By John Maltby, DC
No matter what you think of BJ Palmer, he seems to have been on to something. In 1938, the public’s view of Chiropractic was at an all-time high. Now, with the most recent Gallup Poll numbers, it appears that we have hit an unprecedented low. The truth about the 2016 Gallup Poll, those touting it’s value are hiding is shown clearly in the infographic below. So what is it BJ knew in 1938 which we may learn from today?
Written by John Maltby, DC and David Marcarian, MA
In a recent webinar and blog post, a well-respected individual in injury evaluation, highly recommended replacing Range of Motion Assessment as an outcomes measure with subjective-objective evaluations (e.g. Oswestry). Apparently, he has not seen the latest edition of the AMA’s book “The Practical Guide to Range of Motion Assessment,” where the DynaROM is presented as the new gold standard. This device is not only one of the most important technological breakthroughs in 30 years but significantly improves the validity of range of motion measures. To suggest in this evidence-based world that we opt for subjective report over objective data, as this author did, is a poor decision considering the increasing demand by insurers, courts and the public for healthcare providers to support their clinical decisions with objective data. John Gerhardt, MD, the inventor of modern range of motion technology, determined that range of motion, when augmented by simultaneous measurement of muscle guarding, significantly increased the sensitivity and specificity of range of motion measures. Clinically, he found 70% of his patients with muscle guarding and pain demonstrated normal range of motion values. The DynaROM quickly and easily presents muscle guarding in an objective, quantitative manner and the process is familiar as it’s simply performing range of motion measures with ECG electrodes attached to measure the muscle guarding component.
By Jeri Anderson, DC and John Maltby, DC
Can you imagine a world where IME’s and insurers no longer control patient care? With US Patent 9,808,172 B2, there’s no need to imagine. The newly patented DynaROM Motion EMG is the Gold Standard per the AMA Medical Text on Range of Motion Assessment and has been named “the lie detector for back pain” by prestigious attorneys for its ability to detect the presence or absence of soft tissue injury.
The DynaROM technology is actually quite simple; it combines wireless dual inclinometry with EKG technology to simultaneously measure range of motion and muscle guarding. It’s commonly known that muscle guarding is the body's natural defense in response to pain in motion; so, when you measure these two together, the results become significantly more sensitive to soft tissue injury and symptom magnification. This is because a significant percentage of the population has normal range of motion yet show muscle guarding and pain. A fitting example is the yoga instructor involved in a rear end MVA: they had excellent range of motion prior to the MVA and won’t be considered abnormal post MVA. When the muscle guarding component is measured alongside ROM, their normal ROM now becomes an abnormal DynaROM, as their muscle guarding is exposed, and injury is clear.
Designer of the MyoVision and experienced expert witness.