What makes us great is seeing when others can not

Dr. LaVere is a Certified Microgate USA Specialist.  He has helped multiple doctors and professional sports organization find new and improved methods to monitor performance and clinically assess both athletes and patients by using objective data markers for biomechanics.

 



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OptoGait is an innovative system for movement analysis and functional assessment of patients with normal or pathological conditions. OptoGait makes it possible to assess, identify, develop, prevent, report, and compare pre- and post-injury assessments with a series of tests that can be viewed immediately for real-time gait analysis.


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Optogait is a state of the art system of analysis that brings a proven philosophy of assessment to injury prevention and rehabilitation.[/learn_more] Classically, contact gait analysis has been precise, informative, and costly. This last attribute has limited its use to large biomechanical institutes. To control costs, simple contact pads have been employed. Contact pads, however, cannot assess dynamic motion. Optogait’s innovative design affords doctors, therapists, and researchers the ability to become their own high-tech laboratories; contact analysis is now affordable and portable. The system is equipped with optical sensors working at a frequency of 1000 Hz and having an accuracy of 1 cm, detecting the relevant space and time parameters for gait, running or other test types.

Systems range from one to 100 meters. When paired with a standard treadmill, all aspects of the gait cycle can be studied. Parameters (e.g., contact time, flight time, and pre-swing) can be measured to .001 of a second. Left and right differentials are recorded. Precise, objective data is correlated to determine extent of injury and effectiveness of treatment.

All data is displayed in real time thru the software platform (affording instant decisions on treatment protocols) and paired with both lateral and sagittal video analysis. Data is stored over time, affording the clinician the ability to determine effectiveness of treatment. Injury prevention is enhanced via objective data, showing increased asymmetrical tendencies before pain sets in. Chronic injuries are addressed via gait-empowered differentials, identifying the root cause of malingering problems. All aspects of dynamic motion are recorded to ensure your patient is functioning at his/her highest level.

Some typical, basic strategies of use:

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1. One meter system on treadmill:
Have the patient walk at a slow speed. Observe the parameters of the gait cycle in real time. Make left and right comparisons of contact time, flight time, swing, etc. As you increase your patient’s speed, note if asymmetries are improving or worsening. When maximum efficiency is realized, record asymmetries and the treadmill’s speed. This efficient ‘rhythm of gait’ is a good starting point for clinical intervention. Footwear, orthotics, conditioning exercises, etc. may be employed to enhance patient symmetry. Pending the patient’s needs, gait protocols can be performed at any speed.

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2. One meter system on floor:
a. A basic step test can be evaluated for biomechanical efficiency. Contact and flight time of each leg is evaluated for symmetry.
b. Standard squat jump can be evaluated for maximum power. Pelvic angle can be noted instantly. Conditioning protocols can be based off this angle.
c. One-legged jumps, in any direction, are employed to compare left and right power. Knowing the patient’s overall power is only one aspect; symmetry is key to all rehabilitative programs.
d. Agility, left and right, is studied via simple ski tests. Left and right contact and flight times are easily compared. Effective treatment ensures there is no favored side.

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3. Larger installations of five meter or plus allow the patient to walk or run through the machine on nearly any surface. Again, all parameters of gait are easily measured. Differentials, left and right, are noted. Speed and acceleration of each leg can be measured. Every motion in all directions can be analyzed for symmetry. The length of the system is flexible. The width of the system can be a maximum of six yards. This affords the clinician the ability to lay out various ‘obstacle courses’ to analyze their patient’s gait.
Biofeedback Module
• The biofeedback module was inspired by the “video feedback” feature where the user can see some basic test parameters in real time on a second monitor (usually a large TV or a screen/ tablet in front of the treadmill).
• By trying to optimize these parameters while performing the test (i.e; minimizing asymmetries by lengthening their stride) the patient “trains” and uses the system as a tool/ instead of as an instrument of diagnosis.

The physician/ trainer can now record the data of these module sessions to monitor how the patient is progressing.




 

 

GyKo makes it possible to objectively evaluate and monitor joint functionality and muscle strength during rehabilitation phases and for training a certain area of the musculoskeletal system.

It is used to:

  • quickly identify any posture deficiencies, problems or asymmetries and, thanks to the immediate delivery of the numerical values, it helps prevent relapses, complications and regressions of the disease or post-accident condition by periodically checking the results obtained and the effectiveness of the treatments. It makes it possible to perform motor movements that are more or less complex without limiting or influencing the subject, also due to the fact that it can be used outdoors and on any surface (grass, sand, unstable platforms, etc.). It motivates the subject to constantly improve his conditions.Gyko contains the latest generation components that are used for carrying out accurate and repeatable measurements of acceleration, angular velocity and magnetic field in three dimensions.

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