PS2AD/Human Performance Series

A 12 Day Program linking Prague School to Athletic Development.

Goal: Learn an agile, upstream approach to promoting return to activity & resilent sustainable athleticism.

 

 

Taught in three 3 Day Courses each followed by a series of 1 day Bridge the Gap programs.

Read about the course offerings below, then check out Dr. Liebenson’s course schedule to find the course(s) you want in a city near you.

These are interactive, problem-solving workshops. You can start at any point in the program (since they are divided up  topically.

Clinical Audit Process/Assess-Correct-Reassess Video from Stanford, 2014

Learn how to efficiently –
  • Find the source of pain
  • Improve function
  • Enhance durability & performance
  • Increase self-efficacy
  • Achieve patient & athlete-centered results

What Can You Expect to Learn?

The PS2AD/Human Performance “Best Practices”  series is an ideal prep for changing one’s paradigm from –
  1. Symptom-based to a focus on the Source of pain in the kinetic chain
  2. Passive to Active (self-care oriented)
  3. Doctor-Centered to Patient/Athlete-Centered
  4. Output-based to outcome-based
  5. Hardware (structural) to software (functional)
  6. Silo-based to patient/athletic-centered approach
  7. Bridge the gap between rehab & athletic development
Learning Objective: To efficiently integrate the “best practices” from the fields of rehabilitation, pain management, athletic development, & behavioral modification for preventing the chronic rehabber & building resilent, sustainable activity tolerance & peak performance.
At the end of the day it takes passion, study & experience to learn how to be STRONG in this model. As Pavel Tsatsouline says “You are strong when you can make the hard easy”. Thus, EFFICIENCY is one of our hallmarks. The other is integration since its better to “be a learn it all, not a know it all”.

Our Philosophy: The key to a sustainable approach to activity is baking positive lifestyle choices/optionality into our environment. This epitomizes an agile, upstream mindset with minimal downside risk.

Part A - Human Performance

 

 “Function better to feel better”

 

  • Developing an Agile Mindset for Sustainable Human Performance 
  • Demand vs Capacity: the role of history AND functional assessment
  • Needs assessment: What are the required capacities or demands?
  • Avoiding rehab purgatory: are we creating chronic rehabbers?
  • Building trust: What is the individuals why?
  • N= 1: Individualization to enhance efficiency & effectivenes
  • Upstream approaches to bake sustainable solutions
      • The 4 Principles 
      • Sustainable athleticism: “That which enhances performance prevents injury”
      • Does hurt = harm? Is ‘boot camp’ the answer? The Goldilocks principle
      • Identifying  & remediating current capacity shortfalls (identifying the floor)
      • Overload, adpation & raising the ceiling  – “the hardest thing you do well”
      • “Its not the load that is the problem, it’s the load you’re not prepared for”
      • Regional interdependence & the joint by joint approach: “he who treats the site of symptoms is lost”
    • Gamification
      • Constraints-based learning
      • Dynamic systems theory – individual, task, environment
      • Internal vs external cueing
      • The environment as coach “it is incorrect to correct”
      • Self-corrective, reactive exercises
      • Blocked vs Random
    • Steps of Training/Care
    • Load Management
    • De-sensitization
    • Movement Prep
    • Priming (Glute/Abd activation)
    • GPP (S&C)
    • SPP (Power/Skill)
    • Movement Prep
      • The warm-up
      • McGill’s “non-negotiable” Big 3 for stiffness
      • Greasing the gear
      • Foot afferent stimulation & fast feet
    • Assessment of the Torso
      • Breathing “unless breathing is normalized no other movement pattern can be”
      • Isometric strength/endurance
      • Force transfer
    • Training the torso
      • Proximal stability for distal athleticism – what does this mean?
      • To brace or not to brace that is the question
      • Sets/Reps/Hold Time/Frequency
      • 3 Block Periodization approach
        • Block 1 – Static endurance bodyweight training
        • Block 2 – Static endurance traning with external load
        • Block 3 – Core stability with distal motion
        • Isometric Anti-Trunk Motion Training (sagittal, frontal & transverse planes)
        • Progressions/regressions/lateralizations
      • Glute Activation
        • The role of hip extension
        • Glute WOD
        • Upright functional training of the poterior chain
  • Resilency: Becoming durable like Phoenix
    • Peceived threat & “ghost” pain
    • Potentially traumatic events
    • The tipping point & pain threshold
    • Sensitization & “wind-up”
    • Up & down-regulation
    • “Confidence is the cornerstone of great performance”
  • Finding the Silent Killer – The LASS Profile
    • Painless dysfunctions
    • Every exercise is a test
    • the 80/20 rule & corrective exercises – distinguishing signal from noise
    • The danger of over-correcting with the chronic rehabber
    • Assess-Analyze-Correct-Reassess
  • Active Recovery
    • Primal “tuning” & re-sets
    • Spine Sparing Strategies
      • Micro-breaks
      • Hip Hinge
      • T4 mobilizations
  • Developmental & Archetypal (primal) Re-sets
    • Evolutionary & Development landmarks
    • The double “whammy” of inactivity crisis & obesity

