First Step Recovery Model (FSRM)
The First Step - Step 1
Develop the Shoulder Driver
- Scapulas down
- Scapulas medial
- Connecting scapulas to upper arms and lower ribs
Step 2
Connecting the Shoulder Driver to the arms and pelvis to move against gravity
- Prone to prone prop
- Up onto extended arms
- Sitting and transferring
Step 3
Develop the Pelvic Driver and Passenger Unit
- Lock hips in standing
- Lock knees in standing
Step 4
Moving away from the wheelchair with a two planar pelvic driver to begin walking with a walker
- First Steps with walker
- Household walker with walker
- Thresholds and Inclines with walker
- Up and down stairs
Step 5
Moving away from the walker with a three planar pelvic driver to begin walking with canes
- Steps with quad cane
- Household waker with canes
- Hands-free standing
- Cruising along counters, furniture and walls
Step 6
Hands-free walking
- Hands-free crouch steps
- Household hands-free walking
- Community hands-free walking on pavement with inclines
- Off pavement hands-free walking
The Final Step - Step 7
Walking with physical work capacity
- Carrying back pack and two handed loads
- Carrying one handed loads and opening/closing with opposite hand
- Pushing/pulling wheeled load
- Carrying, pushing, pulling over thresholds and inclines
- Carrying, pushing, pulling off pavement
10 Key Components
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
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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.