A brief insight into DBC Solutions Ltd., the DBC treatment process, and DBC treatment outcomes

1. AN INTRODUCTION TO
DOCUMENTATION BASED CARE (DBC)
DBC - #physiogym #DBCBusiness

2. CONTENTS
1. CLINIC NEEDS
2. DBC CONCEPT
3. DBC OUTCOMES
4. BUSINESS CASE
5. STRATEGIC FIT
6. REFERENCES
#physiogym #DBCBusiness

3. 1. CLINIC NEEDS
CLINICAL EXCELLENCE OUTCOME DRIVEN CUTTING EDGE TECHNOLOGY
DBC
Evidence-based treatment
strategy and protocols
Information systems to
document, measure and report
outcomes
Purpose-built proprietary
technology
#physiogym #DBCBusiness
EDUCATION AND RESEARCH
Cooperation on education
and research to enhance skills
and motivation
RETURN ON INVESTMENT
Business model to increase profit
MODERN CLINICAL REQUIREMENTS

4. SERVICE MODEL
• Treatment Strategy
• Treatment Protocols
2. DBC CONCEPT
INFORMATION SYSTEMS TREATMENT DEVICES TRAINING BRAND
• Clinical Information System
• Questionnaires
• Physiotools
• Quality Assurance System
• Treatment Devices (12)
• Assessment Devices (2)
• Initial Training
• Additional Training
• Brand Book
• Clinic Design
• Material Bank
NECK
SHOULDER
BACK
KNEE
RESTORING RANGE OF MOTION
RESTORING MUSCLE CO-ORDINATION AND MOVEMENT CONTROL
IMPROVING MUSCLE ENDURANCE AND STRENGTH
IMPROVING GENARAL CONDITION
RE-EDUCATION BETWEEN NORMAL LOADING AND PAIN
REDUCING FEARS AND AVOIDANCE BEHAVIOUR
TACKLING PSYCHOSOCIAL OBSTACLES
ENCOURAGING CONTINUED ACTIVITY
#physiogym #DBCBusiness

5. DBC TREATMENT STRATEGY
Office work Physical work
57 %
NO SYMPTOMS
SHORT PERIOD(S) WITH SYMPTOMS
(OCCASIONAL SICKNESS ABSENCE PERIODS)
PROLONGED OR RECURRENT PROBLEM
(RECURRENT SICKNESS ABSENCES)
NEED FOR SURGICAL INTERVENTION; TEMPORARY WORK DISABILITY
SEVERE PROBLEM / COMORBIDITIES
RISK FOR PERMANENT DISABILITY
100 %
50 %
0 %
PREVALENCE SEVERITY AND CONSEQUENCES
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6. DBC TREATMENT STRATEGY
NO SYMPTOMS
#physiogym #DBCBusiness
SYMPTOM-SYMPTOMS ORIENTED PHYSIOTHERAPY
MULTIDISCIPLINARY
REHABILITATION
REDUCED
WORK ABILITY
MAINTENANCE PLAN
LIMITATIONS IN
FUNCTION
FUNCTIONAL RESTORATION

7. DBC TREATMENT STRATEGY #physiogym #DBCBusiness
COCHRANE REVIEW
COCHRANE REVIEW (WHAT IT IS)
• The world leader in Evidence-Based health care
• The summary and interpretation of the results of recent and up-to-date medical research
COCHRANE REVIEW OF EVIDENCE-BASED PHYSIOTHERAPY
• Current Research does not provide Evidence-Based support for the majority of traditional physiotherapy treatments
WHAT DOES CURRENT RESEARCH SUPPORT FOR MUSCULOSKELETAL PHYSIOTHERAPY?
• Progressive Exercise
• Treatment implementation in association with a Cognitive Behavioral Approach
• Mobilizations
WHAT DBC PROVIDES
• Individualized Progressive Exercise Therapy
• 10 years experience in the application of a Cognitive Behavioral Approach to Physiotherapy
• Area specific active mobilization

8. COCHRANE BEST PRACTICE VS. DBC (FOR LBP)
23,3
DBC
(>60 000 PATIENT CASES)
(>60 000 PATIENT CASES) 13,6
18,1
5,5
ANIMATED GRAPHS HERE
PAIN REDUCTION FUNCTIONAL GAIN
DBC
DBC
(>60 000 PATIENT CASES)
MOST EFFECTIVE
INTERVENTION
CHARACTERISTICS
(HAYDEN ET AL.)
MOST EFFECTIVE
INTERVENTION
CHARACTERISTICS
(HAYDEN ET AL.)
MOST EFFECTIVE
INTERVENTION
CHARACTERISTICS
(HAYDEN ET AL.)
#physiogym #DBCBusiness

