MES 9000 Musculoskeletal System
Advanced Musculoskeletal Evaluation
and Diagnosis Technologies for the Objective Documentation Of Function
NOROMED products offer a full range of capabilities for measuring and recording Dynamic Range
of Motion, Surface Electromyography and Muscle Testing. Capabilities may be ordered separately or as part of a modular system - purchase the complete system or choose a single module and add capability as your practice grows.
Dynamic Range of Motion (DROM)
CONFIDENCE - Eliminating the need to hold the inclinometers on the patient and manually determining end-point ROM by pushing buttons on the inclinometers removes the problem of operator influence and error. Completing the required 3 repetitions has never been faster and easier!
DYNAMIC RESULTS - The only ROM system that graphically captures the entire ROM of both the spine and extremities.
DOCUMENTATION - Comprehensive documentation options that include both regional and whole-person Impairment Reports, Comparative Reports and Historical Reports.
Why do we call it "Dynamic" Range of Motion?
By using sophisticated sensors within the inclinometers, the Dynamic ROM system records the patient's entire ROM through the plane of movement and displays it in a graphical representation on the computer screen.
Unlike other systems which simply give you a static endpoint measurement of ROM, Dynamic ROM captures the entire movement. The figure to your left shows a typical Dynamic ROM recording of the dynamic motion of the spine during three repetitions of lumbar flexion and extension.
The numbers correspond with the figure to the left showing the patient's motions.
The inclinometers are attached to straps placed over T12 and S1. The recording of the sensor at S1 is subtracted from the recording at T12 to produce the DIFFerential recording graph which represents the true motion of the patient's lumbar during lumbar flexion and extension motion. The flattened DIFF tracing line on each repetition during end-point indicates that both sensors are moving at the same rate of speed, and that the lumbar lordosis stopped unfolding before the end-point of trunk flexion had been reached.
With this information the clinician can observe and assess the quality and the pattern of the patient's motion as well as the quantity of the ROM. Dynamic Range of Motion from Noromed elevates range of motion testing from a simple measurement tool to a true diagnostic tool.
How are the tests performed?
One of the biggest advantages of the Noromed Dynamic Range of Motion system is it's ease of use. Simply attach the small lightweight inclinometers to the patient with the Velcro straps and begin! The software is intuitive and allows you to choose from 26 different AMA recommended protocols or, within a few minutes, you can create your own!
After choosing the protocol you wish to use and attaching the lightweight inclinometers, you can use the software's graphics to demonstrate the required movement to the patient. From that point on it's simply a matter of pressing the foot pedal and having the patient perform the requested movement 3 times without stopping. No stopping to "zero" the inclinometers, no need to stop the patient at flexion and/or extension to awkwardly press a button to send the reading to the computer! After the patient has completed the test and come to rest, just press the foot pedal again. The software will instantly let you know if the test met the AMA guidelines for reproducibility and, if so, will automatically move you on to the next test in your selected sequence.
What's included with the software?
The operating software for Dynamic ROM is flexible, intuitive and easy to use. A "Windows" style program, it takes only a few minutes to master. The program is loaded with extras that increase the usefulness of the program:
Generate regional or whole body Impairment Ratings based on the 5th Edition of the AMA Guides to the Evaluation of Permanent Impairment.
A Split Screen option allows you to view previous recordings side by side with current recordings.
With the "Redraw" function you can replay any test result, a useful patient eductaion and clinical analysis tool.
Insert on-screen comments simply by double clicking anywhere on the screen.
Use the Notepad function to add more in-depth commentary to your test reports.
As an additional Outcome Assessment tool, the Dynamic ROM program also includes a selection of pain questionnaires. Choose from the Revised Oswestry Chronic Low Back Pain Disability Questionnaire, the Roland-Morris Acute Low Back Pain Disability Questionnaire or the Neck Pain Disability Index. The software will even automatically score and graph the test results over time!
Surface EMG (SEMG)
Why Noromed Surface EMG?