Part B - Building Resilence

Assessing & Training the Fundamental Patterns

 

  • ABCs of movement literacy (agility, balance, coordination)
  • Childhood play: Run/Jump/Hop/Kick/Throw/Roll/Climb
  • Adult Fundamental Patterns – squat, hinge, lunge, push, pull, carry (locomotion, roll…)
  • The stability/strength/power continuum (triple flexion for triple extension)
  • Time under tension
  • Tempo: tri-phasic
  • Rehab of the athlete: From the ground up – lower quarter kinetic chain
  • The Continuum of Care: From the Head to the Toe

 

  • Foot/Ankle Stability: What is the role of  the dead foot?
    • Martial arts “rooting” – gripping the floor
    • The transverse arch, 1st MTP & the high gear push off
    • Foot/ankle stiffness for running economy
  • The Posterior Chain
    • Glutes & hip extension
    • Janda’s assessment of gait
    • The Glute activation WOD
    • Modern hamstring management
  • Squats/Deadlifts/Lunges
    • Athletic position
    • Finding your hip width
    • Pushing off the ground
    • Avoiding knee dominant pattern
    • Rotary squat
    • The hip hinge & posterior chain
    • Pulling from the ground
    • Split stance & reciprocal patterns
    • Star Matrix lunges with arm tweaks
  • Single Leg/Frontal Plane Stability
    • Preventing medial knee collapse
    • Posterior Chain activation
    • Frontal plane stability/power
  • Push/Pull/Carry
  • The upper quarter kinetic chain in functional tasks
  • Horizontal & Vertical push/pull
  • Kettlebell carries & self-limiting shoulder stability training
  • Dynamic Warm-up & Plyometrics
    • Stretch-Shortening Cycle
    • Deceleration for acceleration
    • The key importance of landing

 

  • The T4 “dead zone”
    • Kinetic chain effects on lumbar spine, head & neck, and shoulder girdle
    • Breathing dysfunction
    • Postural conspiracy
    • Workstation ergonomics
    • Lifestyle – “inactivity crisis”
  • Upper quarter kinetic chain dysfunction & scapular dyskinesis
    • Impingement
    • Instability
    • The overhead athlete
    • Scapular-stabilization acc to Cressey
    • The LASS Shoulder WOD
  • Plyometric training
  • Skipping
  • Jump rope (self-limiting)
  • Box Jumps (landing/absorption)
  • Counter-Movement
  • Depth
  • Bounding
  • X-hop
  • Squat/Scissor/Rotary

 

  • Tendonopathy Management acc to Jill Cook PT, PhD
  • Current vs Required capacity
  • Isometric strength
  • Energy storage
  • Energy storage & release
  • Role of stetching & deep massage

Video overview with testimonials of how Dr Liebenson’s programs can transform your practice.

Part C – Recovery Strategies

 

Janda’ Afferent Stimulation & Lewit’s Mobilizations in the Rehabilitation of the Locomotor System
  • The role of the feet & sensory afferents
    • The Dead Foot
    • Sensory blindness
    • The special role of the first MTP
    • Phillip Beach & active rest
    • Sensory-Motor stimulation starting from the sole of the foot
  • Joint by joint approach starting from the ground up (from MTPs to TMJ)
  • The role of joint dysfunction in faulty movement patterns
  • Synergist substitution & relative tightness: are tight traps a key link or trap?
  • Irradiation & potentiation: prioritizing movement preps for efficiency
  • Acc. to Gray Cook does a stiff area on passive & active testing always require mobilization?
  • How manual therapists & trainers can work together in athlete-centered management
  • Post-isometric relaxation methods for inhibition of tight muscles & joint mobilization
  • Traction, springing & joint oscillations
  • Fascial release according to Lewit
  • Exteroceptive therapy
  • Scars as sabateurs
  • The fibular head & tight hamstrings
  • The painful coccyx post-partem pain
  • The pelvic floor & sacrotuberous ligament
  • Psoas & QL in trunk rotation dysfunction
  • Respiratory & visual synkinesis
  • Ideal manipulative therapy methods for acute care or the elderly
  • Distinguishing neuromuscular from connective tissue sources of hypertonus
  • Dizzyness & post-concussion syndrome
  • TMJ, speech & eye movements
  • Manual traction procedures for hip, lumbar spine, shoulder & cervical spine
  • Forward drawn posture – lumbo-dorsal fascia, fibular head & gluteal inhibition
  • Integrating Manipulation & Exercise
Bridge the Gap (BTG) Courses – One Day updates linking each course
  • Review the concepts & implementation of the A,B & C programs
  • While the 3 day workshops  cover the Science & Rationale or WHY of the series along with the craft, skill, methods or WHAT. The BTG programs emphasize HOW to integrate the course work in different environments.
  • Case-based
  • 1. The 4 Principles of Management2. The Individualized Profile3. The Scientific Method & Assess-Correct-Reassess4. Movement Screen Practical5. Case Management Problem-Solving