AposTherapy – treatment that fits into your life

At home, in the office, at your own pace – the beauty of AposTherapy is that the treatment is simple and easy, taking place in your own environment, requiring no special activity on your part.

- What is AposTherapy?
- The Basis of AposTherapy
- The Apos pathway of clinical care
- The Apos biomechanical system

What is Apos System?

AposTherapy is a functional rehabilitation therapy for musculoskeletal disorders based on the twin principles of bringing the body to a proper biomechanical alignment and simultaneously retraining neuromuscular control.

AposTherapy comprises three integrated components:

  • An outcomes based clinical pathway of care with objective monitoring and ongoing calibration adjustments at specialised treatment centres;
  • A biomechanical system (Apos System) comprised of convex adjustable pods placed under hind-foot and fore-foot, enabling the control of body alignment and promoting perturbation through all phases of the step-cycle; and
  • Rehabilitation that occurs while walking as part of daily activities in the patient’s own environment.
The Basis of AposTherapy

AposTherapy is based on two principles commonly used to treat neuromuscular impairment in most forms of physiotherapy, post-sport injury rehabilitation, and post-trauma / post-accident rehabilitation. These principles have been researched and proven over many years and are known to work.

The first principle: realigning the joint. Research shows that by realigning the joint and the chain of joints, the pressure load – or weight felt – at the damaged area of the joint can be reduced, which results in less pain.

The second principle: movement under perturbation. Research shows that repetitive movements rehabilitate neuromuscular control along the joint chain. By challenging the muscles around the joints and body with a mild, controlled instability – or perturbation - improved function is achieved.

The breakthrough of the AposTherapy treatment modality is that it enables realignment of the joint and movement under perturbation to occur simultaneously; it promotes high numbers of repetitive movements but in a patient’s own environment thus requiring minimal change to daily activity; and it is individually customised and calibrated for each patient based on that patient’s clinical indication, enabling optimal treatment at all times.

The Apos pathway of clinical care

The AposTherapy pathway of clinical care commences with a detailed initial clinical examination and consultation session at a dedicated AposTherapy Centre. This includes computerised gait lab examination, physical examination by an Apos certified therapist, completion of various customised questionnaires relevant to the indication, fitting and customisation of the Apos System, and development of a personalised AposTherapy programme.

Patients then proceed to implement their AposTherapy treatment programme in their own environment (home / workplace), through daily use of their Apos System. Patients typically return to the AposTherapy Centre for 3-4 follow-up visits over a period of usually 6 months. Patients also have access to 24/7 telephone support.

The AposTherapy pathway of clinical care ensures that a patient is receiving the optimal treatment at all times, via a complete functional rehabilitation in the patient's own environment, combined with regular objective and subjective monitoring and clinical intervention when needed.

The Apos biomechanical system

Put simply, the Apos System is a biomechanical device that re-designs the way you walk, and in so doing, delivers the benefits of AposTherapy.

As we walk, our body’s weight is carried alternatively by each leg, creating a weight on the lower back and limb joints at every step. In response to this, the muscles contract in a coordinated way to stabilise our joints. The foot’s exact points of contact with the ground during each step determine how our weight is distributed and which muscles will react.

The Apos System is uniquely personalised and calibrated for each patient, based on that patient’s specific condition, so that when using the Apos System, a patient is achieving two healing actions with each step:

Re-adjusting load for reduced pain: By individually calibrating the biomechanical units to alter your feet's points of contact with the ground, the Apos System re-adjusts the distribution of your body's weight away from damaged or weight loaded areas, with the aim of reducing pain.

Retraining neuromuscular control: The degree of resilience and shape of the patented biomechanical units (which we call PertupodsTM) are individually calibrated for each patient to simulate minutely uneven walking surfaces. This promotes retraining of the body's neuromuscular system into patterns that restore the joint into healthy action. The neuromuscular system is the system that coordinates the interaction of the muscles and nerves, required for the proper functioning of all joints. For patients suffering from back pain, the PertupodsTM are custom calibrated to strengthen and promote coordinated action of the stabilising muscles of the abdomen, back and pelvis.

The Apos System is typically used by patients for 30-60 minutes per day as part of normal daily activity, and therefore fits easily into your life.