An OsteoPro Medical Technologies Pty Ltd division
SWISS-MADE PRECISION SPINAL GONIOMETRY
Precise, radiation-free spinal assessment
Identifies the spinal postural, mobility and stability basis for individualised treatments and research.
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Identifies the basis for individualised treatment and research.
A Review of the M360 Spinal Mouse Research Literature
Interested in the Idiag M360 and would like to review published research?
• We know it takes valuable TIME to review published literature - so we have compiled articles for you!• Email us for a PDF list of articles with hyperlinks for Idiag M360/Spinal Mouse Validity, Reliability and Clinical Applications.
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diagnosis and assessment
Individual spinal assessment for targeted therapies. A host of research applications are possible with the high level of validity and reliability.
therapy monitoring
Transparent patient information in the form of simple, easy-to-understand graphics. Precise data on spine geometry to document treatment success.
prevention
Identification of possible abnormalities or trends over time using well-founded determination of the spinal curvature, stability and mobility. Generation of relevant clinical data for the development of successful therapies.
Two versions of the Idiag M360 - for every requirement
IDIAG M360pro
Both the regional and segmental vertebral posture and mobility values are examined, recorded and reported in the Pro version.
Features
- Therapy and exercise rehabilitation recommemdations
- Exercises are built-in to select/export for patients
- Expert case management based on assessable data
- In-depth data analysis (Expert Mode)
- Segmental vertebral angles examined and reported
Application examples
- Research
- Rehabilitation
- Medical and surgical pre-post screening
- Physiotherpy, Chiropractic and Osteopathy clinics
- University Education
IDIAG M360 checkup
Regional vertebral values are examined, recorded and reported, with same precision as the Pro version, but the checkup does not include spinal segmental posture/mobility values.
Features
- Built-in check-ups (Idiag Spine Check)
- Simplified data analysis (Idiag Spine Score)
- Built-in exercises
- Regional angular analysis (not segmental)
Application examples
- Fitness centers
- Corporate Health Management
CENTRAL FACTS
Use
Clear standard and individual reports illustrate the current state of the spine and document the success of the therapy.
History
Idiag M360 was developed in close cooperation with the Ludwig Maximilian University Munich, Germany.
CERTIFICATION
Idiag M360 is a CE marked product FDA and TGA approved Class 1 medical device in Australia.A
COMMITMENT
Unique in functionality, this product is used by thousands of researchers, physicians, health professionals in over 8000 clinics and health centers worldwide
Dr. med Christian LarsenHead of Spiral Dynamics® Med Center Zurich
" The diagnosis using Idiag M360has given me security for mytherapy decisions. "
Dr. Andrew Welsh Registered Osteopath Director OsteoPro Clinic, Melbourne
"Being able to accurately and objectively assess the results of physical examination is an important part of my role, as it is for many in the physical therapies, medical and other health & exercise professions.
Using the Idiag M360 in my clinic, I have the ability to instantly record and automatically report a very comprehensive, detailed spinal postural and active range-of-motion examination. The spine’s complex structure and function, particularly the difficulty in separating motion between regions and segmental levels, influenced my choice for this advanced goniometric system.
Common problems facing health practitioners include the time required to perform goniometric measurements during spinal examination, or expense and repeated radiation exposure associated with imaging, e.g., during regional spinal dynamic X-ray motion studies, not to mention the time required to interpret and then record those angular findings in to clinical notes. Further time is also required to prepare reports for third parties e.g. referring doctors, specialists, coaches, trainers, physical therapists, or insurance companies.
The Idiag M360’s ease of use, speed and accuracy compared with other measurement instruments such as dynamic x-ray, tape measures, universal goniometers and inclinometers makes it a stand-out.
Another decisive factor in investing in M360 for my clinic, was feeling confident with a large base of published research on the reliability and validity of Idiag M360/Spinal Mouse/Medi-Mouse, particularly compared with gold-standard X-ray.
Along with the ease now of being able to compare a patient’s spinal mobility and postural improvement over time with advice, treatment and exercise, the Idiag M360 is an invaluable teaching tool in real-time. Patients can easily visualize spinal areas of clinical interest, with built-in normative values to compare against their recorded results, and I can simply export the built-in exercise suggestions.
The impressive Idiag M360 reports have certainly led to increased referrals from medical professionals, sports coaches, and patients themselves.
I am grateful for the professional support from the Idiag team helping me to set this system up in my clinic."
