Balance and Vestibular Rehabilitation with Computer Assisted Rehabilitation Environment (C.A.R.E.N)

Body balance as we know it demands our sensory systems be intact and functioning properly. The eyes (visual system), the inner ear (vestibular), skin, muscle, tendon, joint sensations (somatosensory system) all take part in body stabilization and balance.

To get the perfect balance human body needs to involve complete sensorimotor data that lays within central nervous system (brain and spinal cord) and implement the according responses of muscles and skeleton.

C.A.R.E.N Stable Suit with Computer Assisted Rehabilitation Environment (C.A.R.E.N)

Computer Assisted Rehabilitation Environment (C.A.R.E.N) is a platform that enables a variety of post-trauma patients to rebuild muscle strength and allows for balance and stability restoration.

This project utilizes virtual reality applications with actual time results evaluation.

Meticulous assessment and quantitative measurements maintain a safe and efficient environment for full-on resultful training session. Static stability and posture balance play a great role in a variety of physical therapy programs. These programs are aimed to help fix balance and stability that has been lost to neurological disorders, such as strokes.

Motion Equilibrium Reprocessing Therapy (MERT) with Computer Assisted Rehabilitation Environment (C.A.R.E.N)

C.A.R.E.N is a top training solution for patients who struggle to maintain their own stability. Read more Motion Equilibrium Reprocessing Therapy (MERT) with C.A.R.E.N Motion Equilibrium Reprocessing Therapy (MERT) can be used in all patients who need to be treated for maintenance of balance like appears in non- progressive vestibular , motor and neurological conditions. MERT is the most advanced habituation therapy for patients with non- progressive vestibular disease.

Neurological Diagnosis with Computer Assisted Rehabilitation Environment (C.A.R.E.N)

C.A.R.E.N (Computer Assisted Rehabilitation Environment) diagnostic abilities are appropriate for any person who has problems from a neurological or neuromuscular condition remaining after initial diagnosis and treatment. The commonest conditions that are diagnosed and treated with the technology include head injury, stroke, multiple sclerosis, motor neuron disease, cerebral palsy and muscular dystrophy, and a wide range of rare disorders and some with undiagnosed disorders. Read more The severity of a concussion, increasingly referred to as a mild traumatic brain injury (MTBI), can vary from one incident to the next, and symptoms can tell us a great deal about what issues need to be addressed during rehab. Particularly in the case of multiple sustained concussions, repeated blows can result in serious damage

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


Active member of Interventional Orthobiologics Foundation


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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