Indergaard Physiotherapist is a specialist musculoskeletal clinic in Leeds. Owner and clinical director Ove Indergaard has been using shock wave therapy for more than 8 years. He now teaches shock wave both in the UK and internationally.
How did you start your journey with shock wave?
I started looking into shock wave as I was trying to solve a problem in the clinic. A proportion of my clients with stubborn tendinopathies who were struggling to get better and despite rehab and progressive loading were still struggling with pain. During my research I came across shock wave therapy, and after attending a course I purchased my first shock wave machine which was a radial device. Home Academy Practice Marketing Blog Orthopaedics Neurology AccountTestimonial: Two-time Olympic medalist Galen Rupp. Patients who had previously struggled with doing their exercises and had a lot of pain, now started getting better within 2 – 3 treatments. How I dealt with these problematic conditions then changed forever. I now have both focused and radial shock wave devices from STORZ MEDICAL in my clinic.
What percentage of you patients have shock wave?
In general, as I have been doing this for several years people now come to see me specifically for shock wave therapy. I would say around 50% of my patients are requesting the treatment. I have found that awareness of the technology and its potential to help with pain and mobility has increased massively. Shock wave’s reputation is certainly growing amongst the general public.
What conditions do you see the most of?
Well, tendinopathies are a large part of my clinical practice, from the standard Achilles and plantar fasciitis, to Greater Trochanteric Pain Syndrome, lateral epicondylitis and calcific tendonitis in the shoulder. But we have great success with chronic myofascial dysfunctions too.
What conditions do you think responds the best to shock wave therapy?
The conditions it has the greatest impact on are longstanding conditions such as plantar fasciitis, Achilles and GTPS. Combined with a good rehab program consisting of activity modification, appropriate loading, and gradual progression these do very well, and the patients are happy.
How has shock wave advanced your practice?
Shock wave therapy has allowed me to increase my success rate with conditions which sometimes struggle to get better. Since I started with shock wave therapy, I have also started using ultrasound scanning to evaluate some of the tendons that come into the clinic, and together I have improved my clinical reasoning, and can direct the patient better in their journey to becoming pain free and back to full function.
As a well-respected educator on shock wave therapy, where do you see the future of the technology?
Shock wave therapy is definitely here to stay for musculoskeletal conditions. We will probably see an increase in the number of indications that is treated with shock wave and the protocols getting better and better. The areas that are exciting for the technology is how shock waves are used in patients with Alzheimer’s disease and even cardiac indications, these currently in its infancy but shows great promise.
We were invited down to NeuroMoves at Penrith, NSW this week to showcase the Heaxel – Icone for upper-limb rehabilitation.
We received a very warm welcome from the Penrith team who were quick to apply Icone’s concept of force rendering and haptic feedback to the everyday applications of their clientele with stroke-impacted impairments. On top of this, we discussed the value of the Icone’s clinical evaluation feature which provides a detailed report of the user’s progress in thirteen relative indexes for functional movement of the upper limb.
The team’s experience and expertise in the area certainly provided many insightful opinions from the user’s perspective. We are looking forward to seeing some of their clients try out the system at their Penrith and Clyde sites.
NeuroMoves is an innovative, holistic, evidence-based exercise and therapy service for people living with a neurological condition or physical disability. Their vision is to improve a person’s quality of life through maximising their mobility, function and independence, as well as understanding the unique aspects of each person’s condition.
To find out more about their specialised exercise therapy programmes, visit: https://lnkd.in/dt5ACxC
We recently caught up with Nick Lindahl and put him through a battery of seven tests assessing balance, strength, agility, and speed on the Euleria Back in Action module.
The Back in Action was created with the aim of evaluating return-to-sport in a simple, fast, and objective way after the reconstruction of the anterior cruciate ligament (ACL). It is designed to help coaches like Nick get their players back onto the court quickly and safely after injury, by integrating wearable units and interactive software to reliably and accurately assess their progress and provide a suitable rehabilitation pathway.
Nick is a former top 200 ranked ATP tennis player who has spent many years on the professional men’s circuit competing against some of the best players in the world. His career highlights such as making the Australian Open Junior boys singles final, winning the Australian Open wildcard playoff in 2010 against Bernard Tomic, and has collected many wins against the top 50 players in the world.
Nick now focuses his efforts on developing up-and-coming players from the junior level to those playing on the ATP tour. He is passionate about helping players develop their game and navigating the challenges of the sport at the elite level.
