DBC INTERNATIONAL LTD OY

Table of Contents
•	Documentation Based Care for Musculoskeletal Pain
•	DBC Programmes for Chronic Musculoskeletal Conditions
•	Functional Restoration and Cognitive Behavioural Approach for Chronic Musculoskeletal Pain
•	DBC Treatments for Chronic Low Back and Neck Pain
•	DBC Treatment System and Concept
•	DBC Clinic, Process Documentation, Treatment and Devices

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Lumbar Thoracic Extension, Cervical Elliptic Extension, Horizontal Leg Press, Shoulder Blade Adduction, Lumbar Thoracic Lateral Flexion, and Abdominal Crunch for Musculoskeletal Rehabilitation, Therapeutic Exercises

DBC Clinic, Process Documentation, Treatment and Devices

The DBC clinics are supported by special protocols, equipment, software, guidelines and manuals developed by DBC International. Moreover, clinics joining the DBC Network are given training on the application of the DBC treatment protocols, equipment and software. That is why the quality of treatment results at newly started DBC clinics soon reaches that achieved among long-standing clinics.

DBC Treatment Programmes

In DBC functional restoration programmes, exercises are directed at specific deficits of the ailing musculoskeletal system. Reductions in pain and disability are achieved as improvements are gained in function, control and cognitive behavioural dimension.
After a doctor`s examination has ruled out severe specific conditions, each patient is assessed according to a DBC protocol specifically developed for the purpose. Each patient gets a verbal and a written report on the results of the assessment.

On the basis of the baseline assessment an individual rehabilitation programme and its targets are set with each patient. Usually the programme lasts 6 or 12 weeks with two weekly treatment sessions. The selection of specific features of the programme is facilitated by DBC software. The exercise sessions are supervised by qualified staff specially trained for the use of the DBC system. DBC training for the staff is essential, since, for instance, the exact position in which exercises are carried has a strong bearing on the efficacy of the treatment. In practice the contents and duration of the programmes vary according to patients` individual needs.

DBC Clinic Model

Interested clinics can find information about the concrete benefits that are obtained by purchasing a DBC license. The benefits include

Process documentation
Treatment devices
Support functions
License and service agreements

When planning the transition, the prospective DBC clinic receives all the necessary guidance from DBC International. A turnkey installation of the DBC devices as well as training for doctors and therapists is included in the price of the license. Leading clinics in 22 countries have selected the DBC system because of its capacity to improve productivity and patient outcomes.

DBC Process Documentation

The process documentation items include everything necessary to manage the DBC clinic and to provide DBC treatments. The main components of the process documentation package are the following:
DBC treatment manuals (separately for back, neck and shoulder) explain in detail all of the components of DBC treatments. The manuals provide full descriptions of the treatment concept: various tests, devices, exercises, protocols and explain the basis of related recommendations.
DBC patient assessment is based on standardized patient questionnaires and tests yielding information on factors that in medical research and clinical practice have been proven to be of relevance for rehabilitation and recovery.
DBC software is a daily tool for therapists and medical doctors. The computer software supports the management of treatment processes at the clinic. It facilitates documentation of treatments and outcomes as well as preparation of reports to interested parties.
DBC trademark package includes all of the DBC trademark items, marketing and scientific materials, interior decoration items and additional manuals for managing the clinic.

DBC Treatment Devices

DBC treatment devices represent a leading edge in the field of musculoskeletal rehabilitation and incorporate exclusive features. The devices support the gradual regaining of correct physiological arcs of movement. Therapeutic exercises are facilitated by correct body positions supported in the DBC devices. A patented hip-lock system allows precise targeting of exercise impacts on the most important muscles in the back. Anatomical cushions complement the ergonomic designs of the equipment.

The quality of components used in DBC treatment devices is carefully controlled for patient safety and ease of use. Controllers for range of motion and loading as well as patient supporting mechanisms ensure the safety of patients. Each device can be easily adapted to meet individual requirements, thus reducing further any risk of excessive strain or injury. Light metal and stainless steel components are combined with high-quality bearings to minimize inertia and friction. The devises are intended for sustained use in professional settings with large numbers of patients.

The requirements of the therapists are also taken into account. Electronic controls and automatic adjustments contribute to efficient use of therapists` attention. Ease of adaptation is also a safety factor.