Orthobiological HackerTM (Part 1: 3-Day Intensive): Regenerative and Functional Medicine Applications for the Rehabilitation

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 so as to 1. Drive exceptional, patient-centered outcomes and 2. Optimize performance and recovery. 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, functional medicine, 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), electric modalities (i.e., multi-waveform NMES, regenerative dry needling, and noninvasive brain stimulation), and functional medicine (e.g. peptides, supplements, recovery, and sleep). While the use of these skills and 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 high-level didactic coursework and applicable hands-on training necessary to incorporate class 3-4 laser, shockwave, electric modalities, and functional medicine into clinical practice to achieve optimal patient-centered outcomes. - Photobiomodulation is a tool that helps balance mitochondria, thereby activating a number of cascades responsible for cellular proliferation, differentiation, migration, homeostasis, and repair. 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. The course will also consider photobiomodulation to optimize human performance. - 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 cascades responsible for proliferation, differentiation, migration, homeostasis, and repair. When improperly dosed, shockwave may not drive enough energy to create a physiologic change. The purpose of this class is to review the physiologic mechanism behind shockwave technology and determine how and when to administer it for various tissue types, neuromusculoskeletal disorders, and stages of tissue healing. - Rehabilitation professionals have traditionally incorporated electric modalities such as transcutaneous electric stimulation, interferential current, neuromuscular electric stimulation, Russian stimulation, and micro-current in clinical practice so as to reduce pain, facilitate muscle contraction, and drive tissue repair. This class will consider multi-waveform technology to improve the effectiveness and efficiency of functional movement and exercise. In addition, the class will explore the physiologic effects of regenerative dry needling for typical primary and secondary patient complaints such as recovery, anxiety, and sleep. - The course will explore the use of noninvasive brain stimulation to rebalance excitation and inhibition in the central nervous system, thereby facilitating plastic changes. - Rehabilitation professionals must consider peptides, supplements, and sleep principles to maximize tissue repair, recovery and performance. This is particularly the case for athletes, where recovery and performance is paramount.