If you are interested in learning more about Euleria’s product range or want to get a demo for your clinic, get in touch with us today!
On 24th January, the Aerobe team in Sydney had the wonderful opportunity to visit MediStrength again for an insightful session to showcase Euleria Riablo’s immersive wearable IMUs for purposeful rehabilitation.
Riablo is an innovative medical device designed by Euleria to support physiotherapists in their everyday work with patients. It consists of wearable sensors and a stabilometric platform that transmits data via bluetooth to a software that provides a biofeedback through a screen.
During the demonstration, we had the opportunity to show the practical applications of how Euleria Riablo can enhance range of motion, balance, mobility, etc, when we were joined by one of MediStrength’s patients, Soon. Soon was excited to use Euleria Riablo and play training games and take functional assessments of strength, range of motion, balance, and fall risk prediction.
The Euleria range of interactive IMU’s include Riablo for purposeful rehabilitation, Kari for telehealth, and Back in Action for the objective assessment of return to sport for athletes.
Kari is a simple medical device composed of a sensor and a dedicated app that guides the patient through a personalised rehabilitation program. The app is designed to work on all mobile devices: like smartphones and tablets, without any limitations; all you need is an internet connection and a bluetooth.
Back in Action is a device designed in collaboration with the University of Innsbruck to establish the return to sport after anterior cruciate ligament reconstruction (ACL) while reducing the risk of re-injury. Back in Action allows you to better evaluate and assess performance of the lower limbs through balance, strength, agility and speed testing so that training is objective and repeatable.
The Aerobe team is grateful for opportunities and partnerships, such as with MediStrength, to be able to discuss how our products can help patients better and the future of assisted technology in treating patients.
Thanks to Urs Schaller from MediStrength for hosting us!
If you are interested in learning more about Euleria’s product range or want to get a demo for your clinic, get in touch with us today!
Earlier this week, our team in Perth installed the Heaxel ICONE at the Neuromoves clinic at Edith Cowan University for a trial and conducted the operator training to Spinal Cord Injuries Australia’s team of experienced and dedicated staff.
The upper-limb smart robot will be busy engaging with clients in interactive games and objective assessments to support their rehabilitation journey.
If you would like to try the ICONE or find out more about the rehabilitation programs available at Neuromoves, please do not hesitate to get in touch with the friendly team at SCIA! They have 11 sites across Australia with a highly experienced team of allied health professionals.
Visit https://scia.org.au/neuromoves-exercise/
We were invited back to Concentric Rehabilitation at Midlands, WA in December for a trial of the INCEDO walking rehabilitation device by Nordic NeuroSTIM.
INCEDO is a portable reflex-based electrical therapy device that stimulates the patient’s own physiological withdrawal reflex through electrical stimulation. It sustainably improves walking speed and augments conventional gait training methods for hemiparetic patients.
An electrical stimulus to the sole of the foot is synchronised with each step which evokes a reflex as the patient relieves the foot, thus assisting in lifting and performing the step. The step-synchronised electrical stimulation of the reflex arc during gait training promotes faster re-learning of natural walking and helps users achieve a higher walking speed. Unlike drop-foot stimulators, the INCEDO promotes neuroplasticity through stimulation of both the afferent and efferent pathways to promote independence and faster automation of walking.
In this video, we compare the differences of stimulation ON and stimulation OFF in the user who is eight to nine months into gait-retraining. Enhanced synergistic flexion of the ankle, knee and hip is observed when the INCEDO device is switched on. In addition, the user expressed his confidence in the device, which subsequently allowed him to ambulate outdoors while dual-tasking (counting backward from 100 in decrements of 3) without falling.
Thank you to Godfrey Asimwe and team at Concentric Midlands for being excellent hosts as always! Your expertise and knowledge in the field are crucial to the neuro-physiotherapy space and your important work help take your patients forward in their rehabilitation journey.
Learn more about how INCEDO can help your patients better with walk-training here.
In the month of October, our team in Perth had the opportunity to showcase our upper limb neurorehabilitation robot, the Heaxel Icone.
On top of exhibiting our unique range of products, the Aerobe team engages with partners through open discussions in order to gain in-depth insights and professional opinions. Through site visits, we provide our clients the opportunity to trial our systems on their patients and clients to see results and impact first-hand.
