Here at Physiofirst we aim to provide the best treatment to our patients with the use of latest technologies along with the expertise of our health officials
Isokinetic exercise is a form of exercise that permits maximum muscle contraction throughout the full range of joint movement. An isokinetic machine is a rehabilitative exercise device intended for medical purposes, such as to measure, evaluate and increase the strength of muscles and the range of motion of joints. Isokinetic exercise machine can be used to assess muscular strength objectively and may improve muscular strength in healthy adults.
Isokinetic exercises may be performed concentrically (muscles shorten during contraction) or eccentrically (muscles lengthen during contraction) as external forces are applied to the limb. These contrasting forms of dynamic resistance exercise allow for application of high muscular loads, and consequently high skeletal loads. When maintained over a sufficient period, these forms of exercise may afford a means of safely and optimally promoting functional and structural adaptations in bone and muscle tissue.
Isokinetic exercise machines or isokinetic dynamometers are mainly used to measure muscular strength in musculoskeletal rehabilitation which aims to restores optimal form of function after injury or surgery. The final stage of rehabilitation aims to return an individual to normal activities via resistance exercises that are usually focused at regaining muscle strength.
Isokinetic exercises refer to any exercise providing variable resistance to a movement at a constant speed, with the assistance of specialized equipment. It is used to measure muscle strength and identify potentially harmful weaknesses. The theory behind isokinetic testing is muscle movement isolation. By isolating the muscle groups and testing how much they can handle, therapists and personal trainers can identify where you are weakest and what movements might be contributing to that sore back or shoulder.
The machine’s main function is to improve your function. All of the different factors that can affect your movement can be measured and replicated exactly with the machine.
Electro Acuscope is a therapeutic medical device which has unique features using feedback-driven micro-current in waveforms compatible with living tissue. As the only self-regulating electro-therapeutic micro-current devices on the market (feedback signal processing; e.g. the tissue impedance input continuously controls and adjusts the waveform output), this system is used for a wide variety of applications, acceleration of tissue repair, pain and stress management. The cells in the body produce a minute electrical charge; when an injury occurs, the micro-currents are disrupted. Blood flow is affected and after a short time, there is a resistant barrier around the injury. Because natural tissue repair is often incomplete, pain signals are generated to the brain; there may be lingering inflammation at the original site and tissue with low energy in the surrounding areas. The Acuscope can detect this and is programmed to deliver an optimal “boost” to the cells depending on their specific condition. The Electro-Acuscope is different from conventional forms of electrical stimulation in that it facilitates tissue self-repair and promotes cell regeneration at an accelerated rate. The Electro-Acuscope generates only the level of current required to gently encourage nerve fiber to return to conduction of normal, healthy electrical impulses. This causes cells of the body to “wake up” increasing the production of the chemical ATP which is responsible for cellular energy production.
It is very effective in tissue repair and promotes cell regeneration rapidly without causing any harm to the skin or organs. Every cell in the human body has a measurable electrical charge. This results in the flow of energy between cells. This energy flow is essential for growth, metabolism and resistance against diseases. When there is an injury or trauma, there is disruption in the production of ‘electricity’ in the body and there is a significant decrease in the flow of energy among the tissues that are damaged due to the wound or inflammation. Electro-Acuscope produces and sends a mild electrical current through damaged tissues so that the injured area can get back to its normal level of electrical activity.
Hydrotherapy or aquatics is the use of water or an aquatic environment to help with advancement of a rehabilitation program. Hydrotherapy works by using the specific properties of water to aid in rehabilitation. The specific properties of water used include increased buoyancy, increased resistance, and increased hydrostatic pressure. These properties will allow for decreased weight bearing on joints, increased muscle activity, increased blood flow, and decreased edema. Overall, a person will have a decrease in recovery time and an increase in healing rate. The depth will depend on the activity that the patient will be performing, the patient’s tolerance to the water, and the amount of body weight to be unloaded. The entire treatment will be performed with the patient in the water and will include therapist- and patient-directed movements. People that would most benefit from hydrotherapy include people that have neuromuscular disorders, musculoskeletal disorders, cardiovascular disorders, and pulmonary disorders.
Hydrotherapy is appropriate for all ages (from the youngest children to golden-agers) in treating: back pain, slipped disk, issues of skeletal or muscular degeneration, fibromyalgia, Parkinson’s, migraines, post-trauma stress and more.
Low Level Laser Therapy (LLLT) is a fast growing field of medicine which is offering painless, non-invasive and highly effective drug-free solutions. Able to treat a plethora of neural muscular skeletal conditions, LLLT is often the only solution that is available to the highly trained practitioner to control disease when conventional therapies have come up lacking. A Class 4 laser typically has higher incident power and larger treatment area, but the depth of penetration is superficial and is restricted to a few hundred microns at best (i.e.: the top layer of the dermis). Even with higher incident powers and large treatment areas there is no biochemical effect due to lack of cellular mechanism activation; therefore, the thermal effects of a class 4 laser are the only mechanism of action remaining.
