BTracks – Balance Tracking Systems Review – CITV

– Hello, and welcome to this episode of CITV. My name is Dr. Freddy Garcia, and this is,

– Dr. Abbey Houde, and we’re doing a Technology Review on the,

– BTrackS. The Balance Tracking System.

– Coming up next.

– Hello and welcome to the CITV Technology Review for the BTrackS, the Balanced Tracking System.

– So again, I have an opportunity where I get to talk to lots of clinicians all the time, and they talk about what technologies to bring in what they should have, and balanced systems are ways to assess a patient’s posture comes up all the time. and there are several systems available out there. The one we’re going to look at today is the BTrackS. It seems to be a very popular option, and it’s an easy one to get into. So we’ll talk about why that is. Why are clinicians using it? Well, it’s easiest standpoint to look at, people are looking at fall risk prevention, right? As our population ages, we wanna be able to capture that data. And in for one of our patients is a Fall Risk. We wanna know it. So there’s testing for that but there’s actually a lot more you can learn when you start assessing somebody’s balance with some good objective data. Assessing one’s balance is one of the best measures of overall neurological health. You wanna know that, but when you have a system like this, and you go put people through specific tests there’s a lot more you can learn. So that’s why the assessment system is designed about that. There’s gonna be some tests for Fall Risk Assessment and then there’s going to be tests for more. We’re gonna talk about what that more is in a few minutes, but Dr. Abbey, if somebody was to pick up a system like this, what comes with it?

– Yeah. So you get the software license that you can install on your own PC. You also get this amazing platform and then you get a foam pad. So you can create that unstable surface for your patients and further test their balance.

– So the platform itself is not super huge which is actually a plus, ’cause that means you can kind of travel with it. This is literally the whole thing. And it’s fairly light I think anybody can kind of carry it around. Has these little feet here to meet the stable surface stable, right? While you’re doing the stable surface, assessing it we would need it be able to level it out. Has a USB cable that you unravel. And it seems really sturdy here, which can be an issue for some other platforms that I’ve seen. And what happens is you take that USB cable you plug it into the laptop, you calibrate it. And then away you go in regards to using it. So why don’t we, let’s set it up and show them the software. So they know what’s available to them on this advanced version of the software. I guess there’s different versions of it. We picked up the advanced one. So we had everything available to us. We’ll show you guys what’s available on the software for the assessment side and then the training side. And while we’ll do that next. So let’s show everybody at home how easy it is to get this thing set up, right? What we’ve done so far is we’ve plugged the platform with the USB cable, into the laptop. The laptop already has a software installed. We balance it on the table. Now, normally you would not be doing this on a table at all. We’re just kind of doing this for demonstration purposes. You would level it off on the ground and we haven’t even opened up the software yet. So Dr. Abbey, why don’t we show them what the software looks like? And we can talk about what the tests are that are available there. So we double click it. Software is opening, and it should pop up first any second. Okay. Awesome. So let’s choose, Start Protocol. All right. So this hasn’t been calibrated yet. So the first time you open it up it’s always going to wanna calibrate. Hit Continue, Hit, Start an Initialization and then away it goes. So don’t move the table there. It’s initializing the plate and boom. It is ready to go. So it literally is that quick, that simple. I love the fact that everything about this seems to be pretty simple. We already have a test profile in there so you’re gonna choose Existing Profile and go ahead and choose that top one for us. Perfect. Confirm that. Okay, great. So here’s all the tests and the training protocols that are available to us. There’s a bunch, there’s a bunch of each but I love the fact that it makes it really easy. We’re talking point and click. Dr. Abbey, what do we have available to us for testing?

– Yeah. So the first one we have a Balance and Fall Risk test. So this test is four trials of 20 seconds. You’re gonna have your patients stand, with their shoulder width apart, their hands on their hips and their eyes closed. Now, this is a great test, that really relies on proprioception and vestibular function. So it’s a great test for your patients. And then we have Weight Distribution. So for this test, you’re gonna capture, where your patient’s center of pressure is. And if they are swaying from side to side or front to back. Again, this is a really good test If someone is experiencing back pain or for postural analysis it really lets you know where your patient is in space. And then we have the Clinical Test of Sensory Interaction on Balance. So for this test, you’re going to test your patient on the firm platform with their eyes open and closed, as well as that foam pad to create more unstable surface again with their eyes open and closed.

