OVERVIEW
Up to 80% of all Adult will have at least
one episode of Back, Neck , and
Shoulder pain in their lifetime.
Most of these episode will not cause the
Patient to see
a Doctor.
About 70% of all Patients claim to be well
& back at work within 14 days, and about
90% within two months.
The remaining 10% will tend to become
chronic & have Pain & disability beyond
three months.
OVERVIEW
Todays Back, Neck, Shoulder & knee
specialist are widely aware of the harmful
effects caused by bed rest and inactivity.
DBC responds directly to that growing
demand with the NEW APPROACH ACTIVE
REHABILITATION.
The DBC Measurement & Treatment concept
is Based on the principles of modern
Evidence Base & Quality management.
Traditional Physiotherapy is continuously
challenged for being ineffective,
unsystematic, open ended and less than
evidence-based..
Inadequate Rehabilitation Greater Risk of
Re injury & chronic Pain
Cycle of Injury
Injury
Greater Risk
of Re injury
Inadequate
Bleeding
Inflammation
Atrophy
Rehabilitation
Reduced Risk
of Re injury
Adequate
Rehabilitation
Rehabilitation:
1. Therapeutic
Modalities
2. Therapeutic Exercises
Rehabilitation GOAL :
1.
Therapeutic Modalities:
2.
Therapeutic Exercises:
Decrease Pain
Decrease Inflammatory
Decrease Effusion
Time to
Return to
normal
Strength:
BONE
12 weeks
Ligame
nts
40 - 50
weeks
6 weeks - 6
Muscle
months
40 50
Tendon
weeks
What is DBC ?
Documentation Based Care treatments
for Knee, Back, Neck,Shoulder and Knee
Disorder
and Dysfunction, that focus on healing chronic
pain.
MISSION
to become the leading active Spine,
Shoulder & Knee
Rehab Center.
VISION
..to be the Rehab provider in Hospitals & Sport
Centers
Brief history
DBC is founded in FINLAND in 1991.
R&D programs are in cooperation with
The National Technology Agency &
University TAMPERE in FINLAND.
Headquarter in Helsinki, with branches
in London (UK), Holland,South Africa,
Dubai,Iran,
Singapore,Malaysia,Thailand,
HongKong, and Korea.
Reflex inhibition
= Delay in response to loading
DBC Excellence
DBC Patented Lock System
precisely targets the desired
muscle groups of the Lower
Back,Neck,Shoulder,or Knee
simultaneously guiding the
corrects Movement Pattern.
DBC Patented the Cervical 3-D
Rotation reconstructs Cervical
Spine Movement.
DBC Excellence
Lock System
DBC Excellence
Cervical 3-D Rotation Recontructs
c
DBC State-of-the-art
technology
Back devices
Neck devices
Shoulder
devices
Knee devices
Knee
Back
-POST-OP
ACL
INFLAMMATO
RY
-POST
TRAUMA
TIC
FUNCTIO
NAL
IMPROVE
MENT
POST TRAUMATIC
Osteoarth
ritis
Post-Op
meniscus
-Conserva
tive PCL
- Post.Op. PCL
-Isolated
MCL
ACL+MCL
combined
POST OPERATION
NERVE ROOT
COMPRESSIO
N
NARROWING
OF SPINAL
CANAL
PELVIC AND
LOW BACK
PAIN
SPONDYLOLIS
THE SIS/-LYSIS
Neck Shoul
der
INFLAMMATOR
SHOULDER
DISLOCATION
SHOULDER
ARTHRITIS
POST
POSTOPERATION
TRAUMATIC
WHIPLASHASSOCIATEDDISORDER
POSTOPERATIVE
FROZEN
SHOULDER
AC
SEPARATION
DISLOCATION
INSTABILITY
CUFF TEAR
SCOLIOSIS/
POS TURAL
DYSFUNTION
NERVE ROOT
PROXIMAL
FRACTURE
MUSCULAR
DISTROPHY
CERVICOBRA
STENOSIS
OR
CHIAL
IMPINGEMENT
( SUB
ACROMIAL
DBC includes:
1. Pre
Assessment
Test
2. Medical
Consultation
3. Personalized
treatment
module
4. 6-week Therapy
(12 x)
5. Post-Assessment
Test
6. Out-come
Documents.
