Kinetisense Newsletter
Version 13 , November 2022
Kinetisense Report Features
Generate reports that are customized to your clinic’s needs. Outlined below are instructions on how to generate a report and explanations of different features within the reports that are available for most modules. For a visual demonstration, refer to our training video.
Accessing Reports Through The Scorecard
Upon opening the desired assessment and clicking the report icon, the select data range page will display all previous assessments for that module only. If you are unsure of which assessment you are selecting to be included in the report, click on the assessment title. This will allow you to preview the scorecard screen and watch the playback video.
Reports Button
The reports feature is organized by module and workflow as shown below. This button provides a quick and easy way to access completed assessments. For example, selecting ROM Summary will take the user to the select data range page only showing ROM assessments that have been completed.
Manual Reports
Manual reports are a personal favorite of the Kinetisense team. Manual reports allow for a mix and match of assessments as shown below. In the select data range page, all previous assessments will initially appear by date completed. Other filtering methods can be applied by selecting “Name”, “Date”, and “Score” at the top of the screen. When the desired assessments have been selected, insert a report title at the bottom of the screen and then click “Share PDF”.
Additional Features
In the bottom left corner of the screen, there are up to 6 options that are selectable. Choose to include or exclude “Pictures”, “Charts”, “SOAP Notes”, “Compact SOAP Notes”, “Compact Report”, or “Upload to Server”. These features will adjust the length of the reports and alter how the data is displayed.
Risk of Fall Workflow
Who does the Risk of Fall workflow apply to?
Any adult 60 years of age and older.
Does having the correct information in the profile settings matter?
Profile settings do affect the automatic outputs. The user should ensure that the correct height, weight, age, and gender are recorded in the profile settings.
Does selecting the dominant foot in the Gait assessment affect the output?
Yes. Please have this selected before beginning the assessment.
Where does the normative data come from?
At the bottom of each report, there are references that pertain to the appropriate assessment. Additional information can be found in the research and validation section of the Kinetisense Vault.
The Perfect Business Model
Introduction
AMP Sports Medicine and Recovery was founded in 2016 and began with only one location. They have since expanded and plan to open a 5th location in California within the next year. From the start, the focus of AMP CEO Mike Flores has been on supplying practitioners and clients with a wide range of high-quality treatments and technologies.
Mike has partnered with Self Made Training Facilities to create a retail experience for clients. Here, they can work with Personal Trainers, Chiropractors, and other professionals towards the goal of improving their overall functionality.
What is AMP Therapy?
“Advanced Myofascial Percussion (AMP) Therapy™ is a breakthrough technology that facilitates oxygenated blood and restores range of motion at a rapid rate. AMP Therapy™ breaks down adhering scar tissue and reduces neurotransmitter pain factors. The functional movement patterns during the AMP Therapy procedures will restore neuromuscular firing. The power of the Percussion technology will remove lactic acid and metabolize alkalinity into the neuromuscular tissues.” – AMP Sports Med & Recovery, 2022
What role does Kinetisense play in the clinic?
Independent trainers use the Kinetisense system to objectively assess their clients. The functional movement information and real-time visual feedback that the system provides is used to refer clients for chiropractic treatment. Following treatment, clients can then be reassessed. In this way, the versatility of Kinetisense allows for it to be used pre- and post-treatment.
AMP has created a 3 step protocol for healing and recovery. Soft tissue treatments such as the Graston technique, cupping, and percussion are used initially. This is followed by an adjustment if necessary. Cold therapy technology is then used as a final treatment modality. Throughout the treatment process, Kinetisense provides trend data that allows patients to objectively track their progress and see if they are becoming more or less functional. With this protocol and business model, AMP has seen an increase in patient compliance and patient retention.
Marketing Strategy
AMP believes in the patient telling the story, rather than the practitioner sharing their findings. Sharing these stories on social media platforms such as Instagram catches the attention of young athletes, coaches, and other potential clients. AMP has pointed out their differentiators on social media, their website, and other platforms to increase the value of their treatment and protocol. Check out their social media handle here: ampsportsmed.
Risk of Fall Workflow Overview
Gait
Balance and gait impairments in older individuals have been shown to contribute to an increased risk of falling (1). Much of the research in this area has focused on the many different parameters of gait and how changes to one or more parameters may alter fall risk. Walking speed and stride length are two parameters that have received considerable attention. Older individuals tend to walk more slowly and have a shorter stride length relative to younger individuals (2). Slower gait velocity in particular has been identified as an indicator of fall risk in this population (3, 4, 5). Shorter stride length has also been found to be linked with risk of fall, and can be used to differentiate between elderly fallers and non-fallers (6, 7). Kinetisense provides an objective, efficient, and easy to use tool that can reproducibly analyze multiple gait parameters that have been found to be indicative of functionality and subsequently one’s risk of fall.
