Doctors need to have objective, evidence based documentation that will help define and quantify ligament laxity in the injury arena.

Dear Defensive and Plaintiff Attorneys,

Whether you are proving an injury or trying to determine if a patient has a permanent injury, DXD software reporting will help you figure out just that. Our freeze frame technology allows the Doctor to capture the dysfunctional or gapping joint to show the aberrant motion isolated by movement of the patient. With our copyrighted images, we can show the correlation between dysfunction of spinal joints and correlation with sub-failure ligamentous anatomy. The stabilizing ligaments adjacent to spinal joints being stressed are:

•Anterior Longitudinal
•Posterior Longitudinal

This objective technology allows physicians to analyze patient's stress views while assessing Alteration of motion segment integrity (AOMSI). Stress view pathologies correlate with the AMA Guidelines 4th Edition, 5th Edition (p. 378-79) and the 6th Edition (p. 578-79). The 6th Edition requires that objective evidence be utilized when evaluating permanent impairment.
One component of the vertebral Subluxation complex is the "Osseous Component" identified by palpation subjectively, and x-ray analysis objectively, via range of motion which can analyze loss of motion integrity. The AMA Guides to the Evaluation of Permanent Impairment analyzes translation and angular motion in the cervicals, thoracics, and lumbar regions. Radiographic stress studies can be utilized for the following reasons of medical necessity:

1. Diagnosis for the specific motion segments (hypermobile) and dysfunctional units to aid in treatment modification and protocol.
2. To document reliably of pre and post changes in vertebral motor unit stability and position, for the purposes of progressive evaluation for treatment, and possible referral to other medical healthcare providers for consultation and treatment options.
3. Correlate these hypermobile segments with patient's MRI findings to understand disc lesion and foraminal encroachment relationship.
4. These motion studies of flexion/extension can be utilized in the determination of impairment when applicable and correlated with the AMA guidelines.
5. Determine whether the patient possesses a permanent injury objectively.

Call or email with questions regarding Motion Studies and how it can objective your client's case.