36 Year Old Male:
Chronic Knee Pain Study

Introduction

Precision Musculoskeletal Therapy is an “Engineering Based” methodology that uses technology assisted therapy, paired with highly skilled therapists who analyze and apply precision treatment to the appropriate tissues and muscle.   100% non-invasive, medication-free, non-surgical techniques are applied to a patients muscles to treat very deeply into the muscles, that result in truly profound physiological changes to muscles.  Muscle Delta’s technology safely treats any muscle and tissue anywhere on the body, from head to toe.  This technology also is possibly the only known safe way to precisely treat muscles such as the psoas, which is located on the front of the spine and under the stomach.   The treatment specifically penetrates absolutely safely, but deeply, to the correct depth for a specific area, into each muscle and tissue being treated.   

The therapist uses these specific techniques to help restore physiological balance of the musculoskeletal alignments, which also affect joint dysfunction, nervous system, and vein and arterial systems. Homeostasis is restored to the patient through restoring optimal functioning of these areas. When restriction or dysfunction in these areas has been corrected or relieved, a patient may also experience an improvement of their physical, mental, emotional and spiritual well –being.  

This case study seeks to describe and explain what occurred with a patient who had a “simple” orthopedic injury that did not recover after following the prescribed physical therapy techniques, and what the results were when treated with Muscle Delta Musculoskeletal Precision Therapy Technology.  This therapy does require a skilled therapist who is trained on not only proper palpation of the muscular systems, but also in the Muscle Delta “Engineering” based methodology and analysis techniques.  

History

Adult Male, age 36: Suffering from chronic left knee pain was presented for therapy utilizing Muscle Delta Musculoskeletal Therapy Technology and Methodology.  The patient was diagnosed degenerative knee disease, also known as osteoarthritis.  Utilizing Muscle Delta Engineer Based Analysis, it was determined that musculature in the left leg was shortened causing joint compaction, and that resulted in what is diagnosed as osteoarthritis.  

The modalities applied prior to Muscle Delta Therapy were relatively ineffective, and were as follows:  

• Manual Massage Therapy 
• Invasive Anti-Inflammatory Shots
• Traction and Joint Mobility Training
• General Physical Therapy and Exercise

Tests and Measurements

When patient was presented to Muscle Delta Therapist, pain and mobility dysfunction were as follows:

Numeric Rating Scale:  patients rate their pain on a scale from 0 to 10, with 0 being no pain and 10 being the worst possible pain. 

• Patient described pain at rest: 2
• Patient described pain at normal activity: 5
• Patient described pain at exercise activity:  8

Muscle Delta normally conducts a Range of Motion test for each affected joint using our state of the art  ROM tool that measures common Ranges of Motion on key joints in the body.  The relevant ranges of motion were measured, and the most relevant results were reported as followed:

• Knee Flexion, Left 81 Degrees, less than 50% of normal
• Hip Rotation, Left 25 Degrees, up to 30% less than normal caused by limited hip rotation caused by weakness of external rotators leading to excessive femoral internal rotation 

Palpation and Engineering based Musculoskeletal analysis were then performed, which included strength testing, and the following treatment was prescribed and applied. 

Treatment

Based on Range of Motion testing, and Palpation and Engineering based Musculoskeletal analysis, and strength testing, the following was determined and treatment prescribe for the lower body restrictions:

• Lengthen Popliteus 
• Lengthen Rectus Femoris
• Strengthen  External Rotators
  • gluteus maximus, piriformis, superior gemellus, obturator internus, inferior gemellus, quadratus femoris, and obturator externus

Muscle Delta Musculoskeletal Therapy Treatment Tools were utilized to apply non-invasive pressure to popliteus, and rectus femoris.  Popliteus is a very small muscle directly behind the the knee cap that is extremely effective in lengthening and providing additional space in the knee joint.  Lower pressure is used for short duration, typically 10 minutes, and the muscle quickly responds.  Rectus femoris is a very large and typically thick muscle, so much deeper pressure is treatment sessions can be up to 20 minutes, with more treatments usually required to more permanently affect the muscle.  Strengthening the external hip rotators is a much longer and tedious process, requiring great and consistent effort form the patient.  This study did not follow the patient through that process to stabilize hip/femer joint.  However, significant relief was recorded from the Muscle Delta Musculoskeletal Treatment, which continued for 3 weeks with the following results.  

