PATHWAY ULTRASOUND IMAGING SYSTEM FOR LUMBOPELVIC REHABILITATION

Transcription

1 RESTORING FUNCTION TOGETHER. PATHWAY ULTRASOUND IMAGING SYSTEM FOR LUMBOPELVIC REHABILITATION Orthopedic Pelvic Health

2 Contact us today for more information. One Washington Street, Suite 3171, Dover NH,

3 PATHWAY ULTRASOUND IMAGING SYSTEM FOR LUMBOPELVIC REHABILITATION Designed by a Rehabilitation Professional, for Rehabilitation Professionals. The affordability, ease of use, and image quality of this system is going to revolutionize clinical practice by providing access to technology that was once limited to academic research. - Ramona C. Horton, MPT Portability is a huge benefit and probably my favorite. I take the entire system to work in my laptop bag and can move it from clinic to clinic very easily. - Allison A. Thompson, PT, DPT, CLT-LANA, BCB-PMD 1. Touchscreen Tablet With Detachable Keyboard and Operator s Guide ADVANCED DIGITAL ELECTRONICS Inverted Image Display MHz Curvilinear Ultrasound Imaging Transducer With USB C Plug In Cable TABLET PC BASED 3. Wireless Mouse

4 Key Features & Benefits AFFORDABLE PRICE High resolution ultrasound at a fraction of the cost. IMAGE QUALITY Clearly identify images not typically detected by other ultrasound imaging systems. USER FRIENDLY PRESET CONFIGURATIONS Preset protocols produce optimum ultrasound images. STANDARD PC KEYBOARD Making annotations and typing patient information is quick and easy with the PC keyboard. SLEEK Portable equipment fits in a laptop bag.

5 Orthopedic Research reveals that the primary impairment of the muscular system in individuals with low back pain is not one of strength or functional capacity but rather one of motor control of the deep muscles of the trunk. The use of ultrasound imaging to observe the real-time contraction of muscles is a valuable tool, specifically when the muscles of interest are deep and not readily observable (Whittaker, 2004). Lumbar Multifidus Lateral Abdominal Wall (Muscles Contracted) Male Sagittal View, PFM Contracted Pelvic Floor, Sagittal View (Muscles Relaxed) Pelvic Floor, Sagittal View (Muscles Contracted)

6 Motor Retraining Pelvic Health Identifying Dysfunction Anterior Abdominal Wall With Measurement of Inter-Rectus Distance Pediatric Patient With Full Rectum Pelvic Floor Muscles, Poor Stabilization During Functional Task Pelvic Organ Prolapse Observed During Valsalva Transperineal View Male, Post Prostatectomy Post Void Residual on a Pediatric Patient

7 Pathway Ultrasound Imaging System for Lumbopelvic Rehabilitation Virtual Training Portal & Customer Care Guide The EchoGen Portal is brought to you by: 24/7 Ultrasound Training Portal Website ( * Comprehensive Instructional Video Library Included in your purchase * Extensive Image Library Helpful Resources Ramona C. Horton, MPT Pelvic Health Physical Therapist and Educator One on One Interactive Skype Support (for an additional fee) * Access code required (provided with purchase) 1. Unlimited hardware and software telephone Technical Support via The Prometheus Group 2. Team Viewer via The Prometheus Group Technical Support Available Hands-On Training is Available! Upcoming Herman & Wallace Rehabilitative Ultrasound Imaging - Women s Health and Orthopedic Topics Courses: Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC Course Instructor Visit the Herman and Wallace website online at for course dates and locations. Co-Sponsored By: Enter the Code TheProGroup at Checkout to Receive a 10% Discount! Course Offered By: Contact us today for more information. One Washington Street, Suite 3171, Dover NH, info@theprogrp.com

