Rx Box Clinic Pack: Mulligan Home Exercise.Rx Box Clinic Pack: Mulligan mul·li·gan n. A golf shot not tallied against the score, granted in informal play after a poor shot especially from the tee. [Probably from the name Mulligan.] Noun 1. Home Exercise Superior, WI 54880, iTherapies Digital Home Programing, 2003, CD-ROM CD-ROM: see compact disc. CD-ROM in full compact disc read-only memory Type of computer storage medium that is read optically (e.g., by a laser). , $135. [System requirements To be used efficiently, all computer software needs certain hardware components or other software resources to be present on a computer system. These pre-requisites are known as (computer) system requirements and are often used as a guideline as opposed to an absolute rule. : For PC: 400 MHz (MegaHertZ) One million cycles per second. It is used to measure the transmission speed of electronic devices, including channels, buses and the computer's internal clock. A one-megahertz clock (1 MHz) means some number of bits (16, 32, 64, etc. Pentium of comparable processor, 64 MB RAM, Windows 95 of higher, Sound Blaster A very popular family of sound cards from Creative Labs. In the days of DOS, Sound Blaster was the de facto interface for gaming sounds. Monaural Sound Blaster cards were introduced in 1989, and stereo cards followed in 1992 (Sound Blaster Pro). or comparable sound card, 6x CD-ROM drive A device that holds and reads CD-ROM discs. CD-ROM drives generally also play audio CD discs by sending analog sound to the sound card via a 4-pin cable. For specifications of 10x, 20x, etc. drives, see CD-ROM drives. See CD-ROM, CD-ROM changer, CD-ROM server and CD-ROM audio cable. , monitor resolution of 800 x 600. For Macintosh: PowerPC processor, 64 MB of RAM, Mac OS 8.5 or higher, 6x CD-ROM drive, monitor resolution of 800 x 600.] This CD-ROM program is designed to be an alternative to paper-based home exercise programs used by clinicians. The software makers suggest that the program will help improve patient participation in home exercises, recovery time, patient satisfaction, and clinical outcomes. This program was evaluated on an HP Pavilion using Windows XP. Installation of QuickTime (which is provided on the CD) is necessary to watch the video clips. The installation process was straightforward and easily performed. The Rx Box Clinic Pack has 2 main components: one disc is designed for the patient and the other for the clinician. The Rx Box Clinic Pack contains 10 Patient discs and 1 Clinician disc. The Patient disc contains 48 digitally based video clips of Mulligan home exercises. The clips demonstrate correct exercise technique and are accompanied by clear audio instruction. Thirteen of the 48 clips also show common mistakes made while performing these exercises. Easily accessible written instruction and notes that further clarify the exercise also are available on the Patient disc. The clinician prescribes the video clips the patient is to perform on the exercise prescription pad that is included in the Clinic Pack, which gives patients information on the sets, repetitions, hold time, frequency, and special instructions. The Patient disc then is given to the patient to use at home. The Patient disc contains an explanation of these exercise techniques; however, it does not delve into Mulligan concepts. I found most of the information regarding Mulligan concepts and techniques on a link to a related Web site, which can be found on the main screen of the disk. From that link, I obtained information regarding mobilization with movement mobilization with movement, n an emerging, manual therapy technique developed by Brian Mulligan, for the treatment of musculoskeletal dysfunction in which the therapist applies a passive glide mobilization to a joint while the patient performs physical and sustained natural apophyseal glides sustained natural apophyseal glides (s  ·stāndˑ naˑ·chr . The Web site, however, did not provide any information on the effectiveness of these exercises. The Clinician disc includes the 48 dips in the Patient disc plus 31 printable Mulligan Home Exercise handouts. The clinician CD has 2 paths of operation. The Clinical Information and Utilities path allows the user to install the program, to access basic information and reference video clips, and to print home programs. The Patient Demo path is used to introduce and demonstrate the program to the patient. Overall, this software program was well done. It did, however, take some time to figure out precisely how to go about utilizing the Rx Box. The program has an excellent "frequently asked questions" feature that I found most helpful. The video clips are very clear and precise, and the exercises are demonstrated at angles easily seen by the viewer. This program is suited for those clinicians who use Mulligan concepts in their treatment programs. For those who are not familiar with these concepts, the program would have no value. The concept of a video-based home exercise program is well founded; however, a patient's computer knowledge would have to be high to manage this program effectively. They would also need patience and a willingness to invest the time needed to properly perform their prescribed video clips. It is unknown how many patients would prefer this method to paper-based programs. Joseph M David, PT, OCS OCS - Object Compatibility Standard David Physical Therapy and Sports Medicine sports medicine, branch of medicine concerned with physical fitness and with the treatment and prevention of injuries and other disorders related to sports. Knee, leg, back, and shoulder injuries; stiffness and pain in joints; tendinitis; "tennis elbow"; and Center Pittsburgh, Pa Mr David is the owner of David Physical Therapy and Sports Medicine Center. He specializes in orthopedic and sports-related injuries. |
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