Laser Therapy, or “photobiomodulation”, is the use of specific wavelengths of light (red and near-infrared) to create therapeutic effects. These effects include improved healing time, pain reduction, increased circulation and decreased swelling
The Myopulse Treatment is a computer technology that utilizes a proprietary “carrier waves” that assesses the electro-potential damage of tissue. The computer makes ongoing calculations of the tissue resistance and regulates the waveform micro-current output to provide the best treatment, based on the information it receives. This instrument balances the tissue by re-establishing the delicate electrical balance of the cells and puts the autonomic nervous system at rest, which is an environment required by the body to “heal” or repair. The treatment is completely painless and non-invasive.
The Electro-Myopulse specializes in healing connective tissues such as bone, muscle, tendon, and ligament. The Myopulse has become one of the most effective forms of cellular treatment through electro-stimulation available today. Myopulse therapy can provide pain relief management for arthritis pain, and its broad range of clinical applications includes rehabilitating almost any chronic pain or acute injury. Utilizing the transmission of a specially-tuned complex waveform that can be monitored by an EMG, the Myopulse is specifically designed to normalize cellular imbalances in the connective tissue, including bones, muscles, tendons, ligaments, and fascia. Electro-stimulation and pain relief therapy with a Myopulse improves metabolism within individual cells through facial micro current treatment. These electrical currents open up the damaged area to increased blood flow and circulation so that it can rapidly begin treating soft-tissue injuries by the body's own natural processes. Myopulse therapy uses microchips that are tuned to read and treat muscle and connective tissue, which speeds up the healing process, and often provides immediate pain relief management and improvement in mobility.
Shockwave therapy is a multidisciplinary device used in orthopaedics, physiotherapy, sports medicine, urology. Its main assets are fast pain relief and mobility restoration. Together with being a non-surgical therapy with no need for painkillers makes it an ideal therapy to speed up recovery and cure various indications causing acute or chronic pain. Shockwave is an acoustic wave which carries high energy to painful spots and myoskeletal tissues with subacute, subchronic and chronic conditions. The energy promotes regeneration and reparative processes of the bones, tendons and other soft tissues. Shockwaves are characterized by jump change in pressure, high amplitude and non-periodicity. The kinetic energy of the projectile, created by compressed air, is transferred to the transmitter at the end of the applicator and further into the tissue. Acoustic waves with high energy peak used in Shockwave therapy interact with tissue causing overall medical effects of accelerated tissue repair and cell growth, analgesia and mobility restoration. All the processes mentioned in this section are typically employed simultaneously and are used to treat chronic, sub-acute and acute (advanced users only) conditions.
Shockwave therapy is most suited for people who have chronic (ie greater than six weeks) tendinopathies (commonly referred to as tendinitis) which haven't responded to other treatment; these include: tennis elbow, achilles, rotator cuff, plantar fasciitis, jumpers knee, calcific tendinitis of the shoulder. These could be as a result of sport, overuse, or repetitive strain.
Walking is complex and difficult to analyse visually. Gait analysis allows specific assessment of walking patterns. Similarly, some aspects of hand and arm function are difficult to observe visually. Upper limb assessment allows a detailed investigation into the characteristics and deficits of hand and arm use.With state-of-the-art motion capture equipment, we assess:
walking patterns to determine the cause of abnormalities and aid treatment planning
upper limb function and provide advice about therapy
Gait Lab uses state-of-the-art methods like advanced video recording techniques and 3D motion capture technology to analyze body movement and muscle activity while walking. We create an avatar of your body, or in other words, an electronic image of their movement. This motion capture technology is the same technology used to transform character actors into digital characters for movies and video games. "Gait" means a particular way or manner of walking. A clinical gait analysis is an in-depth look at how a person walks with or without the assistance of a walker, crutches or special braces. The ability to better see how your body moves helps our doctors evaluate, plan and provide the best possible treatment. A gait analysis is an in-depth process that typically takes several hours. Gait Lab is equipped with advanced motion capture techniques, including 3D motion kinetics and kinematics. Motion kinematics creates a 3D picture of how a person moves and walks. Using double-sided hypoallergenic tape, we place sensors on person’s body to collect the data. Motion kinetics measures the force that produces movements of the joints when walking. Additionally, we can measure how a child’s muscles are working while walking. This is called dynamic electromyography, or EMG. Many of our patients feel like a “robot” when wearing the EMG and motion capture sensors.
