OBH-1: Orthobiological Hacker Part 1: Regenerative Medicine Technologies

Course overview

Course Description: The purpose of this course is to provide an evidence-based framework for how to evaluate and successfully manage patients that have undergone regenerative medicine procedures. In addition to reviewing the physiologic construct of typical regenerative medicine procedures (e.g., platelet rich and platelet poor plasma, adipose derived stem cell injections, bone marrow aspirate concentrate injections, and exosomes), the course will make recommendations based on clinical experience, patient preference, and the latest research for using graded exercise, manual therapy, and evidence-based technologies to optimize each phase of tissue healing. The course will specifically provide didactic and hands-on training for photobiomodulation (i.e., Class 3-4 laser), shockwave (i.e., radial and focused), and electric modalities (i.e., multiwaveform NMES, electric dry needling, and noninvasive brain stimulation). While the use of these technologies can be effectively applied to patients with neuromusculoskeletal conditions, the focus of this course will be how to use exercise, manual therapy, and evidence-based technologies to augment regenerative medicine procedures. Participants should expect highlevel didactic coursework and applicable hands-on training necessary to incorporate class 3-4 laser, shockwave, and electric modalities into clinical practice to achieve optimal patientcentered outcomes. Moreover, students will learn cash and insurance-based billing strategies for how to maximize profits related to evidence-based technologies. - Photobiomodulation is a tool that helps balance cellular mitochondria, thereby activating a number of cascades responsible for cellular proliferation, differentiation, migration, homeostasis, and repair. When photobiomodulation is improperly dosed, the treatment often fails to create physiologic change and/or drives the creation of dangerous reactive oxygen species, resulting in cellular damage and apoptosis. This class will review the physiologic mechanism behind photobiomodulation and determine how and when to administer it for various tissue types, neuromusculoskeletal disorders, and stages of tissue healing. - Shockwave drives waves of energy in a manner that is either focused or dispersed throughout various physiologic tissue-types so as to mechanically stimulate cells, and thereby, initiate a number of cellular cascades responsible for proliferation, differentiation, migration, homeostasis, and repair. When improperly dosed, shockwave may not drive enough energy to create a physiologic change. In contrast, excessive shockwave stimulation has the potential to drive inflammation, tissue damage, and cell death.