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The DXD software gives doctors objective and eveidence based documentation. This helps properly define & quantify ligament laxity and helps eliminate opinion in favor for objective results.

For Doctors

This technology is an objective diagnostic procedure that allows physicians to analyze patient’s stress views while measuring Alteration of motion segment integrity (AOMSI).  

The DXD report writing software correlates with the AMA guidelines of permanent impairment (Learned Treatise) utilizing DXD software with demonstrative copyrighted images to correlate a patient’s objective spinal geometrical injury to their ligamentous anatomy. 

Whether you are proving or disproving an injury, objectivity will allow you to do just that.DRE differentiators for clinical findings used to place an individual in a DRE category:(5th ed. AMA p.382)  (Objective indicators #1, 2, and 3)

  1. Alteration of motion segment integrity (AOMSI) documenting increased translational or angular motion
  2. Radiculopathy (herniated disc)/Electrodiagnostic verification
  3. Cauda Equina syndromeThere is a need for Objective evidence based reporting of patient’s injury for Plaintiff and Defensive attorneys. 

The CMR software correlates with the AMA Guidelines 4th Edition, 5th Edition (p. 378-79) and the 6th Edition (p. 578-79) to be able to view stress view pathology.  The 6th Edition requires that objective evidence be utilized when evaluating permanent impairment. 

In 1987, Yochum & Rowe (p.149) ,published,” Essentials of Skeletal Radiology”, and described the significance of George’s line.  If an anterolisthesis or retrolisthesis is present, then this may be a radiographic sign of instability due to fracture, dislocation, or ligament laxity. Flexion/extension x-rays (stress views) provide useful information on AOMSI, alteration of motion segment integrity, at a given level. – (6th ed. AMA, p. 578-79With 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:

  • Transverse
  • Anterior Longitudinal
  • Posterior Longitudinal
  • Capsular
  • Alar
  • Accessory

I would like to schedule a time to discuss and/or demonstrate how I am using this objective based technology which allows better clinical evidence, better patient outcome, and clinical excellence.

For 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:

  • Transverse
  • Anterior Longitudinal
  • Posterior Longitudinal
  • Capsular
  • Alar
  • Accessory

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.