First Step Recovery Model (FSRM)
The First Step - Step 1
Develop the Head Driver
- Cranial and Cervical alignment
- Cranial and cervical stability
- Cranial and cervical mobility
- Cranial and cervical quality of movement
Step 2
Develop the Shoulder Driver
- Control Scapula movements
- Dissociate the shoulder driver from head and trunk
Step 3
Connect the Shoulder Driver to Arms and Pelvis
- Control arm and trunk movements from the shoulder driver
- Prone on Elbows
- Prone press up
- Roll
- Development of the Anterior and Posterior Diagonals
Step 4
Develop the Forearm and Hand Driver
- Move and manipulate objects with fingers and hands
- Use hands and forearms to Grip, Pick-up, and Release
Step 5
Develop the Pelvic Driver
- Move and control the pelvis
- Trunk Stability and Core Strength
- Sitting Balance
- Static standing balance
- Tall Kneeling
- First Steps with a walker
- Move from walker to quad canes to single point cane
Step 6
Develop the Hip and Knee Driver
- Move and control the hips and knees
- Hip and Knee stability and mobility
- Hands free walking
- Dynamic standing balance
The Final Step - Step 7
Develop the Ankle and Foot Driver
- Carry a backpack
- Carry 2 handed loads
- Open and close doors
- Push and pull loads
10 components of Neurologic physical therapy
Manual Therapy
Therapeutic Exercise Steps
Therapeutic Exercise Steps
Hands-on direct and indirect manipulation of both joints and soft tissues to improve pain-free range of motion
Therapeutic Exercise Steps
Therapeutic Exercise Steps
Therapeutic Exercise Steps
Individual focused exercise parameters with an emphasis on the specific "step" of Recovery
Neuromuscular Re-Education
Therapeutic Exercise Steps
Neuromuscular Re-Education
Re-education of functional movement, balance, proprioception and posture.
Gait Training
Sensation Recovery
Neuromuscular Re-Education
Training a safe and efficient walking pattern
Sensation Recovery
Sensation Recovery
Sensation Recovery
Improved sensory recovery including light touch, vibration, hot/cold, and deep palpation.
Dry Needling
Sensation Recovery
Sensation Recovery
Insertion of myofilament needles, without the use of injectate, into myofascial trigger points, ligaments, tendons, subcutaneous fascia, scar tissue or near nerves to stimulate a healing response for recovery of painful neuromusculoskeletal conditions
Taping and Orthotics
Nutrition and Hydration
Nutrition and Hydration
Improve your posture and alignment without interfering with function to speed recovery.
Nutrition and Hydration
Nutrition and Hydration
Nutrition and Hydration
Optimize your individual internal physiology through improved diet to facilitate healing and recovery at a cellular level
Cognitive Rehab Therapy
Nutrition and Hydration
Cognitive Rehab Therapy
Guided practice focused on improving memory, attention, and ones individual ability to process information with a focus on improving quality of life through optimal functional movement
Circulation Modalities
Circulation Modalities
Cognitive Rehab Therapy
Advanced technology for enhancing circulation, removing inflammation and accelerating healing through electrical stimulation, low level light therapy (cold laser), far infrared bio-mats, ultrasound, vitality swing, and infrared heat with acupressure.