Functional Capacity Evaluation (FCE)

Functional capacity evaluation (FCE) refers the evaluation of physical performance.  A study may take from 15 minutes to three hours to perform.  Specific protocols may be implemented to evaluate spinal and related neuromusculoskeletal performance.  The FCE can be an invaluable way to baseline and follow the degree of physical impairment secondary to spinal cord or spinal nerve root compromise.  The findings can serve as the basis for designing a physical rehabilitation program and also serve as an objective baseline of function from which to measure post-therapeutic outcome. 

Gait Analysis:

Proper gait involves neurological integration and muscle control.  It requires the evaluation of posture and movement patterns while walking or jogging.  Gait analysis is used to evaluate the complex integration and coordination of neurological and musculoskeletal performance.  It may be performed with a treadmill and video capture unit.  Gait analysis can provide valuable information about postural control of the trunk and/or limbs.  This information provides insight into spinal cord function, peripheral nerve function, vision, balance, function of the inner ear, brainstem and higher cortical (brain) centers.  It can also be particular helpful in the assessment of muscle weakness and associated gait disorders secondary to nerve root compromise resulting from spinal stenosis and lumbar disc herniation.   The use of a variable speed treadmill can help detect gait abnormalities that would not be readily obvious while watching the patient walk a short distance at a slow pace.

Gallium Scan

Spinal osteomyelitis and accompanying soft tissue infection can be detected accurately with a single radionuclide procedure: SPECT Ga-67.  This procedure can be used as a reliable alternative when MRI cannot be performed or as an adjunctive procedure for patients in whom the diagnosis is uncertain.