Dynarom semg range of motion technology
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The DynaROM assessment is a simultaneous measurement of spinal range of motion paired with paraspinal muscle activity through the use of dual digital inclinometry and dynamic electromyography respectively. This technology has been accepted by the American Medical Association and is listed as the method of choice in assessing spinal range of motion in the AMA's Practical Guide to Range of Motion Assessment. The results are demonstrated graphically so it's easy for all skill levels to understand. The DynaROM's validity has been tested and established all the way up to the State Supreme Court Level.
RESEARCH STUDIES ESTABLISH VALIDITY
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In 1955, Floyd and Silver established that in the erectores spinae (lumbar) muscles of normal pain-free individuals, muscles would shut off when bent forward into flexion. When patients were experiencing dysfunction in the lumbar spine, including soft tissue injury, these same muscles would continue to fire. This phenomenon was referred to in all future scientific literature as the "Flexion-Relaxation Response," or Flexion-Relaxation Phenomenon."
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The basis for this name was because, in general, pain-free individuals hang off the ligaments, leading to a reflexive relaxation of muscles of the lumbar spine. This simple difference between pain-free controls and those with low back pain or spinal dysfunction has lead to the DynaROM, a patented tool for evaluating level of spinal function as correlated by the muscular response in motion. The patented device measures range of motion (the former standard) and muscle guarding simultaneously to establish presence or absence of patient's subjective complaints. The Flexion-Relaxation response has been replicated in a multitude of studies since 1955, and is now well accepted in the scientific and medical communities as a standard tool for evaluating for soft tissue injury.
Objective proof of Subjective Complaints™
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There is no other tool I know of, including MRI, CT and ROM testing, that can beat the DynaROM in evaluating soft tissue injury.
- Attorney Mike Maxwell
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How does dynarom surpass standard rom?
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The body’s natural defense mechanism to pain is muscle guarding. DynaROM simultaneously measures range of motion and muscle guarding to objectively document the muscle guarding component of range of motion, thus increasing the sensitivity of ROM to true soft tissue injury. Learn more about why DynaROM is preferred over traditional ROM. CPT Code 96002, 96004.
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Established in Scientific literature:
"Research establishes that DynaROM increases sensitivity and specificity of Traditional Range of Motion by measuring muscle guarding, the body's natural response to pain."
"I heard it uses surface EMG technology and lacks scientific validity..."
All criticisms of DynaROM have focused on a technology with a similar name, called Static EMG. DynaROM uses well established attached electrode EKG technology. A simple Pubmed search shows over 10,000 papers published using DynaROM muscle guarding technology vs. only 2,500 for needle EMG.
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A recent Jury Award without attorneys fees
Without the DynaROM... we would have not won that case, and she [the patient] would not have justice.
- Dr. Allen Fraley
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So, How has Dynarom PERFORMED in court?
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March 30th, 2018: The patient was seeking $85,000 in mediation but the insurer wouldn't budge, leading to a jury trial. The insurer, with one of the best expert witnesses on his side, was not worried. Mr. Marcarian presented the DynaROM data to the jury and in an unprecedented twist, the insurance expert, who has not only a winning reputation but also extremely high ethics, did not rebut. The jury was able to comprehend the test data in seconds, closing the trial quickly. The DynaROM data was clearly irrefutable.
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The bottom line: objective data wins over opinion. In the old days, it was opinion vs. opinion. The doctor with the most prestigious looking CV won. Now, data is what drives the world.
hOW DOES IT HELP INSURERs? A Case study:
A patient who was injured in a work-related injury, claimed to have severe back pain but all evaluations came back completely normal, with range of motion at 68 degrees. There were no positive findings until a DynaROM exam clearly concluded that her back pain was real. She was able to receive treatment, but after 9 months her treating physician felt she was at MMI, even though she continued to complain of severe back pain. Another DynaROM exam was performed, this time showing that her treatment was successful, and her continued complaints were unfounded. When presented with the data, she confessed, "I just don't want to go back to my job." The DynaROM data helped her see the real problem. She called her doctor 3 months later to thank him; she got a new job and her quality of life improved dramatically. Objective data has the power to change lives in a positive way.