8 Selected References Arab, A. M., Behbahani, R. B., Lorestani, L., & Azari, A. (2010). Assessment of pelvic floor muscle function in women with and without low back pain using transabdominal ultrasound. Manual therapy, 15(3), Dietz, H. P. (2004a). Ultrasound imaging of the pelvic floor. Part I: two dimensional aspects. Ultrasound in Obstetrics & Gynecology, 23(1), Ferreira, P. H., Ferreira, M. L., & Hodges, P. W. (2004). Changes in recruitment of the abdominal muscles in people with low back pain: ultrasound measurement of muscle activity. Spine, 29(22), Hides, J. A., Miokovic, T., Belavý, D. L., Stanton, W. R., & Richardson, C. A. (2007). Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study. Journal of Orthopaedic & Sports Physical Therapy, 37(8), Hodges, P. W., Pengel, L. H. M., Herbert, R. D., & Gandevia, S. C. (2003). Measurement of muscle contraction with ultrasound imaging. Muscle & Nerve, 27(6), Koppenhaver, S. L., Hebert, J. J., Fritz, J. M., Parent, E. C., Teyhen, D. S., & Magel, J. S. (2009). Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Archives of Physical Medicine and Rehabilitation, 90(1), Lee, D., & Hodges, P. (2015). Behaviour of the linea alba during a curl-up task in diastasis rectus abdominis: a new interpretation with clinical implications. Physiotherapy, 101, Liaw, L.-J., Hsu, M.-J., Liao, C.-F., Liu, M.-F., & Hsu, A.-T. (2011). The relationships between inter- recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: a 6-month follow-up study. Journal of Orthopaedic & Sports Physical Therapy, 41(6), Stafford, R. E., van den Hoorn, W., Coughlin, G., & Hodges, P. W. (2018). Postprostatectomy incontinence is related to pelvic floor displacements observed with transperineal ultrasound imaging. Neurourology and Urodynamics, 37(2), Stokes, M., Hides, J., Elliott, J., Kiesel, K., & Hodges, P. (2007). Rehabilitative ultrasound imaging of the posterior paraspinal muscles. Journal of Orthopaedic & Sports Physical Therapy, 37(10), Teyhen, D. (2006). Rehabilitative Ultrasound Imaging Symposium, May 8-10, 2006, San Antonio, Texas. Journal of Orthopaedic & Sports Physical Therapy, 36(8), A-1. Teyhen, D. S., Miltenberger, C. E., Deiters, H. M., Del Toro, Y. M., Pulliam, J. N., Childs, J. D.,... & Flynn, T. W. (2005). The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. Journal of Orthopaedic & Sports Physical Therapy, 35(6), Thompson, J. A., O Sullivan, P. B., Briffa, K., & Neumann, P. (2005). Assessment of pelvic floor movement using transabdominal and transperineal ultrasound. International Urogynecology Journal, 16(4), Wallwork, T. L., Hides, J. A., & Stanton, W. R. (2007). Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging. Journal of Orthopaedic & Sports Physical Therapy, 37(10), Whittaker, J. (2004). Abdominal ultrasound imaging of pelvic floor muscle function in individuals with low back pain. Journal of Manual & Manipulative Therapy, 12(1), Whittaker, J. L., Warner, M. B., & Stokes, M. (2013). Comparison of the sonographic features of the abdominal wall muscles and connective tissues in individuals with and without lumbopelvic pain. Journal of Orthopaedic & Sports Physical Therapy, 43(1),

9 Equipment Specifications Accuracy: Distance: ±2%, ±2 mm Ultrasound Probe Dimensions and Weight: Width: 6.2 cm (2.44 in) Height: 2.6 cm (1.02 in) Length: 15 cm (5.9 in) Weight: 110 grams (3.88 oz) Ultrasound Output Parameters: Depth Range: 2-30 cm (Selectable, 1 cm increments) Pulse Frequency: 3.5 MHz, 5 MHz, 7.5 MHz (Selectable) Focal Zone: Programmable Focal Point: Dynamic Scan Angle: 60 Scan Mode: B-Mode Patient Contact Sector Length: 49 mm (2.5 in) Frame Rate: 20 fps ISPTA.3: 13.7 mw/cm² (maximum) ISPPA.3: MImax = 180 W/cm² Mechanical Index: 1.02 (maximum) Transducer Diameter: N/A Transducer Resonant Frequency: 5.0 MHz (calculated center freq.) Transducer Bandwidth: Over 60% Number of Scanning Planes: 1 Pulse Repetition Frequency: 5.1 khz TIS: in Tablet PC: Display: 12.1 in Resolution: 1920 X 1200 Processor: Core I5 2.3 GHZ RAM: 4 GB Hard Drive: 256 GB Battery: 38 Whr Rechargeable Battery (Providing 4+ hours of use) Length: 30.0 cm (11.8 in) Width: 20.1 cm (8.1 in) Height: 1 cm (0.4 in) Weight: 0.9 kg (1.98 lbs)

