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Writer's pictureRichard Dekok, PT

M.R.S. Health: Telehealth for the Lumbar Spine

Cynergy Rehab Group has recently entered a joint venture with MRS Health to bring new treatment and wellness options into our clinic. One such option is a Device-Based Telehealth program for workers with low back injuries. This program uses the David home lumbar extension exercise machine to isolate the lumbar extensors and provide exercise to improve lumbar flexibility, strength and endurance. The web-monitored program is conducted in the injured employee's own home, so it is ideal for the patient who lives a distance from rehab facilities or due to work scheduling is unable to attend regular therapy.

M.R.S Health has the only isolated strengthening lumbar extension machine that is connected directly to the internet via a proprietary software called EVE. This machine isolates the lumbar extensors by locking the patient into the machine so that your Glutes and Hamstrings don’t fire, so your exercise is only working your lumbar area.

The minimum 90-day treatment is paid for by Workers Compensation Insurance Only. We do the billing for the patient so that your practice doesn’t incur any additional work on behalf of this program. We have had patients in the program for as long as 8 months but the average is between 4-5 months. The reason that WC allows that is that we have what’s called a 30-day progress report that shows the doctor and WC the progression of the patients results. This includes what percentage of strength increase and also the percentage of increase in range of motion.

Now what differentiates us from everyone else is that we have Health Coaches that deliver the machine, train the patient on how to use the machine and instruct the patient on how to follow our protocols. Our protocols consist of strengthening, flexibility, and endurance. The program requires the patient to use the machine 7 days a week for the duration of the program. Our health coaches call the patient once a week for the entire program to see how things are going with them using the machine. If a problem occurs it is addressed immediately with the patient. Additionally, the device based exercise is preceded by selected floor exercises to warm up and further improve mobility. While compliance with these are not directly monitored on the net, they are addressed with the client on the weekly telehealth call.

This David machine provides a unique approach to home based therapy. As a therapist it becomes painfully apparent the most patient's do not follow their home programs! It is the subject of many jokes in the therapist community. However, compliance with the David machine is monitored as performance is recorded on the web. In addition, the client gets a score at the end of each session, which will lead to a competitively and improve motivation. Feed back is instant, so the client can see his performance in real numbers. I feel that this program will be a great help to it's participants.




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