Motion Equilibrium Reprocessing Therapy (MERT) can be used in all patients who need tor and neurological conditions. MERT is the most advanced habituation therapy for patients with non – progressive vestibular disease.
We are proud to treat pilots suffering from motion sickness.
ALL THERAPIES ARE CONDUCTED WITHIN C.A.R.E.N’S IMMERSIVE ENVIRONMENT.
SPECIALIZED OBJECTIVE TESTING IS CONDUCTED TO DEFINE TREATMENT PROTOCOLS
The results achieved with C.A.R.E.N are not attainable by conventional physical therapy. C.A.R.E.N treatment combines sensory motor training, visual exercises and habituation treatment.Vestibular disease can handicap people physically, emotionally and socially. Unilateral peripheral vestibular loss results in gait and balance impairment, dizziness and oscillopsia.Conventional treatment with Betahistine, Carbamazepine and oral steroids as well as head rotation exercises by Cawthorne and Cooksey have limited indication and varying response rates. Patients affected with peripheral vestibulopathies are usually frustrated with inability to conventional treatment options.
At DNR we specialize in treatment of balance and vestibular disorders with the help of C.A.R.E.N (Computer assisted Rehabilitation Environment) – the most advanced technology for treatment of balance and vestibular disorders that is available for the first time in the NYC.
TREATMENT METHOD
MERT is based on military desensitization principles within Virtual Environment.
The 6 DoF ( Degrees of Freedom) virtual reality motion base of C.A.R.E.N is used tokinetic drum through virtual reality 180 degrees screen.
TREATMENT FREQUENCY
3-5 times a week for two consecutive weeks
MERT is based on military desensitization principles within Virtual Environment.
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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