Effects of Laser Therapy and Grimaldi’s Muscle Shortening Maneuver on Motor Control of Subjects with Incomplete Spinal Cord Injuries

Diego Longo, PT, Leonardo Longo, MD, Paolo Lippi, PT, Giulio Cherubini, PT, Vanessa Mange, PT, Institute Laser Medicine, Firenze, Italy

Background: Since 2003 until present we have treated 251 patients with Traumatic Central Nervous System Injuries (TCNSI), using Non-Surgical Laser Therapy (NSLT) obtaining good results in terms of sensibility and movement. To increase muscle strength and to further explore new emerging synergies, we have started to use a physical therapy practice based on the most current knowledge about the motor control, name Grimaldi’s Muscle Shortening Maneuver (MSM). Each TCNSI is different; no two similar exist, for loss of function and response to treatment. For this a reason statistical criterion is relative, as too many variables are involved contemporaneously. The goal of our study is to obtain objective data suggesting the real efficiency of the association between these two treatments.

Study: In 2015, 10 patients with incomplete TCNSI, occurred at least one year before laser treatment and documented by NMR, ESSP, and ESMP, were enrolled. At the same time, another 10 patients with the same features were included as a control group. All patients have subtotal sensory and motor paralysis under the level of lesion. Lasers used were 808nm, 10600nm, and 1064nm, applied with a first cycle of 20 sessions, four times a day. Patients were involved in a specific physical therapy training Grimaldi’s MSM two times a day, eight session in total, working selectively on certain joints, muscles and limbs. Before treatment under the level of lesion, muscle activity was tested with EMG system of surface (sEMG). Clinical evaluations included the research of superficial and deep tactile and thermal sensory under the level of lesion. Muscular force at specific joint angles were assessed by electronic dynamometers and goniometers. This latter type of evaluation was also administered prior to and after each MSM and at the end cycle of laser treatment. Every cycle of both treatments was replicated each month. Controls did not receive any kind of treatment but all the variables have been assessed for the intervention group.

Results: Results were regarded as positive if sEMG showed modifications in CNS-muscle conduction spikes, under the level of lesion. Objective assessment of force, trunk’s ROM and balance displayed encouraging results in patients assigned to the intervention group. On subtotal TSCI, after each cycle of 20 sessions, patients showed improvements in motor function and voluntary command shown by the graphic features. Follow-up is positive after 3 months.

Conclusion: The association between laser treatment and Grimaldi’s Muscle Shortening Maneuver (MSM) seems to be effective on muscle strength and motor control of patients affected by subtotal SCI compared to a control group.

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Staff Accountant / Junior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Staff Accountant / Junior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Staff Accountant / Junior Accountant

• Provide support to the Controller and the management team
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• Support the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
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• Some experience with and strong understanding of the monthly close process and technical accounting
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• Self-starter who can work independently and employ time management skills to meet deadlines.
• Knowledge of MS Excel (V-lookup, formulas, pivot tables).
• Strong interpersonal and communication skills
• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP
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• Key contributor to the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Assist in the preparation of management reports – (cash management, various projections, month end reporting package)
• Involvement with the annual budget process
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Prepare and submit payroll
• Participation in quarterly inventory reconciliation to the perpetual
• Ad hoc projects

• Strong knowledge of the monthly close process and technical accounting

• Detailed oriented, with ability to see the big picture

• Experience in continuous improvement and accounting best practices

• Self-starter who can work independently and employ time management skills to meet deadlines.

• System savvy – ability to learn new financial software

• Intermediate knowledge of MS Excel (V-lookup, formulas, pivot tables).

• Global consolidations experience a plus

• Strong interpersonal and communication skills

• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP

• 3+ years’ experience working as a staff/senior accountant

• General Ledger/Operational Accounting experience a must

• Extensive knowledge of Quickbooks and other reporting software

• Prior involvement with system implementation

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