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The New Evolution RMT™: Campanion to Decompression Therapy Treatment
Insurance covers repetitive motion rehab, the "missing link" companion protocol for decompression therapy treatment
The Evolution RMT™ Repetitive Motion Table offers effective repetitive motion rehab following a full decompression therapy treatment on the Evolution DT™ and treatments on the Evolution RMT™ are covered by most insurance plans. The Evolution RMT™ is the “missing link” for the treatment of lumbar disc syndrome patients. Treatment with the Evolution RMT™ provides measurable and positive outcomes, particularly in the management of acute/chronic low back and leg pain patients. The Evolution RMT™ takes the patient through repetitive end-range passive-range-of-motion movements of flexion and/or extension. This reduces and “centralizes” the patient’s pain while increasing the patient’s active range-of-motion.
Address mechanical disordersof the lower back using clinically proven techniques
Successfully treat the chronic low back pain patient with repetitive motion therapy
The patient with chronic low back pain is the most difficult low back case. These patients typically enter the office complaining of constant pain and have been told they will have to live with their pain. In actuality, they do not have continuous pain. They actually suffer from recurring episodes that create the notion that their pain is continuous. Use of the Evolution RMT™ will increase the mobility of soft tissue, increase joint flexibility and increase muscle strength. When these goals are accomplished, the pain often has periods of days, months, and even years of discontinued pain and healthy function. In the beginning of treatment, the clinician must be aware that the chronic patient may experience a pain of a different quality. His mobility may be restored, but some persisting aching, most likely of chemical origin, may be present for 48-72 hours after the initial treatment. The patient should be made aware of this possibility. If pain persists, proper modifications to treatment should be made.
The Evolution RMT™ addresses mechanical disorders of the lower back using clinically proven techniques
The Evolution RMT™ is used in the clinical setting to enhance the effectiveness of repeated end-range movement therapy for the low back. The Evolution RMT™ table enables the lumbar spine to be moved to the full degree of end-range movement in flexion and/or extension for a greater number of times than is physically possible by the patient alone. In the beginning stage of rehabilitation, the patient often times has a hard time getting to full end-range position due to pain. Often, the poor physical endurance levels of the patient prevent them from doing movements long enough for a valid response. The Evolution RMT™ allows the patient to start rehabilitation earlier and maintain the success of their prescribed home exercise program.
Philosophy and Centralization Principles of the Evolution RMT™
The treatment protocols of the Evolution RMT™ are based on the patient’s directional movement preference and provides measurable and positive outcomes, particularly in the management of acute and chronic low back and leg pain that is void of a neurological deficit. Directional movement preference theory uses the rule of centralization to evaluate and proceed into rehabilitation using activities that centralize the patient's pain. Recently published scientific research articles have established that the presence of centralization can be a strong indicator of discogenic pathology and is a highly accurate and reliable predictor of treatment outcome. Movement, activities and postures that cause the symptoms to centralize indicate the preferred direction(s) for the doctor/therapist to use in developing both an in-office and self-treatment strategy for each patient. Simultaneously, the doctor/therapist must teach the patient how to avoid those positions, activities and movements that cause the symptoms to move peripherally.
Many patients suffering from low back or neck pain, with or without referred pain, will unmistakably exhibit a direction preference when repeated movement and/or static positioning are applied to the spine. This means there will be a particular movement or position that will cause the symptoms to shift to a more central (proximal) location. Frequently, there will be other movements or positions which will cause the symptoms to shift to a more peripheral (distal) location. An example of this is the patient who when asked to go into an extension movement (restoring normal lordosis), which in turn reduces the pain. This is the directional movement we want to begin exercise movements that will start their rehab. The Evolution RMT™ takes the patient through end-range passive range-of-motion repetitive movements and reduces the patient's pain while increasing the patient's range-of-motion.
The physician's diagnosis and treatment of back and neck problems involves the use of repetitive end-range movements that can influence the location and intensity of pain that arises from the spine. A skilled physical examination will reveal the direction of therapeutic motion that is used to resolve the condition. This is referred to as the directional preference. While restoring function can be an overwhelming task, the focus can be narrowed down to the primary goal of increasing the patient's functional range (FR). Initially, this consists of the painless or pain-centralizing activities revealed in the patient's history or range-of-motion examination. Therefore, the limits of the patient's FR consist of the aggravating movements and positions and the key functional pathology related to those symptoms. Logically, before exercise can be prescribed, a thorough history and examination of the patient's mechanical sensitivities should be carried out.
Both history, examination and imaging tests (X-Ray, MRI, CAT Scan) are involved in this analysis. For instance, the history should identify what positions or movements aggravate, relieve or are neutral to the patient's symptoms; in particular, peripheral symptoms. An example of this would be: the patient's sitting and forward-bending intolerances strongly suggest a disc problem, and initial session on the Evolution RMT™ and self-treatment would be "biased" toward extension. Another example of the importance of a thorough history is that many patients explain that they are worse after sitting or standing for a prolonged period of time. Such postural findings are often the only clues when the examination cannot reproduce time-dependent mechanical sensitivities.