– Awesome. The next test that is available to us is Limits of Stability. So the patient, again, feet shoulder-width apart they’re standing there. And then you’re gonna ask them to shift their weight forward as much as they can. They kinda draw a big circle kind of like I’m doing with their weight and you want to see how far of their weight without falling over or having to take a step. Now, if somebody has a sensory deficit, either vestibular or even something like peripheral neuropathy you’re gonna see that they’ve got a difficulty with excursion on this. So you’re gonna get a beautiful report. You can see this picture and you’re gonna say, Hey, what’s going on over here? So you’re gonna really interesting test cause you want to see how much they can deviate from, you know, in the world, they’re gonna have weight shifts and they may need to be able to do that reliably without falling over. Our next test, which is one definitely designed just for people who are applying that functional neurology paradigm of care or clinical neuroscience and practice, is a Cervical Challenge. So this has 11 tests. The first one’s head neutral, right shoulder width apart heads neutral and then you’re gonna have the cervical spine in a different position. So you’re gonna have flection, extension, right head tilt, left head tilt, left rotation, right rotation. And then you got to put the patient in a position for the right anterior canal, left interior canal, right posterior canal and left posterior canal. Now this is one of our clinicians, the ones that we train, one of their favorite tests. They do this in a lot of people and there’s a lot information to be gathered from. It’s a cervical challenge, but it can be simple to understand at the same time, complicated to understand when you understand what’s really going on in this test. We’re going to be talking about the test and show you how to do it, but we’re gonna leave interpretation for our coursework at home. If you wanna learn how powerful that test can be come to our courses, we wanna show you ’cause it’s an amazingly valuable test. Another test is the Single Leg Stance. Now, this test is definitely difficult. You’re doing a single leg stance. You’re gonna do two trials on each leg. It’s not a test that I would do for everybody but it’s one I would definitely do in my athletic population. When athletes, when they’re moving if they’re running they single leg a lot, you know, they’re not standing like this, Tom Brady’s not standing there like this the entire time. Maybe we’ll just waiting to get the ball. But after that, he’s moving, right? So you want to see how stable they are and one of the toughest positions. So this test, not for all populations because it’s very difficult but you want to see their symmetry in a single leg stance from one to the other. So those are the tests available to us except there’s one more. There’s the one of the latest things that they added to their software is the Custom Design. The custom design is pretty neat because it allows you to create a Custom Assessment Protocol. So let’s say for example, you were testing patients and you wanna see how they did with maybe red lenses versus blue lenses, or if you’re putting a particular sound or pitch in their ear, or different other treatments that you can do you could literally write a custom design test. And so you’re not modifying one of the previous tests. You could make your own little trial and have that information be saved in the software run that test for many, as many of your patients if you want, if there’s a custom test that you want done and it will also print out in the reporting. So the reason I like that is you don’t have to modify and kind of say like, hey, for this test, I did this you know, this red lens, for example, or, you know a 40 Hertz pitch in their ear for whatever you may wanna do. Unless you could custom design it and have it come out in the reporting. So still looks professional. So you could send that to other doctors when you’re working with a group of clinicians to help a particular patient. So that is all the tests and procedures. Let’s talk about Training Protocols next. One of the things that I really like about the BTrackS system is that it makes the training modules really accessible. They’re really simple and easy to kind of implement. For the training modules, a patient’s gonna stand on top of the platform and it’s going to give them feedback in regards to where their weight is, right? So they get a little dock and then the system is gonna give them a little target and they have to shift their weight to be in the target. And once they’re in the target for three seconds that’s kind of like a win. And then the target will move. And then they shift they’re weight again. Typically you would want to set it up. So the computer is about eye level to them at least five feet away. So they don’t have to like look down or anything like that. And then just in the platform and it’s all part of the software really easy to do. So what did this have training protocols available to us?