ACCURACY - Greater sensitivity, greater monitoring range and advanced filtering technology produces a result that is accurate and reliable.
VERSATILITY - Unique, built in Static SEMG Myofascial protocols - as well as multiple paraspinal protocols - allow you to expand the use of SEMG technology in your practice.
CONFIDENCE - Advanced technology - 8-channel Dynamic SEMG capability, user-programmable software, spectral frequency analysis and over 38 years of SEMG experience. Technology you can depend on.
With Noromed Static SEMG you get it all, the most advanced technology available in Surface EMG, as well as all the features that give you an invaluable patient education and practice marketing tool.
Noromed SEMG, with broader operating ranges, greater sensitivity, and unsurpassed ability to eliminate extraneous electrical "noise", provides an SEMG platform you can use with confidence. With Noromed SEMG you know you are getting true, reliable and repeatable results.
In evaluating the technological sophistication, superiority and reliability of SEMG systems, the most important factors are sensitivity (usually expressed in microvolts), the monitoring range (again usually expressed in microvolts), and how the instrument eliminates ambient electrical noise.
The Noromed MES 9000 is sensitive enough to detect and measure signals as fine as 0.1 microvolts
The monitoring range of the MES 9000 SEMG monitoring range is 0-1024 microvolts
The MES 9000 has a notch filter to eliminate the ambient 60 Hz electrical noise
The bandpass filter (which determines what signal is being captured) of the MES 9000 is 20-600 Hz
Invaluable Patient Education and Marketing Tools
The ease of use and flexibility of the Noromed SEMG software is the key to providing an effective tool for your practice. With over 30 years of experience with SEMG, Noromed has listened to our customers and we provide:
Multiple protocols which allow you to perform paraspinal scans in the seated or standing position
The option of choosing between a complete 12-site paraspinal scan or a shorter, quicker scan of 5 major paraspinal sites
Various report styles that allow you to tailor your printouts to the customer. You can choose to print test results in Narrative style, Data style or Promotional style. Each style includes colorful paraspinal images with a powerful visual display of the test results. This is an easy and powerful tool for patient education or as a screening tool to generate new patients
Voice prompts which guide through each exam
The option to choose between using the auto-collect feature or the ergonomic foot pedal for data collection
Dynamic SEMG allows you to expand upon the data gathered with Static SEMG.
The Dynamic SEMG module of the MES 9000 allows for the recording of up to 8 channels of SEMG simultaneously. The MES 9000 offers you the flexibility to monitor and record the data in its raw state or as integrated data.
The powerful and user-friendly software simplifies the recording of multiple muscle groups of antagonist and synergist muscles to facilitate assessment and case documentation. In addition, the system includes pre-programmed protocols and analysis for assessment, muscle education and relaxation training. The clinician may also program custom protocols - quickly and simply.
A PC compatible laptop or desktop computer is required.
Why Noromed Muscle Testing?
EASE OF USE - Choose from preprogrammed standard protocols that include illustrative graphics for each test.
FLEXIBILITY - Create your own protocols in minutes!
DOCUMENTATION - Multiple report options allow you to objectively document treatment efficacy and patient progress.
Noromed computerized manual muscle testing offers manual muscle testing at its best by bringing science to what once was an art.
The muscle testing hardware includes an ergonomic force gauge and five attachments to choose from which provide easy, comfortable testing of all muscle groups - large and small. Now you can perform real time strength testing - quickly and easily - and all fully documented by the computer interface.
The flexibility of the system allows you to use pre-programmed established protocols or create your own. Designed to meet your needs, the software calculates the statistics appropriate to each test as well as generating a wide variety of documentation to fit your specific needs. This documentation includes:
Supportive documentation reports which contain the graphic reports and profiles
of the actual test data. Reports included are:
A composite report of individual test results by protocol and muscles tested as well as calculated deficits.
A test comparison report which collects and displays the patient's historical results.
A Myotest data report which presents both statistical data and graphical data of the individual test broken down by trial.
A PC compatible laptop or desktop computer is required.