Kinetisense Newsletter
Version 20 , June 2023
How to Organize and Create a Custom Workflow
Creating a custom workflow provides the opportunity for a quick, efficient and repeatable assessment protocol. Save time by creating custom workflows to measure ROM, balance and more! A custom workflow seamlessly transitions from one assessment to another. Many clinics create workflows based off of a joint or region within the body. Creating a workflow in a way where assessments are selected in a specific order to reduce re-adjusting the patient orientation. For example: when creating a shoulder ROM workflow, completing the right shoulder before moving onto the left shoulder makes the patient positioning easier. It would also be best if all shoulder ROMs are completed before adding another segment of the body like the neck or back. Within a workflow, assessments can be skipped and a report can be generated as a combination of all assessments within the workflow.
Follow the complete list below:
Neck
Shoulder
Back
Hip
Upper body
Lower body
Knee
Please review this tutorial video to create a custom workflow.
FAQ
The Advantages of 3D Motion Capture Versus 2D Motion Capture
In order to understand the advantages of 3D motion capture versus 2D motion capture, it is best to start with a basic understanding of what 2D vs 3D is. When we are talking about an object in 2D we are looking in one plane, this creates a two-dimensional space. The best way to picture a two-dimensional object is with an X and Y plane, the object can be viewed side to side and up and down, but we are unable to measure the depth or rotation of the object. A picture takes place in 2D and well as any object where no depth can be sensed is in 2D.
3D looks at the object in three-dimensions, adding depth and rotation. A 3D object takes place in the X and Y plane as well as the Z plane, meaning the object can be viewed side to side, up and down and front to back creating depth and allowing for rotation. Our eyes are able to see everyday objects in 3D.
The human body moves in three planes of motion; transverse (up and down), sagittal (side to side) and the frontal (front to back) plane. Kinetisense 3D motion capture technology utilizes depth sensing cameras which allows for a detailed 3D skeleton model of the subject. The ability to capture motion in 3D, allows for rotational and depth to be captured. This creates many advantages for accurately tracking human motion on all three planes of movement. With our 3D motion capture system we are able to sense depth and rotation in the Z plane and biomechanically analyze a full body movement.
References:
www.drivelinebaseball.com/2018/02/pitfalls-2d-analysis/
How to Interpret Functional Data
There are three different types of reports that can be generated from a functional assessment:
The first type of report is through the scorecard, this is the screen that pops up after saving the assessment. This report will showcase SOAP notes, pictures, frontal plane tilts, transverse plane diagrams as well as joint angles in the “assessment” section of the SOAP notes. This is a visual report providing a lot of valuable information. If a practitioner would like to capture a particular frame within a functional assessment, this can be done by selecting the functional assessment you wish to capture a particular frame in, from there select the video playback function. Within the video playback the capture button can be selected to capture all the data points at that particular time. The capture button can be selected as many times as a practitioner would like in order to capture the joint angles at that second in time. An example of when someone may use this is to compare the left and right knee/hip joint angles at a patient’s lowest point in a squat, as well as looking at their joint angles as they move down and lift back up. Once all of the points have been captured, “done” and “save” must be selected in order to save the newly captured data points. Please close and reopen the functional assessment in order to view the newly captured data points, these new data points will then appear in all reports. To generate a report through the scorecard open the functional assessment you would like to generate the report for, select the “reports” icon in the top right corner and select the report you would like generated.
The second type of functional data report is generated through manual reports, this is located on the main screen underneath “Tools”. “Tools” can be seen in the top right corner, select “Export Data”. The “Export Data” will pull a list of assessments, select “Functional”, from this screen multiple functional assessments can be pulled. This type of report is going to be a file with every joint angle captured when the “capture snapshots” were taken. This type of report does not include any pictures or graphs, rather numbers and a time snap of when the capture snapshot was taken.
With a Kinetisense Diamond license, advanced data tools are added to your license. These included a CSV file export for functional data. In the CSV file each joint is broken down every second in the X,Y and Z planes. For example the data will say Head X, Head Y, Head Z. With an understanding of three-dimensional from “The Advantages of 3D Motion Capture Versus 2D Motion Capture” and the X,Y, and Z planes, this helps to break down the data points captured. A specialized program is required to convert the CSV file into a C3D file in order to better interpret the data.
