D3: Diagnose, Design and Dosage
Diagnose: tissue based diagnosis with impairment screen to find the cause. Don’t treat the symptoms, Treat the Cause.
Design: individualized exercises to safely stress tissue for repair, activate muscle to reestablish normal motor patterns, working toward actual athletic movements
Dosage: Too much can be destructive, not enough is a waste of time. Rehabilitative exercise is medicine, requiring the right dosage of strain and recovery for optimal outcomes.
One more “D”…..
Don’t Skip Steps, Complete your rehab goals.
- Therapeutic Rehab goals must be completed prior to a successful transition back to regular exercise for, training, conditioning and participating in practice.
- Return to Practice. Exercise and conditioning goals must be met prior to returning to play.
- Return to play. This also means returning to well, stronger than you were prior to injury. Don’t guess or use the calendar to tell you when you are ready, complete all steps in the process, use testing and data to set your return to performance.
A surprisingly small number of athletic injuries are from direct trauma, due to collision with another athlete. Many more are associated with non-contract, repetitive overuse and/or poor mechanics. Waiting until you have pain, injury or require a surgery is often focusing on treating the symptoms, not the cause. PT Motion Lab works in partnership with MTI Physical Therapy to not only rehabilitate your pain and/or acute tissue injury but also to identify the deeper joint and movement impairments that lower performance and increase risk of (re)injury. You can utilize medical insurance by rehabbing at MTIPT or you can access our cash pay services as described below.
PT Motion Lab continues to innovate traditional Physical Therapy to meet the needs of the athlete. With over 30 years experience in clinical work, teaching, research and publication, we have pioneered what the combination Orthopedic Manual Therapy (OMT) and Tissue Repair Therapy (TRT) has become today. Starting out as MTI Physical Therapy, we have progressed the clinical service approach, along with clinical education and mentoring, to create a team of elite therapists skilled in manual therapy and movement. PT Motion Lab is an extension of MTI Physical Therapy based on Performance and Prevention rather than pathology and standard healthcare approaches.
The standard idea of rehabilitation as universally applicable protocols and mandatory rest has long been discarded in favor of individualized treatment, based on specific tissue injury and return to sport requirements. We gave up on “passive treatments”—such as rest, electrical stimulation, and ultrasound— in the 1980’s. Freezing, rubbing and stretching are fine for self care and maintenance approaches for the healthy athlete but are not the types of interventions your tissues need to accelerate healing, improve tolerance to stress/strain and improve your performance.
Our primary focus centers around specific tissue training to enhance healing, improve tolerance to stress/strain, normalizing joint biomechanics in the entire biomechanical chain and reestablishing deep motor control patterns. This is the foundational work that is necessary prior to training for the coordination, endurance, balance, strength and power required for peak sport performance. An active healing program can start much earlier and more safely than traditional rehab models appreciate. The use of manual therapy techniques can reduce pain, muscle spasm and help resolve abnormal movement patterns to allow for normal regenerative tissue stress. These approaches safely follow the progress of your tissue’s performance rather than using a calendar to determine your training level. Knowing how to safely progress tissue training all the way back to Returning to Play is our specialty.
Quality athletic performance occurs when the body moves efficiently, around a normal axis of joint motion and without tissue irritation or damage. The key to understanding deficiencies in the body is through customized examination of joint mobility, nerve and muscle flexibility, balance, and deep motor patterns. It is on this foundation that strength can be built. At PT Motion Lab each athlete receives a comprehensive evaluation consisting of:
- Joint mobility screening
- Neurodynamic mobility screening
- Muscle and fascial flexibility
- Biomechanical alignment with movement
- Individual muscle strength testing
- Functional movement testing
- Compound muscle strength testing
- Sport-specific technique analysis
If you never received the “Owner’s Manual” to your body, let us teach you how your body works, moves, accesses energy, heals and recovers. Understand what these different types and quantities of pain mean to know how to safely push yourself to the edge without falling off. Our unique approach will correct flaws associated with your current injury while uncovering hidden impairments that negatively impact your performance. Receptors in the soft tissues of the joints and surrounding tissues provide feedback to the brain for activating normal muscle patterns, influencing coordination and strength. Without normal healing, resolution of inflammation and restoration of joint mobility, this feedback is altered and has a significant negative impact on motor performance. Our manual therapy and Tissue Training Therapy approach optimizes the tissue environment to restore safe, efficient athletic movement.
Even at the professional level, we frequently observe athletes that have been discharged from therapy only to return to faulty movement patterns and subsequently have a re-injury or a “chronic injury”. Our definition of “chronic” is simply a poorly treated condition. Our experience is that when the athlete is armed with specific knowledge of how their body works, combined with precise observation and technique correction, the likelihood of re-injury is significantly reduced.
After Returning to Play, our athletes often find that the normal wear and tear on their bodies with training and competing leads to minor joint and soft tissue irritations. Utilizing our manual therapy Sports Tuneups [link] are just the type of Self Care strategies that we want to continue with to maintain optimal recovery and performance.