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Diseases of the musculo-skeletal system are among the most common causes of immobility and frailty, independent of age. The loss of muscle function is often associated with increased dependency or loss of autonomy, with osteoporosis or other consequential diseases. Since there is a close correlation between muscle function and bone parameter, it is crucial to have a meaningful diagnosis to assess them. DiagnosisLeonardo mechanography allows the identification and assessment of individual muscle function in objective physical quantities such as force, energy, power and rigidity. This analysis of the musculo-skeletal system is further optimised by considering the actual muscle function, in this case, the actual maximum voluntary muscle force instead of a surrogate parameter like the muscle cross section. The combination of Leonardo mechanography and pQCT thus enables a new, comprehensive analysis and diagnosis of the musculo-skeletal system. Galileo Training enables the successful treatment of musculo-skeletal disorders diagnosed, for example, using pQCT and Leonardo mechanography.
Fully revised and streamlined to include the most recent information, Critical Care Nursing: A Holistic Approach, 10e provides students with the theory and application knowledge necessary to fully prepare them for the highly specialized and complicated technical world of critical care nursing. Weak muscles cause an increased risk of falls and, therefore, an increased risk of fractures.


A diagnosis of bone alone, without considering muscle characteristics, can not clearly distinguish between a rare, primary bone disease and a more frequent lack of muscle function as a cause for low bone strength. These muscle function parameters can be quickly and easily recorded by Leonardo mechanography.
Both diagnostic systems, especially the Leonardo mechanography, are ideally suited to objectify and to document treatment results - a measure that also gains increasing importance in the context of a modern quality assurance in the therapeutic and medical field. Evidence-Based Practice Highlights focus attention on the importance of research-based practice and include significant excerpts from AACN practice alerts as well as guidelines from other relevant organizations. Icons to identify drug therapy tables as well as laboratory and diagnostic tables focus attention on significant information. Spotlight on Genetics box, appearing in selected chapters, is key to understanding how genetic factors influence disorders.NEW!!
In addition, the loss of muscle force results in a reduction of bone mass (osteopenia or so-called secondary osteoporosis).
On the other hand, understanding the relationship between muscle and bone is essential for an effective training program tailored to the individual needs of the trainee. Besides the physical material density of bone geometric parameters such as cortical thickness, cross-sectional area and trabecular apparent density are measured allowing a very precise determination of bone strength.


Patient Safety boxes guide safe and effective practice by alerting the critical care nurse of risk factors, signs and symptoms, side effects, and complications.
These risks can be avoided through early diagnosis of muscular problems in combination with a meaningful therapy. Our products are based around this concept in both the diagnostic and therapeutic sector as well as in the training area.
In addition the muscle cross-sectional area and muscle density are determined by the pQCT measurements. From the very beginning, both Novotec Medical and Stratec Medizintechnik have been committed to international research. By comparing the cross-sectional areas of muscle and bone, secondary osteoporosis (Osteopenia) can be distinguished from a primary disease (‘true' osteoporosis).
For us it is essential to make our expertise easily accessible to our users by means of training.



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