KRDL 2000 ™
What is the KRDL 2000™ ?
The KRDL 2000™ is a therapeutic modality that passively (without patient effort) moves a joint or motion segment of the spine through a prescribed range of motion (ROM), prescribed speed, and prescribed number of cycles for an extended period of time. The Kinetic Rehabilitation Device (KRD)L 2000, marketed since 1996, is a portable lumbar spine rehabilitation table/device designed to provide in-home or in-clinic/hospital rehabilitation or of the injured soft tissue in and around the lumbar spine. Use of the KRDL 2000™ as prescribed allows early gliding of the nerve root in the postoperative intervertebral foramina, minimizes tethering of the nerve roots and formation of binding adhesions, enhances joint nutrition and promotes healing while offering increased mobility and pain free range of motion (Hazard et al., 1994).
The KRDL 2000’s patented table and drive system combine to elevate and lower a patient in a synchronous manner, providing flexion and extension to a maximum and minimum of 50 degrees from the horizontal plane in increments of 1 degree or less. Use of the KRDL 2000™ as prescribed, allows early gliding of the nerve root in the postoperative intervertebral foramina, minimizes tethering of the nerve roots and formation of binding adhesions, enhances joint nutrition and promotes healing while offering increased mobility and pain free range of motion (Hazard et al., 1994).
The KRDL 2000™ is controlled by a microprocessor allowing for setting precise range of motion (ROM), speed control, and treatment duration by time or number of cycles. The microprocessor also allows for program storage and memory for an easy recall of each treatment session and verification of treatment compliance that can be downloaded to a PC or a printer.
The in-home mode of the device has a safety lockout feature that prevents the patient or others from changing the ROM, speed or duration of treatment from that prescribed.
What Spine Experts are Saying About the KRDL 2000™
“This machine has been a significant addition to our clinic. We find that this machine applies a very physiological treatment mechanism to a wide variety of soft tissue problems in the lumbar spine. It’s very definitely is a positive influence on our treatment programs. The marvelous value in using the KRDL 2000™ device is not limited to its capability to apply the appropriate stresses to healing connective tissues. Patients are treated in their own environment, away from sterile clinics and sometimes overanxious medical personnel who may direct their rehabilitation efforts according to predisposed norms. In this way patients may be pushed to greater physical activity and held personally responsible for their own actions; this forces changes to be made by the patients themselves to bring about a more positive performance in achieving specific rehabilitative goals.”
Vert Moonrey, M.D. UCSD Medical Center
“The KRDL 2000™ spine machine will revolutionize spinal rehabilitation through early passive range of motion exercise, after injury or surgery.”
Jeffrey Fernyhough, M.D.
Diplomat, American Board of Orthopedic Surgery, Specializing in Surgery of the Spine
“The KRDL 2000™ has revolutionize my approach to spinal dysfunction, both pre and postoperatively.
The KRDL 2000™ has given my staff the ability to start early movement re-education that teaches my patients, to their surprise, that movement can be pain free and beneficial. It has particular beneficial application to the immediate post surgical patient, including simple laminectomies and spine fusions.
The KRDL 2000™ has redefined my treatment paradigm. Now movement reeducation, pain and edema reduction can occur together in a physiological, safe and painless manner.”
Donald Walsh, P.T.
Director, Spine Rehabilitation Florida Back Institute
“ I wish to express to you what a revolution the KRDL 2000™ has been in my practice. It has completely redefined the protocol for our treatment of severe internal derangements of intervertebral discs.
The unit has allowed us to centralize these patients more effectively and maintain that centralization for patients with radiculopathy. My schedule now allows more patients to be treated per day than previously permitted due to time constraints. ”
Mark T. Strickland, P.T.,Cert. M.D.T.
Biological Healing of the Spine
The spine, particularly the lumbar spine, is notorious for loss of range of motion, painful contractures, and stiffness. The significance of this is not only chronic pain and loss of function, but difficulty in rehabilitation to regain both function and strength. A disorganized scar can result after surgery that impedes the healing process and recovery the healing process and recovery. All of this leads to increased medical bills and sometimes prevents recovery of the individual.