9. DBC TREATMENT PROTOCOLS
TREATMENT PROTOCOLS
BACK NECK SHOULDER
• Inflammatory
• Post-traumatic
• Post-operative
• Nerve root compression
• Narrowing of the spinal canal
• Pelvic and low back pain
• Spondylolisthesis / -lysis
• Non-specific pain
• Inflammatory
• Post-traumatic
• Whiplash associated disorder
• Post-operative
• Narrowing of the spinal canal
• Nerve root /cervicobrachial
plexus compression
• Shoulder dislocation
• Shoulder instability
• Impingement and rotator
cuff tear
• AC separation
• Shoulder arthritis
• Frozen shoulder
• Post surgery rehabilitation
KNEE
• Ligament injuries
• Meniscal injuries
• Soft tissue injuries (patellar
tendon,
pre-patellar bursitis etc.)
• Osteoarthritis and cartilage
injuries
• Post-surgery rehabilitation
LOCAL PROTOCOLS
NECK
SHOULDER
BACK
KNEE
RESTORING RANGE OF MOTION
RESTORING MUSCLE CO-ORDINATION AND MOVEMENT CONTROL
IMPROVING MUSCLE ENDURANCE AND STRENGTH
IMPROVING GENERAL CONDITION
RE-EDUCATION BETWEEN NORMAL LOADING AND PAIN
REDUCING FEARS AND AVOIDANCE BEHAVIOUR
TACKLING PSYCHOSOCIAL OBSTACLES
ENCOURAGING CONTINUED ACTIVITY
#physiogym #DBCBusiness

10. DBC TREATMENT PROTOCOLS
DBC TREATMENT PROCESS
INITIAL ASSESSMENT TREATMENT PLANNING TREATMENT (1:1-3)
• Initial Questionnaire
• Clinical Assessment
• DG/Pain Pattern
• Functional Impairment
Sub-classification
• Choice of Treatment
Direction
• Treatment Content; Plan and
Patient Contract
• Instruction
• Device Training
• Functional Training
• Symptom Treatment
• Progress check
#physiogym #DBCBusiness
OUTCOME ASSESSMENT
• Outcome Questionnaire
• Clinical Assessment
• Treatment Outcome
Assessment
• Maintenance Program
FOLLOW UP
• Assessment
• Instruction
• Health Coaching

11. SERVICE MODEL
• Treatment Strategy
• Treatment Protocols
#physiogym #DBCBusiness
DOCUMENTATION TREATMENT DEVICES TRAINING BRAND
1 DAY
TOOLS AND SERVICES
Extended modules for
DBC Approved Trainers
1 DAY
1 DAY
1 DAY
1 DAY
PRE-TRAINING
MATERIAL
UNDERSTANDING
DBC
BACK
NECK
SHOULDER
KNEE
C O N C E P T C L I N I C A L TRAINING
INFORMATION SYSTEMS
INITIAL TRAINING STRUCTURE
• Clinical Information System
• Questionnaires
• Physiotools
• Quality Assurance System
• Treatment Devices (12)
• Assessment Devices (2)
• Initial Training
• Additional Training
• Brand Book
• Clinic Design
• Material Bank

12. OUTCOMES, BACK
#physiogym #DBCBusiness

13. OUTCOMES, NECK
#physiogym #DBCBusiness

14. OUTCOMES, SHOULDER
#physiogym #DBCBusiness

15. LONG-TERM OUTCOMES
#physiogym #DBCBusiness

16. STRATEGIC FIT
DBC OFFERS THE MODERN PHYSIOTHERAPY CLINIC A PROVEN CONCEPT ADDRESSING
NON-SURGICAL AND POST-OPERATIVE MUSCULOSKELETAL TREATMENT AND
REHABILITATION:
• CLINICAL EXCELLENCE
• OUTCOME DRIVEN
• CUTTING EDGE TECHNOLOGY
• EDUCATION AND RESEARCH
• RETURN ON INVESTMENT
CLINICAL EXCELLENCE OUTCOME DRIVEN CUTTING EDGE TECHNOLOGY
#physiogym #DBCBusiness
DBC
Evidence-based treatment
strategy and protocols
Information systems to
document, measure and report
outcomes
Purpose-built proprietary
technology
EDUCATION AND RESEARCH
Cooperation on education
and research to enhance skills
and motivation
RETURN ON INVESTMENT
Business model to increase profit
MODERN PHYSIOTHERAPY CLINIC

17. THANK YOU
www.dbc.fi #physiogym #DBCBusiness