Kinetisense Newsletter
Version 17 , March 2023
Cuing for Back extension
Case Study
Pelvic tilt (PT) is an important parameter in assessing spinal deformity. Anterior and posterior pelvic tilting is a compensatory mechanism that can affect and reduce the apparent extent of global sagittal malalignment (1). An anterior pelvic tilt involves the exaggeration of the natural lumbar curvature whereas the posterior pelvic tilt is the reduction in the natural lumbar curvature. (2) A posterior pelvic tilt is caused by the back of the pelvis dropping and the front of the pelvis rising, a muscular imbalance has been linked to the core cause of pelvic tilting. A posterior pelvic tilt is caused by muscle imbalances in the abdominal muscles and lower extremity.
A typical muscle imbalance scenario that causes posterior pelvic tilt involves tight hamstrings, glutes and lower abdominal muscles coupled with weak quadriceps, psoas and lower back muscles (2). An anterior pelvic tilt is the most common, the pelvis rotates forwards of the lumbar spine creating more of an extended position in the lumbar spine. This is created by muscle imbalances in the lower back, hips and gluteus maximus muscles (3).
Kinetisense’s preset workflows such as the KAMS and KAMS IL incorporate back extension as vital range of motion (ROM) assessments to determine joint instability and mobility issues. A common factor as to why patients are unable to fully extend through back extension is because of an anterior pelvic tilt. The muscular imbalances caused by an anterior pelvic tilt don’t allow a patient to fully extend through a back extension. Cueing the patient to “tuck” their pelvis allows for the over exaggerated curvature of the lumbar spine to return to a more neutral position, then allowing the patient to fully extend through into back extension. As seen below by cueing a patient to “tuck” their pelvis, they were able to achieve 7 more degrees of back extension.
References
- Day, James W., et al. “Effect of Pelvic Tilt on Standing Posture.” Physical Therapy, vol. 64, no. 4, 1984, pp. 510–516., https://doi.org/10.1093/ptj/64.4.510.
- Walker, Martha L., et al. “Relationships between Lumbar Lordosis, Pelvic Tilt, and Abdominal Muscle Performance.” Physical Therapy, vol. 67, no. 4, 1987, pp. 512–516., https://doi.org/10.1093/ptj/67.4.512.
- Science Direct. “Pelvic Tilt.” Pelvic Tilt – an Overview | ScienceDirect Topics, https://www.sciencedirect.com/topics/medicine-and-dentistry/pelvic-tilt.
Archiving and Exporting
Functional Assessment Data
Once a functional assessment has been completed there are five options. In the scorecard (as seen below) there are five green round circles located in the top right corner.
Edit Button – this is where you can edit the SOAP notes. These can be copy and pasted in any document a clinic chooses.
Video Playback Button – An assessment can be rewatched in real time, in this screen you will see a breakdown of the frontal plane tilt, transverse plane and joint angles throughout the movement.
Report Generation Button – A report can be genera ted by selecting this button. The report breaks down the joint angles of the body during the starting frame of the assessment. All three plans of the body will be shown as well as th in the plan of movement.e joint angles in the plan of movement.
Download Button – A CSV file is created from all the data points over the duration of the assessment. All joints are broken down in the X (Sagittal Plane), Y ( Transverse Plane), Z (Frontal Plane). Joint data is collected every 33 seconds, beginning when the assessment begins and finished when the stop button is pressed. By looking at these data points a clinician is able to see the joint movement change over time.
Archive Button – By selecting this button an assessment can be archived. This means that the assessment is taken off of the device and put in the cloud storage. An assessment can be redownloaded on the device. Here is a full tutorial on how to upload and remove an assessment from the archived section.
Thank you to everyone who attended the American Physical Therapy Association (APTA) and Parker Chiropractic University Exhibitions.
Welcome to the Kinetisense Family!
Find us at the American Society of Safety Professionals (ASSP) in San Antonio, Texas June 5-7th, 2023.
We are excited to meet you!
Risk of Fall White Paper
Click on the Button below to Download the Kinetisense Risk of Fall Whitepaper
Kinetisense Advanced Movement Screening Independent Living (KAMS IL)
Kinetisense is thrilled to introduce the newest module; KAMS IL. The Kinetisense Advanced Movement Screen (KAMS) is an advanced assessment tool curated for high-functioning independent living (IL) aging adults. This is a fast and reliable way to evaluate the movement abilities of aging adults. The 5-minute assessment allows for the detection of compensatory patterns that adults may have developed due to aging. KAMS IL is specifically designed for active adults, providing an objective assessment of their functional movement. The module is designed to assess the functional ability of older adults in order to get the therapy they need before they suffer functional decline and preserve their independence.
KAMS IL is a workflow comprised of 12 movements in total. The first four movements are multisegmental range of motion (ROM) assessments. These are followed by functional assessments, including posture angel, bilateral reverse lunge, four balance assessments and a 5 times sit to stand assessment. The individual scores from each assessment are combined to produce an overall score upon completion as well as a functional index and joint dysfunction map. There are over 250 joint dysfunctions that can be detected through this workflow although Kinetisense prioritizes the top three dysfunctions of the upper body and top three dysfunctions of the lower body.
Implementing KAMS IL In Your Clinic
Increase the Number of Clients – Age specific clients will see this advanced technology and inquire for more information.
Increase Client Retention – Current clients can see movement through a practitioner’s lens with Kinetisense visual reports and video playback.
Increase Functionality – KAMS IL provides an overview of dysfunctional joints and which plane the dysfunction is occurring in.
Drive Discussion – Clients will ask more questions and have a more detailed understanding of their movement patterns, peaking their interest in the treatment protocol.
Increase Revenue– Older Adults will value the importance of annual assessments as well as visually seeing how their body is changing with treatment.
Inquire to add KAMS IL to your license!
