Below are some of our Frequently Asked Questions on ScanVision:
Is the test safe?
Yes! The ScanVision is classified as an FDA Class II Medical Device which provides reasonable assurances of the device's safety and effectiveness.
The test is completely non-invasive and does not cause pain or irritation. This makes is safe for children, pregnant women and seniors.
The test is completely non-invasive and does not cause pain or irritation. This makes is safe for children, pregnant women and seniors.
can static semg be used on children?
Yes, it can. The only issue with children is that their readings are typically much higher than adults. There are two ways of dealing with this:
- Perform the test with the patient prone (face down) on a table. By testing this way, the areas of concern will still appear with the spurious muscle activity natural for them at their age to fade into the background.
- Change the display from "normal" to "balance" mode, so you see only the imbalances. The extremely high readings are replaced with imbalances in activity between left and right sides.
can i bill for the static semg?
Yes, the code used is 95999 (unlisted diagnostic code). Although many never ask again after owning, the fact is that many are billing the test for a reported $50.00 - $75.00 per exam. That being said, many doctors do not care to bill at all after they witness the increase in their patients interest in care. Being able to make subluxation "tangible" is enough to boost business.
I hear static semg lacks reproducibility. Is this true?
Static sEMG has been given a "bad rep" due to the older wired designs sold in the 80's, 90's and early 2000's. They were significantly impacted by electrical interference and were very unreliable.
As you know, there have been many huge technological advances since then and the MyoVision Wirefree device has solved 99% of those problems. It is as reliable as any physiologic measure (blood pressure, range of motion, skin temperature, heart rate, etc.)
A video is worth at thousand words: Watch this video of an impromptu exam performed by a skeptical doctor showing the reproducibility of our E-Scan.
As you know, there have been many huge technological advances since then and the MyoVision Wirefree device has solved 99% of those problems. It is as reliable as any physiologic measure (blood pressure, range of motion, skin temperature, heart rate, etc.)
A video is worth at thousand words: Watch this video of an impromptu exam performed by a skeptical doctor showing the reproducibility of our E-Scan.
Why should I choose static semg over thermography?
Thermography is a great tool; it is essential for the analysis performed by the upper cervical practitioner and provides critical information needed for their analysis. But for all other practitioners, Static sEMG is typically a better tool. This is because:
- Thermography, when done properly, takes much longer than Static sEMG. According to the International Thermographic Society's guidelines, you need 15 minutes in 70 degree temperature before measuring on the patient. Static sEMG has no such constraints and can be performed without preparing the patient.
- Patients cannot feel a .3 degree centigrade difference between left and right sides of the spine. That means you have to explain the results and hope they trust you. Static sEMG measures something more well known by patients: muscle tension.
- Static sEMG provides instant credibility. A patient can feel muscle tension and when they're able to see where that pain is using the Static sEMG, you are seen as credible and this makes them trust you for the solution.
- Screenings are limited for Thermography. The outside temperature, whether hot or cold, may prevent the use of the Thermography device, but have no impact on your screening. Many doctors who used to use Thermography at screenings found the need to "make up" the meaning of straight lines or bad results due to the impact of temperature.
What about heart rate variability? Why doesn't myovision sell it?
Heart rate variability is a great measure of stress. When we surveyed the doctors that have it, only 1 in 20 doctors who owned HRV equipment used it. Why? It takes too long and no one is certain what the results mean. There is only one published study and the results were inconclusive. MyoVision is about providing the "biggest bang for your buck." That "bang" comes from the Static sEMG. Is is more salient, immediately relevant and changes based on alterations in the patient's spinal health.
are there any published control group studies on the myovision static semg?
MyoVision is the only commercially available Static sEMG system with research published in a peer-reviewed, indexed journal. One control group study called "Chronic Low Back Pain Assessment Using Surface Electromyography" demonstrated those with chronic low back pain had three times the level of muscle activity (EP Stress Score) than the controls. Ask your MyoVision sales representative to provide you with this study.
what is the ep stress score?
The EP - or Electrophysiological - Stress Score is a single number which is the sum of all the muscle activity measured and displayed about the spine. It correlates highly with the Oswestry, but is a purely objective means of tracking spinal health progress; just as the blood pressure is used to track patient's heart health.
The first scan is used as a baseline and each following is compared to this baseline. Those who start with low readings are typically in a state of chronic muscle fatigue from long term problems and their number will increase as muscles begin functioning normally again. Those who start out high readings will typically see decreases as their acute state subsides.
The first scan is used as a baseline and each following is compared to this baseline. Those who start with low readings are typically in a state of chronic muscle fatigue from long term problems and their number will increase as muscles begin functioning normally again. Those who start out high readings will typically see decreases as their acute state subsides.
IS IT TRUE BOTH LOW (YELLOW) AND HIGH (RED) READINGS ARE SIGNIFICANT? WHY?
Both yellow (low) and high (red) readings are significant. Often times the yellow readings are more indicative of a problem area (especially if there are two or three levels in a group on the same side) than the red readings. This is because muscles in a chronic state of fatigue enter a "contracture" state. Just like a weightlifters muscles are "bulked up" and shortened, they are not electrically active. If you want to know for certain, perform palpation. If you palpate and the muscle feels as though it is in spasm, yet the readings are low, this is a contracture state (fatigued muscle). If you palpate and muscles feel lax, with yellow (low) readings, this is a normal reading. Review the interpretation video to gather more expertise on the topic.
HOW DOES THE EP STRESS SCORE HELP WITH REPRODUCIBILITY?
One of the main reasons the Static test is sometimes seen as lacking in reproducibility is the fact that we perform the test standing. The standing test is more clinically meaningful because we elicit the muscular response to subluxation by having the patient maintain their own posture. The downside is that patients may sway slightly when standing, making the arrows change directions on some patients in a pre and post test. The EP Stress Score effectively nullifies the impact of sway because it sums readings on both left and right sides of the spine. If muscles fire more on the left side in one test, and the right in the second, the sum still typically remains nearly the same. Issue resolved!
CAN I REALLY PERFORM THE TEST WITHOUT AC POWER AT ALL?
Using the ScanVision System with the SoloVision (if you purchased the ScanVision Static sEMG on its own, or if you purchased a SoloVision separately, you can perform a screening or any test with a laptop without AC power. The ScanVision Scanners are both battery powered and the SoloVision is powered entirely by the USB port on the computer. Simple, clean and effective.
