Kinetisense Newsletter

April 2024

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How to Monitor Low Back Pain in Pregnant Patients Using Kinetisense

Discover how Dr. Scott Hoar, a Chiropractor at ALCOA Chiropractic Center, effectively employs Kinetisense in managing low back pain in pregnant patients. With over a year of experience, he demonstrates the utilization of this objective assessment tool in his practice and explains how to interpret the results for patients. Watch the video for an in-depth view!

New Module Alert

Heel Raise

Kinetisense is releasing a clinical Heel Raise module for athletic performance in the New Year.

The Heel Raise test is a common test used to capture ankle plantar flexion strength and endurance. This test was first used to assess the function of the calf muscle-tendon complex and is still applicable today to objectify treatment outcomes during the initial assessment and throughout the rehabilitation process. With Kinetisense, it tracks functional fatigue, objective values and trends throughout a training program.

The module tracks:

  • Reps (left & right)
  • Time taken to complete
  • Unilateral heel height
  • Minimum and maximum height reached
  • Total distance
  • Average plantar/dorsiflexion while a metronome is simultaneously running
  • COM tracing

And more!

FAQ

How to Send a Protocol to Patient/Client Without Using the End User App

Kinetisense recognizes some individuals may not be familiar with downloading or using apps. However, we want to ensure that all patients have the ability to do their protocol from the comfort of their own home. Kinetisense has included an email feature within the Corrective Engine. This will allow you to email the protocol to your patient, rather than sending it through the End User App. Within the email, they will still receive instructions and the video on how to safely and properly complete the corrective. 

To Send a Protocol to Your Patient Over Email Follow the Steps Below: 

  1. First you will need to log into your Kinetisense account. 
  2. Go to the patient profile you would want to send a protocol to. 
  3. Create the protocol by selecting the correctives, filling out the mandatory fields and include any additional instruction or precautions if necessary. 
  4. Once you have created the protocol, select “Save.” 
  5. The protocol you just created will now be visible under the patient’s protocols. 
  6. At the top right of the protocol you want to email to your patient, select the 3 white dots and then select “Email.” 

Does Skipping Assessments have an impact on scoring in KAMS IL, KAMS and Custom Workflows ?

Skipping assessments in the KAMS and KAMS IL will cause the score of the overall assessment to be reduced. When skipping an assessment in the KAMS or KAMS IL that specific assessment will be given a score of zero. The reason it is scored zero is because when you skip an assessment, Kinetisense considers that the individual is not able to complete that movement due to physical or safety limitations. 

This question arises from time constraints and being able to complete assessments in a timely manner. Be sure not to skip assessments in the KAMS IL and KAMS if you want to receive the most accurate overall score and indexes. If you do skip multiple assessments, this will drastically change the overall score and indexes. You will still receive an FPM mapping for the top 3 upper and lower body dysfunctions, just less data will have been considered in this mapping. 

For skipping assessment in a custom workflow, you are able to skip assessment when needed because it will not give you an overall score from the total assessments completed in the custom workflow. It will score only the assessments chosen and completed from the workflow. 

The big difference is that KAMS and KAMS IL are made to give overall scoring based on all the assessments together to give 6 body dysfunctions. On the other hand, custom workflows are a feature made to save time, allow customization based on specific populations, injuries, etc by assessing specific ranges of motion or movements needed for that client’s unique rehabilitation process/needs. It will only score those assessments completed and the skipped assessments will just say “skipped” and will not impact an overall score as there is no overall “grading” for custom made workflow assessments. 

FPM Drives the Functional Component of the Advanced Practice

One of the greatest differentiators of Kinetisense is its proprietary functional planar mapping (FPM) tool. This system is the first of its kind and incorporates over 150 peer-reviewed papers into the “mapping” of joint dysfunction from the KAMS functional movement screen.

Multi Segmental Joint Activation Patterns

As movement specialists, we know that the body is not simply a sum of its parts. Unfortunately, many movement screens today break down human movement into a “joint-by-joint” analysis system. When we assess the robustness of human movement by trying to break it down into parts, we remove some key pieces from the equation. We should never forget that the proprioceptive neurological systems paired with the musculofascial subsystems are key drivers and influencers of movement. For example, shoulder external rotation is often completely different with standing/sitting as compared to the range of motion when going into a deep squat. The human musculoskeletal system reacts differently when placed in distinct positions, under varying loads, and with different overall functional demand.