Spine Force is a three-dimensional exercise technology developed to target and strengthen the 180 deep intraspinal stabilizer muscles of the back that support the spine. It works on the Spine from the core, analyzing, treating, and helping to prevent musculoskeletal diseases while promoting overall health and well-being. The Spine Force is the only machine that makes it possible to recruit deep muscles of the vertebral column, acting on posture, muscle strength, stability, joint mobilization, balance, flexibility, stamina, coordination, and proprioception. Its sensory handles automatically detect direction and movement along with strengths and weaknesses. The oscillating platform identifies weaknesses and/or imbalances in the spine, creating personalized exercise protocols for patients’ specific needs. The SpineForce can measure effort exerted by the left and right sides of the body independently which enables it to target and strengthen the entire body with immediate improvement feedback.
Numerous musculoskeletal conditions, including low back pain have been linked to factors such as poor endurance of the lumbar and pelvic muscles and diminished proprioceptive input from joint mechanoreceptors.
Spine Force improves strength, mobility, balance, neuromotor equilibrium, flexibility and posure. It is Ideal for back, hips and shoulder injuries, neuromuscular disorders, core strengthening, fall prevention and balance disorders. Acting as a virtual trainer, Spine Force's tri-dimensional action and interactive display engages the mind and challenges the body to give patients the most precise and intensive spinal treatment in the world. SpineForce optmizes the performance of athletes and sport enthusiasts.
The Lokomat is the world‘s leading robotic medical device that provides highly repetitive and the most physiological gait training – especially to severely impaired patients. Robot-assisted therapy enables effective and intensive training and ensures the optimal exploitation of neuroplasticity and recovery potential. The physiological gait pattern is ensured by the individually adjustable exoskeleton combined with the patented dynamic body weight support system. During rehabilitation, patients need to be challenged at and beyond their individual capabilities. Speed, loading and robotic support can be adjusted to optimally shape the intensity of the therapy. The Lokomat allows therapists to focus on the patient and the actual therapy. It enhances staff efficiency and safety, leading to higher training intensity, more treatments per therapist and consistent, superior patient care.
Lokomat entails the following benefits:
Primarily used with patients who have experienced a stroke or spinal cord or brain injury, the Lokomat takes a longstanding form of physical rehabilitation – treadmill therapy – several steps further than ever before.
Through repeated use, the Lokomat stimulates the legs and neurological system so that they gradually reorganize once familiar walking patterns. The expectation in some cases is that - eventually - muscle mass and body systems recuperate enough so the patient can walk on his or her own.
DynaVision, the light-training reaction device, developed to train sensory motor integration through the visual system. The increased ability to receive visual stimuli, mentally process this information, then react to it with a motor response, has vast implications for human performance. Designed for high performance athletics training, it was soon discovered as an incredible evaluation tool for head-injuries, concussions and visual field-deficits. The D2 has a range of features designed to train the athlete for Reactive and Proactive Visual Responses. Additionally it provides the athlete the ability to be tested in order to establish a baseline for tangible improvement analysis.
The DynaVision is an essential tool to train and assess an athletes’ ability to react to various situations, to be proactive in tracking, decision making, peripheral awareness and cognitive processing and cognitive functioning skills. A user sees the light, feels the button when pressed, and hears the beep, training each of the three senses in an integrated function. Users training with Dynavision enjoy the benefits of improved ocular-motor control, visual motor skills, attention, focus, cognition and improved overall coordination. This can lead to better performance in the classroom as well as improved athletic performance and safety on the field.
Many clients come to us with the goal of regaining or improving their ability to walk. One method we use to help with this goal is training on the body weight-supported treadmill. The harness and treadmill system of the BWSTT can be used to provide a safe environment for stepping and gait without the fear of falling. The amount of deweighting can be adjusted so that the client takes anywhere from all of their weight to no weight at all.
This training method can be very useful for clients who have active movement but insufficient strength to carry their entire weight on their own. It allows for early activation, standing, and walking – which in turn can improve recovery by increasing strength, maintaining range of motion, and improving confidence.
Physiofirst utilizes a state of the art computerized balance system Designed by Biodex. This system allows our therapists to identify a potential balance problem in just two minutes of testing by comparing balance test results to age-dependent normative data. Once identified, patients can take part in a training program to correct functional deficits in their balance.
The Biodex Balance System is also employed in our Senior Rehabilitation Program. Addressing the needs of the older adult requires knowledge of the complex physiology of this population. Our therapists work on age-related diseases by improving mobility and balance, addressing fall risk, developing muscle tone, and increasing agility.
The Balance System is also able to provide exercises for neuro-rehabilitation, which are geared toward improving strength, range of motion, gait, and balance for those patients suffering from neurological disorders associated with Parkinson's, Stroke, Peripheral Neuropathy, and Vestibular Disorders. Our therapists can capture, quantify, and document a patient's relative tendency to overcompensate to one side or the other. This information often determines the true course of treatment.
The Biodex Balance System can also help Orthopedic and Sports Medicine patients improve their performance, largely by documenting weakness and challenging patients to improve. The various test modes evaluate the athlete in a static or dynamic environment and generate objective documentation of the results.