EVIDENCE BASED MEDICINE
A scientific approach for organizing and applying existing data to improve healthcare decisions. This involves integrating the best available evidence with clinical expertise and patient preferences to arrive at the best medical decision for the patient.
This section provide information and references supporting interventions in Excell Physical Therapy characterized by their high safety and efficacy profile.
Intrinsic Mechanotherapy
Exercise
Therapeutic exercises improve strength, movement, and overall health while helping prevent injury. Exercise benefits the heart, brain, muscles, and bones by improving blood flow, mood, strength, and endurance. It also supports healthy metabolism and weight management. Overall, exercise helps the body adapt, stay balanced, and function better.
Electrotherapy
Electrotherapy uses electrical currents to reduce pain, promote tissue healing, and improve muscle function. Treatment is personalized by adjusting factors such as frequency, intensity, and waveform. Proper modality and dosage selection, guided by research and clinical reasoning, helps achieve the best outcomes.
Extrinsic Mechanotherapy
Manual Therapy
Manual therapy is a hands-on treatment used to reduce pain, improve movement, and restore function. It uses techniques such as mobilization, manipulation, and massage to treat joints and soft tissues. Treatment is personalized based on the patient’s condition, anatomy, and response. It is guided by research and the biopsychosocial approach.
Thermogenesis
Heat therapy increases blood flow, promotes healing, and reduces pain and muscle spasms. It can improve flexibility, decrease joint stiffness, and increase range of motion. Heat also helps relax muscles and prepare them for stretching or exercise. Proper use requires choosing the right temperature and treatment time for the patient.
Accelerated Tissue Healing
Electrotherapy can support tissue healing by improving blood flow, increasing cellular activity, and reducing inflammation and pain. It may also help with tissue remodeling and collagen formation during later stages of healing. Its effectiveness depends on the type of injury, treatment method, and individual response.
Motor Unit Recruitment
NMES can activate muscles through either peripheral pathways (directly stimulating the muscle) or central pathways (stimulating the nerve). The stimulation site affects how motor units are recruited and how the muscles respond. NMES may help maintain muscle quality and reduce fatigue during rehabilitation. These findings can help improve NMES treatment for quadriceps recovery.
Resolution of Inflamation
Combining manual therapy with electrotherapy can reduce inflammation, pain, and muscle tension while improving blood flow and mobility. Techniques such as TECAR and HILT may also support tissue healing and recovery. Together, these treatments can improve muscle function, promote tissue regeneration, and speed up rehabilitation.
Management of Arthrogenic Muscle Inhibition (AMI)
Arthrogenic Muscle Inhibition (AMI) can cause muscle weakness after a joint injury and slow recovery. Treatment focuses on reducing pain, swelling, inflammation, and joint stiffness to improve muscle function and mobility. Neuromodulatory techniques and electrophysical agents may help reduce AMI and support rehabilitation. Treatment should be personalized to each patient’s needs.
Improving Strength Through Satellite Cell Proliferation
NMES can activate muscles and support muscle recovery, especially in older adults. It may help muscle cells regenerate, increase muscle strength, and improve mobility. NMES could therefore be a useful tool for reducing age-related muscle loss and supporting rehabilitation.
MASTRworks
Modality Augmented Soft Tissue Remodeling
MASTRWORKS™ is Excell’s integrated approach to physical therapy, combining hands-on treatment, advanced technology, and therapeutic exercise to help the body recover and perform at its best.
01
Nerve Desensitization with Radiofrequency Electromagnetic Current
Employed to effectively halt the transmission of pain signals and induce sedation in sensory nerves. This innovative approach grants durable alleviation from incapacitating pain prevalent in conditions like trigeminal neuralgia, enhancing the quality of life for individuals afflicted by such ailments.
02
Motor Point Mapping with Conductive Glove and Neuromuscular Electrical Stimulation
The strategic identification of Motor Points prior to employing neuromuscular electrical stimulation (NMES) offers potential for diminishing current levels needed for muscle activation, thus reducing discomfort while optimizing muscle fiber recruitment and tension generation. Recent findings suggest that a personalized approach for patients could elevate clinical protocols and refine NMES implementation. Consequently, integrating the methodical Motor Point mapping process into NMES clinical utilization is advised for achieving enhanced and favorable therapeutic results.
03
Management of Arthrogenic Muscle Response with Electrotherapy
Arthogenic Muscle Inhibition (AMI), an ongoing reflex inhibition, safeguards joints after injury by limiting muscle activity via inhibitory interneurons. While pain and disuse contribute to muscle atrophy, mechanoreceptor activity primarily drives AMI. This mechanism impedes joint rehab, causing reduced range of motion, muscle wasting, and weakness. Athletes' return to competition with functional deficits and injury susceptibility is due to AMI's role. Blocking AMI could optimize athlete return post-injury. Academic literature suggest that electrophysical agents (EPAs) are effective in altering arthrogenic muscle inhibition (AMI) due to its therapeutic effect of mitigating inflammation, modulating pain and decreasing joint tightness which leads to accelerated healing and improvement in functional mobility.
04
Electric Cell Signaling (EcST)
A modern advancement in electrotherapy that utilizes non-invasive electrical stimulation to facilitate cellular communication and promote healing. By delivering targeted electric pulses to cells and tissues, Electric Cell Signaling Treatment aims to restore proper signaling pathways, aiding in pain management and enhancing overall well-being. This innovative approach harnesses the body's innate ability to transmit electrical signals, offering a potential solution for various conditions by optimizing cell function and signaling processes, leading to improved health outcomes.
05
Neuromuscular Reeducation concurrent with pain modulation with TECAR Therapy
High-frequency electromagnetic fields with capacitive and resistive electrodes in therapy has been confirmed to significantly elevate treatment region temperature effectively sedating sensory nerves. This allows pain free joint movements necessary for anti-gravity loading during neuromuscular reeducation exercises. TECAR has practical implications for optimizing physiotherapy sessions. Studies recommend further inquiry, including clinical trials and assessing physiological responses like circulation and tissue temperature. Research deepens the understanding of high-frequency electromagnetic fields, electrode types, and thermal reactions, paving the way for improved therapeutic approaches.
06
Instrument Assisted Soft Tissue Mobilization (IASTM)
IASTM involves using tools to eliminate scarring from injured soft tissues, promoting healing via new extracellular matrix proteins like collagen. It's increasingly used in sports rehab and athlete training. Studies indicate IASTM enhances soft tissue function, range of motion, and reduces pain post sports injuries. It's believed to hasten recovery and return to sports. Clinicians in our clinics are Graston Technique Specialists (GTS).
07
Running Gait Analysis with 3D Helix System
Understanding the biomechanics of running unveils crucial insights into optimizing performance and minimizing injury risks. Gait and strength profoundly influence running risks, as poor mechanics strain joints and tissues. Efficient mechanics, conversely, enhance running economy, conserving energy. Vital to this is the role of footwear. Proper shoes provide support, alignment, and cushioning, aligning with individual mechanics. Embracing optimal mechanics, coupled with proper footwear, promotes a balanced, injury-resistant stride, elevating the joy and benefits of running.
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Heart Rate Variability Monitoring