Tri-Planar Compensatory Evaluation

In order to gain insight into the functional capacity of the individual, we must evaluate multisegmental function through dynamic movements. These movements of assessment must assess all 3 planes of motion accordingly. The KAMS functional movement screen and FPM mapping tool provide this information in a 3-minute evidence-based screen.

The body will find ways and develop strategies to navigate around normal joint motion, and this compensation extends globally to multiple joints and functional planes. KAMS and FPM are the only systems that accurately identify these compensatory patterns and provide a clear pathway for customized therapy and/or training.

The Influence of Age and Gender on ACL Injury Risk

Outside of biomechanical factors, age and gender are the most prevalent factors in identifying risk of ACL injury (1, 2, 3). Females, specifically around the age of 16, are at a significantly higher risk of ACL injury than males due to neuromuscular, anatomical, and hormonal differences (2, 4, 5, 6, 7).

Neuromuscular sequencing differences between males and females contribute to women having a higher risk of sustaining an ACL injury. In females, quadriceps activation during eccentric contraction is one of the largest differentiating factors, accompanied by muscle activation latencies and recruitment patterns (1). Early contraction of the quadriceps is the first cause of anterior tibial translation, which is when the tibia moves anteriorly and the femur remains in place, causing increased stress on the ACL (7). This indicates that females are quadriceps dominant, meaning that the anterior chain of the lower body activates before the posterior chain. In this case, the quadriceps are used to stop anterior tibial translation instead of the posterior chain of the lower body (7). Using the hamstrings complex in the posterior chain of the body has been shown to be more effective in stopping anterior tibial translation and provides more protection to the ACL (7).

Q-angle and pelvic width are some of the largest anatomical differences between males and females. Females have a larger pelvic width than males, which is linked to having a larger Q-angle (7). The Q-angle is formed by a line from the anterior superior iliac spine to the midline of the patella, and the midline of the patella to the tibial tubercle (7). Q-angle has a direct relationship to the quadriceps, as it represents the direction of the quadriceps muscle force vector in the frontal plane (8). A larger angle is thought to predispose individuals to injuries caused by abnormal quadriceps forces acting at the knee (8).

Taking these neuromuscular and anatomical factors into consideration, females also exhibit greater knee valgus motion during athletic movements than men. This increase in the incidence of dynamic knee valgus ultimately increases the risk of an ACL injury occurring (9, 10, 11).

References

  1. Prentice, W. E. (2014). Principles of athletic training: A competency-based approach. New York, NY: McGraw-Hill.
  2. Quatman, C. E., & Hewett, T. E. (2009). The anterior cruciate ligament injury controversy: Is “valgus collapse” a sex-specific mechanism? British Journal of Sports Medicine, 43(5). 328-335.
  3. Loudon, J. K., Jenkins, W., & Loudon, K. L. (1996). The relationship between static posture and ACL injury in female athletes. Journal of Orthopaedic & Sports Physical Therapy, 24(2). 91-97.
  4. Hewett, T. E., Ford, K. R., Hoogenboom, B. J., & Myer, G. D. (2010). Understanding and preventing ACL injuries: Current biomechanical and epidemiologic considerations – update 2010. North American Journal of Sports Physical Therapy, 5(4), 234-251.
  5. Michaelidis, M. & Koumantakis, G. A. (2014). Effects of knee injury primary prevention programs on anterior cruciate ligament injury rates in female athletes in different sports: A systematic review. Physical Therapy in Sports, 15(2014), 200-210.
  6. Kagaya, Yoshinori, Fujii, Yasunari, Nishizono, H. (2015). Association between hip abductor function, rear-foot dynamic alignment, and dynamic knee valgus during single-leg squats and drop landings. Journal of Sports and Health Science, 4(2015). 182-187.
  7. Hirst, S. E., Armeau, E., & Parish, T. (2007). Recognizing anterior cruciate ligament tears in female athletes: What every primary care practitioner should know. The Internet Journal of Allied Health Sciences and Practice, 5(1).
  8. Daneshmandi, H., Saki, F., Shahheidari, S., & Khoori, A. (2011). Lower extremity malalignment and its linear relation with q-angle in female athletes. Procedia Social and Behavioral Sciences, 15(2011), 3349-3354.
  9. LaBella, C. R., Hennrikus, W. & Hewett, T. E. (2014). Anterior cruciate ligament injuries: Diagnosis, treatment and prevention. The American Academy of Pediatrics, 133,(5), 1437-1450.
  10. Mitani, Y. (2017). Gender-related differences in lower limb alignment, range of motion, and the incidence of sports injuries in Japanese university athletes. The Journal of Physical Therapy Science, 29(1), 12-15.
  11. Mohamed, E. E., Useh, U., & Mtshali, B. F. (2012). Q-angle, pelvic width, and intercondylar notch width as predictors of knee injuries in women soccer players in South Africa. African Health Sciences, 12(2), 174-180.

