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Extentrac Elite
Presentation Paper
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Advanced Back Technologies, Inc. has developed a new, technologically
advanced treatment apparatus and methodology for the treatment of lower back pain.
Extentrac Elite represents the next generation in non surgical spinal
decompression tables.
I. Facts and Statistics
The study: Diagnosis and Management of Acute Low Back Pain (LBP), Atul, Patel
published in the American Academy of Family Physicians.
In the United States, LBP is the 2nd most common reason for a physician visit. It
is responsible for more then 20 billion dollars of cost annually.
In the United States, 60 to 90% of adults will experience some type of LBP during
their life.
In the United States, 50% of the adult working population experience LBP every
year.
In the United States, LBP is the #1 Workers Compensation claim for ages 20-39
years of age. Workers in this age group have the highest exposure to heavy work
demands.
The study: LBP published in the New England Jrl. of Med., 1995,333:913-7 Reported in
Am. Family Physician April 1996 V53 p181.
It is reported that 25 billion dollar direct costs are associated with LBP and LBP is
the 2nd most common reason for lost time from work.
LBP is the leading cause of disability of people younger than 45 yrs of age.
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designed and modified based on the clinical assessments made at the initial examination
and subsequent follow-up evaluations.
Flexion Studies
Support for the use of flexion to reduce disc pressure, increase vertebral canal diameter,
reduces disc protrusion, and improves disc metabolism.
The posterior disc space increases in height in flexion. Finneson BF. Low
back pain. Philadelphia: JB Lippincott: 1973. p.258-9.
Extension Studies
Support for the use of extension of the lumbar spine to facilitates forward migration of
viscoelastic nuclear material and reduces sciatica by reducing nerve root pressure.
Only relaxes the chord and nerve roots and that slight extension is the
preferred position in the cervical and lumbar spine. Inufusa A, An HS,
Lim TH, Hasagawa T, Haughton VM, Nowicki BH. Anatomic changes of the
spinal canal and intervertebral foramine associated with flexion-extension
movement. Spine 1966; 21: 2412-20.
Other decompression devices cannot achieve similar positions required for the
duplication of the integrated dynamic lumbar motion, which is found to provide
positive therapeutic intervention with the unloading and decompression of the
spine, with which the Extentrac Elite produces synergistically for the patient.
The Extentrac Elite also has a unique feature: the Lumbo - Pelvic Support, that
allows for increase or decrease in lumbo-pelvic tilt. This can be controlled via the
PC computer for individual incremental treatment changes as well as the
pre-programmed treatment angles corresponding to approximate lumbar levels.
At any time during the treatment, the clinician can disengage the power systems
and incorporate direct manual therapy with joint mobilization.
The Extentrac Elites treatment versatility allows for decision making by the
clinician based on what method is deemed the best form of treatment for the
individual patient. The clinician can devise a plan of treatment specific to the
examination findings and the patients needs. The clinician can match the clinical
exam to the type of intervention (flx/ext, ex, decomp, etc) and change the
treatment plan based on new clinical findings.
Patient set up time is quick and efficient, requiring only a few minutes. Treatment
time is patient dependent with a graduated increment of treatment time as
indicated, generally, starting with 15 minutes and progressing up to 30 minutes as
patient tolerance allows.
The frequency for treatment, based on ABTs protocols, for the best outcome is 5
days per week for 2-4 weeks, followed by a decrease of treatment frequency over
the next few weeks.
Treatment is dependent upon the clinical findings determined after initial patient
assessment, including a complete neuro and musculo skeletal exam including
strength, endurance, coordination, and mobility of the joints and soft tissue.
With a post Extentrac treatment re-evaluation and comparison of pre and post
treatment findings.
The frequency and duration of treatment will vary dependent upon the individual
patient and the clinicians exam findings.