Using the Idiag M360 in my clinic, I have the ability to instantly record and automatically report a very comprehensive, detailed spinal postural and active range-of-motion examination. The spine’s complex structure and function, particularly the difficulty in separating motion between regions and segmental levels, influenced my choice for this advanced goniometric system.
Common problems facing health practitioners include the time required to perform goniometric measurements during spinal examination, or expense and repeated radiation exposure associated with imaging, e.g., during regional spinal dynamic X-ray motion studies, not to mention the time required to interpret and then record those angular findings in to clinical notes. Further time is also required to prepare reports for third parties e.g. referring doctors, specialists, coaches, trainers, physical therapists, or insurance companies.
The Idiag M360’s ease of use, speed and accuracy compared with other measurement instruments such as dynamic x-ray, tape measures, universal goniometers and inclinometers makes it a stand-out.
Another decisive factor in investing in M360 for my clinic, was feeling confident with a large base of published research on the reliability and validity of Idiag M360/Spinal Mouse/Medi-Mouse, particularly compared with gold-standard X-ray.
Along with the ease now of being able to compare a patient’s spinal mobility and postural improvement over time with advice, treatment and exercise, the Idiag M360 is an invaluable teaching tool in real-time. Patients can easily visualize spinal areas of clinical interest, with built-in normative values to compare against their recorded results, and I can simply export the built-in exercise suggestions.
The impressive Idiag M360 reports have certainly led to increased referrals from medical professionals, sports coaches, and patients themselves.
I am grateful for the professional support from the Idiag team helping me to set this system up in my clinic."
Idiag M360 - The future in spinal assessment - IN DETAIL
• Compact TGA approved Class I medical device.• Determines regional spinal postural angles in the frontal and sagittal planes.• Determines the mobility of each spinal segment in flexion, extension, and lateral flexion.• Can be used repeatedly without exposure to any radiation.
An intelligent recursive algorithm computes information concerning the relative position of the vertebral bodies of the thoracic and lumbar spine, while taking into account the local curvature (kyphotic or lordotic). Accurate spinal segmental motion of all vertebral bodies is obtained as the final result. Segmental hypo- and hyper-mobility and even instability can be determined, with Matthias' Test built in to the software.
An intelligent recursive algorithm computes information concerning the relative position of the vertebral bodies of the thoracic and lumbar spine, while taking into account the local curvature (kyphotic or lordotic). Accurate spinal segmental motion of all vertebral bodies is obtained as the final result. Segmental hypo- and hyper-mobility and even instability can be determined, with Matthias' Test built in to the software.
Accurate assessment is the key to successful spinal treatment
• Precise data on spinal column geometry.• High validity and reliability - comparable with x-ray.• Detailed documentation can easily be sent to colleagues, Health Insurance organisations, WorkCover and other third parties.• Validityand reliabilty confirmed by independent research.
An example of spinal assessment results
Recorded sagittal-plane regional and segmental angular values during physical examination of the spine (for demonstration).
The actual patient values are bold in the central columns, with normative reference values either side. Numbers in red are angular values falling outside of the normative range for the region or segment. Mobility values are derived from the difference between the starting and end-of-range testing positions, e.g. Standing Upright to Flexion, and total Extension to Flexion range.
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Instantly generate detailed patient spinal alignment and mobility reports
Select images below to view:
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• IdiagM360 software can be installed on most computers.• Information is wirelessly transferred to your computer.• Simple and easy to understand graphics can easily illustrate the progress of the treatment.• The software has no expiry date, nor are there any ongoing subscriptions. • Upgrades are free to new customers in the first year and thereafter are completely optional at a small cost.• New data visualisations are continuously being added.• Customers are also offered free support to quickly begin using the Idiag M360.
More than 8,000 now used world-wide by reseachers, doctors, therapists, health centres, hospitals, clinics and sports medicine teams.TGA registered and available in Australia, Class 1 Medical Device.Make an appointment at your convenience for an online demonstration of the IdiagM360.
FAQ's
METHOD FOR RECORDING THE SPINE DURING PHYSICAL EXAMINATION
Where, when and why was the IdiagM360 system created?
The idea of a device for recording the surface of the spine was influenced by a study performed and published in 1994 by Dr. Seichert and Prof. Senn (Clinic of Physical Medicine and Rehabilitation of the Ludwig-Maximilian University of Munich, Germany). In cooperation with developers from our Swiss partner company, idiag AG, they developed the first prototype of the SpinalMouse (Idiag M360). In 1999 idiag AG launched the first Idiag M360 devices on the Swiss market. Development was mainly motivated by the fact that there had previously been no methodology or device that allowed a non-invasive, radiation-free, simple and fast – but still reliable and cost effective – assessment of the shape and segmental mobility of the spine.
