First Step Recovery Model (FSRM)

sitting balance training 
first step recovery model
Steps
physical therapy

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

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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

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Individual focused exercise parameters with an emphasis on the specific "step" of Recovery

Neuromuscular Re-Education

Therapeutic Exercise Steps

Neuromuscular Re-Education

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Re-education of functional movement, balance, proprioception and posture.

Gait Training

Sensation Recovery

Neuromuscular Re-Education

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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

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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

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Improve your posture and alignment without interfering with function to speed recovery.

Nutrition and Hydration

Nutrition and Hydration

Nutrition and Hydration

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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

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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

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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.