Sign up for July 19-21 BioneX® Course!

Spine-related complaints are highly prevalent in a variety of populations. Low back pain is the most common musculoskeletal problem globally and is the leading cause of activity limitations at work. 1-7 Neck pain is also a leading cause of years lived with disability internationally.1-7 Spine-related pain may be produced by a myriad of mechanisms and present with variable symptoms. This is especially true for those suffering with chronic, recurrent episodes of spine pain. However, one thing that remains consistent in those experiencing spine-related pain episodes, is that these individuals commonly demonstrate decreased paraspinal strength and increased fatty infiltration in the affected area.8-10 This is why it is important to use methods that specifically target paraspinal strengthening and re-education during the rehabilitation process.

One of the challenges in providing care for people with spine-related complaints is the inability to accurately measure and exercise the tissue/musculature that is critical to protecting the affected region. MedX equipment was created in order to address this problem. This equipment provides a superior strategy in training the paraspinal musculature as well as testing and measuring paraspinal strength for the return-to-activity decision making process.11-15 The use of a unique restraint system, counterbalancing mechanism, and variable resistance cam, allows for optimal recruitment of the paraspinal musculature while providing the safest environment possible for spine-pain patients.14 It has been shown that the use of isolated lumbar and cervical exercise like MedX can lead to reduced pain levels, improved functional capacity, and long-lasting positive outcomes for several types of populations.11-13,15 It can often provide better results than traditional stabilization exercises or passive techniques due to the isolated exercise creating long-lasting adaptations.13, 16, 17 Isometric testing on the MedX equipment provides an avenue to identify high-risk populations and potentially address strength deficits before a pain episode or spinal injury presents itself. This testing can also provide a clinician with a road map to properly program for a patient throughout the entire rehabilitation process. Due to the specificity of testing and exercise on MedX equipment, the clinician can have a patient exercise at the minimally clinically important dosage at every visit and reduce the chances for over-training or creating an inflammatory response.

While MedX provides an excellent strategy in the rehabilitation and testing of spine-related complaints, there have been significant technology advances and requirements since the inauguration of these machines. This is where BioneX® provides a solution. BioneX® software integrates seamlessly into any MedX medical machine in order to provide a more data-driven and user-friendly approach in the rapidly growing healthcare technology landscape. The software offers capabilities like wireless connectivity for ease of use in any facility, improved data reports that enhance clinical decision-making, and secured data that is HIPAA compliant.

BioneX® now offers a way to optimize the use of MedX machines and gather clinical data that is critical for patient advancement, insurance authorization, and enhancing patient satisfaction/engagement. The efficacy of isolated exercise and testing on these machines has long been supported. It is now possible to enjoy the benefits of MedX in a streamlined and updated way with BioneX® software!


References

1. Hoy D, Bain C, Williams G, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012;64:2028-37.
2. Deyo RA, Cherkin D, Conrad D, et al. Cost, controversy, crisis: low back pain and the health of the public. Annu Rev Public Health 1991;12:141-56.
3. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet 2017;389:736-47.
4. Hoy D, Brooks P, Blyth F, et al. The epidemiology of low back pain. Best Pract Res Clin Rheumatol 2010;24:769-81.
5. Lee H, Hubscher M, Moseley GL, et al. How does pain lead to disability? A systematic review and meta-analysis of mediation studies in people with back and neck pain. Pain 2015;156:988-97.
6. James SL, Abate D, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1789-858.
7. Driscoll T, Jacklyn G, Orchard J, et al. The global burden of occupationally related low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis 2014;73:975-81.
8. O’Leary et al. Muscle Dysfunction in cervical spine pain: Implications for assessment and management. Journal of Orthopaedic & Sports Physical Therapy. 2009; 39; 5; 324-333.
9. Noonan et al. Paraspinal muscle pathophysiology associated with low back pain and spine degenerative disorders. JOR Spine. 2021;4:e1171.
10. Elliott et al. The rapid and progressive degeneration of the cervical multifidus in whiplash: AMRI study of fatty infiltration. Spine (Phila Pa 1976). 2015;40(12): E694-E700.
11. Nelson et al. The Clinical Effects of Intensive, Specific Exercise on Chronic Low Back Pain: 895 Consecutive Patients with 1-year Follow Up. Orthopedics 1995;18:10.
12. Golonka et al. Isolated Lumbar Extension Resistance Exercise in Limited Range of Motion for Patients with Lumbar Radiculopathy and Disk Herniation—Clinical Outcome and Influencing Factors. J. Clin. Med. 2021, 10, 2430.
13. Bronfort et al. A Randomized Clinical Trial of Exercise and Spinal Manipulation for Patients With Chronic Neck Pain. SPINE 2001 Volume 26, Number 7, pp 788–799.
14. Lee. Enhanced muscle activity during lumbar extension exercise with pelvic stabilization. Journal of Exercise Rehabilitation 2015;11(6):372-377
15. Highland et al. Changes in Isometric Strength and Range of Motion of the Isolated Cervical Spine After Eight Weeks of Clinical Rehabilitation. SPINE 1992, 10, 6S.
16. Fisher et al. A randomized trial to consider the effect of Romanian deadlift exercise on the development of lumbar extension strength. Physical Therapy in Sport 2013; 14; 139-145.
17. Steele et al. A review of the specificity of exercises designed for conditioning the lumbar extensors. Br. J. Sports Med. 2015;49:291–297