What innovations does the IdiagM360 bring for diagnosis and evaluation?
The Idiag M360 provides an accurate, simple, fast and cost-effective assessment procedure. It allows recording of the spine without the use of radiation or chemicals; this means that there are no harmful side effects. The Idiag M360 can be used on the same patient as often or as frequently as desired. However, it must be emphasized, that the Idiag M360 technology primarily addresses the postural and functional aspects of the spine, derived from superficial examination. The Idiag M360 is not an expert system per se; it gives indications, but it requires a medical expert to formulate diagnoses. In contrast, X-rays, CT scans and MRIs mainly yield structural information thanks to their tissue and bone penetrating technology and are therefore essential for analysing fractures or degenerative diseases, among others.
What are the benefits of the IdiagM360 compared to other diagnostic methods?
• Analysis and display of the spine’s shape and mobility in the sagittal and frontal planes• (global and segmental angles can be defined)• No additional costs• Equivalent in precision to most common methods, including X-Ray, relevance and clarity of display• Simple and fast recording procedure• Flexible location, since the equipment is small and therefore mobile• User and patient friendly• No radiation or chemicals and non-invasive: • No side effects, as from an X-Ray to measure the same angles.• Can be used on the same patient as often or as frequently as desired
ADVANTAGES FOR PATIENTS AND CLINICIANS
What kind of information does a recording provide?
The output comprises important clinical information that is needed and can be used by the physician and the therapist in order to formulate the best treatment, therapy or overall care-plan for the patient, and to accurately assess the results or outcomes of any treatments or interventions.
Just some of the clinical information or data include:- Posture (sagittal and frontal shape of the spine) - Sagittal and frontal curvature of thoracic and lumbar spine- Angle of inclination relative to the perpendicular- Segmental kyphotic/lordotic angles - Pelvic tilt - Total back length
Mobility, range of motion (ROM)- ROM of the thoracic and lumbar spine- Segmental mobility for all segments starting from T1/2 to L5/S1- Inclination (total ROM)- Flexion and extension mobility of hip joints
Postural competence (stability of the trunk)- Postural reaction when loaded in functional tests (Matthiass test)
Furthermore, the Idiag M360 software provides the physician with indications for spinal dysfunctional posture or mobility.
Indications for non-harmonic curvature (posture)- Angle differences of kyphotic or lordotic relation from one segment to the next of > 7°- Assessment of segment integrity- Kyphosis instead of lordosis in the lumbar spine in upright position (“+” instead of “-” values)- Lordosis instead of kyphosis in the thoracic spine in upright position (“-” instead of “+” values) - Lordotic segments in flexed position- Kyphotic segments in the lumbar spine in extended position
Indications for non-harmonic mobility (ROM)- Differences in motion from one segment to the next of > 7°- Dorsal motion of segments when moving from upright to flexed position - Segmental ROM values of +1°, 0° or -1° (segmental hypomobility)- 0° of ROM of subsequent segments (regional hypomobility)- 0° of ROM of one segment in both flexion and extension (rigid segment)
Just some of the clinical information or data include:- Posture (sagittal and frontal shape of the spine) - Sagittal and frontal curvature of thoracic and lumbar spine- Angle of inclination relative to the perpendicular- Segmental kyphotic/lordotic angles - Pelvic tilt - Total back length
Mobility, range of motion (ROM)- ROM of the thoracic and lumbar spine- Segmental mobility for all segments starting from T1/2 to L5/S1- Inclination (total ROM)- Flexion and extension mobility of hip joints
Postural competence (stability of the trunk)- Postural reaction when loaded in functional tests (Matthiass test)
Furthermore, the Idiag M360 software provides the physician with indications for spinal dysfunctional posture or mobility.
Indications for non-harmonic curvature (posture)- Angle differences of kyphotic or lordotic relation from one segment to the next of > 7°- Assessment of segment integrity- Kyphosis instead of lordosis in the lumbar spine in upright position (“+” instead of “-” values)- Lordosis instead of kyphosis in the thoracic spine in upright position (“-” instead of “+” values) - Lordotic segments in flexed position- Kyphotic segments in the lumbar spine in extended position
Indications for non-harmonic mobility (ROM)- Differences in motion from one segment to the next of > 7°- Dorsal motion of segments when moving from upright to flexed position - Segmental ROM values of +1°, 0° or -1° (segmental hypomobility)- 0° of ROM of subsequent segments (regional hypomobility)- 0° of ROM of one segment in both flexion and extension (rigid segment)
What are the benefits for patients?
