A Doctor's Perspective Podcast

A Doctor's Perspective Podcast


E 175 Functional Loading Rehab Blueprints Tom Teter DC Rehab to Fitness

April 26, 2021

Fitness to Rehab is a system Dr. Teter calls "a linear load application continuum approach". Utilizing this method, the practitioner can take patients through a process that starts with injury care to soft tissue treatment to rehabilitative exercise. As opposed to tracking symptoms like most standards of care models Fitness to Rehab seeks to find where the root cause is coming from and address it.

He built this program out of necessity when asked to create a collegiate fitness and wellness degree program from scratch.

Ideal audience to learn from Dr. Justin Perspective :Physical Therapist who was doing joint replacement or strokes but is now on their own doing sports and athlete injuries. They like spinal manipulations but it’s just a tool in their belt not the bread and butter like a chiropractor. They are in need of learning more exercises, a program, and a system to implement.

Chiropractor is technique heavy (could be instrument based or not). They know rehab is important and gets paid by insurance so they want to learn more. Their current active care wheel house is... PNF stretches geared for home use, McGill big 3 and extremity problems are given Resisted ROM with resistance bands.

Load Application

Applying an external load to a biological organism, see how that person responds to that stress, and if they can get chronic and consistent exposure to that stimuli, then there will be some long term adaption.

Big component of rehab to fitness is quantifying the load and stress that a particular activity has on a person and progressing and regressing them as time goes on.

6 Stages of Load Application for a Linear Care Continuum

 Acute Management - Fundamental Kinematics - Motor Control - Functional Integration - Progressive Kinaesthetics - Foundational Capacity

Dr. Teter walks us through a sprain/ strain ankle with what treatment would look like for this linear 6 step load application progression. Also he breaks down the process for a basketball player that needs to get back to jumping at a professional level.Do we need to take any prerequisite courses to understand rehab to fitness? FAKTR is recommended because it’s like his class picks up where Dr. Todd Riddles ends.

Dr. Tom talks about rehab but he really teaches fitness, while Dr. Todd talks about fitness principles but teaches rehab.

We are biological creations designed to move that respond to stress loading in very specific and predictable ways. Each patient has different needs: one may only want better motor control but a basketball player needs functional control based on that sport.

There is a deficit in function, that they need to improve upon, so they can be tolerant to the load of their day.

Patient Profile - Need Analysis - Exam

He even goes through a mock history of questions he wants answered and of course the goals the patients want to achieve and why or how they can’t do them now. It’s a nice patient profile he gives insight into. The needs analysis is figuring out what are the Functional needs and movements you have to do to perform normal function for their goal.

Minimal Effective Dose

What are the movement, fitness and skill tasks you need to do XYZ?Start off giving a person the Minimal Effective Dose that will get the desired results.

People’s Aliments Classified Broadly into 4 Categories

* Pathological (fractured, torn)* Irritable (inflamed tissue)* Dysfunctional (joint or tissue not injured but not functioning quite right and it hurts)*...