PATHWAY® ULTRASOUND IMAGING SYSTEM FOR LUMBOPELVIC REHABILITATION

RESTORING FUNCTION TOGETHER.

Orthopedic

Pelvic Health

Contact us today for more information.One Washington Street, Suite 3171, Dover NH, 03820

info@theprogrp.com | www.theprogrp.com | 1-800-442-2325

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Designed by Rehabilitation Professionals, for Rehabilitation Professionals.

“The affordability, ease of use, and image quality of this system is going to revolutionize

clinical practice by providing access to technology that was once limited

to academic research.”- Ramona C. Horton, MPT, DPT

“Portability is a huge benefit and probably my favorite. I take the entire system to

work in my laptop bag and can move it from clinic to clinic very easily.”

- Allison A. Thompson, PT, DPT, CLT-LANA, BCB-PMD

Touchscreen Tablet Computer with Detachable Keyboardand Operator’s Guide

ADVANCEDDIGITAL

ELECTRONICS

PATHWAY® ULTRASOUND IMAGING SYSTEM FOR LUMBOPELVIC REHABILITATION

GP-C01, 3.5-7.5 MHz Curved Array Ultrasound Imaging Transducer with USB Cable

InvertedImageDisplay

TABLETPC BASED

3. Wireless Mouse

Key Features & Benefits

SLEEK Portable equipment fits in a laptop bag.

High resolution ultrasound at a fraction of the cost.

PRICEClearly identify images not typically

detected by other ultrasound imaging systems.

IMAGE QUALITY

Preset protocols produce optimum ultrasound images.

USER FRIENDLYPRESET CONFIGURATIONS

STANDARD PC KEYBOARDMaking annotations

and typing patient information is quick and easy with the

PC keyboard.

AFFORDABLE

Orthopedic

Pelvic Floor, Sagittal View (Muscles Contracted)

Lateral Abdominal Wall (Muscles Contracted)

Lumbar Multifidus

Pelvic Floor, Sagittal View (Muscles Relaxed)

“Research reveals that the primary impairment of the muscular system in individuals with low back pain is not one of strength or functional capacity but rather one of motor control of the deep muscles of the trunk. The use of ultrasound imaging to observe the real-time contraction of muscles is a valuable tool, specifically when the muscles of interest are deep and not readily observable” (Whittaker, 2004).

Male Sagittal View, PFM Contracted

Pelvic Health

Anterior Abdominal Wall With Measurement of Inter-Rectus Distance

Pediatric Patient With Full Rectum

Pelvic Organ Prolapse Observed During ValsalvaPelvic Floor Muscles, Poor Stabilization During Functional Task

Post Void Residual on a Pediatric Patient

Motor Retraining Identifying Dysfunction

Pathway® Ultrasound Imaging System for Lumbopelvic Rehabilitation

Virtual Training Portal & Customer Care Guide

Transperineal View Male, Post Prostatectomy

Contact us today for more information.One Washington Street, Suite 3171, Dover NH, 03820

info@theprogrp.com | www.theprogrp.com | 1-800-442-2325

Co-Sponsored By: Course Offered By:

Pathway® Ultrasound Imaging System for Lumbopelvic Rehabilitation

Virtual Training Portal & Customer Care Guide

24/7 Ultrasound Training Portal Website

(www.echogenportal.com)

Hands-On Training is Available!

Upcoming Herman & Wallace Rehabilitative Ultrasound Imaging - Women’s Health and Orthopedic Topics Courses:

1. Unlimited hardware and software telephone Technical Support via The Prometheus Group®

2. TeamViewer via The Prometheus Group®

Technical Support Available1-800-272-8492

* Access code required (provided with purchase)

Ramona C. Horton, MPT, DPTPelvic Health Physical Therapist

and Educator

The EchoGen Portal is brought to you by:

Visit the Herman and Wallace website online at www.hermanwallace.com

for course dates and locations.

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Course Instructor

Enter the Code TheProGroup at

Checkout to Receive a 10% Course Discount!

* Comprehensive Instructional Video Library

* Extensive Image Library Includedin yourpurchase

* Helpful Resources

* One on One Interactive Zoom Support (for an additional fee)

Selected References

Arab, A. M., Behbahani, R. B., Lorestani, L., & Azari, A. (2010). Assessment of pelvic floor muscle function in women with and without low back pain using transabdominal ultrasound. Manual therapy, 15(3), 235-239. Dietz, H. P. (2004a). Ultrasound imaging of the pelvic floor. Part I: two dimensional aspects. Ultrasound in Obstetrics & Gynecology, 23(1), 80-92. Ferreira, P. H., Ferreira, M. L., & Hodges, P. W. (2004). Changes in recruitment of the abdominal muscles in people with low back pain: ultrasound measurement of muscle activity. Spine, 29(22), 2560-2566.