The Heaxel Icone is revolutionising the field of neurorehabilitation by offering an immersive and motivating solution to upper limb rehabilitation. By tailoring interactive exercises for specific patients in a simplistic manner, the smart system keeps the rehabilitation intensive while keeping the user engaged.
At Therapy Focus, we had the chance to speak to Kelvin Kong, Project Manager of New Technology and Robotics, and his team about Heaxel Icone’s software development blueprint. We deliberated the clinical research findings that contributed to the design and development of the Icone’s therapy programs and functions, as well as the system’s pathway for expansion and updates as more findings are presented.
As the Heaxel Icone is designed according to the latest scientific evidence from neuroplasticity simulations, the technology and interface is one step ahead with great potential to create even more interactive and engaging games in time. The team at Therapy Focus was impressed by the technology’s ability to promote active motor planning and provided us with positive feedback on the efficient use of the device.
We were also hosted by Hayley Paterson and her team at Neuromoves: Perth from Spinal Cord Injuries Australia, where we contended the Icone’s adaptive interaction control with full-sensing capabilities and easy setup, allowing clinicians to adopt any therapeutic protocol involving elbow flexion-extension, shoulder protraction-retraction, internal-external rotation, flexion-extension and abduction-adduction. With stroke patients making up 30% percent of their patients, the Heaxel Icone serves as an easy-to-setup device that will cater to the needs of their most significant clients. During the visit, we provided the opportunity to demonstrate the simplicity of the device on one of Spinal Cord Injuries Australia’s clients, and the team also took turns trying Heaxel Icone’s fun and engaging games.
Our presentation at Osborne Park Hospital was joined by their large team of physiotherapists and occupational therapists. Between the Aerobe and Osborne Park Hospital team, the potential use of the device in tele-health capabilities was discussed and how the system can help patients from the comforts of their home. As Heaxel Icone is the first all-in-one and plug-and-play medical system, it can support rehabilitation professionals in providing intensive treatments for outpatient neurological patients, even through Covid lockdowns!
It is always rewarding to network with enthusiastic professionals eager to make a change and improve the lives of the community. The reception for the Heaxel Icone has been tremendous and we are excited to see its implementation roll out across the western states!
If you and your team are interested in having the opportunity to try the Heaxel Icone or any of our other products hands-on, get in touch with the Aerobe team today.
Last week, our team in Perth paid Concentric Rehabilitation at Midlands a visit for at trial of the Icone upperlimb intensive neurorehabilitation robot. This was led by their physiotherapist Godfrey Asimwe, who took one of his clients who was recovering from hemicraniectomy through a 15-minute therapy session.
The client, who before his procedure was an avid player on the PlayStation console, commented that he truly enjoyed the session and was very fond of the soccer game. He completed 300 movements in the space of 15 minutes, which allowed him to get the most of his 45-minute session at the clinic.
Godfrey was also impressed with the system, and commented that the system was a great adjunct to therapy to facilitate repetitions and motivate. He added that the versatility of the evaluation tasks challenged the client in many movement types in a safe and controlled manner.
To watch a clip of the Icone in action at Concentric Rehab, click here.
Robotic neurorehabilitation is helping mould the landscape of rehabilitation. Aerobe would love to help you be onboard the change. Contact us if you would like to see how the Icone fits your clinic.
Walter Yu, our man on the ground in Perth, Western Australia, paid a visit to Barbara Howard and her exciting new venture at the Rejuven8 Health and Fitness Clinic in Wanneroo this afternoon.
Rejuven8 Health and Fitness Clinic is a 24/7 gym. There is and option to workout on your own or have a program created specifically for your needs by ESSA accredited exercise science staff. It is filled with a range of quality fitness and resistance training equipment to cater to their client’s needs.
Walter and Barbara had a fantasting time dicussing the future of Rejuven8 and how Aerobe’s exciting rehabiliation products, such as our wireless and portable EMG system KineLive, can enhance the experience for clients at Rejuven8.
We cannot wait to see what the future holds for Rejuven8 and for all the exciting collborative projects!
If you are interested in discussing how Aerobe can improve your client experience with our immense range of products, get in touch with us today.