– Yeah, so there are five different training protocols. One of them, you have a Left and Right, Front to Back targeting which office operates at one access. And then you have the Diagonal Targeting which incorporates two axes. And then you have the Random Targeting and Targeted Tracking, which is a multi-axial movement and requires all movement in all different axes. So let’s go ahead and take a look at how all of those tests look,

– Let’s do it. So what we’d like to do now, is basically demonstrate each of the training protocols with Dr. Abbey on the platform here. So the first one is going to be the Balance and Fall Risk. We’ve already loaded up our little test profile. I’ve already calibrated it on the ground there. And we hit Balance and Fall Risk. And since there is no previous test for this so you can’t do a post-baseline test this will be considered the baseline and you hit it on there and then the instructions pop up. So again, it’s very, very simple. It says you’re about to perform the BTrackS Balance Test. This test consists of four 20-second trials and measures the ability to control body sway during quiet standing. For each trial, you will stand as still as possible on the BTrackS Balance plate with your hands on your hips, feet, shoulder width apart and eyes closed. We hear a tone at the beginning at the end of each trial. And the first trial was just for familiarization. Your test result will be based on center pressure path, path length from the forces you place on the BTrackS bounce plate during the last three trials. Higher test results indicate worst body sway control poor balance, and a higher fall risk. So, I love the fact that it tells you exactly what to say, explains it to you. It’s very, very clear, very, very consistent. You can’t really mess it up. So let’s hit Continue. And here we go. So it says Practice Trial. Once the individual being tested is standing generally centered on the BTrackS balanced plate with feet shoulder width apart hands on their hips and eyes closed press Perform Trial, to start the trial not to start the trial, if you would like to end this trial before completion, press Support Test to return to the Start screen. So let’s see here, their feet shoulder-width apart, hands on hips, eyes closed when performing trials, let’s do that. Awesome. So that’s practice trial number one and then we’re gonna continue on to do the next three trials where her score is actually being calculated from. So we hit Continue or we’re going to perform the trial. So that’s the end of trial number one there, let’s do trial number two. And here we go. And done, and last trial, trial number three, and here we go. And there we go. There’s our three trials were hit Continue, description Saturday, kind of describing there. And it loads up the results. So as it calculates all that. And here it is, your path links. So again, a higher number isn’t kind of good. It does a percentile for her sex and her age. And we could see that she has a Low Fall Risk. So what I’d like to do is, we’d like to demonstrate the rest of the tests. We’ll talk about the results at the end next time. So let’s show you what the rest of the test look like. The next test we wanna demonstrate is a Weight Distribution Test. So again, we just kinda pick it on the menu say Establish a Baseline. And here we go. So this one has very specific, foot placement. She has to the medial malleoli on that horizontal line and try to have your feet even, shoulder width apart, but we’re kind of even using those vertical lines as little markers. And then again, so we’re going to say Begin Test, to start the weight distribution test. Once the individual being tested is relaxed and standing in their normal posture press Capture to measure weight distribution percentages in the left, right and front back directions as well as the location of the person’s center pressure ideal posture corresponds to weight distribution percentages of 50/50 and center pressure values that equals zero It may be necessary to press clear, to remove an existing capture and enable a new one and press End to capture to finish testing and save data. So we’ll begin the test, and our doctor, Dr. Abbey, your eyes are open looking straight ahead. She’s in the right position. I’m gonna start capturing data here, I’m going to give you a couple seconds of capture. And once I feel like I have good data I’m gonna hit End. Write in my little note. All right, beautiful. And it starts giving you again that left right shift and the sun from the back. We’ll talk about that at the end and let’s do the next test. So the next test we’re going to be performing is the Modified CTSIB. So let’s kind of hit that on the menu there. We’re gonna establish a Baseline, and test instructions. Again, you were about to perform modified clinical test of sensory integration and balance but NCTSIB consists of four 20 second trials and measure your ability to control body sway, when sensory feedback is systematically manipulated. For each trial, you will stand as still as possible. On the BTrackS balance plate, with your hands on your hips and your feet shoulder width apart. You hear a tone at the beginning and end of each trial and your MCTSIB results will be based on the center of pressure path length. From the forces you place on the balanced platform during standing. Sensory feedback will be manipulated by having you close your eyes or standing on a foam in some conditions. So we continue you know exactly what the city of your patient. Alright? So this is going to be eyes open and firm. all you’re gonna have the individual being tested standing generally centered on the BTrackS bounce plate with feet