Hides, J. A., Miokovic, T., Belavý, D. L., Stanton, W. R., & Richardson, C. A. (2007). Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study. Journal of Orthopaedic & Sports Physical Therapy, 37(8), 480-486.

Hodges, P. W., Pengel, L. H. M., Herbert, R. D., & Gandevia, S. C. (2003). Measurement of muscle contraction with ultrasound imaging. Muscle & Nerve, 27(6), 682-692.

Koppenhaver, S. L., Hebert, J. J., Fritz, J. M., Parent, E. C., Teyhen, D. S., & Magel, J. S. (2009). Reliability of rehabilitative ultrasound imaging of the transversus abdominis and lumbar multifidus muscles. Archives of Physical Medicine and Rehabilitation, 90(1), 87-94.

Lee, D., & Hodges, P. (2015). Behaviour of the linea alba during a curl-up task in diastasis rectus abdominis: a new interpretation with clinical implications. Physiotherapy, 101, 580-581.

Liaw, L.-J., Hsu, M.-J., Liao, C.-F., Liu, M.-F., & Hsu, A.-T. (2011). The relationships between inter- recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: a 6-month follow-up study. Journal of Orthopaedic & Sports Physical Therapy, 41(6), 435–443.

Stafford, R. E., van den Hoorn, W., Coughlin, G., & Hodges, P. W. (2018). Postprostatectomy incontinence is related to pelvic floor displacements observed with transperineal ultrasound imaging. Neurourology and Urodynamics, 37(2), 658-665. Stokes, M., Hides, J., Elliott, J., Kiesel, K., & Hodges, P. (2007). Rehabilitative ultrasound imaging of the posterior paraspinal muscles. Journal of Orthopaedic & Sports Physical Therapy, 37(10), 581-595. Teyhen, D. (2006). Rehabilitative Ultrasound Imaging Symposium, May 8-10, 2006, San Antonio, Texas. Journal of Orthopaedic & Sports Physical Therapy, 36(8), A-1.

Teyhen, D. S., Miltenberger, C. E., Deiters, H. M., Del Toro, Y. M., Pulliam, J. N., Childs, J. D., ... & Flynn, T. W. (2005). The use of ultrasound imaging of the abdominal drawing-in maneuver in subjects with low back pain. Journal of Orthopaedic & Sports Physical Therapy, 35(6), 346-355.

Thompson, J. A., O’Sullivan, P. B., Briffa, K., & Neumann, P. (2005). Assessment of pelvic floor movement using transabdominal and transperineal ultrasound. International Urogynecology Journal, 16(4), 285-292. Wallwork, T. L., Hides, J. A., & Stanton, W. R. (2007). Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging. Journal of Orthopaedic & Sports Physical Therapy, 37(10), 608-612.

Whittaker, J. (2004). Abdominal ultrasound imaging of pelvic floor muscle function in individuals with low back pain. Journal of Manual & Manipulative Therapy, 12(1), 44-49.

Whittaker, J. L., Warner, M. B., & Stokes, M. (2013). Comparison of the sonographic features of the abdominal wall muscles and connective tissues in individuals with and without lumbopelvic pain. Journal of Orthopaedic & Sports Physical Therapy, 43(1), 11-19.

12.1 in

Equipment Specifications

Accuracy:Distance: ±2%, ±2 mm

Ultrasound Probe Dimensions and Weight: Width: 6.2 cm (2.44 in)Height: 2.6 cm (1.02 in)Length: 15 cm (5.9 in)Weight: 110 grams (3.88 oz)

Ultrasound Output Parameters: Depth Range: 2 - 30 cm (Selectable, 1 cm increments)Pulse Frequency: 3.5 MHz, 5 MHz, 7.5 MHz (Selectable)Focal Zone: ProgrammableFocal Point: DynamicScan Angle: 60°Scan Mode: B-ModePatient Contact Sector Length: 49 mm (2.5 in)Frame Rate: 20 fps

ISPTA.3: 13.7 mW/cm² (maximum)ISPPA.3: IPA.3 @ MImax = 180 W/cm²Mechanical Index: 1.02 (maximum)Transducer Diameter: N/ATransducer Resonant Frequency: 5.0 MHz (calculated center freq.)Transducer Bandwidth: Over 60%Number of Scanning Planes: 1Pulse Repetition Frequency: 5.1 kHz TIS: 0.115