A back pain patient may obtain valid and reliable information about posture and mobility of the spine. An Idiag M360 assessment gives indications of malfunctions and possible spinal pathologies. It is fast, easily performed, uses no harmful chemicals or radiation, has no side effects or contraindications, can be taken at any time or as many times as desired. It visualizes the back in a format that is easy to understand for the patient, the physician, and the therapist. In this way it aids communication, making it easier for the patient to comprehend the cause of his pain. This leads to a much higher degree of patient cooperation, commitment and compliance with interventions, treatment or therapy regimens. Furthermore the Idiag M360 software provides an exercise catalogue for the therapist to select exercises for an effective training intervention.The Idiag M360 assessments made during treatment or therapy can document the progress of the patient and provide much-needed quality assurance. Ultimately, this will lead to better rehabilitation results for the patient, medical and healthcare providers, together with lower costs with less time lost for employers and insurance companies.
Could someone without specific back pain benefit from an Idiag M360 assessment?
The Idiag M360 can provide useful information from so-called “screenings” or “wellness checks”. Spine and back related pain and disorders usually have multi-factorial causes and may develop in nebulous and creeping ways. Regular screenings help to establish baseline information and may alert a person to changes. Bringing such information to the attention of that person’s physician can be extremely helpful in preventing further problems or allowing early diagnosis of existing ones.
HOW IT WORKS
What does the IdiagM360 do?
The Idiag M360 is a computer-assisted medical device that can be used to determine the shape and mobility of the spinal column by simply gliding the device manually down the back. There is a strong relationship between the surface line on which the recording is done and the midline of the spine in terms of alignment, range of motion, performance and its functions. The Idiag M360 device has two wheels arranged on a mobile support that allows the contour of the spine to be tracked. This shape is recorded by sensors that transmit the data to a computer program through a Bluetooth connection.
From the superficial shape, an intelligent recursive algorithm computes information concerning the relative position of the vertebral bodies of the thoracic and lumbar spine, while taking into account the local curvature (kyphotic or lordotic). The final result is an accurate segmental localization of all vertebral bodies as the projection of their midpoints on the superficial contour of the back.
From the superficial shape, an intelligent recursive algorithm computes information concerning the relative position of the vertebral bodies of the thoracic and lumbar spine, while taking into account the local curvature (kyphotic or lordotic). The final result is an accurate segmental localization of all vertebral bodies as the projection of their midpoints on the superficial contour of the back.
What is the operating principle?
The equipment records the distance plus the Idiag M360’s position in the x, y and z planes at any time during the assessment. This information, combined with known anthropometric data about vertebral body dimensions, is used to calculate the relative positions of the sacrum, the vertebral bodies and the angles between them using a complex algorithm.
Does the Idiag M360 detect the Cobb angle as well?
The values generated by the Idiag M360 software show the angles between lines going through the midplane of the vertebral bodies (see below). Whereas the Cobb angle detects angles with the end plates as reference points. So whilst the measuring points on the vertebrae differ between the methods, a research study (see reference below for further reading) found a strong to very strong relationship between the X-ray Cobb and Spinal Mouse (Idiag M360) assessments methods (p < 0.0001), and suggest Spinal Mouse (IdiagM360) can be used for research and in the clinical setting as a reliable and easy method, importantly without radiation, for assessing adolescent idiopathic scoliosis.
A Livanelioglu, F Kaya, V Nabiyev, G Demirkiran, T FıratThe validity and reliability of "Spinal Mouse" assessment of spinal curvatures in the frontal plane in pediatric adolescent idiopathic thoraco-lumbar curvesDepartment of Physiotherapy and Rehabilitation, Faculty of Health Science, Hacettepe University, Ankara, TurkeyEur Spine J, [Epub ahead of print] Apr 22, 2015
A Livanelioglu, F Kaya, V Nabiyev, G Demirkiran, T FıratThe validity and reliability of "Spinal Mouse" assessment of spinal curvatures in the frontal plane in pediatric adolescent idiopathic thoraco-lumbar curvesDepartment of Physiotherapy and Rehabilitation, Faculty of Health Science, Hacettepe University, Ankara, TurkeyEur Spine J, [Epub ahead of print] Apr 22, 2015