The KRDL 2000™ the often reluctant and fearful spine patient on a program of early rehabilitation and progressive range of motion in a controlled fashion. This allows gliding of nerve root in the post operative inter vertebral formina, again optimizing the principle of continues pain-free passive motion to minimize tethering of the nerve roots by binding adhesions. KRDL 2000™ is designed to cause linear scar, rather than a disorganized conglomerate scar thereby reducing and eliminating pain, stiffness, and edema. This offers the patient increased mobility and range of motion as is shown in numerous clinical trails of the principle of continuous passive motion.The KRDL 2000™ is an integral component of a sophisticated spine rehabilitation plan in conjunction with or as a substitute for professional physical therapy. A earlier return to work, reduced analgesic narcotics, reduction in pain, and an improved functional mobility equate to considerable savings for patients, employers, and insurance companies.
“The Fast Track for Enhanced Spine Rehabilitation” ™
PATIENTS CONDITIONS WHICH MAY BENEFIT RROM IRP’S KRDL 2000™
- Post Surgical Fusion with instrumentation
- Post Surgical Laminectomies
- Post Surgical Discectomy
- Acute and chronic sprain/strain injuries-thoracic and lumbar spine
- Painful restricted range of motion thoracic and lumbar spine
- Musculoskeletal pain-thoracic and lumbar spine
- Mechanical thoracic and lumbar pain
- Degenerative disc disease
- Facet syndrome/prriarticular fibrosis
- Disc protrusions
- Acute lower back pain
- Chronic lower back pain
- Segmental/articular dysfunction
- Acute fracture
- Unstable spinal/neurological conditions
- Patients that complain of increased radicular pain due to motion of the device
- Metastatic disease process in the spine
- Sophisticated options for prescribed treatment, Specific for range of motion on 1°increments; up angle and/or down angle, speed, treatment duration in time or number of cycles.
- User-friendly control and operation.
- Optimum patient safety and comfort.
- Hard copy documentation capabilities after each individual treatment session in the clinical mode.
- compliance monitoring – can store up to 600 treatment sessions in the home mode.
- Slimline , ergonomic design – 74″L × 25″W ×31″H.
- Easily transportable.
- Anti-friction face piece for prone patient positioning.
- Sturdy welded street frame.
- Light weight – 175 lbs.
- Cushioned surface for patient comfort.
- Attractive durable Naugahyde upholstery.
- Actuator-controlled movement.
- Optical sensors for specific identification of table range of motion.
- Precise table Range of Motion (ROM) setting capabilities by 1° increments in the up of down angle (providing sophisticated specific treatment parameters regarding ROM)
- Precise speed control capabilities providing low through high velocity of prescribed motion.
- Precise setting of treatment duration, by time of number of cycles criteria, specific for the practitioner’s treatment.
- Program storage and memory for easy recall of treatment can be down loaded onto a PC or serial printer, outlining date, time, up angle, down angle, speed, number of cycles completed, treatment t time in minutes and cycles per minute.
- Hand-held patient safety control switch.
- Emergency stop button on control panel.
- Emergency stop toggle switch.
- Safety control monitoring for objects in the table’s path of motion in the down angle. When an objects obstructs the motion of the table’s down angle, the table will automatically stop and slowly return to the 0° angle
- Four lockable wheels for stability.
Operating Control Mode
The major difference between the clinical and the home mode is the safety lockout feature which prevents the patients or others from changing the ROM, speed, or duration as prescribed by the doctor. Just as with the clinical mode, data from each session, up to 600 individual sessions, may be downloaded into a PC or serial printer for hard copy documentation (compliance).
CPM devices have existed under the approval of the Federal Drug Administration (FDA) as class II prescription devices for more than 20 years. These devices have existed for the knee, hip, shoulder, elbow, ankle, hand, wrist, and jaw for more than two decades.
Until now, this component of a sophisticated rehabilitation plan for the spine patient has been neglected due to lack of a functional device. The KRDL 2000™ provides controlled passive motion, intermittently or continuously to the lumbar spine region and its para-spinal soft tissues. Years of scientific research be numerous investigators has shown clearly that the soft tissues healing is enhanced by controlled motion not immobilization. The medical community now understands that the old model of rest and immobilization for soft tissues injuries is contraindicated and causes pathophysiological process that lead to increased impairment and subsequent disability. Since motion is one therapy where more is better, the KRDL 2000™ has been designed to go into the patient’s home increasing the functional outcome goals of the physician’s patients.
The KRDL is quickly becoming the
Doctor’s Prescription for Enhanced Spine Rehabilitation