Tablet PC:Display: 12.1 inResolution: 1920 X 1200Processor: Core I5 2.3 GHZRAM: 4 GBHard Drive: 256 GBBattery: 38 Whr Rechargeable Battery (Providing 4+ hours of use)Length: 30.0 cm (11.8 in)Width: 20.1 cm (8.1 in)Height: 1 cm (0.4 in)Weight: 0.9 kg (1.98 lbs)

FAQ Page

What is the difference between real-time ultrasound and rehabilitative ultrasound? At the inaugural Rehabilitative Ultrasound Symposium held in San Antonio, TX in 2007, the consensus was reached to adopt the official title rehabilitative ultrasound imaging (RUSI) for the utilization of ultrasound imaging by physical therapy professionals. At the symposium, the delegates unanimously agreed to a ‘‘Rehabilitative Ultrasound Imaging International Consensus Statement’’ as follows: RUSI is a procedure used by physical therapists to evaluate muscle and related soft tissue morphology and function during exercise and physical tasks. RUSI is used to assist in the application of therapeutic interventions aimed at improving neuromuscular function. This includes providing feedback to the patient and physical therapist to improve clinical outcomes. How do I bill for RUSI in a clinic visit? There are no specific CPT codes for RUSI, it is a component of a standard timed charge that includes training of movement systems such as therapeutic activities, therapeutic exercise or neuromuscular re-education. Assessing for progress of motor function could be a component of a re-evaluation charge. How is it cost effective? Patients progress much faster when they can actually see the deep stabilizing muscles you want them to activate. The therapist can quickly observe suboptimal activation strategies and provide instantaneous feedback in early training and functional activities. The addition of RUSI can be used as a marketing tool to draw traffic to your clinic. I have sEMG biofeedback, why should I spend the money for RUSI? Surface EMG provides a quantitative value of the motor action potential of the pelvic floor muscles, but can not validate PFM lift which is associated with continence. RUSI can provide information on muscle morphology such as size as well as motor activation patterns for the PFM, abdominal wall, and lumbar stabilizers. RUSI is useful for strength training, what about the patient with overactive muscles? Patients with overactive pelvic floor or abdominal muscles can clearly see their muscle activation pattern as well as a voluntary inhibition. This PFM motor pattern is visible from a suprapubic view using the bladder as a window or a transperineal view observing the anterior and posterior compartment. Downtraining with breathing and inhibition provides visual feedback to the patient. Do I need specialized training or certification to use RUSI? You should always refer to our your state practice act, but currently there are no known specific requirements for certification for PTs performing RUSI. Certifications for physical therapists do exist through third-party agencies. These are more for the orthopedic and sports medicine therapists evaluating for muscle pathology, none are rec-ognized by the APTA. At present, RUSI hands-on training courses are offered through multiple continuing education companies to include the Herman & Wallace Pelvic Rehabilitation Institute. Is there training available? All purchases of the Pathway® RUSI system include access to our exclusive online training videos and libraries via the EchoGen Portal. Videos will include ultrasound basics, system operation and clinical applications such as lumbopelvic motor retraining, measuring bladder volume, male and female transperineal imaging, plus a library of stored images with labels and select patient cases.

Optional EquipmentConsumables

Recommended Supplies:

Ultrasound Gel, .25 literPart: UG

Point of Care Cart for Notebook or Tablet Computer Ultrasound

Part: PPOC-QS

System Carry BagPart: PBAG

Sani-ClothGermicidal Disposable WipeAF3, Large Wipe (For cleaning)Manufactured By:Professional DisposablesInternational, Inc.Find it Online At:www.pdihc.comwww.amazon.com

AquaflexUltrasound Gel Pad (2cm x 9cm)REF 04-02Manufactured By:Parker Laboratories, Inc.Find it Online At:www.parkerlabs.comwww.amazon.com

Sheathes Probe Coversfor Curvilinear Array#80501 Non Latex CoversManufactured By:Sheathing TechnologiesFind it Online At:www.sheathes.com

Contact us today for more information.One Washington Street, Suite 3171, Dover NH, 03820

info@theprogrp.com | www.theprogrp.com | 1-800-442-2325

PATHWAY® ULTRASOUND IMAGING SYSTEM FOR LUMBOPELVIC REHABILITATION

RESTORING FUNCTION TOGETHER.

* Cart Optional

ISO 13485 CERTIFIED • © The Prometheus Group®. All rights reserved.MKT-006 Rev. F PT