Assessment Protocols

TRAZER’S Orthopaedic Application includes a Post-Injury Baseline Test, followed by 6 Phases for each of the following ailments. Difficulty for each 12 – 15 minute activity ranges from very low amplitude weight shifts for immediately post injury or surgery to aggressive jumping and deep squats for Return-To-Play or Life.

KNEE:

Baseline Test:
TRAZER’s Graded Test tracks multi-directional movement for 5 minutes, beginning at a rate of 1’ per second, and increasing speed every 2 minutes. The Graded Test is book-ended by the BESS Test on both firm and soft surfaces. Establishes a baseline for immediately post injury or surgery. The participant may use an assistive device.
Phase 1:
Very low amplitude movements, including 2” squats, bipedal toe raises and side-stepping. Appropriate for early stage weight-bearing. May use assistive device.
Phase 2:
Features low amplitude 4” squats, bipedal hip rotations, short lateral lunges to progress the patient.
Phase 3:
Progressively more challenging directional movements to bend and strengthen the knee and challenge balance. Includes multi-directional lunges, weight shifts, forward and backward walking.
Phase 4:
Progresses the patient with combined directional movements, including bipedal vertical rotations, multi-directional lunges, multi-directional movements to random cues.
Phase 5:
Progression of Phase 4 with more challenging distances.
Phase 6:
Progression of Phase 5 challenges patients in multiple vectors with real world distances.
Return-To-Play:
Repeats baseline tests for comparison of functional movement and cardio respiratory performance prior to relief.

Hip:

Baseline Test:
TRAZER’s Graded Test tracks multi-directional movement for 5 minutes, beginning at a rate of 1’ per second, and increasing speed every 2 minutes. The Graded Test is book-ended by the BESS Test on both firm and soft surfaces. Establishes a baseline for immediately post injury or surgery. The participant may use an assistive device.
Phase 1:
Very low amplitude movements, including bipedal toe raises, side and rotational hip shifts. Appropriate for early stage weight-bearing. May use assistive device.
Phase 2:
Features low amplitude hops, bipedal hip rotations, short lateral lunges to progress the patient.
Phase 3:
Progressively more challenging directional movements to bend and strengthen the knee and challenge balance. Includes multi-directional lunges, weight shifts, forward and backward walking.
Phase 4:
Progresses the patient with combined directional movements, including bipedal vertical rotations, multi-directional lunges, multi-directional movements to random cues.
Phase 5:
Progression of Phase 4 with more challenging distances.
Phase 6:
Progression of Phase 5 challenges patients in multiple vectors with real world distances.
Return-To-Play:
Repeats baseline tests for comparison of functional movement and cardio respiratory performance prior to relief.

Ankle:

Baseline Test:
TRAZER’s Graded Test tracks multi-directional movement for 5 minutes, beginning at a rate of 1’ per second, and increasing speed every 2 minutes. The Graded Test is book-ended by the BESS Test on both firm and soft surfaces. Establishes a baseline for immediately post injury or surgery. The participant may use an assistive device.
Phase 1:
Very low amplitude movements, including bipedal toe raises, side and rotational hip shifts, side-stepping and 6” lunges. Appropriate for early stage weight-bearing. May use assistive device.
Phase 2:
Features progression of Phase 1 activities with slightly further distances.
Phase 3:
Progressively more challenging directional movements to bend and strengthen the ankle and challenge balance. Includes multidirectional reaction-based movements, weight shifts, forward and backward walking.
Phase 4:
Progresses the patient with combined directional movements, including one-legged toe raises and rotations, multi-directional lunges, multi-directional movements to random cues.
Phase 5:
Progression of Phase 4 with more challenging distances.
Phase 6:
Progression of Phase 5 challenges patient in multiple vectors with real-world distances.
Return-To-Play:
Repeats Baseline Test for comparison of functional movement and cardio respiratory performance prior to release.

Vestibular:

Baseline Test:
TRAZER’s Graded Test tracks multi-directional movement for 5 minutes, beginning at a rate of 1’ per second, and increasing speed every 2 minutes. The Graded Test is book-ended by the BESS Test on both firm and soft surfaces. Establishes a baseline for immediately post injury or surgery. The participant may use an assistive device.
Phase 1:
Very low amplitude, bipedal movements, including toe raises, side and rotational hip shifts, split stance multi-directional movements. Appropriate for early stage weight-bearing. May use assistive device.
Phase 2:
Features progression of Phase 1 activities with slightly further distances.
Phase 3:
Features progression of Phase 2 activities with slightly further distances.
Phase 4:
Features progression of Phase 3 activities with slightly further distances.
Phase 5:
Progression of Phase 4 with more challenging distances.
Phase 6:
Progression of Phase 5 with more challenging distances.
Return-To-Play:
Repeats Baseline Test for comparison of functional movement and cardio respiratory performance prior to release.

Balance:

Baseline Test:
TRAZER’s Graded Test tracks multi-directional movement for 5 minutes, beginning at a rate of 1’ per second, and increasing speed every 2 minutes. The Graded Test is book-ended by the BESS Test on both firm and soft surfaces. Establishes a baseline for immediately post injury or surgery. The participant may use an assistive device.
Phase 1:
Very low amplitude, single-legged movements, including toe raises, side mini-lunges, hip rotations. Appropriate for early stage weight-bearing. May use assistive device.
Phase 2:
Features progression of Phase 1 activities with slightly further distances; introduces hopping.
Phase 3:
Features progression of Phase 2 activities with slightly further distances.
Phase 4:
Features progression of Phase 3 activities with slightly further distances.
Phase 5:
Progression of Phase 4 with more challenging distances.
Phase 6:
Progression of Phase 5 with more challenging distances.
Return-To-Play:
Repeats Baseline Test for comparison of functional movement and cardio respiratory performance prior to release.

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