Course Outlines

Best practices from the fields of rehabilitation, pain management, athletic development, & behavioral modification.

General Course Info

First Principles of Movement

A 100 Hour credentialing program (including 6 face to face workshops plus Self-Directed Learning materials) where clinicians & trainers learn how to

❇️ Transition from passive to active therapies

❇️ Motivate people to become active, return to participation &/or have better adherence to self care.

❇️ Find the key dysfunctions that are holding people back from making sustainable progress

❇️ Avoid corrective exercise or rehab purgatory

Click here to see course schedule.

These are interactive, problem-solving workshops. You can start at any point in the program (since they are divided up topically).

Dr Liebenson discusses the Clinical Audit Process/Assess-Correct-Reassess Video from Stanford, 2014

WHY Should One Choose to Participate in the FPM series?

Learn how to INTEGRATE the art, craft & science of best practices in the rehab to athletic development continuum
Learn EFFICIENT strategies to thin-slice implementation of the functional approach in your environment
Learn the four guiding PRINCIPLES of management that underpin the many methods

WHAT Can You Expect to Learn?

The FPM “Best Practices” series is an ideal prep for changing one’s paradigm from –

Cookie cutter training programs “one size fits all” to personalized programs that bridge the gap from one’s unique current capacity shortfall to the required capacities for their demands
Symptom-based to a focus on the multi-factorial sources of pain (stress, sleep, inactivity, poor diet, under-preparation, over-protection)
Primarily low-value, passive therapies to a high-value, Active care approach (self-care oriented)
Output-based to outcome-based – “its not about winning the exercise, its about winning the adaptation”
Hardware (structural) over-diagnosis approach to software (functional) person-centered approach
Silo-based to patient/athletic-centered approach
Bridge the gap between rehab & athletic development
Pop fitness hype to promotion of movement literacy and “slow-cooked” general physical preparation (GPP)

Learning Objective: To efficiently integrate the “best practices” from the fields of rehabilitation, pain management, athletic development, & behavioral modification for preventing disability & transitioning the chronic rehabber to resilent, sustainable activity tolerance & peak performance.

It takes passion, study & experience to learn how to be STRONG in this model. As Pavel Tsatsouline says “You are strong when you can make the hard easy”. Thus, EFFICIENCY is one of our hallmarks. The other is INTEGRATION since its better to “be a learn it all, not a know it all”. The goal of this program is to teach the mastery mindset, namely learning the nuances that come from gritty determination.

Our Philosophy: The key to a return to participation, a sustainable approach to activity, & enhancing human performance is baking positive lifestyle choices/optionality into our environment. This epitomizes an agile, upstream mindset with minimal downside risk.

FPM PREPARE

2 Day Program

Learning Objectives

Learn how to:

Prepare people for Return to Participation, Play and Performance
Perform a 6 part movement prep to assess baseline movement competency and pain tolerance
1. Sensory-afferent input via the foot
2. Physiologic “warm-up (heart rate, core body temperature, high-threshold breathing)
3. Active mobility (hip, shoulder, t-spine, foot/ankle)
4. Pillar prep (posterior chain & kinetic chain force transfer via the torso)
5. Special “correctives”
6. Energy storage & release (i.e. springs & shocks)
Gamify constraints-based motor learning (internal vs external cues, problem-solving)
Determine technical proficiency to find the “weakest link” (distinguish acceptable vs unacceptable dysfunction)
Assess “yellow flags” or over-protection
Assess load or under-preparation
Identify activity intolerances and a person’s floor current capacity and ceiling required capacity for their demands
Create relatedness through motivational interviewing
To find the “hardest thing a person does well”

What you will learn:

How the inactivity crisis is leading to a disability epidemic and an increasing gap between biological age & chronological
Four principles to use as a GPS in finding “Plan B” for rehab & training
1. Reassurance
2. Reactivation
3. Resilence
4. Variability
How to bridge the gap from
1. Science to the trenches
2. Rehab to training
3. Corrective exercise to load
4. Current capacity shortfall (e.g.floor) to required capacity (e.g. ceiling or demands)
How musculoskeletal pain is a “Gift of Injury” allowing us to promote lifestyle behavior modification that can manage Non-communicable disease (NCD) risk.
How “vested interests” and the status quo bias promotes over-detetection (e.g. nocebos), over-diagnosis (tests w/ high false + rates), and over-treatment (surgery, injections, opiates, NSAIDs, passive therapies, “corrective exercise” purgatory)
The Precision Profile documentation system for programming
How movement preparation is the pre-requisite for athletic development and general physical preparation
The continuum from Preparation or readiness to Training to Recovery
How to give tangible hope and an achievable plan through a positive experience with movement