10 FAQ Page What is the difference between real-time ultrasound and rehabilitative ultrasound? At the inaugural Rehabilitative Ultrasound Symposium held in San Antonio, TX in 2007, the consensus was reached to adopt the official title rehabilitative ultrasound imaging (RUSI) for the utilization of ultrasound imaging by physical therapy professionals. At the symposium, the delegates unanimously agreed to a Rehabilitative Ultrasound Imaging International Consensus Statement as follows: RUSI is a procedure used by physical therapists to evaluate muscle and related soft tissue morphology and function during exercise and physical tasks. RUSI is used to assist in the application of therapeutic interventions aimed at improving neuromuscular function. This includes providing feedback to the patient and physical therapist to improve clinical outcomes. How do I bill for RUSI in a clinic visit? There are no specific CPT codes for RUSI, it is a component of a standard timed charge that includes training of movement systems such as therapeutic activities, therapeutic exercise or neuromuscular re-education. Assessing for progress of motor function could be a component of a re-evaluation charge. How is it cost effective? Patients progress much faster when they can actually see the deep stabilizing muscles you want them to activate. The therapist can quickly observe suboptimal activation strategies and provide instantaneous feedback in early training and functional activities. The addition of RUSI can be used as a marketing tool to draw traffic to your clinic. I have semg biofeedback, why should I spend the money for RUSI? Surface EMG provides a quantitative value of the motor action potential of the pelvic floor muscles, but can not validate PFM lift which is associated with continence. RUSI can provide information on muscle morphology such as size as well as motor activation patterns for the PFM, abdominal wall, and lumbar stabilizers. RUSI is useful for strength training, what about the patient with overactive muscles? Patients with overactive pelvic floor or abdominal muscles can clearly see their muscle activation pattern as well as a voluntary inhibition. This PFM motor pattern is visible from a suprapubic view using the bladder as a window or a transperineal view observing the anterior and posterior compartment. Downtraining with breathing and inhibition provides visual feedback to the patient. Do I need specialized training or certification to use RUSI? You should always refer to our your state practice act, but currently there are no known specific requirements for certification for PTs performing RUSI. Certifications for physical therapists do exist through third-party agencies. These are more for the orthopedic and sports medicine therapists evaluating for muscle pathology, none are recognized by the APTA. At present, RUSI hands-on training courses are offered through multiple continuing education companies to include the Herman & Wallace Pelvic Rehabilitation Institute. Is there training available? All purchases of the Pathway RUSI system include access to our exclusive online training videos and libraries via the EchoGen Portal. Videos will include ultrasound basics, system operation and clinical applications such as lumbopelvic motor retraining, measuring bladder volume, male and female transperineal imaging, plus a library of stored images with labels and select patient cases. How do I sterilize the probe between patients? Probes are sanitized with Alcohol-Free disposable wipes that are designed for the exact use. Never wash it under running water. It is essential that the correct wipe is used, alcohol-based disinfectants can damage the surface of the probe. We recommend PDI Sani-Cloth AF3.

11 Shipping & Returns To Place an Order: Call Customer Service toll free at or Fax Customer Service Representatives are happy to assist with processing your order or answering your questions, Monday - Friday, 9am - 5pm EST. Payment Terms: NET 30 Terms are available for established accounts. All major credit cards are accepted. Shipping: (F.O.B.) shipping point. Please allow five (5) days for delivery. Rush (air freight) orders are shipped F.O.B. shipping point. Credit & Returns: Equipment may be returned within 30 days from the invoice date (subject to a 20% restocking fee). Accessories that are unopened, undamaged, and unmarked may be returned for full credit within 30 days from the invoice date. Please call Customer Service for a RMA# prior to returning the product and be sure the RMA# is clearly visible on the outside of the package. Technical Support: Have a question about your equipment or need technical assistance? Call our Technical Support Team toll free at Monday - Friday, 9am - 5pm EST.

12 PATHWAY ULTRASOUND IMAGING SYSTEM FOR LUMBOPELVIC REHABILITATION * Cart Optional RESTORING FUNCTION TOGETHER. ISO CERTIFIED The Prometheus Group. All rights reserved. MKT-006 Rev. B. PT Contact us today for more information. One Washington Street, Suite 3171, Dover NH, info@theprogrp.com