Joseph Ferrantelli, DCChief of Technology CBP SeminarsPrivate Practice New Port Richey, FL
A new year begins with PostureRay users benefitting from improved features and an added x-ray view for biomechanical assessment. Recently, as many of you already know, PostureRay was updated with CBP's short leg analysis protocols using digitization of the modified AP Ferguson view, which aids in determining the appropriate height for heel lift prescription related to an anatomical short leg or sacral deficiency related to morphology (Figure 1). The PostureRay update is the release of the APOM digitization protocol. With this new update, doctors utilizing standard x-ray or DMX can assess the APOM for ligamentous injury by digitizing and identifying possible overhang of C1 on C2 which indicates Alar and/or Accessory ligamentous damage. Lateral translation of C1 on C2 is due to an injury and subsequent sub failure of the Accessory and Alar ligaments. Documenting such findings is significant in injury cases and now with PostureRay, this type of findings is identifiable and can be demonstrated objectively (Figure 2). This powerful level of documentation is an asset to a doctor with a personal injury practice.
Figure 1. In this PostureRay Impression Report example, a comparison short leg analysis was performed after heel lift intervention was performed.
The next upgraded feature has been to the PostureRay digital viewbox. Now during a report of findings, a doctor can toggle an information pane on the x-ray, which will call up the patient’s important global measurements and their "Percentage loss/gain from normal" on their sagittal curves. This is a great aid to the doctor trying to educate a patient on the magnitude of their spinal subluxations. Prior to this, a doctor would have to refer to the findings only found in the printed report.
Figure 2. During this DMX study, the patient is lateral bending to the left during an APOM view, where abnormal 5.0mm lateral translation of C1 (GREEN) on C2 (RED) indicates damage (sub failure) of the Alar and Accessory ligaments. Normal range of lateral translation during lateral bending is <2.2mm at 72" FFD.
Additionally, for those doctors using PostureRay and the lateral full spine analysis, we have updated the system to give the doctor an option to superimpose the normal elliptical model as a continuous line up from S1 or as a sectional elliptical curve in each region, which may be more beneficial for the doctor in determining proper treatment interventions.
On the horizon, PostureRay will be incorporating the Nasium and Vertex x-ray views, along with adding other chiropractic technique biomechanical assessment protocols. For more information on PostureRay, or to view the demo videos and reports, please visit PostureCo online at www.postureco.comor email firstname.lastname@example.org.