iPad Getting Hot? Here’s How to Cool it off

Originally posted by Asurion

iPad Getting Hot? Here’s How to Cool it of

Why is your iPad getting hot in the first place? There are a few factors that can be the cause:

  • Environment. iPads are great for reading by the pool, but they do have their limits—temperature limits, that is. Avoid using your iPad in high temperatures or in direct sunlight.
  • Poor air circulation. iPads don’t have internal fans to keep them cool. They rely on air vents to circulate air. When those vents are clogged with dust or debris, the iPad can’t cool itself down.
  • Charging issues. Heating up when charging is normal, though your device shouldn’t be getting too hot to the touch. Overheating can be a sign that your charging port is nearing the end or that you’re using a faulty third-party charger.
  • Processor exhaustion. Warming up is your device’s way of signaling for help when it’s internal components are working too hard or wearing down.

How to cool down your iPad

Resist the urge to sit the iPad in front of a fan or put it in the freezer. Rapidly cooling down an overheating iPad can damage it from the inside out. Not to mention the chance of liquid exposure becoming its own problem.

Close some apps

Close your apps. Especially the ones that are no longer in use. Your iPad expends energy—heat—trying to keep all of your open apps in standby mode. If your device is very hot to the touch, close all of them.

Stop charging

Sounds like a no-brainer—we get it. Electricity faces resistance as it passes through components, and resistance causes heat. Thus tech devices tend to get warm when charging (and even warmer when charging and using the item at the same time). Disconnecting the iPad from the charger gives it one less heat source to worry about.

Remove the case

Some cases block the air vents of the iPad. Make sure your case isn’t one of them. If it is, remove the case.

Turn off background app refresh

Background App Refresh is a feature that keeps your apps up to date, even when they aren’t in use. That uses energy, which produces heat. For the apps you must have open, turning off background refresh can be a big help. Follow these steps to turn that feature off:

  1. Open the Settings app.
  2. Tap General.
  3. Tap Background App Refresh.
  4. Tap the switch at the tap to turn the feature off completely.

If you’ve tried these steps and still need a little help, we’re right around the corner. Schedule a repair at the nearest uBreakiFix® by Asurion or Asurion Tech Repair & Solutions™ store and our certified experts can get your device back up and running as soon as the same day.

Tips to keep your iPad cool and prevent overheating

Use only Apple-certified chargers

You probably don’t think about that third-party charger you picked up at the corner store—well, you should. You’ll notice the charger wears out faster than an Apple®-certified charger. What you might not notice is the damage that a third-party charger can do to your charging port over time—these chargers often aren’t built to the same specs as Apple-certified chargers, so they’re prone to causing more wear on your devices.

Reduce screen brightness

Turning down your screen brightness—especially when not in direct sunlight—can go a long way toward keeping your iPad cool. If you can’t remember to turn the brightness down, turn on adaptive brightness. Here’s how:

  1. Open the Settings app.
  2. Tap Display & Brightness.
  3. Use the Brightness slider to change the screen brightness. While here, turn on True Tone to have the iPad automatically adapt the brightness of the screen to the lighting around you.
Use Wi-Fi and Bluetooth only when needed

Having Wi-Fi and Bluetooth® turned on causes the iPad to constantly scan for a signal—even when there isn’t one you want to connect to. You don’t need Bluetooth turned on unless you’re currently using a paired accessory.

Give your iPad a break

We know it’s hard to take a break from gaming, especially when your in the middle of a win-streak in the Steam® app. We suggest taking your game to the Steam Deck™ or another gaming console. Giving your iPad a break gives it a chance to cool down after heavy use.

*The Asurion® trademarks and logos are the property of Asurion, LLC. All rights reserved. All other trademarks are the property of their respective owners. Asurion is not affiliated with, sponsored by, or endorsed by any of the respective owners of the other trademarks appearing herein.*

*The Asurion® trademarks and logos are the property of Asurion, LLC. All rights reserved. All other trademarks are the property of their respective owners. Asurion is not affiliated with, sponsored by, or endorsed by any of the respective owners of the other trademarks appearing herein.*

Reference

https://www.asurion.com/connect/tech-tips/ipad-getting-hot/

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