The latest order of our TMG 100 System came from Bayer 04 Leverkusen. Bayer 04 Leverkusen is one of the best German football clubs. The club plays in the Bundesliga, the top tier of the German football league system and has won one DFB-Pokal and one UEFA Cup. We believe that Bayer 04 Leverkusen will with the help of our state of the art muscle diagnostics decrease the number of muscle related injuries and achieve their desired goals.

We have recently signed a reseller contract with International Basketball & Sports Academy (IBSA). IBSA which is focused on the development of young basketball players while helping each athlete reach their maximum potential on the basketball court. They are our first authorized reseller in Canada. Through IBSA we will introduce and deliver our products to the Canadian market.

We have recently delivered TMG 100 System to Chengdu Sport University, China. Chengdu Sport University is the only institution of higher education of sports in southwest China and a widely influential sports academy in China. Our technology will be used in the field of scientific research and performance optimization of elite athletes.

The case: a top ranking elite football player was re-injured during the national championship game in one of the top European leagues. Re-injury occurred 2 weeks after the initial injury. The player was immediately pulled from the game and a diagnosis was made: Grade I muscle injury on the myotendinous junction of the long head of the left biceps femoris associated with an interfascial hematoma between the long and short heads of the biceps femoris. The situation was even more critical as the re-injury happened in April, at the end of National and European league and before National Championships.

TMG measurement was utilized three times during the therapy to monitor therapy effectiveness as well as to provide the feedback information to optimize it. For the analysis, the measurements of both left (injured) and right biceps femoris muscles were taken 4, 10 and 16 days after the injury. On day 4 TMG measurements alone confirmed the clinical evaluation and ultrasound diagnostics, while on day 10, when the clinical evaluation and ultrasound diagnostics were negative, they showed a 27% asymmetry which could lead to re-injury. Based on TMG findings the club kept the player off the field and prescribed targeted activation exercises for the injured muscle. The player returned to field on day 16 when TMG measurements showed that the asymmetry was reduced to 12%.
As a result of TMG measurements that demonstrated the need for targeted activation exercises the player was able to participate in a National championship game without re-injury.

You can download full application notes on the following link.

During a very successful TMG workshop the renowned sports medicine specialist Dr. Massimo Manara, presented the benefits of TMG in the field of injury prevention. Formerly with AC Milan and the Aspetar Clinic in Doha-Qatar, Dr. Manara is a moderator and speaker at many conferences and a contributor to several publications.

For TMG the Isokinetic Summit was a resounding success, the four TMG representatives being kept very busy with the many professional enquiries from numerous international delegates.

We were pleased to welcome to our Head Office, Masaki Ishihara, International Operations Director of Inter Reha Co., Ltd. Tokyo and Naoya Tsunoda, Ph.D., Professor of Biodynamics and Human Performance at Kokushan University, Tokyo.

Plans for the introduction of Tensiomyography to the academic and practitioner communities in Japan were agreed upon with focus on a forthcoming major seminar for Physical Medicine Professionals. Hosted by Prof. Tsunoda, the seminar will be held in Tokyo in October 2014 and is expected to attract in excess of 250 attendees.

Following successful meetings in Ljubljana our Japanese partners accompanied us to the Isokinetic Summit in Milan, Italy.

Our latest version of software has been upgraded and In order to ensure your smooth transition to a new version of TMG software, we provide a free of charge software upgrade through our web based upgrade service. Please contact our technical support team on customer-support@tmg.si or +386 838 77530 to secure the upgrade of your software.

Today, there is an innovative muscle diagnostic technique that is simple, fast and non invasive and can add accurate objective muscle measurements to the often difficult diagnostic process.
Musculoskeletal diagnosis is frequently made on the basis of patient history and physical examination sometimes complemented with imaging (US, MRI…).

Tensiomyography (TMG) is method for measuring biomechanical properties of skeletal muscle. It is an objective accurate and non-invasive process used to measure and monitor radial muscle belly displacement under isometric conditions.

Radial muscle belly displacement is of major importance since changes in the radial distance between the actin and myosin filaments, the filament lattice spacing, are responsible for between 20% and 50% of the change in force. Thus, lattice spacing is a significant force regulator, increasing the slope of a muscle’s force–length dependence.

Musculoskeletal disorders (MSD) are one of the biggest contributors to activity “time out” whether the activity be sport, work or leisure. The cost of musculoskeletal disorders can reach 3, 4% of gross domestic product and in the UK alone 11.6 million working days a year are lost to MSD. The key question concerning MSD is, do we have enough relevant information about skeletal muscles, to be able to better diagnose and manage MSD? The aim of these application notes is to highlight Tensiomyography as an eminently suitable diagnostic aid that can be used in order to ascertain individual’s critical data in order to facilitate treatment of or with preventive treatment, avoid MSD.

Changing of activation pattern of the muscle contraction(detected on TMG signal) can be important element for early diagnostic of MSD. since information on muscle fiber type and composition is of great importance in muscle physiology.

A displacement sensor is positioned perpendicularly to the tangential plane on the largest area above the muscle belly. The muscle belly displacement (enlargement) during contraction is measured and recorded. Muscle contraction is elicited by single-twitch electrical stimulus. Two self-adhesive electrodes are placed symmetrically to the TMG sensor. The anode is placed distally and the cathode proximally, 20-50 mm from the measuring point. Bipolar ES consisted of a single DC pulse of 1 ms in duration.

The measured parameters are the maximal amplitude of the signal (Dm), the delay time from the stimulation to 10% of the maximal contraction (td), the time of contraction from 10% to 90% of the maximal contraction (tc), the time of sustained contraction from 50% contraction to 50% of the relaxation (ts) and the relaxation time from 10% relaxation to 50% relaxation (tr).
Tensiomyography has been utilized to monitor pre and post-operative muscle adaptation during the process of ACL reconstruction and rehabilitation. The results demonstrated different patterns of adaptation for each of the skeletal muscles used to ensure knee joint stability. It is very important to have selective information about skeletal muscles when evaluating MSD, since it is necessary to understand the alteration of skeletal muscle contraction pattern due to pain. It is proposed that motor control changes in patients are functional in that they enhance muscle stability.
With Tensiomyography critical information can be obtained through a non-invasive method, without any effort on the part of the subject. It enables optimization of rehabilitation through precise definition of appropriate load and intensity of work, or to detect local muscle fatigue as a changed ability to activate muscle fibers. Moreover, the muscle properties can be controlled to detect any change in the muscle due to a recent injury or an inadequate amount of work, demonstrated as local muscle fatigue. (For example the level of muscle strain can be detected during a very short procedure. )This information can be of great value in managing postoperative recovery or rehabilitation medicine.

To conclude, Tensiomyography is a non-invasive, selective, functional, muscle diagnostic method that has very high repeatability. Tensiomyography can provide accurate objective muscle measurements to the often difficult diagnostic process. Furthermore Tensiomyography can contribute to the optimization of rehabilitation and physical recovery of patients/athletes.

The Technological and Higher Education Institute of Hong Kong and the National Institute of Education of Nanyang Technological University in Singapore, have purchased TMG systems. We have already visited them to provide training and look forward to our future research cooperation.

The Institute for Sports Medicine of Azerbaijan has recently purchased two TMG 100 System to facilitate Diagnostics and Rehabilitation. In 2015, Baku, Azerbaijan will host the First European Games, and TMG technology will play important role in the preparation of their sportsmen and women.