IT Advise
How to Turn iPad on or off (models with Face ID or with Touch ID in the top button)
If your iPad doesn’t have the Home button, do the following:
● Turn on iPad: Press and hold the top button until the Apple logo appears.
● Turn off iPad: Simultaneously press and hold the top button and either volume button, then drag the slider.
How to clean your iPad Pro
Handle your iPad with care to maintain its appearance. If you’re concerned about scratching or abrasion, you can use one of the many cases sold separately. To clean the iPad, unplug all cables and turn off iPad (press and hold the Sleep/Wake button and the volume up button at the same time, and then slide the on screen slider). Use a soft, slightly damp, lint-free cloth. Avoid getting moisture in openings. Don’t use window cleaners, household cleaners, compressed air, aerosol sprays, solvents, ammonia, abrasives, or cleaners containing hydrogen peroxide to clean iPad. The iPad has an oleophobic coating on the screen; simply wipe the iPad’s screen with a soft, lint-free cloth to remove oil left by your hands. The ability of this coating to repel oil will diminish over time with normal usage, and rubbing the screen with an abrasive material will further diminish its effect and might scratch your screen.
References:
https://support.apple.com
KAMS and FPM Drive the Functional Component of the Advanced Practice
One of the greatest differentiators of Kinetisense is its proprietary Functional Planar Mapping (FPM). This system is the first of its kind incorporating over 150 peer-reviewed papers into the “mapping” of joint dysfunction from the Kinetisense Advanced Movement Screen (KAMS). Kinetisense is the only 3D Markerless Motion Capture system that “maps” joints requiring both stability and mobility.
FPM is the mapping of over 250 movement compensation patterns evaluated in a 3 minute movement screen.
Multi Segmental Joint Activation Patterns
As movement specialists, we know that the body is not simply a sum of its parts, yet many movement screens break human movement into a “joint-by-joint” analysis system. When we assess the robustness of human movement by trying to break it down into singular components we remove some of the key pieces from the equation. We should never forget that the proprioceptive neurological systems paired with the musculofascial subsystems (MSK) are key drivers and influencers of movement. For example, hip external rotation is often completely different with standing/sitting as compared to the range of motion when going into a deep squat. The human MSK system reacts differently when placed in different positions, under varying loads and overall functional demand.
A Full-Body, Multi-Joint Assessment Protocol
Human movement is more complex than the sum of its parts, we as practitioners must take into the account the neurological aspect. Movement is brain based and KAMS assesses the subconscious “brain-based” compensatory movements. This is only possible due to the accuracy and granularity of the systems evaluation.
Tri-Planar Compensatory Evaluation
To get insights 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 strategies to navigate normal joint motion, 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.
Biomechanics of a concussion
Concussions can occur due to various mechanisms, and the specific cause or mechanism of a concussion can influence the nature and severity of the injury. It is important to highlight that concussions can be sustained through both contact and non-contact mechanisms of injury with the latter often being less reported. Some common mechanisms of sustaining a concussion include:
- Direct impact to the head: A direct blow to the head from an external force, such as a fall, collision, or being struck by an object, can cause a concussion. The impact transfers force to the head, leading to the brain moving within the skull and resulting in injury.
- Whiplash or acceleration-deceleration injuries: Rapid acceleration or deceleration of the head without a direct impact can also cause a concussion. This can happen in situations like motor vehicle accidents, where sudden stopping or change in direction causes the brain to move forcefully within the skull.
- Sports-related injuries: Participation in contact sports like football, soccer, hockey, or boxing increases the risk of concussions. These injuries can result from player-to-player collisions, falls, or impacts with sports equipment.
- Blast injuries: Explosions or blasts, such as those experienced in combat situations or industrial accidents, can cause concussions. The sudden increase in air pressure followed by rapid decompression can generate powerful shock waves that affect the brain.
- Shaking or rotational forces: Severe shaking or rapid rotational movements of the head, such as those seen in shaken baby syndrome or certain types of abuse, can lead to concussions. These injuries typically involve significant rotational forces and can result in diffuse brain damage.
It’s important to note that each mechanism may result in different patterns and severity of injury. For example, rotational forces may lead to more diffuse axonal injuries throughout the brain, while a direct impact may cause a focal injury at the site of impact. The symptoms and recovery trajectory can also vary depending on the mechanism and individual factors.
