FAKTR continues to utilize the most up-to-date research available regarding the application of manual and soft tissue therapies along with exercise protocols to improve patient/client outcomes. Given the recent climate regarding the overuse of opioids and surgery, clinicians are seeking non-invasive treatment options for athletes and active individuals that achieve positive results with minimal expenditure of resources and time. Current literature suggests that the use of instrument-assisted soft tissue manipulation may accelerate healing time, cause ligaments to become stiffer, stronger and improve blood flow. IASTM is not a new treatment for musculoskeletal injury. For thousands of years, healers have been “scraping” the skin and tissue to elicit a beneficial response. Gua Sha practitioners have utilized coins, shells, horns, stones and other materials that allow them to rub over various body areas. One mechanism is believed to relieve blood stagnation by scraping the skin, bringing blood to the surface to help reduce pain. Orthopedic surgeon, James Cyriax used Cross-Fiber Friction Massage (CFM) to treat both acute and chronic soft tissue disorders. He proposed treatment of an acute injury with mild pressure using a finger supported by another finger on top or with the thumb at a 90o angle (transverse) to the injured body part. With a chronic condition, Cyriax suggested a hard cross-fiber treatment. These treatments could range between a few minutes and up to 20 minutes. Historically, FAKTR has been considered an instrument-based course, but in actuality the FAKTR Concepts are meant to be utilized with many different soft tissue interventions; such as cupping, compression floss, laser therapy, acoustic/shockwave therapy, massage and other release techniques. With FAKTR, patients are placed in the position of provocation and treated utilizing 5 key concepts; static, motion, resistance, function and proprioception. The protocol begins by placing the patient in a position of provocation. For example, if a patient has pain through a particular movement, treatment is administered while that movement is performed for 30-45 seconds or until pain is relieved. The patient is re-tested and if the pain has not subsided, the clinician will continue treatment as above for a maximum of 3, 30-45 second periods. Attendees of this course are educated on the proper selection of soft tissue therapy, if required, based upon the patient’s history and presentation. In this way, the patient’s plan of care is individualized to the health status and needs. If pain has subsided, the clinician will then ask the patient to try any movement that would reproduce the complaint. Treatment is then provided in the same fashion as above. Next, the patient is assessed and treated in a functional position, such as an activity they perform daily. If a specific function does not result in reproduction of the patient’s symptoms, proprioception is introduced. It is not necessary to go through all 5 Concepts. If the patient’s symptoms do not appear until Function, the clinician would begin treatment at Function. Ideally, the 5 FAKTR Concepts are intended to be a clinical guide to progressing a patient through care with careful, well-planned decisions tailored to the patient. A recent systematic review by Smith stated that pain during therapeutic exercise offered benefit in the short-term. This study helps to reinforce the idea that pain does not need to be and should not be a barrier to therapeutic exercise. It also demonstrates that pain drivers are not limited to the musculoskeletal system. Exercising through pain helps to establish self-efficacy and a positive mental attitude towards pain. We realize that pain is multifactorial and our approach to treatment during provocative movement provides us with the opportunity to teach course attendees about the biopsychosocial pain model and its significance in individualizing patient care. In doing so, the instructor is able to dissect the 3 BPM drivers of pain and systematically evaluate the most likely cause(s) of that patient’s pain. When Engel unveiled this model in the late 1970’s, he suggested that these 3 components of the model were never meant to be isolated, that they were overlapping and dynamic and that they would be represented differently in each person. As such, course attendees are shown the tools and strategies to identify the potential drivers of a patient’s pain. Course attendees will receive a brief review of evidence-based outcomes assessments, such as the Orebro MSK Pain Questionnaire, Pain Catastrophizing Scale and Pain Self-Efficacy. Further, we will discuss the importance of a practitioner’s carefully chosen words and how they can help or harm a patient’s outcomes. Research by Lin in 2013 went so far as to call chronic low back pain an iatrogenic disorder based upon low back pain