Referral and consultation
Clarify the reason for referral, diagnosis, onset, relevant medical and dental history, functional priorities, and the patient’s goals.
Provider & clinic login
The clinical workflow
A provider-directed pathway from evaluation to progression.
ISO Metrik connects clinical screening, structured resistance, repeatable exercise parameters, and clinic-to-home continuity in one facial neuromuscular rehabilitation workflow.
Six connected stages
Designed around the full rehabilitation episode.
Every stage keeps patient selection, safety, measurement, progression, and home-use decisions under qualified provider direction.
Clinical screening
Review healing status, pain, temporomandibular-joint concerns, dentition, oral tissue integrity, cognition, precautions, and the need for medical or dental clearance.
Baseline assessment
Document facial symmetry, selective movement, oral-motor control, lip closure, endurance, coordination, functional limitations, and patient-reported concerns.
Device fitting
Select and assemble appropriate components, establish a comfortable fit, teach insertion and removal, and verify sanitation and storage procedures.
Supervised therapy
Choose the resistance mode, position, repetitions, hold time, rest interval, cueing strategy, and stopping criteria for the individual plan.
Reassessment and progression
Repeat comparable measures, review tolerance and adherence, update goals, and advance one or more parameters only when clinically appropriate.
What the provider evaluates
Build the plan from more than one measurement.
The relevant domains depend on the patient’s diagnosis, scope of practice, and functional priorities.
Facial movement
Observe movement initiation, excursion, selectivity, compensations, symmetry, and control across relevant expressions.
Oral-motor performance
Assess lip closure, oral seal, containment, coordination, and motor performance for appropriate speech or swallowing goals.
Strength and endurance
Record the ability to generate, maintain, and repeat a controlled effort without loss of form or excessive fatigue.
Functional participation
Connect findings to speaking, drinking, eating, expression, social confidence, and other patient-prioritized activities.
Tolerance and safety
Track pain, pressure, skin or oral irritation, jaw symptoms, fatigue, dizziness, and any other adverse response.
Adherence and technique
Confirm that the patient can reproduce the assigned setup, dosage, cleaning process, and stopping rules.
Resistance modes
Three familiar therapy principles.
The platform supports a structured progression from activation to functional movement and controlled pacing.
Isometric
The patient activates the selected muscles against resistance while holding a stable position.
- No visible joint movement is intended
- Useful for controlled activation and holding capacity
- Hold time and rest are provider prescribed
Isotonic
The patient moves through a selected range while working against a consistent external resistance.
- Concentric and controlled return phases
- Range and tempo are individually selected
- Technique governs progression
Isokinetic-style
The patient performs a provider-paced movement with emphasis on consistent speed and controlled effort.
- Not a computerized dynamometer
- Pacing and quality remain clinician guided
- Resistance is not advanced by the patient alone
Inside a treatment session
Standardize the setup while individualizing the prescription.
A typical supervised session begins with a symptom and tissue check, confirmation of device fit, and a brief review of the prior response. The provider then selects the target movement and establishes the day’s parameters.
The patient practices under direct observation so the provider can cue alignment, limit substitutions, monitor fatigue, and stop the activity when movement quality or tolerance changes.
Progression decisions
Advance the program deliberately.
A patient does not progress simply because a calendar interval has passed. The provider compares performance, function, technique, and recovery response.
Improve quality first
Prioritize controlled, selective movement before increasing resistance, repetitions, range, or session duration.
Change one variable
When practical, alter one main parameter at a time so the clinical response can be interpreted more clearly.
Protect recovery
Allow adequate rest, review delayed symptoms, and reduce or pause the program when tolerance or movement quality declines.
Patient selection and safety
Screen before resistance is introduced.
Recovery stage
Do not introduce active resistance during flaccid paralysis unless an appropriately qualified clinician determines that it is safe and indicated.
Medical and surgical status
Confirm diagnosis, healing status, precautions, and required medical clearance after surgery, trauma, stroke, or other neurological events.
Dental and jaw status
Review dentition, oral appliances, recent dental work, jaw pain, instability, and temporomandibular-joint symptoms.
Oral tissue integrity
Do not use the device over open lesions, active infection, uncontrolled bleeding, or tissue that cannot tolerate contact.
Ability to follow directions
Confirm that the patient can understand the setup, recognize stopping criteria, and complete cleaning and storage safely.
Escalation
New neurological symptoms, breathing or swallowing emergencies, severe pain, or acute medical change require appropriate urgent evaluation—not device use.
Provider oversight matters. Patient selection, fitting, resistance, dosage, progression, sanitation, and home-use decisions remain provider directed.
Start the right conversation
Connect with ISO Metrik.
Discuss clinical implementation, training, research, provider onboarding, or clinic registration.