FNOR 2: INTEGRATIVE REHABILITATION OF THE LOWER LIMB (INCL. REHABILITATION OF GAIT & RUNNING)

"Walking is the fundamental functional movement foundation for all other movements."

BACKGROUND:

• "ACL injuries in children and teens have risen by 150% in the past 10 years." - Shaw & Finch (2017) (Int J Environ Res Public Health)

• "Among older adults, 28% reported difficulty and 17% inability to walk 1/4 mile at baseline. Compared to those without difficulty and adjusting for demographics, socioeconomic status, chronic conditions, and health behaviors, mortality was markedly greater in those with difficulty and inability."  - Hardy et al (2011) (J Gen Intern Med.)

• "Walking, which is easy to perform and highly accessible, can be recommended in the management of chronic LBP to reduce pain and disability." - Sitthipornvorakul (2018) (Musculoskeletal Sci Pract.)

COURSE DESCRIPTION:

A highly practical, integrative approach to lower limb assessment and rehabilitation.  The course spans gait and movement assessment (incl. by use of advanced kinematic technologies), practical pain treatment methods for common lower limb conditions, and the use of the lower kinetic chain as a robust sensorimotor platform from which to affect the central nervous system. 

Chronic lower limb conditions are often associated with chronic nervous system conditions and even upper quarter issues. This course will present a current and integrative approach to the management of lower limb injury involving all joints of the lower limb as well as rehabilitation following surgery.

WHO IS THE PROGRAM INTENDED FOR?

(Licensed Professional (and current students) in the following professions are welcome to attend: DPT, PT, PTA, MD, DC, DO, RN, MSN, ATC)

The program will likely be highly valuable for any experienced rehabilitation specialist seeking to update their rehabilitation system as well as for recent grads seeking to learn a practical framework from which to launch their own successful rehabilitation program.  

Practitioners proficient in many contemporary approaches to physical- and sports rehabilitation of the lower extremities will likely find the FNOR approach very flexible and compatible with their current clinical approach.  

COURSE OBJECTIVES

• Develop Integrative Approach to Joint Rehabilitation of the Lower Limbs
• Rehabilitation of Normal Gait Biomechanics
• Rehabilitation of Running
• Management of Pain in the Lower Limbs

COURSE DESCRIPTION:

This course is a highly practical, integrative approach to lower quarter assessment and rehabilitation.  The course will span instruction in gait and movement assessment (incl. by use of current technologies), practical pain treatment methods for common lower limb conditions, and the use of the lower kinetic chain as a robust sensorimotor platform from which to affect the central nervous system. 

Chronic lower limb conditions are often associated with chronic nervous system conditions and even upper quarter issues. This course will present a current and integrative approach to the management of lower limb injury involving all joints of the lower limb as well as rehabilitation following surgery.

THE FNOR APPROACH TO DISORDERS OF THE LOWER QUARTER: 

• Evidence-based, Current & Highly Practical.
• Integrative & Systematic.
• Results-centered, proven and applicable across the spectrum of lower limb disorders and injuries.
• Applicable across multiple professional domains (incl. performance and rehabilitation professions.) 

THE FNOR APPROACH TO LOWER LIMB REHABILITATION:

• Current & Highly Practical
• Uncomplicated & Evidence-based
• Neuroscience-forward approach
• Results-centered, proven and applicable across the spectrum of lower limb pain and injury conditions.  

TOPICS COVERED IN THIS COURSE

• Advanced Diagnostic Assessment of Gait (incl. applications in video kinematic technology, central correlations, clinical correlations)

• Assessment and Rehabilitation of Foot and Ankle (incl. novel applications in intrinsic foot activation.)

• Development of the Integrative Physical Assessment 

• Neuro-orthopedic Assessment and Integrative Therapeutic Approach to Common Conditions of the Lower Limb:

• Common Joint Conditions
• Post-surgical Pain
• Complex Injury.
• Femoral Acetabular Impingement (FAI)
• Various Forms and Typical Progression of Disease
• Modification of Rehabilitation Procedures
• Chondromalacia Patella
• Osgood-Schlatter’s Disease
• Meniscal Compromise
• Plantar Fasciitis
• Achilles Tendinopathy
• Lower Limb Neuropathic Syndromes

• Novel Applications Neuromodulation & Electrical Muscle Stimulation Technologies

• Mobilization and Functional Range Development Demonstrate Techniques in Improving Range of Motion and Conditioning Functional Range.

• Assessment and Rehabilitation of Running

COMMON QUESTIONS:

• Is this a course in Joint Manipulation?

• No.  While a number of "manual techniques" will be presented, including some that might be regarded as "mobilization of tissues, nerves and joints", this is not a course in conventional, segmental, joint manipulation/adjusting.   Those with a background in spinal manipulation will find the FNOR-therapy-matrix as a useful foundation in the rational application of joint manipulation (i.e. knowing "when and where" to apply manipulation) but these techniques will not be demonstrated (it is our experience that most attendees are quite proficient with this therapeutic "tool").

• Are you actually going to teach anything practical?

• This course is 100% practical and highly clinically valuable to at least most who attend.  We are exceptionally proud of the clinical value of this course for the typical musculoskeletal rehabilitation specialist.

• I've taken other Rehab Courses and even heard of some that sound like this... How is this course unique?... Why take an FNOR course?

• The FNOR is a pioneer-program in integrative physical rehabilitation, particularly in the integration of neurorehabilitation and orthopedics, 10 years in the making!  While there are a number of excellent learning opportunities in the field of lower back pain rehab (and we owe much to the many pioneers of our time in the field), there are a number of differentiating factors that we believe bolsters the unique value of the FNOR program:

• Experienced multi-disciplinary team (with an inter-disciplinary approach): Our program was developed by professionals from different backgrounds, with years of experience in therapeutic approaches including: emergency medicine, pre- and post-surgical care, frontline primary care, CAM, 'functional neurology', pharmacology and physical therapy.  

• Highly Practical, Original Approach:  The FNOR approach has been developed in the high volume, primarily orthopedic physical therapy (physiotherapy) environment.  There are no "frills or fluff" or "gimmicky" techniques.  The FNOR-approach favors high-leverage interventions (independent of "techniques") and is highly efficient as a consequence...  

• The primary goal is GETTING PATIENTS OUT OF PAIN FAST!: We doubt there is a system developed today that can do this more consistently than FNOR!  In our view, there isn't much value to any approach to a painful condition (like lower back pain) that doesn't resolve pain with fast and frequently. 

• Unique Application of Diagnostic Technologies: The use of current technologies like video kinematics provides a unique, modern dimension to the very modern, FNOR approach. 

TUITION:

• The base rate for this course (as with each of the 3-day, 25 hour, FNOR modules) is $1,250 (US).  An early bird registration rate of $1050 is offered for registrations made 60 days ahead.