and estimate, with a degree of certainty, their point of origin, vector and the point of impact. When dealing with simpler moving machines, this evaluation method may well be sufficient and a little fine-tuning would bring the mechanism to an acceptable degree of precision. Not so with the human body, where a faulty movement could quickly lead to complications and the lack of replacement parts would command a slew of unpleasant consequences. Force distribution management must be quick and precise. This goal is attainable now with Human Body Modeling (HBM) software.
HBM makes it possible to visualize muscle forces generated in the human body while the patient is moving. The forces’ transference in the human musculoskeletal system is clearly shown on the monitor. The real-time process shows muscle forces and joint torques as 3-D visualizations of color and form changes in an accurate 3-D human body muscle model. This allows the expert practitioner to determine at a glance the magnitude of the problem and devise corrective measures with a scientific precision.
HBM can be applied in diagnostics, rehabilitation, fundamental and applied research, sports medicine, ergonomics and various other fields. Some of the applications are:
Video below provides a brief introduction to C.A.R.E.N
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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 vice 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
