Referral and preparation
Gather the diagnosis, relevant medical and dental history, specialist information, current symptoms, goals, precautions, and insurance details when applicable.
Provider & clinic login
Continuity of care
A clear pathway from the first conversation to measurable follow-up.
The patient journey keeps referral, evaluation, supervised treatment, home continuation, reassessment, and long-term planning connected under provider direction.
The pathway
Six connected stages.
Clinical evaluation
Identify functional impairments, establish a baseline, screen safety, and determine whether ISO Metrik fits the patient-specific plan.
Fitting and education
Select components, establish a comfortable fit, teach handling and cleaning, and explain the purpose, limits, and stopping rules.
Supervised treatment
Practice the selected movement with provider-defined resistance, dosage, cueing, rest, and close observation of technique and tolerance.
Home continuation
When appropriate, use the same prescribed setup between visits and record completion, symptoms, and questions without independently changing the program.
Reassessment and transition
Compare outcomes, update goals, progress or modify the plan, coordinate referrals, and prepare for discharge or maintenance.
Before the first visit
Arrive prepared for a complete evaluation.
Bring relevant records
Provide diagnoses, operative reports, imaging or specialist notes when requested, therapy history, and a current medication list.
Describe the timeline
Be ready to discuss onset, changes over time, previous recovery, procedures, pain, eye symptoms, speech, swallowing, and dental concerns.
Identify priorities
Explain which activities are most affected and what improvement would make the greatest difference in daily life.
List oral and dental factors
Report loose teeth, dentures, implants, braces, oral appliances, recent dental work, jaw locking, or temporomandibular-joint symptoms.
Ask about coverage
If using insurance, confirm referral, authorization, network, visit-limit, and patient-responsibility requirements with the clinic and payer.
Write down questions
Bring questions about purpose, fit, safety, evidence, regulatory status, home use, cleaning, cost, and expected follow-up.
Your individualized plan
The prescription should be specific enough to repeat safely.
Target function
The plan identifies the movement or daily task the intervention is intended to support.
Device setup
The provider records the components, orientation, position, and fit selected for the patient.
Resistance
The assigned level reflects current ability, movement quality, recovery stage, and tolerance.
Dosage
Repetitions, sets, hold time, movement tempo, rest, frequency, and session length are prescribed.
Technique cues
The patient receives instructions for posture, movement direction, unwanted substitutions, breathing, and pacing.
Stopping criteria
The plan explains which symptoms or performance changes require stopping and contacting the clinic or seeking urgent help.
Between visits
Recovery does not stop at the clinic door.
When clinically appropriate, the same device can support a structured home program.
Follow the prescription
Use only the assigned setup, schedule, resistance, movement, and dosage.
Check the device
Inspect components before each use and do not use anything damaged, distorted, contaminated, or improperly fitting.
Use good hygiene
Wash hands, follow the assigned cleaning and drying process, and store the device in the approved clean location.
Track the response
Record completion, difficulty, fatigue, discomfort, movement quality, and any delayed symptoms requested by the provider.
Do not self-progress
Do not change resistance, repetitions, range, position, or frequency without provider direction.
Return for review
Attend follow-up visits so the provider can compare performance, address barriers, and determine the next step.
Stop and seek help
Know the difference between a clinic question and an emergency.
Emergency symptoms
Call emergency services for signs of stroke, breathing difficulty, choking, severe allergic reaction, loss of consciousness, or another medical emergency.
New or worsening neurological symptoms
Stop and obtain urgent medical guidance for new weakness, severe headache, confusion, vision change, or sudden speech difficulty.
Oral, dental, or jaw injury
Stop for bleeding, loose or damaged teeth, severe jaw pain, locking, significant swelling, or suspected tissue injury.
Unexpected treatment response
Contact the clinic for increased spasm, unwanted co-contraction, persistent pain, dizziness, marked fatigue, or loss of movement quality.
Device problem
Stop use and contact the clinic for breakage, distortion, rough surfaces, persistent fit problems, or sanitation concerns.
Home-program uncertainty
Pause and ask the provider when the setup, dosage, movement, cleaning process, or instructions are unclear.
Reassessment and transition
The end of supervised care should include a clear next plan.
At reassessment, the provider compares current performance with baseline, reviews the patient’s functional priorities, determines whether skilled care remains necessary, and updates the plan accordingly.
Discharge may occur when goals are met, progress has plateaued, skilled intervention is no longer required, the approach is not appropriate, or the patient needs a different level or type of care.
This page is educational and does not replace evaluation or emergency care. Patients should follow the plan and safety instructions provided by their qualified treating professionals.
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Discuss clinical implementation, training, research, provider onboarding, or clinic registration.