Anatomical Atlas of the Lower Limb Related to Neuromodulator Injection and the Management of Spasticity

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Anatomical Atlas of the Lower Limb Related to Neuromodulator Injection and the Management of Spasticity is an eLearning program intended to be used as a quick and accessible reference for injectors during their education and clinical practice. Our primary focus for this course is to support the management of leg spasticity.

Our team has supported toxin and chemodenervation procedures with our Myoguide injection guidance device for over a decade. Myoguide is the premier handheld, EMG and ESTIM-guided injection device on the market today. We have been working with the latest augmented reality technology over the years to be able to illustrate anatomy in the simplest, most accessible way.

The first prototype of our anatomical arm was debuted over three years ago, to illustrate the value of augmented reality for learning platforms. The ARm prototype was based on a palpable anatomical arm that could be rotated within the view of an AR-based application, which superimposed 3D anatomy over the physical arm. This simulation was an incredible application of AR to illustrate chemodenervation procedures; however, it was not very convenient or stable. The work involved in creating this prototype demonstrated the value of AR in illustrating complex anatomical concepts

The Anatomical Atlas of the Lower Limb Related to Neuromodulator Injection and the Management of Spasticity was created to provide a brief review of the anatomy of the leg, highlighting the majority of muscles likely to be managed by neuromodulators and chemodenervation. Our goal is to provide a handy reference guide to review salient details of these procedures for educational purposes without the encumbrance of a physical model.

Our 3D-rendered virtual anatomical model of the leg, Lexi, can be a valuable resource to display the anatomy of the lower limb. The virtual leg model highlights the muscles in question and can be rotated and viewed in either longitudinal or cross-sectional views for further investigation. Other muscles can be selected during exploration, and the model can be reset back to the beginning muscle to restart the exploration.

Use the button below to launch our interactive 3D-anatomical model of the lower limb, Lexi:

Resources include anatomical graphics from our augmented reality database, cross-sectional views, areas of interest, and essential anatomical aspects to consider before any injection.

The purpose of this course is to provide a new reference that contains useful information with both 2D and 3D anatomical graphics to help review therapeutic injection approaches. 

We acknowledge that there is a large volume of information to communicate, so we welcome feedback, advice and suggestions to help us improve this online reference. For ease of use, there is a feedback form embedded in the last lesson of this course. Otherwise, please feel free to contact us using the contact form on our website.

The inclusion of visual and textual information for executing injection localization and the inclusion of an augmented reality atlas of the leg makes this program unique.

We hope the virtual models will act as a visual aid to complement our didactic teachings. This integrated program will supplement any invaluable hands-on experience and spasticity training that is ongoing. This was created to provide a helpful resource to assist students, residents, and fellows throughout their training, and clinicians in their daily practice.

To begin, select the muscle you’re interested in referencing from the list of lessons below, or navigate through one by one.