Modified Clinical Test of Sensory Interaction in Balance (mCTSIB)
The mCTSIB is a test that is used to evaluate the ability of a patient to stand upright and maintain balance under a number of sensory conditions. The visual, vestibular, and somatosensory systems of the patient are all assessed. When looking at the issue of falls amongst those in the elderly population, the impairment of the sensory systems used for balance is an important factor to consider (8). Research has shown that as individuals become older, declines in the function of the vestibular system, visual impairments, impaired somatic sensation, and impairment of the sensory systems involved with balance are all associated with a high risk of falls (8).
Timed Up & Go (TUG)
In the field of geriatric medicine, the TUG test is commonly used to examine balance, gait speed, and functional ability that would be required for the performance of basic activities of daily living (9). The TUG test is referenced in the fall prevention guidelines from the American Geriatric Society, the British Geriatric Society, and the Nordic Geriatricians Meeting as a test that can be used to screen for the presence of gait and balance disorders in older adults (9).
5 Times Sit to Stand (5xSTS)
The 5xSTS test is often used to examine postural control and lower limb muscular strength (10). It has been recommended that primary care health care providers include the 5xSTS test in their screening procedure to help determine the fall risk of elderly patients (10).
References
- Black S.E., Maki B.E., & Fernie G.R. (1993). Aging, imbalance and falls. In J.A. Sharpe & H.O. Barber (Eds.), The vestibulo-ocular reflex and vertigo (pp. 317-335). Raven Press.
- Tirosh, O., & Sparrow, W. A. (2004). Gait termination in young and older adults: Effects of stopping stimulus probability and stimulus delay. Gait & Posture, 19(3), 243–251. https://doi.org/10.1016/s0966-6362(03)00063-8
- Menant, J. C., Schoene, D., Sarofim, M., & Lord, S. R. (2014). Single and dual task tests of gait speed are equivalent in the prediction of falls in older people: A systematic review and meta-analysis. Ageing Research Reviews, 16, 83–104. https://doi.org/10.1016/j.arr.2014.06.001
- Bergland, A., Jarnlo, G.-B., & Laake, K. (2003). Predictors of falls in the elderly by location. Aging Clinical and Experimental Research, 15(1), 43–50. https://doi.org/10.1007/bf03324479
- Verghese, J., Holtzer, R., Lipton, R. B., & Wang, C. (2009). Quantitative gait markers and incident fall risk in older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 64A(8), 896–901. https://doi.org/10.1093/gerona/glp033
- MacAulay, R. K., Allaire, T. D., Brouillette, R. M., Foil, H. C., Bruce-Keller, A. J., Han, H., Johnson, W. D., & Keller, J. N. (2015). Longitudinal assessment of neuropsychological and temporal/spatial gait characteristics of elderly fallers: Taking it all in stride. Frontiers in Aging Neuroscience, https://doi.org/10.3389/fnagi.2015.00034
- Thaler-Kall, K., Peters, A., Thorand, B., Grill, E., Autenrieth, C. S., Horsch, A., & Meisinger, C. (2015). Description of spatio-temporal gait parameters in elderly people and their association with history of falls: Results of the population-based cross-sectional KORA-AGE study. BMC Geriatrics, 15(1). https://doi.org/10.1186/s12877-015-0032-1
- Boonsinsukh, R., Khumnonchai, B., Saengsirisuwan, V., & Chaikeeree, N. (2020). The effect of the type of foam pad used in the modified clinical test of sensory interaction and balance (mctsib) on the accuracy in identifying older adults with fall history. Hong Kong Physiotherapy Journal, 40(02), 133–143. https://doi.org/10.1142/s1013702520500134
- Beauchet, O., Fantino, B., Allali, G., Muir, S. W., Montero-Odasso, M., & Annweiler, C. (2011). Timed up and go test and risk of falls in older adults: A systematic review. The Journal of Nutrition, Health & Aging, 15(10), 933–938. https://doi.org/10.1007/s12603-011-0062-0
- Wallmann, H. W., Evans, N. S., Day, C., & Neelly, K. R. (2012). Interrater reliability of the five-times-sit-to-stand test. Home Health Care Management & Practice, 25(1), 13–17. https://doi.org/10.1177/1084822312453047
Revolutionizing the Senior Living Assessment
Kinetisense is proud to announce its latest module release. The geriatric “Risk of Fall” workflow is a proprietary assessment tool that we have added to the Kinetisense “Diamond” license system. This module includes the following industry-standard tests:
- Gait
- Modified Clinical Test of Sensory Interaction in Balance (mCTSIB)
- Timed Up and Go (TUG)
- 5 Times Sit to Stand (5xSTS)
This objective, data-driven workflow provides invaluable information on the functional capacity of an individual. The advanced outputs of the system are based on peer-reviewed normative data and give important insight into how susceptible an individual is to falling.
A Clinical Tool You Need To Add!
These tests are very valuable and can be used to assess patients/clients 60 years of age and older. The ability to determine a baseline functional score and then continue to monitor progress over time is extremely useful and will serve as a guide in the treatment and training of the patient. Establishing a norm for the patient/client is also important in the event an injury does occur. In this case, the baseline score can become the goal of rehabilitation.
