Performance Therapy is a systematic approach towards successfully treating soft tissue structures, integrating the use of advanced soft tissue skills with functional strengthening techniques.
When joint structure is torn or damaged, spasm, inflammation and finally the infiltration of adhesion formation occur during the healing phase. Muscle does not heal by formation of new muscle but by scar tissue. These adhesions disrupt the normal muscle function, which in turn affects the biomechanics of the joint complex, and can lead to pain and dysfunction. An acute injury does not have to occur in order for adhesions to develop. Often times an injury caused by repetitive movements or constant pressure/tension can cause adhesion formation.
Performance Therapy is specifically designed to assess the Kinetic Chain, locate and release adhesions and restore proper muscle-contractual timing patterns. This method softens, stretches and releases the fibrous scar tissue, resulting in decreased restriction to circulation, increased range of motion and increased strength. After this is achieved then the functional exercises begin. Repetitive strengthening is necessary to maintain proper muscle memory, to keep the adhesions released and to insure joint integrity.
In order to better understand function and the kinetic chain of movement, one must first be reminded that the human body operates on a link sequencing system consisting of bone, soft tissue, and neurovascular structures. Neural patterns must fire in a specific order for this link system to successfully perform a given task. No one-body part operates successfully without the contribution of another. The key component of all movement is the body's core/trunk (abdominal, hip, and low back area). The core serves as a force couple in the kinetic chain between the lower and upper extremities. Ground reaction forces travel through the lower extremities, through the core, and to the upper body when movement or application of strength occurs in a given task. A weak core will result in postural distortions, biomechanical dysfunction, and inefficient movement patterns
In the past therapists tend to treat patients statically instead of functionally. This means that instead of just assessing a patient statically when they are laying down, we also assess and test functionally with gravity naturally being a factor as well as movement. In the real world we are constantly in a battle with gravity and force using multi-joint, multi-directional movements. Some examples of this would be, bending down and reaching to your side to pick something off the floor. Putting a baby in a car seat. Swinging a golf club.
When a patient comes to Performance Therapy concerned about a problem we take these steps to help them:
I have been racing triathlons, running marathons and ultra marathons for 9 years. Year long training, less then ideal flexibility and range of motion with little knowledge of physiology left me with one chronic, overuse injury after another. ITB syndrome, plantar fasciitis, knee pain and lower back issues forced me to take months off from training, have multiple rounds of steroid injections in my knees and feet and finally, bilateral arthroscopic knee surgery. Two weeks before Ironman Florida in 2006, I developed a strain in my Soleus and couldn't run down the street. The day before the race, still not feeling any better, I found A.R.T.. In two 10 minute sessions I was good as new and went on to P.R. I have had weekly A.R.T. sessions since and have remained injury free! Mike Danenberg has kept me healthy, given me the confidence, peace of mind and knowledge to train as hard as I want, as often as I want, all year long.
Kevin Otis
4 time Ironman Finisher