Stabilize
The bite plate provides the intraoral anchor while the clinician confirms fit, comfort, jaw position, and safe use.
Built on rehabilitation principles
A facial neuromuscular service line for physical therapy clinics.
Evaluation, progressive loading, functional goals, continuity of care, and measurable advancement form the clinical foundation of the ISO Metrik model for participating physical therapy clinics.
ISO Metrik is intended to support skilled physical therapy—not replace examination, differential screening, or referral.
ExamineDefine the clinical problem
LoadSelect and progress resistance
IntegrateConnect strength with function
ReviewMeasure response and quality
Clinical fit
Extend familiar PT reasoning to facial function.
ISO Metrik is intended to fit within a skilled plan of care. The physical therapist remains responsible for examination, candidacy, goal selection, dosage, progression, documentation, safety, and interdisciplinary referral.
How it works
See the ISO Metrik clinical workflow in motion.
The device combines intraoral stabilization, guided movement, lip contact, and adjustable resistance. These videos from the ISO Metrik User Manual show the device and its three primary placement orientations. A trained clinician determines whether the device is appropriate and selects the treatment parameters.
Device overview
The bite plate, glide bar, lip holders, cushions, and resistance bands work as one system. The device provides a repeatable mechanical setup that can be incorporated into a provider-directed facial rehabilitation plan.
Guide
The stainless-steel glide bar links the bite plate and lip holders and provides a controlled track and measurement reference for movement.
Engage
The lip holders provide the contact point for clinician-directed facial movement while the patient performs the selected task with controlled form.
Progress
Resistance bands provide adjustable external load. The treating clinician selects orientation, resistance, repetitions, hold time, rest, and progression based on the patient response.
Device placements
Horizontal, vertical, and 45-degree orientations.
Horizontal placement
Demonstrates the horizontal device orientation and controlled movement pattern.
Vertical placement
Demonstrates the vertical device orientation and controlled movement pattern.
45-degree placement
Demonstrates the 45-degree right/left orientation used when a clinician selects an oblique movement direction.
Training videos demonstrate setup and orientation only. They do not replace examination, current device instructions, contraindication screening, professional judgment, or individualized treatment planning.
The PT care model
Build treatment around examination and progressive loading.
The platform brings established physical-therapy decision points into a targeted facial and oral-motor workflow.
Examination
Connect history, systems review, movement observation, strength, endurance, coordination, and functional participation.
Structured loading
Use provider-selected isometric, isotonic, and controlled-speed resistance principles with clearly documented parameters.
Neuromuscular re-education
Cue selective activation, reduce substitutions, and reinforce controlled movement strategies appropriate to the patient.
Progressive care
Establish a baseline, monitor immediate and delayed response, and modify loading as the patient advances.
Functional integration
Relate impairment-level work to expression, drinking, oral control, communication, and patient-centered participation goals.
Clinic-to-home continuity
Connect supervised visits with a provider-defined home program after safe and accurate technique is established.
Clinic onboarding
Move from interest to a controlled clinical launch.
Account setup, organizational review, clinical training, workflow design, staff readiness, and a documented launch plan should precede routine use. The clinic should decide how referrals are screened, medical information is reviewed, goals and safety are documented, and inappropriate cases are redirected.
- Create a secure clinic account and submit organization information
- Identify clinical and operational leads
- Enroll and train participating providers
- Approve screening and documentation workflows
- Prepare inventory, sanitation, and patient materials
- Select an initial cohort and quality-review cadence
Program pathway
Build the service line around clinical governance.
A deliberate implementation process supports consistent patient selection, staff performance, and quality review.
- 1
Select clinical leadership
Assign a licensed clinician to oversee protocols, competency, documentation standards, escalation, and quality review.
- 2
Define patient criteria
Document inclusion, exclusion, referral, clearance, stopping, and reassessment criteria before launch.
- 3
Train the team
Complete education in device use, fitting, sanitation, safety, measurement, and documentation before treating patients.
- 4
Prepare operations
Set workflows for inventory, cleaning, scheduling, consent, account access, patient education, and follow-up.
- 5
Launch deliberately
Begin with a controlled cohort, review cases frequently, and correct workflow issues before expanding.
- 6
Review quality
Monitor outcomes, adherence, incidents, documentation, referral experience, and patient feedback.
Referral ecosystem
Create a clear reason for the right referral.
Referral communication should accurately describe the functional problem, clinic capability, patient-selection process, and current regulatory status.
Neurology and stroke care
Describe a skilled rehabilitation pathway for selected patients with persistent facial weakness after stroke or other neurologic injury.
ENT and facial nerve specialists
Coordinate around facial nerve conditions, post-procedural recovery, medical precautions, and timing of rehabilitation.
Primary care and PM&R
Provide a defined route for evaluation, functional goal setting, progressive care, and documented follow-up.
Dental and oral-maxillofacial
Coordinate when dentition, occlusion, oral tissue, jaw status, or procedural history affects candidacy or use.
Speech-language pathology
Clarify PT and SLP roles when facial movement, oral control, communication, or swallowing needs overlap.
Weight-management and wellness
Use careful screening and accurate claims when facial muscle concerns arise in broader health or body-composition programs.
Clinic operations
Prepare the infrastructure behind the treatment.
The clinical service depends on repeatable operational controls as well as treatment skill.
Roles and accountability
Define responsibility for clinical oversight, scheduling, inventory, sanitation, purchasing, training records, and incident escalation.
Scheduling
Allow time for examination, fitting, instruction, treatment, documentation, cleaning, and planned reassessment.
Inventory and sanitation
Control device assignment, storage, cleaning, replacement, inspection, and removal of damaged components.
Patient education
Provide clear setup, home-program, cleaning, storage, stopping-rule, and contact instructions.
Data and privacy
Use approved systems and minimum-necessary information when coordinating professional care and program administration.
Incident response
Document adverse responses, product concerns, corrective actions, retraining, and required reporting.
Documentation and payment
Support medical necessity without promising reimbursement.
Coverage and payment depend on patient benefits, payer rules, contracts, diagnosis, skilled service, coding, documentation, and setting.
Verify before treatment
Confirm benefits, authorization requirements, referral rules, exclusions, and patient responsibility.
Document skilled need
Connect examination findings, functional limitations, goals, clinical judgment, intervention details, response, and progression.
Code the service delivered
Select codes that accurately describe the skilled service provided rather than the device alone.
Prepare for review
Maintain defensible records and respond to payer requests without overstating device status, evidence, or expected results.
Next step
Build a governed ISO Metrik pathway in your PT clinic.
Discuss clinical leadership, provider training, patient criteria, workflow, referral development, and a controlled launch plan.