shoulder width apart, hands on their hips and eyes open. You’re gonna press Perform trial to start this trial. And it tells you how to abort it. So we’re gonna hit Perform trial and away we go. Okay, perfect. So the next trial is gonna be same exact thing. She’ll stay on the firm surface but her eyes are going to be closed. So perform the trial, and here we go. Okay, awesome. Then continue, now we’re going to do eyes open foam. So we’re gonna place the foam pad. That’s why they send this thing. We place the foam pad on top of the balance plate and have the individual being tested stand generally centered on our foam with the feet shoulder width apart hands on their hips eyes open. And then we’re gonna say Perform Trial. So let’s take this, put it right there. Standing generally where you were there in the center. So this one again unstable surface, eyes open and we’ll hit Perform Trial. Okay. That’s great. And our last trial is gonna be exactly same thing on the unstable surface, but this time our eyes are going to be closed. Now as just test getting a little more difficult. You definitely wanna be careful with your patient especially if they are a Fall Risk. Dr. Abbey is a very healthy individual so I’m not worried about that but I still want to take it serious in case she does fall. You don’t want anybody hitting their head on a table or wall or anything like that. So I’m gonna pay a little more attention to her this time eyes closed and let’s perform the trial, and relax. You could open your eyes. All right. So she’s done all four and you kind of see the scores at the bottom of her path length so you can see how they get more difficult. It also gives you an idea of what the system what it’s kind of relying on whether it’s rely on the appropriate perception system or visual system of what you’re kind of manipulating there where you’re relying on. And then vestibular system was kinda left. Once you take the eyes away, hit Continue. And then, the report will eventually pop up. And we’ll talk about the report at the end. So let’s go on to the next test. The next test we wanna demonstrate is Limits of Stability. So we’re gonna choose that on the menu it’s a baseline, right foot placement instruction. So again, your medial malleoli are going to be on that horizontal line and going to be the shoulder width apart. We’re using those vertical lines to kind of make sure you are well-placed, they’re all symmetrical. We continue. Okay, test instructions. You’re gonna press Begin test to start limits to stability testing. During the test have the person being tested look at the feedback on the screen, while they lean as far as they can in all directions the blue area represents their limited stability or the area within which they can sway without falling. The person being tested should keep both feet on the BTrackS Balance Platform throughout testing and performance. It should be monitored by the administrator, press creators start the test to restart the test any time when the person can no longer extend the blue area in any direction, press End, to complete testing. So in a moment, we will move this around so she can kind of see, and then we go we will start that test. So we will be right back. Okay. So we’re now set up to do the limits of stability test. We just gave her the laptop screen. So she had a little feedback as she’s doing it and we’ll hit Begin Test. Okay. She has to keep her feet flat and she’s trying to draw as big a circle as possible all the way around. So make the big blue circle there. I can’t make it any bigger. Try to make it as big as possible. Okay. If this is it, let me know when you’re good. I think that’s about it. All right. Great, and then we hit End. Oh, excellent. So the results are going to pop up. We’ll talk about those at the end. The next test we wanna demonstrate, is a Cervical Challenge test this is the one that has 11 trials to it. So we’re to choose that, hit Baseline and away we go. So test instructions. You’re about to perform the Cervical Challenge Test. This test consists of 11, 10-second trials. That measure your ability to control body sway during quiet standing. For each trial, you will stand as still as possible. on the BTrackS Balanced plate with your hands on your hips, feet shoulder width, apart, and your eyes close with your head configure it in different positions. You will hear a tone at the beginning of the end of each trial and your results will be based in the center pressure path from the forces you place on the platform, A platform during each trial, higher results indicate worst body sway control and poor balance. So let’s hit Continue. And the first one’s gonna be head neutral. So you’re always going to be closed. She’s in the right position and let’s perform the head neutral trial. okay. Head neutral is completed. Now we’re gonna do the exact same thing but this time you’re gonna bring your chin to your chest and you’re gonna be doing your neck and cervical flection and let’s perform the trial. Okay, perfect. The next trial is gonna be cervical extension. So your nose up to the ceiling and we’re going to perform the trial, eyes closed. Next trial is gonna be right cervical rotation. So rotate your head to the right. Close your eyes, then we perform the trial. Okay. Perfect. The exact same thing, but this time to the other side. So left cervical rotation, eyes closed, performing trial. Okay. Now bring your right ear to your right shoulder. So right cervical tilt, close your eyes, we have a performing trial. Excellent. Now we’re gonna do left cervical tilt, close your eyes, performing the trial. Excellent. Now, you know right into your canal position, correct?