With Noraxon IMU’s, the Running Blueprint can efficiently record real-time running feedback beneficial for the runner to observe any improper body movement in order to adjust accordingly with the data points. Supportive during physiotherapy or rehabilitation specialist’s consultations, the inertial measurement units (IMUs) records and visualises data of anatomical joint angles, orientation angles, and linear acceleration that can easily be overlooked. Following every session, generate personalised reports or access quaternions and raw sensor data (accelerometer, gyroscopes, & magnetometers) for reference to track patients’ progress overtime. Moreover, synchronize with EMG, pressure, force, video and third party devices within the myoRESEARCH software platform. Click the above photo to preview the sample video with real time feedback of a runner wearing IMU’s featured by the Running Blueprint.
Discover more about the benefits of Noraxon’s IMU’s with sport and rehabilitation applications by clicking here.
Lee et al had integrated the Ultium EMG system with myoResearch software to investigate the effects of different side bridge exercises on the hip and trunk muscles in subjects with gluteus medius weakness in order to determine which variation would be best to help strengthen the gluteal muscles. Discover the application of EMG analysis into Hip and Trunk Muscle activity published in the Journal of Sport Rehabilitation by reading a snippet of the article below or clicking here for more!
Side bridge exercises strengthen the hip, trunk, and abdominal muscles and challenge the trunk muscles without the high lumbar compression associated with trunk extension or curls. Previous research using electromyography (EMG) reports that performance of the side bridge exercise highly activates the gluteus medius (Gmed). However, to the best of our knowledge, no previous research has investigated EMG amplitude in the hip and trunk muscles during side bridge exercise in subjects with Gmed weakness. The purpose of this study was to examine the EMG activity of the hip and trunk muscles during 3 variations of the side bridge exercise (side bridge, side bridge with knee flexion, and side bridge with knee flexion and hip abduction of the top leg) in subjects with Gmed weakness.
Learn more about how AEROBE’s EMG solutions such as the Ultium EMG sensor system can be transformative for sports rehabilitation research or for clinical applications by clicking here.
Tune into Noraxon’s latest MR3101 webinar to discover the benefits, features and functions of the Ultium Motion system to manage complex measurement environments and scenarios. Want to learn more? Click here to watch the webinar!
With Zach Scarano, gain insight into the functional calibrations options and other model optimisations had encouraged the usage of inertial motion capture systems in challenging environments. From the above video, gain insight into how an inertial measurement unit (IMU) shares three three integral components, the different functional calibration options of the Ultium Motion system, and it’s tools that are applied to correct sensor drift that can significantly impact the integrity of recordings in demanding magnetic environments.
Find out more about the benefits of Noraxon’s multi-modal Ultium EMG sensor system with sports and rehabilitation research by clicking here.
Last week, the AEROBE Australia team was invited to illustrate the benefits of KineLive with sports & rehabilitation sessions for all physiotherapist members at Gold Standard Physiotherapy in Blacktown. From our demonstration, the EMG’s attached on one of the physiotherapists exhibited an imbalance in Justin’s left knee that resulted from a reconstruction of his left vastus lateralis. This was projected on the monitor from KineLive’s EMG intuitive software where any researcher or therapist can easily apply the gel-based electrodes on the subject to which data is instantly collated then visualised on any monitor. With this data, the KineLive system can seamlessly record sessions while providing audio and visual feedback to motivate clients or support physiotherapist to adjust the patient’s motor control.
Learn more about KineLive’s unique features by reading more below or the EMG system’s technical specifications by clicking here.
Electromyography has innovatively evolved over time to support researchers and clinicians to understand the health of muscles and motor neurons. This diagnostic procedure can assist physiotherapists in particular to assess muscle performance, patterns of movement or neuromuscular reflexes with EMG results of timing, magnitude of muscle capacity and more. Revamp traditional therapy practices by incorporating KineLive’s wireless EMG measurement units to encourage natural movements and comfortability for the subject during research or clinical assessments with gel-based electrodes instead of invasive methods of application (i.e needles). Integrated with KineLive software, users from any range of computational capabilities can instinctively become accustomed to selecting multiple feedback modes for each user-definable profiles, automate instant analysis, and print out trend effect documentation.
Want to incorporate EMG systems at your clinic? Discover more of our sports and rehabilitation solutions, or request quotations by contacting us here.
Yesterday, we marked a successful demo review and exchanged integral industry insights into the clinical applications of EMG systems within exercise physiology practices between MediStrength Director Urs Schaller and the Australia AEROBE team. Designed for beyond kinesiological and neurological research, the KineLive wireless EMG systems provide the competitive advantage to guarantee a return of investment for exercise physiotherapy, rehabilitation, and specialised sports clinics. Enhance training programs with the integration of visual and audio biofeedback to yield better results with longer-lasting improvements. Learn more about the KineLive EMG system’s unique features and technical specifications by clicking here.
