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Vertebral Spine Institute
Istituto Della Colonna Vertebrale
Clinical Biomechanics and Orthoroll
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Orthoroll and Clinical Biomechanics
Lumbar Orthoroll is a therapeutic method of Clinical Biomechanics, used in ICV, which aims to promote specific joint traction with an evaluation by a specialist, which can contribute to the control of pain, inflammation and improved nerve function.
What are the indications for Orthoroll:
1. Treatment of chronic low back pain
2. Patients with curvature straightening: Curvature straightening contributes to joint wear
3. Control of muscle and joint pain
4. Decompression in facet syndromes
5. Patients with disc disease and hernia, with specialist guidance
6. It can be used in patients with degenerative scoliosis with specialist guidance.
The advantage is that the device allows the patient to cooperate with their own treatment, always counting on the professional's guidance. The adoption of the device contributes to patient education and self-care, reducing pain crises and also reducing the use of medications that can lead to serious side effects such as kidney failure.
The specialist at Instituto Coluna Vertebral will guide the appropriate use of the device, location to be applied and positioning of the device. Periodic assessments must be carried out to guide the patient's progress in using the device.
Another exclusive training method from Instituto Coluna Vertebral.
Clinical biomechanics allows small corrections to occur through gradual mechanical stimuli, which can promote changes capable of reducing pain or biomechanical stress on anatomical structures.
A structuralist chiropractic method of diagnosis and treatment, based on the foundations of biophysical chiropractic, which is one of the methods with the most scientific research in the United States. Resolute in the treatment of pain and biomechanical correction, it uses biomechanical devices, mechanically assisted adjustment techniques and also postural adjustment techniques.
In the video above, Dr. Ateff Yassin from Instituto Allevo, a reference in the city of Santos SP, talks about the protocols for treatment with Orthoroll in the cervical spine. Dr. Atef is a musculoskeletal physiotherapist and specialist in chiropractic.
Steps for using Orthoroll Lumbar:
1.Evaluation by a specialist at the Vertebral Spine Institute
2.Use of the device in the first interventions in the clinic.
3.Acquisition of the product and patient orientation.
4.Application of the product at home.
5. Carrying out maintenance visits and radiological control in some cases.
The specialist at Instituto Coluna Vertebral will guide the appropriate use of the device, location to be applied and positioning of the device. Periodic assessments must be carried out to guide the patient's progress in using the device.
How does the Orthoroll system work?
Radiological assessment is fundamental in the treatment of clinical biomechanics, both in musculoskeletal diagnosis, in identifying contraindications to treatment, in directing treatment, and also in monitoring the graduation of therapeutic evolution.
THERAPEUTIC RESULT
The therapeutic result depends on several factors, including:
1 Appropriate therapeutic intervention.
2 Guidance from healthcare professionals.
3 Support from the patient’s family.
4 Patient adherence to guidelines and treatment.
Patient guidance is the responsibility of the clinical professional and their team and comprises all the necessary guidelines for the patient's recovery to be adopted in association with the treatment in addition to the clinical interventions themselves.
The guidelines are the patient's care, restrictions and actions that are complementary to the treatment, such as the use of orthoses, rest, physical exercise, etc.
Therapeutic intervention can be used as a set of measures adopted for the patient's recovery, as well as the use of accessory resources that can bring therapeutic facilitation.
The Orthoroll Clinical Biomechanics Method is a registered trademark of the Instituto Coluna Vertebral.
Orthoroll Clinical Biomechanics is a diagnostic and treatment process, capable of promoting a biomechanical change to improve dynamic vertebral alignment, promoting gradual adaptation of structures, promoting an “adjustment” through the biomechanical or biophysical chiropractic method, which is a specialty of Structuralist Chiropractic .
This “positional adjustment” can reduce joint tension in the spine, reducing joint pain and myalgia. Continuous use of the device can, associated with specialized professional care and guidance, promote improvement in the “status” of the physiological curvature, leading to the patient's recovery, discarding the use of the product.
Clinical Biomechanics is effective for the treatment of vertebral subluxations, osteoarthritis and facet syndrome. It also improves myofascial pain and trigger points, by improving myopathology through improving biomechanics and joint function. Studies in the area of chiropractic and manipulative physiotherapy demonstrate that joint correction is capable of improving muscular hyperactivity.
Intended for the treatment of spinal disorders, capable of promoting a biomechanical change to improve spinal alignment at the time of use, promoting an “adjustment” using the biophysical chiropractic method. The trigger point is often a secondary cause of joint dysfunction. Many chiropractic methods, such as those proposed by JClay Thompson and Hugh Logan, are based on joint corrections and relate to the presence of trigger points and tension bands in diagnosis and joint manipulative treatment.
