The Advanced Spinal Mobilization Instrument

ASMI treatments available at our Candia, Concord Center, and Derry locations.

Coppola Physical Therapy is the only source for ASMI treatments in New England!

New Hampshire is home to one of the most effective means to restore flexibility and mobility to the spine with the technique of Spinal Mobilization. The strength, consistency, repetition required however to effectively treat patients is beyond the abilities of most practitioners and so the Advanced Spinal Mobilization Instrument (ASMI) was developed. Cleared by the United States Food and Drug Administration (FDA) in 2005, the ASMI is indicated for use and designed as an extension of the practitioner's own hands, combining precise and infinitely variable control.

Watch Steven Coppola, PT, DPT describe the ASMI to ABC's WMUR News 9.

Developed in the United Kingdom there are currently only a dozen clinics in the United States that have this unique hand held device. The patented handset incorporates four moving pads powered by variably controllable electro-pneumatics. Each treatment is delivered in three modes, an introductory or "spasm" mode, a para-spinal muscle "reflex" stimulation mode and the "mobilization" mode. Each mode is used to varying degrees depending on the patient's condition as determined by the practitioner. The ASMI is used to gently rock neighboring vertebrae back and forth. The condition of the joint determines the response to the applied effort. Initially the joint may be fixed or move imperceptibly. With time and successive treatments, flexibility, mobility and function is restored to the back and spine.

A Unique Treatment

Treatments are performed with patients lying prone or face down on a specially-designed treatment table that places the patient in a comfortable position while providing gentle passive traction opening up the joints in the spine. As the instrument is worked up and down the spine, each vertebra is gently counter-rotated with its neighbors. In many cases, after only a few treatment sessions, pain is progressively relieved!

  • The introductory or Spasm mode always begins and ends a treatment, relaxing the patient.
  • In the Reflex mode, short taps are applied to and stimulate and "wake up" para-spinal muscle groups.
  • In the Mobilization mode, gentle, moderate or firm hands-on treatment is applied to pairs of adjacent vertebrae producing counter-rotational movement and spinal mobilization.

Back pain accounts for over $90 billion a year in health care costs in the United States alone! With the introduction of the Advanced Spinal Mobilization Instrument (ASMI), there is a safe, efficacious, drug free, surgery free, non-invasive and conservative alternative to treat the millions of back pain sufferers in the United States and around the world. The Coppola Physical Therapy family provides home to 3 of these units, the only ones in New England!