Streamline Consultations & Adapt Training Sessions with the EMG system
The KineLive EMG system redefines credibility and one-to-one consultations while adapting your clinic within the physiotherapy & healthcare industry. Revamped as a wireless and portable biofeedback system, the Kinelive promotes natural movements during sessions with non-invasive measurement units to be easily applied in a matter of seconds. Incorporated with state-of-the-art software, record sessions seamlessly while readjusting muscle imbalances with the suggestions from your training specialist. Otherwise, clients can personally adjust motor control accordingly with the support of visual and audio feedback. The EMG’s gel-based electrodes are programmed with the kine measurement system (KMS) hardware designed for collating high-quality EMG data with accurate timing while requiring low power for long ranges (of up to 10 meters) in a modular structure.
Streamline consultations or training sessions with the EMG system software that provides personalised user-definable profiles, multiple feedback modes, and requires minimal training for easy integration into your clinic. Moreover, every session supplies trend effect documentation and analysis reports to track your client’s progress aligned with their personal goals.
Want to incorporate EMG systems at your clinic? Discover more of our sports and rehabilitation solutions, or request quotations by contacting us here.
The National Cannabis Risk Management Association (NCMRA) is interested in minimizing the strain undergone by cannabis workers, specifically at the trimming station, to reduce repetitive motion injuries and ensure worker safety. The team determined that creating an ergonomic table would best improve worker safety.
– Characterize worker motion during cannabis trimming for the purpose of assessing musculoskeletal strain and to identify areas in need of improved methods and equipment.
– Propose and design standardized equipment (chair type and height, table shape and height, and clipper design) and methods to reduce musculoskeletal strain during trimming.
– Participate in weekly advisor and sponsor calls to gather information on the industry and discuss the plan of action.
– Research cannabis and ergonomic literature to familiarize with the current workplace setup.
– Use general workspace postural data to create the drawings and a Solidworks model of the ergonomic table.
– Design a two factor two-level experiment to analyze the standard and ergonomic table as well as the curved/straight blade trimmers.
– Collect data from the NCRMA that was collected using Noraxon’s software via sensors on various parts of the test subject’s body throughout the study.
– Analyze the anatomical angles and EMG activity collected for the standard and ergonomic table as well as the two trimmers.
The ergonomic table has shown improvements in the cervical spine, pelvis, and elbow flexion angles:
– The cervical spine showed a 50% decrease in average angle looking down (cervical flexion).
– The pelvic tilt decreased causing a reduction in noticeable lower back pain in the test subject.
– The elbow flexion angles are within the safe region 100% of the time when using the ergonomic table.
– The impact of straight blade trimmers and curved blade trimmers showed mixed results, but further studies would be more conclusive.
Heaxel srl., a company that designs and commercializes technologies for robot-mediated rehab, is also slated to showcase their icone® system at MFA 2020. CE Marked and FDA registered, icone® is the world’s first neurorehabilitation robot for the upper limbs, delivering intense rehabilitation via interactive games to help the brain heal itself and regain control of the arm after a stroke. The portable plug-and-play system may also be used outside of hospitals, such as in patients’ homes, making it more convenient for healthcare practitioners to monitor patients’ progress remotely.
“We aim to develop clinically tested and proven robotic systems that help doctors and therapists deliver effective rehabilitation treatments which are affordable and improve the quality of life of neurological patients,” said the CEO and Founder of Heaxel srl. Maria Teresa Francomano.
In addition to commercial systems built for facilities and institutions, at-home systems and products, such as Push Braces, will also make an appearance at the digital event.
Developed by Nea International B.V., Push Braces offers a diverse range of braces for different joint injuries, including the ankle, hand, knee, elbow, wrist, back, shoulder and neck. Unlike conventional taping techniques, Push Braces are clinically proven to offer the perfect balance between support and pliability, allowing patients to move without constraints as they heal.
“Push Braces are focused on the retention, recovery, and improvement of joint function. Made of durable, lightweight materials, and designed for a perfect fit, Push Braces are available in various designs for different areas of the body and are highly comfortable in shoes and under clothing, ensuring better patient compliance for effective joint repair,” said International Account Manager of Nea International BV, Jorgen Van Beem.