Clinician Information
Determining Patients Appropriate for the Protonics Program
The Protonics Therapy Program is appropriate for patients
in which some, or all, of the pain in their lower back, SI joint, hip and/or
knee is related to improper neuromuscular activation that influences pelvic
asymmetry and instability.
A patient typically appropriate for Protonics Therapy may
have indications of either spinal or low back pain around L4 and L5, SI
joint pain, hip bursitis, sciatica and/or knee pain. These patients
usually display increased hip flexors and quadriceps activity which
substitutes for the hamstrings and other muscles during functional
movements. This improper neuromuscular activity then influences an
anterior tilt of the pelvis and inward rotation of the femur (usually on the
left side), which results in increased spinal and joint contact pressures
that can contribute to the patient’s pain. Unless treated,
compensation (usually on the right side) along with an improper gait pattern
can develop and further complicate the patient’s condition.
Protonics Pre-Adjustment Therapy
To help influence proper neuromuscular activation prior to
therapeutic adjustment or manipulation, place the Protonics Neuromuscular
System on the left side on the patient. Have the patient perform
Protonics Neuromuscular Repositioning and Therapeutic Exercises and remove
the Protonics Neuromuscular System. Then perform therapeutic
adjustment or manipulation as normal and note patient’s response.
Protonics Therapy Program
Clinicians will
review test results from the Protonics Evaluation Session to see if the
patient is appropriate for a Protonics Therapy Program, including
Neuromuscular Repositioning, Gait Training and Therapeutic Exercise.
Patients responding appropriately to the Protonics Evaluation Session will
likely notice a change of gait, reduction in tightness of muscles associated
with the lower back, SI joint, hips or knees, in addition to a possible
reduction in pain. The Assessment Tests should also indicate a change.
If no change in tests, or no reduction in tightness is noted, either the
Protonics Neuromuscular System needs to be replaced on the opposite
extremity, or the patient is not a candidate for Protonics Therapy.
Contra-indications
Patients with the following contra-indications should
avoid Protonics Therapy.
• Acute injury with joint effusion
• PCL injury / surgery
• Acute distal hamstring tendonitis
• Acute injury
• Early post-surgical
• Acute proximal hamstring tendonitis