This “positional adjustment” can reduce joint tension in the spine, reducing joint pain. The Chiropractic Subluxation Complex can also promote structural changes that over time promote rectification and reduction of the physiological curvatures of the spine.
Specific Positioning:
Using devices and a radiological basis, it is possible to perform procedures with specific corrective positioning. When there is a lumbar spine between L2 and L3, in a region where there is a decrease in the interarticular angle, promoting a “blocking” or straightening of the vertebral segment. This kinesiopathological manifestation can promote pain and damage to hyaline cartilage due to joint degeneration due to biomechanical stress.
In some cases, the specific positioning may cause pain and discomfort that must be monitored by the specialist, who can propose clinical compensations. The professional begins to use the device with his patient, after the Physiotherapy consultation at the clinic and during the course of treatment, he advises the patient to use it at home, after purchasing the device. In general, use starts for three minutes a day, but you can reach the therapy time for up to twenty minutes.
The use and positioning of the device is completely guided by the specialized professional at Instituto Coluna Vertebral.The procedures are carried out with positioning techniques, using biomechanical and clinical knowledge, exercises, static and dynamic postures and also with the use of devices.
The devices can also be used in association with special stretchers, blocks, wedges and padding to modulate the level of corrective stressor stimulus, respecting the gradual adaptation of each patient.Scoliosis: Discover the results of the Clinical Biomechanics approach in this postural dysfunction.
Watch the video with the case study of an adult patient with scoliosis and observe the results we obtained according to the radiological exams before and after treatment.
Considerations
When applying the method, the following are considered:
1. Patient age
2. Degree of joint degeneration (joint age)
3. Severity of joint kinesiopathology or subluxation.
4. Severity of curvature change.
The adoption of different levels of correction is also considered, which may consider the application time, the degree of joint amplitude of the correction or the absence/presence of supporting supports such as pillows, rollers and wedges in the patient's positioning. According to the specialist, younger people respond better to correction and older people have less tolerance to correction. The amount of water present in the skeleton and health
articular joints play a fundamental role in adapting to correction. Joint dysfunctions and aging also bring joint repercussions that reduce the range of joint movement, which predisposes to a lower rate of modification and adaptation to a corrective stimulus.
In general, we can promote 4 levels of correction:
• 1 Mild: Men and women over 55 years of age, elderly people or those with osteoarthritis
significantly advanced. (Grade 3 osteoarthritis on a scale of 1 to 4).
• 2 Moderate: Men and women between 40 and 55 years old with grade 2 to 3 subluxation, with good acceptance of the technique.
• 3 Semi-advanced. Men and women aged 21 to 40. Adolescents with more severe lateral postural deviations or inversions of curvatures. Young patients with more acute joint conditions.
• 4 Advanced: pre-pubescent and adolescents, they have a very flexible skeleton and very prone to adaptations.
Once again, we emphasize that each patient must be evaluated on a case-by-case basis and that joint discomfort is common during the application of the device, as it is typical of corrective stimuli. However, it is up to the specialist to guide and progressively modulate the level of stress to be applied in each clinical situation, establishing the limits of the intervention, always preserving the patient's health and well-being. Some elderly patients had young spines and
flexible; other young patients will present with restricted spines. Undoubtedly, when talking about correction, every patient is susceptible to some degree of correction and this minimum degree of correction could promote the stabilization of joint degeneration or even pain control, even if it is just a few millimeters.
Contraindications
Contraindications in general are the same as those provided for in the WHO guidelines, for non-manipulated vertebrae. In the case of spondylolisthesis, positioning must be carried out indirectly, it must not be applied at the site of the injury and in general segments above in order to improve the curvature and reduce biomechanical stress.
Consider contraindication:
1. Joint instability.
2. Advanced osteoarthritis, severe osteophytosis, with osteophyte bridges should be avoided from “in situ” application, giving preference to indirect applications.
3. Bone tumors.
4. Other contraindications provided for in WHO guidelines.
An exclusive training method from Instituto Coluna Vertebral.
Clinical biomechanics allows small corrections to occur through gradual mechanical stimuli, which can promote changes capable of reducing pain or biomechanical stress on anatomical structures. A structuralist chiropractic method of diagnosis and treatment, based on the foundations of biophysical chiropractic, which is one of the methods with the most scientific research in the United States.
Resolute in the treatment of pain and biomechanical correction, it uses biomechanical devices, mechanically assisted adjustment techniques and also postural adjustment techniques.
See how to use the Orthoroll Clinical Biomechanics method in the carousel above!