7. MAINTENANCE
8. Home Exercise
Protocols
Progressive DBC
Treatments
6-week Therapy of 12-session
treatments:
Strenghtening muscles
Endurance muscles
Co-ordination muscle
Lumbar Thoracic
Extension (LTE)
Specific exercises for
small intervertebral
stabilizing muscles,
Spinal Multifidus and
Erector muscles
Effectively restores
deteriorated extension
endurance capacity
related to low back pain
Lumbar Thoracic
Flexion (LTF)
Specific exercises for
Abdominal rectus
muscles
Effectively exercises
the stabilizing muscles of
the spine
Lumbar Thoracic
Rotation (LTR)
Specific exercises for
Abdominal Oblique and
Transversal muscles, and
Spinal Rotatores,
Multifidus and
Semispinalis muscles
Effectively improves
the rotational impairment
by increasing the range
of motion and awareness
of posture
Lumbar Thoracic
Lateral Flexion
(LTL)
Specific exercises for
Lumbar Quadratus,
Intertransversal, and
Iliocostal muscles
Broadens the range of
motion in sidebending
and rotation in addition
to improving muscular
capacity
Cervicothoracic
Elliptic Extension
(CEE)
Extension exercise
simulating the natural 3D movement arch
Cervical 3D
Rotation (C3D)
Simultaneous cervical
flexion, lateral flexion
and rotation replicating
the delicate 3-D
movements of cervical
biomechanics
Shoulder Blade
Adduction (SBA)
Specific exercises for
the stabilizing muscles of
the upper thoracic area
Glenohumeral
Rotation Device
(GHR)
The DBC Shoulder
Program is intended for
non-operative and postoperative rehabilitation of
shoulder disorders
including
Shoulder dislocation
Instability
Impingement and rotator
cuff tear
AC separation
Shoulder arthritis
Frozen shoulder
Multipurpose
Low-Friction Unit
(MLU)
Enables a wide array
of exercises improving
the key functions of the
upper thoracic area and
arms
KNEE Device
MLU Modification:
Knee flexion
Knee extension
Hip exercises
ve c
lo c
er
a lL
v ic
BP
ly s i
pel
o sis
om
to p
s te n
ne r
pos
ttr a
am
pos
in f l
P A I N ; 6 w e e k s a ve ra g e (V A S , 0 -1 0 0 )
DBC QA results
pain vs pattern
80
baseline
+95%CI
70
60
outcome
+95%CI
50
40
30
20
10
DBC compared
conventional
DBC QAto results
pain pain
relieving
physiotherapy
vs pattern
Baseline
+95%CI
Outcome
+95%CI
nal
Rehabilit
ACTIVE PASIF
ation
Lock
System
&
Un-Lock
System
Cervical System
3D
Rotation
Inner &
Outer
Outer
Layer
Target
Layer
Muscle
Muscle
Patient Flowchart
REFERRAL
BASELINE
EVALUATION
TREATMENT
OUTCOME
EVALUATION
FOLLOW UP
Assessment flowchart
BASELINE
EVALUATION
may be multiple
PROGRESS
CHECK
OUTCOME
EVALUATION
FOLLOW
UP
may be multiple
clinical examination
inspection
posture
muscle
tightness
functional
examination
SI-joint
Hip joint
SLR
Art.
circulation
motor
conduction
sensory
conduction
reflexes
palpation
range of motion
no warm up
order of the tests
flexion (LTE)
extension (LTE)
rotation, left-right (LTR)
lateral flexion (LTL)
one measurement / direction
EMGEndurance
Quality Assurance
2008
DBC Clinics Indonesia (2)
VS
DBC Clinics Worldwide (131)
VA
S
Pain
10
0
Worl
d
RSI
B
RSG
P
7
5
54.
2
53.
9
5
0
45.
3
30.
7
2
5
25.
1
22.
3
1
2
sessio
ns
Rotation Mobility
18
0
Worl
d
RSIB
RSG
P
112.
1
104,
9
99,9
9 81,
0 9
75.
3
74,
1
4
5
6 WE
EK
CLINIC
DBC
REHAB Convensional
Mahal
Murah
Measureable/ Objective
Yes
No
3 D Physiologic
movement
Beban yang dapat
disesuaikan dengan
kebutuhan dan merata
sepanjang gerakan
( Patented Lock System )
Yes
No
Yes
No
Yes
No
Yes
Yes
No
?
Yes
Yes
No
Yes
No
PRICE