Prevention and proper management of concussions are essential. Wearing appropriate protective gear, adhering to safety guidelines, and seeking medical attention following head injuries are important steps in minimizing the risk and consequences of concussions.
Concussions are a type of traumatic brain injury (TBI) that occurs due to a blow to the head or a sudden jolt that causes the brain to move rapidly within the skull. The biomechanics of a concussion involve complex interactions between the brain, skull, and other structures within the head. While our understanding of concussions is still evolving, here are some key aspects of their biomechanics:
- Linear and rotational forces: Concussions can result from both linear and rotational forces acting on the brain. Linear forces cause the brain to move in a straight line, while rotational forces cause it to twist or rotate. These forces can occur independently or in combination during an impact.
- Inertia and deceleration: When a sudden impact occurs, the head and brain experience inertia, resisting changes in motion. However, the brain can still move within the skull due to its relatively mobile nature. After the impact, the brain decelerates rapidly, causing it to collide with the inner surfaces of the skull.
- Stretching and shearing forces: The brain is a soft organ suspended in cerebrospinal fluid (CSF) within the skull. During a concussion, the rapid movement of the brain can lead to stretching and shearing forces within the brain tissue. These forces can cause damage to the neurons, blood vessels, and other structures in the brain.
- Focal and diffuse injuries: Concussions can result in focal injuries, which occur at the site of impact, and diffuse injuries, which involve widespread damage throughout the brain. Focal injuries often occur in the regions where the brain comes into contact with the bony protrusions inside the skull, such as the frontal and temporal lobes.
- Neurochemical changes: Concussions can trigger a cascade of neurochemical changes in the brain. The rapid movement and stretching of the brain can disrupt the balance of ions and neurotransmitters, leading to changes in the brain’s electrical activity and chemical signaling. These changes can affect the functioning of neurons and contribute to the symptoms of a concussion.
It’s important to note that the biomechanics of concussions are still an active area of research, and there is ongoing work to better understand the complex mechanisms involved in these injuries. Researchers use various tools such as computational modeling, laboratory experiments, and clinical studies to advance our knowledge of concussion biomechanics, which can inform the development of improved prevention and treatment strategies.
Kinetisense provides solutions for prevention and identification of concussion. Given the high correlation between falls and concussion, the risk of fall module can be employed to identify risk factors and engage preventative strategies before a fall and potential subsequent concussion occur. The balance module is an effective baseline tool for identification of concussion post-injury. Providing baseline testing to groups in your community is an effective means to increase exposure and drive client retention.
Resources
National Institute of Neurological Disorders and Stroke (NINDS): The NINDS provides information on various neurological disorders and brain injuries, including concussions. Their website (www.ninds.nih.gov) offers resources, research updates, and links to relevant studies.
Centers for Disease Control and Prevention (CDC): The CDC provides comprehensive information on concussions, including their causes, symptoms, and prevention strategies. Their website (www.cdc.gov/headsup) includes educational materials and resources backed by scientific research.
National Collegiate Athletic Association (NCAA): The NCAA has conducted extensive research on concussions in sports. Their website (www.ncaa.org/health-and-safety/concussion) offers guidelines, resources, and publications related to concussion management and prevention in collegiate athletics.
Parker Seminars Orlando
Experience the ultimate chiropractic event at Parker Seminars Orlando (June 9-11). Over three exciting days, you’ll hear from renowned keynote speakers like Andy Galpin, Nita Farahany, and David Sinclair, Sara Gottfried and earn CE credits from a diverse lineup of expert speakers across multiple tracks. Explore the latest chiropractic technology and services at the expansive Expo Hall and enjoy a $50 discount when registering using the code Kineti$50.
Don’t miss this unparalleled opportunity to network, learn and grow. Register now or learn more at https://orlando.parkerseminars.com/.
Join thousands of fellow safety professionals who are ready to share their knowledge and build relationships in June. If you’re ready to expand your knowledge, grow your network and see the latest advancements in the industry, then Safety 2023 is the place to be. Register for ASSP at a Discounted rate for 3 full days of education to gain 1.5 CEUs.
Use the link to register: https://store.assp.org/PersonifyEbusiness/Events/ASSP-Educational-Events-Calendar/Meeting-Details/productId/244894345
Enter the promo code at checkout: 23PDCHE