Clinical examination should include orthopedic tests that seek out the movements or positions that provoke the patient's characteristic symptoms. Examples of these would be Kemp's, Ganslens, etc. Adding the use of repetitive tests of movements, such as those in the active and passive full range ROM tests, with the intention of better simulating normal activities that are typically repetitious, is very important in establishing treatment parameters. In addition, the patient's own historical report of functional activities that aggravate symptoms can be confirmed by the examination of functional activities. The movements and positions found to aggravate symptoms are used as an audit for before and after testing to assess the patient's progress. In contrast, the pain-centralizing or relieving positions and movement ranges are utilized for exercise training.
Randy Reed, DC, CCSP, explains the "Missing Link"– centralization with restoration of normal range of motion.
"It is my experience in teaching and talking with doctors from all over the country thatuse decompression as a therapy tool, that they often get bogged down with only pain reduction and centralization of that pain. The successful doctors that pay attention to the missing link, which is centralization with a restoration of normal range of motion, are the doctors who have higher success rates."
Click here to read the full article: "The Missing Link in Treatment of Lumbar Disc Syndromes"
Total Support Customer Care Program Included with your Evolution RMT™
When you purchase the Evolution RMT™, you also receive our new industry leading training, education, marketing and support program too. We raised the standard of excellence once again. Learn more...
Contact us and we will send you the Evolution RMT™ information packet, which contains a number of doctor references available for you to contact that are having outstanding success with the Evolution RMT ™ both financially, and most importantly, with patienttreatment outcomes. Please note that these doctors are in no way paid by Advanced Back Care nor affiliated in any other way except for the fact that they all own the Evolution DT™ and are getting exceptional clinical results. One can also find in the information packet the specific information on the eight decompression programs of the Evolution RMT™ which give doctors previously unheard of treatment flexibility for their patients.
Demonstration of the Evolution RMT table with Dr. Randy Reed
Who benefits from treatment? Repetitive Motion Treatment inclusion criteria benefits patients who:
Have been assessed to benefit from the repeated movements on pain centralization, intensity and location in flexion or extension
Are classified as having degenerative discs, herniated or bulging discs, spinal stenosis, facet syndrome or sacroiliac syndromes where a limitation of movement occurs in the direction of “centralization”
Are undergoing decompression therapy
Evolution RMT™ Treatment Exclusion Criteria
Grade 3 and 4 Spondylolisthesis
Tumor or infection of the spine: Paget's disease etc...
Active inflammatory diseases such as Rheumatoid arthritis, ankylosing spondylitis, osteoporosis, or severe osteomalacia (-2.0 or Higher on T Scale)
Advanced diabetes
Fractures, dislocations, ligament tears or ruptures
Instability of lumbar segments or has peripheral signs on both flexion and extension.
Patients with neurological signs such as Cauda Equina lesions, neurological deficits, loss of bladder control, etc...
Patients who have surgical fusions
Pregnant patients
Evolution RMT™ Table Specifications
Variable speed: 1 – 8 cycles per minute
Touch screen, digital readout
Exact, measurable movement
Pause button to change function: angle, speed and hold-time during treatment
Sliding face and lower back sections for added comfort during motion
Automatic return to horizontal neutral position at the end of treatment
Slide-out foot section
Movement: only flexion; only extension, or both in one cycle
Angle: flexion and extension controlled independently by doctor
Programmable, timed, automatic hold at end of extension or flexion
Arm rests
Weight – approximately 300 lbs.
Contact us now.We will send you more information and answer any questions you may have. It's time your decompression patients get the treatment they need by the best possible means available, the Evolution RMT™
Adjunctive Decompression Therapy Products:
Advanced Back Care is the industry leader for spinal decompression table technology
New Evolution DT™ decompression tables: No more 'old generation' harness, rope and pulley systems
World class spinal decompression education, marketing and support
The Evolution RMT™ is the 
in flexion and/or extension for a greater number of times than is physically possible by the patient alone. In the beginning stage of rehabilitation, the patient often times has a hard time getting to full end-range position due to pain. Often, the poor physical endurance levels of the patient prevent them from doing movements long enough for a valid response. The Evolution RMT™ allows the patient to start rehabilitation earlier and maintain the success of their prescribed home exercise program.
therapeutic motion that is used to resolve the condition. This is referred to as the directional preference. While restoring function can be an overwhelming task, the focus can be narrowed down to the primary goal of increasing the patient's functional range (FR). Initially, this consists of the painless or pain-centralizing activities revealed in the patient's history or range-of-motion examination. Therefore, the limits of the patient's FR consist of the aggravating movements and positions and the key functional pathology related to those symptoms. Logically, before exercise can be prescribed, a thorough history and examination of the patient's mechanical sensitivities should be carried out.
