Not all treatment approaches and practitioners are the same. One to one treatments are built on solid principles designed to maximize your results. Whether you are experiencing pain, dizziness, weakness, injury, or some other chronic condition, we can help you strengthen your health.

1. Rehabilitation Concepts

2. Concepts: Technical Knowledge
• Pain Physiology
• Vestibular Rehabilitation
• Sarcopenia & Aging
• Injury Care & Prevention
• Strength-Based Rehab
• Other

3. Application: Technical Skills
• Clinical Reasoning
• Manual Therapy
• Movement Therapy
• Exercise Prescription - Strength
• Exercise Prescription - Mobility
• Activity Modification

4. Pain Physiology
• All pain is neurogenic.
• The nervous system is sensitive to thermal, mechanical,
and chemical inputs.
• Pain is not simply a sensation. It is an experience
comprised of input, processing, and output.

6. Vestibular Rehabilitation
• Vestibular input is extremely important for balance and
orientation.
• The vestibular apparatus can be disrupted and corrected
by mechanical means and trained through various
exercises.
• Must distinguish red flags!

7. Sarcopenia & Aging
• Unless something is done to counteract it, we all lose
muscle mass as we age.
• Loss of muscle mass is the #1 biomarker of aging and
has major impact on function and health.
• Activity alone does not slow this process; stimulation of
strength is essential.

8. Injury Care & Prevention
• Injury involves the disruption of tissue and requires
healing and/ or surgical correction.
• We can determine the degree of injury and support the
healing process.
• Healing is facilitated by appropriately graded early
mobilization.

9. Strength-Based Rehab
• Loss of strength is correlated with almost all chronic
conditions.
• Strength is an essential component of functionality.
• Although there are some contraindications, most people
will respond to safe training that induces positive tissue
adaptations.

10. Other
• We are open to high quality clinical interventions that
reduce pain, increase mobility, and improve strength.
• Eg. Dry needling fits well into the neuromatrix theory and
appears to be a powerful neuromodulatory tool.

11. Clinical Reasoning
• Expert clinical reasoning is about pattern recognition.
• With Pain as the symptom, there are 3 potential issues:
(1) Injury (2) Persistent Pain (3) Pathology.
• Think about mechanisms and origins NOT structures and
causes.

12. Manual Therapy
• The effects of manual therapy are primarily related to
neurophysiology rather than biomechanics.
• Premise is that hands-on sensory stimulation and
movement is helpful for mechanical stimulation.
• Be careful with what you are communicating.

13. Movement Therapy
• Movement is the consummatory act for mechanical pain.
• Movement can be graded in various ways, but works best
when it introduces novel experiences that limit
nociceptiion and overcomes fear-avoidance.
• Voluntary and Involuntary Motor Patterns

14. Exercise Prescription - Strength
• Strength is an essential component of function.
• Exercise prescription is based on frequency, intensity, and
duration to produce the desired adaptations with the
minimum dose required.
• Intensity is the most important variable for efficiency and
effectiveness.

15. Exercise Prescription - Mobility
• Recognize habitual patterns of restriction
• Increase awareness and freedom of movement
• Restore mobility through full range where possible

16. Activity Modification
• Pacing and Graded Exposure
• Baseline, Protection-by-Pain, Tissue Tolerance
• Flare-up line: somewhat subjectively determined
threshold for tolerating challenges to adaptive potential