FPM TRAIN

TRAIN: Building capacity and the trainable menu

Learning Objectives

Learn how to:

Perform a needs analysis
Assess fundamental movement patterns
Screen to intervene
Program GPP – General Physical Preparation
Build a trainable menu
Progress & regress within each menu
Bridge the gap from current capacity to required demands
Incorporate load management
Troubleshoot rehab issues
Troubleshoot performance issues

Outline

Movement Prep Immersion
The 4 Key Principles for Efficient, Precision Results
Active learning: Small group problem-solving for the 6 Fundamental Patterns
3 Progression Levels – rehab (1); intermediate (2); Performance (3)
Workshop
- Squats
- Deadlifts/hinge
- Lunge – 1 leg bias
- Push – vertical & horizontal
- Pull – vertical & horizontal
- Carry/locomotion
Load management/under-preparation basics
Threat management/over-protection basics
Dynamic Systems Theory, motor learning & skill acquisition
Gamification & ecological valid constraints – based training
A humble approach for uncertainty: being prepared for Plan B
Developing an agile approach: How methods & systems lead to principles & assimilation
Case management

FPM RECOVER

Recovery is equally important in the rehab setting as in the gym. In both the clinical & training environments recovery is a pre-requisite for enhancing a person’s resilience.

Without recovery adaptation from training stimulus can not occur. Thus “recovery is the limiting factor”. In this Lab Immersion Experience we will guide you to bridging the gap from sport science and evidenced-based approaches to you’re practice, team or gym environment.

This course completes the series – Prepare, Train, & Recover, thus ensuring you’re ability to build programs designed to sustainably progress a person’s physical development.

Principles from high performance settings have stress-tested many of the innovations that inform
– Rehab
– Development of youth motor literacies &
– Maintenance of health span as people live longer

This Lab Immersion Experience focuses on MOBILITY from the ground up by taking a Joint by Joint approach (including many techniques of Dr Karel Lewit & Pr Vladimir Janda from Prague).

Each area is taught in sequence following basic principles & a systematic process which helps you assimilate the techniques with GPP, & region specific rehab (ie tendonopathies).
Foot/ankle
Knee
Hip
Lumbar spine & pelvis
Thoracic spine & rib cage
Cervical spine
TMJ

Manual Therapy & Self Mobilizations are integrated with other recovery methods such as breathing re-education, sleep, cryo, mindfullness, hydration, diet, threat management, load management, & work (aerobic) capacity (ie repeat effort endurance).

Special “key” areas requiring mobility are taught with extensive practical application
-1st MTP
– Hip
– Thoracic Spine

Building the Precision Program

2 Day Program

Objectives –
– Learn the bigger picture and how to tie different systems & methods together efficiently
– Gain confidence & agility in handling complexity by utilizing scalable principles
– Communicate more effectively by giving people what they need
– Grand Rounds
– Does GPP have to wait in Rehab?

What you will learn –
– How to use the Person-Centered Profile to create a precision program
– Signs of technical proficiency & how to use these in progressing people to adding load
– Variability & Adaptation In Dynamic Systems
– How to capture & record the key components of The Profile
– CC. AI. MS. Painless dysfunction. Self Care (chief complaint, activity intolerance, mechanical sensitivity).
– Master not only methods but the process
– Gain trust through empathy, but also capture the floor to create a relatable & actionable plan
– Why the key to efficiency is finding the floor which can be a moving target
– How to find the “hardest thing you do well” nested to the person’s floor & their demands.
– How the why behind the what is “you’re only as strong as you’re weakest link”
– Why people don’t improve with attacking things they are already good at (their ceiling)
– Why finding and addressing the weakest link resolves each person’s functional bottleneck

Bridge the Gap (BTG) Courses – 1-2 Day updates linking each course

Review the concepts & implementation of the PREPARE, TRAIN, & RECOVER programs

While the PREPARE, TRAIN, & RECOVER workshops cover the Science & Rationale or WHY of the series along with the craft, skill, methods or WHAT; the BTG programs emphasize HOW to integrate the course work in different environments.

Case-based

1. The 4 Principles of Management
2. The Individualized Profile & Precision Program
3. The Scientific Method & Assess-Correct-Reassess
4. Movement Screen Practical5. Case Management Problem-Solving