Entry Level

Business Model - Entry Level

Following is a very simple to implement and profitable business model for integrating ATM2 systems into any clinical setting.

Clinical Overview

Overwhelming evidence suggests that extension exercises significantly reduce the risk of vertebral fractures for patients with osteoporosis.
It is risky to perform extension exersices in the functional, upright, weight-bearing position. It is not functional in the sitting position, and it is difficult or imposible for patients at risk to perform them in the lying position.
Performing extension exercises on the ATM2 is safe, functional and does not require assistance. It is totally user operable.

Business Overview

After most

Clinical Necesity and Evidence

Most current medical literature focuses on the role of exercise in improving bone mass. In a recent long-term follow-up of a controlled trial, however, improved back muscle strength was shown to reduce the risk for vertebral fractures several years after the exercise program was discontinued ^[1]. The results of this study prompted a new hypothesis that perhaps the exercises to decrease vertebral fracture should be different from loading exercises to increase bone mineral' density in the upper and lower extremities. ^[2]

In one study, 59 women aged 49 to 60 years (mean age, 56 years) with postmenopausal spinal osteoporos'is and back pain were divided into four groups ^[3,4]. One group performed spinal extension exercises (not hyperextension), one group performed spinal flexion exercises, one group performed a combination of spinal extension and flexion exercises, and one group received only heat and massage with no prescribed exercise. All groups received instructions for proper posture principles.

Follow-up time varied from 1 to 6 years dependent on the occurrence of increased back pain, which indicated a need for follow-up radiographic evaluation. The extension group had a longer period before follow-up. All subjects underwent spine radiographic studies before initiation of the treatment program and at follow-up, when any further wedging or compression fractures, or both, were recorded. Comparisons of the baseline and follow-up radiographs showed additional fractures in 16% of subjects in the extension group, 89% in the flexion group, 53% in the extension and flexion group, and 67% in the group that had no prescribed exercises for treatment and was provided only heat and massage.

The difference between the spinal extension and spinal flexion groups was most significant (P < .001). The P values were also significant for the extension group versus the extension and flexion group (P <.0 l) and for the extension group versus the no-exercise group (P<.Ol).

Performing extension exercises compared to flexion exercises reduces the risk of vertebral fractures by 82% for patients with osteoporosis and back pain [2,3].
Performing extension exercises compared to heat and massage treatments reduces the risk of vertebral fractures by 76% for patients with osteoporosis and back pain [2,3].
Performing extension exercises compared to a combination of flexion and extension exercises reduces the risk of vertebral fractures by 70% for patients with osteoporosis and back pain.

The result of this study was so surprisingly supportive of the author's clinical impression that exposing the osteoporotic spine to flexion exercises in a prospective study seemed unethical.

Extension Exercises can be performed

References

(1) Sinaki M, Itoi E, Wahner HW, et aL Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women. Bone 2002;30(6):836-4 L

(3) Sinaki M. Postmenopausal spinal osteoporosis: physical therapy and rehabilitation principles. Mayo Clin Proc 1982;57(11):699-703.

(4) Sinaki M, Mikkelsen BA. Postmenopausal spinal osteoporosis: flexion versus extension exercises. Arch Phys Med RehabiI1984;65(10):593--6.

Here is what we tell patients before their session:

Sessions are about 10 minutes each.
The primary goal of the 1st session is to determine whether we can help.
You will know whether we can help, if both of the following occurs:

Your pain will be eliminated during the session; and
You will experience a 50%-100% pain relief and/or increase in pain free range of motion immediately after the session.

These immediate outcomes occur as a result of a neurological effect in which the Central Nervous System (CNS) learns how to move with significantly less or no pain.
To strengthen this neurological effect and to continuously reduce vulnerability and recurrences, we do recommend a minimum of ten sessions.
No drugs, no injections, no surgery, and no puncturing the skin.
Sessions are $41.11 each. (we do not accept insurance)
If the first session is successful (as detailed above), you will be offered an option of a 10% discount for a 10-sessions pre-paid block ($370).
First session satisfaction is 100% guaranteed!
So you know for sure that after the first session you will either have a huge relief (if not total relief) in pain, or it cost you nothing.

Here is a real (typical) response:
Fantastic...I am very excited to bring my daughter in to visit you! I appreciate all of the information you included in your response and I am very hopeful that she will get some relief from the ATM2^®.

Clinic Cost & ROI:

ATM^® Concept training and ATM2^® equipment monthly payments start at $77.13/month* So...
At $370 per patient for just ten 10-minute sessions (as described above), just one new patient every 4 to 4½ months fully pays for it.
Surely you will get way more than one new patient every 4 to 4½ months if you can tell your prospective patients what we tell ours! (see above)

Guarantee: BackProject^® fully guarantees ATM2^® systems with an unprecedented, indefinitely-extendable, full money back guarantee, when purchased directly from BackProject^®.

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Business Model - Entry Level