How does it work

History of Gait Modification Therapy

19th Century – Emergence of Formal Study

  • Pioneers – Introduction of biomechanics in rehab; studies on posture and locomotion begin
  • Military rehab – gain analysis used to help wounded soldiers recover mobility

20th Century

  • Early – Birth of Physical Therapy
    • Polio – Rise in gait modification techniques to assist patients
    • Prosthetics and Orthotics – Development of assistive devices and braces to improve walking patterns
  • Mid – Scientific and Technological Advancements
    • Laboratory Gait Analysis – Introduction of force plates and video analysis to assess gait
    • Rehab programs – Gait retraining incorporated into physical therapy and occupational therapy
  • Late – Biomechanics and Customized Therapy
    • Computerized Motion Capture
    • Personalized Intervention

21st Century – Sophisticated Analysis, AI and Intelligent Devices in Gait Therapy

Gait Modification Therapy – How does it work?

Improves Movement

  • Optimizes foot/ground contact to reduce and normalize forces acting on the ankle, knee and hip
  • Normalizes joint loads, allowing more physiologic joint function
  • More physiologic joint function leads to more natural coordination of muscle activity

Kaya D, Guney-Deniz H, Sayaca C, Calik M, Doral MN. Effects on Lower Extremity Neuromuscular Control Exercises on Knee Proprioception, Muscle Strength, and Functional Level in Patients with ACL Reconstruction. Biomed Res Int. 2019 Nov 15;2019:1694695.

Espejo-Antúnez L, Pérez-Mármol JM, Cardero-Durán MLÁ, Toledo-Marhuenda JV, Albornoz-Cabello M. The Effect of Proprioceptive Exercises on Balance and Physical Function in Institutionalized Older Adults: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2020 Oct;101(10):1780-1788. doi: 10.1016/j.apmr.2020.06.010.

Neuromuscular Training

  • Subtle instability provides a powerful signal for muscle recruitment optimization
  • Improves gait speed and symmetry
  • Improves balance and stability

Keller M, Roth R, Achermann S, Faude O. Learning a new balance task: The influence of prior motor practice on training adaptations. Eur J Sport Sci. 2023 May;23(5):809-817. doi: 10.1080/17461391.2022.2053751.

Giboin LS, Gruber M, Kramer A. Motor learning of a dynamic balance task: Influence of lower limb power and prior balance practice. J Sci Med Sport. 2019 Jan;22(1):101-105. doi: 10.1016/ j.jsams.2018.05.029.

Relieves Pain

  • Changing force through joints and soft tissues
    • Unloading painful structures, loading non-painful structures
  • Pain inhibition through spinal cord reflexes
    • Presynaptic inhibition of pain neurons in the spinal cord by mechanoreceptors
  • Pain inhibition from higher cortical pathways
    • Descending inhibition from the cortex
      • Serotonergic pathway
      • Enkephalinergic pathway
      • Noradreneric pathway

Coelho VK, Gomes BSQ, Lopes TJA, Corrêa LA, Telles GF, Nogueira LAC. Knee proprioceptive function and physical performance of patients with patellofemoral pain: A matched case-control study. Knee. 2021 Dec;33:49-57. doi: 10.1016/j.knee.2021.08.031.

Comitato A, Bardoni R. Presynaptic Inhibition of Pain and Touch in the Spinal Cord: From Receptors to Circuits. Int J Mol Sci. 2021 Jan 2;22(1):414. doi: 10.3390/ijms22010414.

Utilizes advanced physical and computerized gait analysis to quantify:
• Painful regions of the joint
• Center of Pressure
• Stride Length
• Stride Speed
• Single Leg Stand Time
• 100+ additional data points

Information guides adjustment of patent-pending, contoured outsole specific to patients needs

Process results in a personalized, prescription footworn biomechanical device to be worn by the patient at home as part of a therapy protocol

Patients utilize the therapy by wearing the footwear in the home, for 15–30 minutes per day during normal daily activities

Patients’ activity and progress is recorded and tracked via sensors and remote monitoring

Provides patients an opportunity to:

  • Avoid and/or delay surgery for joint pain
  • Reduce or eliminate prescription medication for pain
  • Improve quality of life and mobility
    • Keep up with loved ones’ activities – don’t get left behind
    • Improve night pain for better sleep and recovery
  • Enjoy the convenience of at-home therapy
    • Apply SciMoTech therapy in the comfort of one’s own home
  • Avoid bridges burned
    • Completely non-invasive, non-surgical therapy