beliefs amongst Aboriginal Australians. To assist course participants in identifying the biological/pathoanatomical drivers of pain, the instructor will conduct a brief review of orthopedic test clusters, clinical prediction rules and a variety of evidence-based, clinically relevant examinations; this may include functional movement assessments, testing for neuropathic pain or special tests for proprioception and strength. A prime example would be conducting an ankle range of motion assessment that reveals decreased ankle dorsiflexion from a previous injury. Growing evidence demonstrates that this is a common finding ankle sprains and that it can have negative effects throughout the kinematic chain, particularly in the knee, hip and low back. A significant amount of time is spent during the FAKTR course on evaluation as this a crucial step in determining the appropriate course of action for a patient. During the course, each area of the body is instructed as a separate lecture and hands-on module. Participants are paired in groups of 2-3 people to ensure maximum hands-on participation. Modules begin with the aforementioned assessment(s) and review of key history points germaine to each body area. After assessing, they will receive hands-on training utilizing instrument assisted soft tissue mobilization (IASTM), myofascial decompression/cupping, compression floss bands and hands-on techniques. Keeping in-line with current data and best practices, this course includes exercises studied and suggested by the likes of Hodges, Cook, Purdam, Rio, McGill, Janda, Liebenson and many more. Course attendees will learn how to incorporate a wide variety of relevant, rehabilitative exercises for each area of treatment based upon examination and clinical findings. Course instruction will include assessment and treatment of the spine, upper extremities (shoulder to fingers), lower extremities (hip to toes), buttocks, SI Joints, abdomen and diaphragm. At the end of most modules, students will also be taught biomechanical taping techniques for prophylactic purposes, as well as support of treatments provided. This style of tape is not applied for the purpose of directly addressing pain complaints, but rather to offload and change the joint position of the involved area. As this style of tape is a burgeoning area in rehab, the current and limited research has been provided for attendees to review.
|Instructor||Todd E. Riddle, DC, CCSP, RKT, CSCS, ICSC|
|About the Instructor||Dr. Todd Riddle is a clinician, specializing in sports medicine and physical rehabilitation at Gateway Chiropractic. He is a graduate of Sherman College, completing his chiropractic studies at the top of his class. Dr. Riddle earned his undergraduate degree in Exercise Science, with a concentration in Kinesiotherapy from the University of Toledo. Aside from being an honor student at Toledo, he was a two-sport athlete, playing quarterback and throwing the javelin for the Rockets. After graduation, Riddle worked for the University of Toledo’s Kinesiotherapy Center providing land and aquatic-based rehabilitation programs. Dr. Riddle harnessed his experience as a competitive athlete and therapist and began extensive work in the field of athletic and human performance. In 2002, he started Evolution Sports Training, an athlete performance program based in Charlotte, NC. In 2007, his business became the first franchise of the Athletic Republic training network. Dr. Riddle has trained thousands of athletes, ranging from amateur to professional, including US national teams, NFL, NBA, NHL and MLB. Dr. Riddle has successfully carried his passion for sports and human performance into his chiropractic career. He has served as the team doctor for several sports teams, including rugby, pro cycling and football. In 2018, Dr. Riddle was the official sports chiropractor for the historic, women’s Nigeria bobsleigh and skeleton teams at the PyeongChang Winter Olympics. He has also had the distinct pleasure of working with other Olympic athletes from all over the world. In addition to his clinical expertise, Dr. Riddle is also an accomplished international lecturer and post-graduate educator. He has served as an assistant professor on the faculty of two chiropractic colleges, teaching rehabilitation, orthopedics, diagnosis and soft tissue therapy. Dr. Riddle is also the Director of Education for Southeast Sports Seminars, lead instructor for FAKTR (Functional and Kinetic Treatment with Rehab) and an instructor for Dynamic Tape. He has presented all over North America, Europe, Africa, Australia and Asia. He also has served as a reviewer of scientific articles and books chapters related to sports medicine and rehabilitation|
Soft Tissue Treatment/Therapeutic Modalities-2
Differential or Physical Diagnosis-3|
|Format||In person - Live|
|Course Outline||FAKTR-course overview_FINAL-revised.pdf|