– Yes.

– All right. She’s going to put herself in that position. Eyes closed and then we’ll perform the trial. Perfect. Go back to the head neutral. Same thing. Now we’re gonna do left interior canal put yourself in that position. Close your eyes, perform the trial. Right posterior canal, go for it. Close your eyes. We begin the trial. Excellent. And last one left posterior canal put yourself in that position and we begin the trial. Okay, perfect. So that’s all those tests completed for the cervical challenge test and then out comes the report at the end and let’s do I think we have one more test left. So let’s do that last one. So the last test you wanna do again is that really hard test that single leg stance. So let’s choose it on the menu and it’s our baseline hit that. Okay, your test instructions. You’re about to perform the BTrackS Single Leg Stance test. This test consists of two 20-second trials of standing on your left leg. And two 20-second trials of standing on your right leg For each trial, you will stand as still as possible on the balance plate with your eyes open, hands on your hips. One foot centered in the middle of the BTrackS balanced plate. And one foot raised at least six inches off the plate. We hear a tone at the beginning of each trial and your test result will compare the center of pressure path length from forces you place on a plate during the second left and right leg stance trials. A difference in more than 15% indicates any symmetry between the left and right stands condition. So the first one seems to be like a practice. And then the trials after that are the ones that count. So let’s kind of do this, Hit continue. So again, this one she’s going to be in the middle. This is your practice. You’re going to left stance. You’re gonna put that left red in the middle there. Okay. That right leg is gonna be six inches off the ground. All right. Eyes open and away. We six inches off, get that right foot. Six inches off the ground, please. Six inches. Here we go. And we’re starting. Okay. So that was the practice. And now we’re gonna practice on the other side, right side. Now for anybody else, none of this is actually really hard. Dr. Abbey did great. So I’m very impressed, us practice on the other side. Are you ready? Get that left foot six inches off the ground. And here we go. Okay. Now we’re gonna to do the actual trial. So then we’re going to left-leg stance. Let me know when you’re ready. This is the one that counts. Here we go. Press this again. Right foot six inches off the ground, please. And starting the trial. Okay. Nice job. Yeah. And the last trial, right stance. The actual trial. Let me know when you’re ready, to left foot off the ground. Six inches. All right. And away we go. All right. Nice job. Put a little note for our tests, and I’ll pop the results. All right. So let’s what I’d like to do next is can we go through all the results that kind of doctor, but Dr. Abbey did, on this kind of example testing and then we’ll talk about some of the training options available to us as well. We’ll do that next. So now we’ve done a lot of the tests and let’s talk about some of the results that you get in the software and kind of show a report at the end. So for Dr. Abbey, you are on Balance and Fall Risk. Your path link was 21. So again, that’s how much she, her central pressure traveled while she’s sitting there trying to stay still. And it gives you percentages gives they’ve done thousands and thousands and thousands of tests or they have some really, really good data. They’re comparing you to that database population. She is a low, low, low, low fall risk. Rates are good, healthy brain, not a fall risk. That’s good. That’s good for her. Let’s go into Weight Distribution and see if anything was found there. So weight distribution left or right. She’s just a, a little shift to the left cause 51 to 49, but front to back, right? There’s a little, a little difference, a little asymmetry. So kind of go, all right, what could be causing that? Is it biomechanical? Is it neurological in nature? There are certain conditions that will cause different anterior to posterior center of pressures. And the person will compensate going on way depending on what they feel their body is doing. So again, that’s a bigger conversation when it comes to the vestibular system and the body chemical concomitants. But if you don’t know this you going on in your patient population and what, you know then you can’t even do anything about it. So it’s neat to have this objective be able to do a treatment and then see how you can positively hopefully hopefully positively affect your patients. So some work we can do there, let’s go to the next one the CTSIB, because this is the one with the, you know foam surface, eyes open and close. And then the foam, eyes opened and closed. So again, she did really, really good there. It gives you all the percentiles there and the path traveled. And it also kind of gives you as to what system you’re kind of relying on, right? It gives you that normal one and you’re relying on proprioception and envision and then vestibular again. So if you’re new to this type of testing the fact that it tells you kind of what you’re looking at very generalized, okay? Because in the hands of very trained clinicians this gets more complicated. But for those who are having their first foray into this they make it simple. That’s something I really appreciate. Let’s show them Limits of Stability. Limits of Stability. So you see your circle. So you could see that you have a larger excursion frontward. If you just