Results

Utilizing the Muscle Delta Musculoskeletal Therapy Analysis Methodology, and Treatment Tools, the Patient’s results were profound.  Post treatment, the Range of Motion was tested again at various intervals with the following results:

• Patient described pain at rest: 1 a 50% decrease
• Patient described pain at normal activity: 2 a 60% decrease
• Patient described pain at exercise activity:  4 a 50% decrease
• Knee Flexion, Left 125 Degrees, improvement of nearly 40%
• Hip Rotation, Left 29 Degrees, improvement of 15%

Discussion

Utilizing the Muscle Delta Musculoskeletal Therapy Analysis Methodology, and Treatment Tools, patients quickly and safely are returned to a healthy and pain free state.  It is important to restate more clearly that this therapy and technology is completely 100% non-invasive, non-surgical, medication-free, and expeditious.   The efficacy, and safety of Muscle Delta Musculoskeletal Therapy cannot be overstated, especially when compared to other “deep penetrating” methodologies, and tools currently utilized in Physical and Orthopedic Therapy.  When compared to Laser, Shock, and Electrical therapies, in order to treat as deeply as Muscle Delta Musculoskeletal Therapy Tools the power output of these other modalities must be set to very a powerful setting.  This high level of “energy” applied is indiscriminate, and is more than likely affecting other systems in a potentially very negative way.  They are essentially using “brute” force to penetrate into the body, they are not applied in a totally precise manner, and they definitely do not physiologically change the tissue like non-invasive pressure does.  

Muscle Delta Musculoskeletal Technology Advanced Training discusses human skeletal muscle hierarchical structure in detail, and how deep and precision therapy positively affects all the related systems within a muscle.  There are also many other positive changes within the muscles cellular structure, and they are all examined in the advanced training.  

Muscle Delta: Safety, Standards, and Effectiveness Overview
Compliance with Safety and Robotics Standards
Muscle Delta strictly adheres to all pertinent safety and robotics standards, ensuring its technology remains safe and reliable for users.

Collaborative Robotics Design and Safety
Collaborative robots (cobots) are fundamentally different from traditional industrial robots. By design, they cannot harm a human under any circumstances.

These cobots are limited to a maximum speed of 25mm per second to ensure safety during operation.

Key Collaborative Robot Safety Standards
ISO/TS 15066:2016 (International) and RIA TR R15.606-2016 (U.S.) provide the foundational safety requirements for collaborative robot systems. Importantly, it’s the system as a whole—not just the robot alone—that is evaluated for collaborative status.

Collaborative robot systems are a subset of industrial robot systems, not an alternative to them.

These guidelines build upon foundational industrial robot safety standards to maintain consistency and safety across all implementations.

Certified Medical and Electrical Standards
Muscle Delta technology is compliant with a comprehensive range of recognized medical and electrical equipment standards, including:

• ANSI/AAMI ISO 10993-1, 10993-5, 10993-10: Biological evaluation and toxicity testing of medical devices.
• IEC 60601-1, 60601-1-2, 60601-1-6, 60601-1-8: General requirements for basic safety, electromagnetic disturbance, usability, and alarm systems in medical electrical equipment.
• IEC 62366-1: Usability engineering for medical devices.
• IEC 62304: Medical device software life cycle processes.
• IEC/TR 60601-4-1, IEC TR 60601-4-2: Guidance for medical devices employing autonomy and electromagnetic immunity.
• IEC 80601-2-78: Particular requirements for safety and performance of medical robots used for rehabilitation and assessment.
• ISO 14971: Risk management for medical devices.
• ISO 15223-1: Symbols and labeling for medical devices.

Manufacturing and Certifications
Muscle Delta devices are 510(k) exempt and non-invasive.

All devices are manufactured by AHI Automation in Henderson, NV—a certified UL-listed assembler whose clients include Disney, Epcot, Royal Caribbean, The Sphere (Las Vegas), and DaVinci Surgery Robotics.

Each Muscle Delta device visibly displays the UL listing sticker, verifying electrical safety.

Clinical Use and Adoption
Muscle Delta technology has been used in hospitals such as Advent Health (formerly Florida Hospital) for pre- and post-surgery foot and ankle treatment.

The technology is trusted by sports organizations, including a purchase by the New York Jets.

Over 1,000 elite athletes (including household names) have been successfully treated using this system.

Ongoing evaluations are underway at several medical institutions, with double-blind studies planned within the next six months.

Methodology and Efficacy
Muscle Delta’s approach is rooted in a “muscle lengthening” methodology, which is recognized as the safest within its product class.

It is the method itself, not just the device, that delivers proven, repeatable improvements by aligning the body through proper muscle lengthening—a universal need as muscles naturally shorten over time.

This technique closely mimics manual therapy but does so with enhanced safety, precision, and repeatability.

Endorsements and Public Perception
Renowned athletes like Tom Brady, a major advocate for muscle pliability, publicly support muscle lengthening concepts. He has stated, “over time muscles shorten, and we need to lengthen muscles.”

Case studies posted by Muscle Delta support their claims, presenting data consistent with known standards and expert endorsements.

Legal and Regulatory Notes
All claims and product information are backed by proper certifications, with verification available on the devices.

Disclaimer: A disclosure page is linked in the footer of Muscle Delta’s website, outlining safety and regulatory information.

Summary:
Muscle Delta leverages industry-leading safety standards, proven methodologies, and robust certifications to provide what appears to be the safest and most effective non-invasive solution for muscle lengthening and adhesion removal available today. Its technology is built on methods recognized as best-in-class, distinguished by official certification, extensive medical use, and endorsements by elite athletes.