look at the blue you could see she has a larger excursion front ward not so much going backward. And it also gives us some objective numbers there, right? So she should be able to have a pretty decent excursion. Make a nice big circle. So again, there’s something there, let’s go to Cervical Challenge. Cervical Challenge one of our favorite tests. So for her, she had a larger excursion on left tilt and left posterior canal. So I may theorize for Dr. Abbey, you can, Hey let’s take a closer look at that left posterior canal. Cause you’re gonna activate that a little bit. When you do a left head tilt, right? Cause an I left head tilt. You have an auto lithic input. You also have the left anterior and left posterior canal activation. That’s what happens during a tilt and you go, well when you activate that left posterior canal maybe there’s something going on. So we can do our normal physical and neurological examination and start confirming or denying our theories. But again, it’s beautiful ahead of objective data. So we can start doing things, things about it. Let’s check out your Single Leg Stance. A very, very hard test. I think Dr. Abbey did really well on it. She’s still within the good range, really really close on those numbers. And again, that’s not easy to do at all. So overall Dr. Abbey, great brain, super healthy. Can we do things to make her a little bit better? Yes. That we now have some objective data to see if we, you know, where is she starting as a baseline. And then if our therapies are going to be working on her or working on her, yeah, we have that. Now, if you had a certain patient population and they were a fall risk and you didn’t know it because you didn’t have equipment like this to measure it, that would be, that’d be no good. Right? So you want to be able to at a minimum start capturing that information and start utilizing information to change and alter not only your ability to make the appropriate diagnosis but also to see, if you’re making a positive impact on your patient and technology aisle like this allows you to do it. So let’s show a training next. We’ll do a training demonstration next. And then, we’ll wrap things up. So let’s do that. Now, what we’d like to demonstrate is one of the training options. So with Dr. Abbey, would it do random targets or are going to be working in multiple axes, one way to say that word. And it’s gonna pop up and you’re going to be circled. She’s got to put her dot her little center of pressure dot where that target is. So let’s choose it on the menu here hit random targets. And we’ll see a baseline. All right, you got the, the foot placement. So you’re good nail on that. Cause you’re good at that already. And all right, so it’s going to begin training to start random targets training. During the session, circular targets will be presented on the top of image of the BTrackS plate on the screen have the participant look at the screen and shift their weight to move the yellow dot representing their center pressure location into the target area. If they hold their center of pressure in the target for three consecutive seconds before it disappears, the chief a target hit like are like a good thing, right? Based on the percentage of target hits the target size will increase or decrease to ensure that task remains appropriately challenging. So I love this one because it’s the most challenging one. It’s kind of fun. So let’s do begin training. All right. So there’s her target. She has to stay in it for three seconds and we’ve set this up. So it’s in front of her, right? She has minimal deviation. So there she is. She gets it nice. It’s gonna move. She shifts her weight. All right. Moves around her again. And now the circle is getting smaller, right? She’s having a lot of success with these trials. So it moves on her, a lot. Their she shifts her weight again. I’m curious to see how well she does on this. She’s doing great. All right. Let’s just do two more. It’s getting a little tougher, right? That circle is getting smaller. She missed one. That’s her first miss. She’s cracking under pressure here. Come on, Dr. Abbey. Oh, she got this one. Oh, I think she snuck that one in. That was great. One more, the smallest one. Let’s see how she does get in there. All right. Amazing. Last one. So we’ll end it there. So again, definitely a fun task, right? A fun task, but certainly not easy especially if they start doing well at it. Little by little. So that gives you an example. One of the training modules, so that one was random targets. You’re going front back left, right. And it’s all random. There’s one even harder. We’re doing the tracking. So the circle will move and you have to move with it. I like that one as well but I just love the ease of use of the training modules for BTrackS It’s just great. We hope everybody’s enjoyed the CITV Technology Review of the BTrackS, the Balanced Tracking System. We here, we do enjoy the systems. We think it’s great. We love it because on the assessment side, it’s easy to implement, on the training side, it’s easy to implement. And the reports that come out of it they look great and it’s giving you good data. So it’s a three for three, you know there are other systems out there and they have varying degrees of complexity. We feel like this is a really good entry one, for those who are starting to get in there this may be the right choice for you especially at the price point.

– If you wanna learn more or purchase this for your practice go ahead and go to balancetrackingsystems.com. Thank you so much for watching and we will see you next time.