This immersive course is designed to help healthcare providers and fitness professionals learn about the TBRx approach to performance and recovery. It will provide an introduction to the TBRx lifestyle, outline the key principles and components of a TBRx treatment session and discuss methods for integrating these concepts into clinical care. Our approach to performance and recovery integrates revolutionary concepts of tissue pliability, hydration, nutrition, functional strength & conditioning, and cognitive fitness.

By the end of this module you will be able to:

The TBRx Performance and Recovery treatment is a comprehensive, holistic approach to client care. Based on sound clinical reasoning and evidence-based components, each treatment is designed to make positive change in the structure and function of tissue that leads to improved health and wellness.

TB12 Treatment Components

At TBRx, we consider hydration to be the most important part of enhancing pliability and thus improving overall health and wellness. Proper hydration is essential for muscle and nerve function, pH balance, metabolism, and lymphatic system circulation.

No training or exercise program is effective unless complemented by proper nutrition. Training and recovery is not as effective when the body and muscles are deprived of the right nutrients.

The function of muscles is to protect bone structure and support the acts of daily living. Clients should train to develop the optimal strength to do the job their body needs to do, while limiting the load - especially the overload - they put on their joints. Functional strength & conditioning is designed to reinforce the pliability exercises in a client centered manner during each treatment.

Cognitive fitness is defined as "a state of optimized ability to reason, remember, learn, plan, and adapt". A client's attitude, lifestyle choices, and exercise capacity all affect cognitive fitness. Strategies to recognize deficits, adjust a client's mindset, and provide client support are critical in improving a client's overall cognitive fitness.

In the TBRx approach, we use the term "pliable" to define the qualities of effective tissues. Effective tissues are well-vascularized, permeable, energy efficient, and elastic. They are capable of forceful, repeatable function under stress and have the ability to return fully to their resting state.

Muscle cells are tissue. Pliable muscles are long and lean. Increasing pliability boosts overall strength without shortening the muscle. Pliable muscles recover faster and are less susceptible to injury*.

The goal of a TBRx treatment plan is to help the client achieve his or her goals for overall performance and recovery. Pliability sits at the core of every treatment.

The TBRx treatment is supported by a standardized and evidence-based means of assessing and treating clients. At TBRx, we evaluate a client's overall state of pliability based on subjective and objective appraisals of tissue quality, as well as contributory factors such as lifestyle choices.

The client's mindset and choices they make outside their sessions complements the treatment. These choices are related to pliability, hydration, nutrition, functional strength & conditioning, and cognitive fitness. Your goal is to help your client manage the cellular elements of pliability in order to achieve short- and long-term change.

The mechanical, hormonal, and metabolic elements of pliability are managed in a positive manner to create structural and functional changes to tissue. These changes enhance pliability, lead to improved overall health and wellness and help your client achieve their performance and recovery goals.

Mechanoreceptors in the skin and muscular system are specialized to provide information to the central nervous system. This includes information about pressure and tension, as well as forces within the body and the position of joints and limbs. This proprioceptive feedback system is a critical driver to the structural and functional adaptations clients make during the pliability treatments.

The pliability along with functional strength & conditioning component of the treatment stress and reprogram the proprioceptive system.

During the pliability exercise components of the treatment, the mechanical forces your client applies to the tissue with a vibrating roller cause an intentional positive trauma. The tissue adaptations to this treatment are vascular and neuromuscular in nature.

The proprioceptive system is engaged during functional strength & conditioning in an activity-specific manner, creating both short- and long-term adaptations.

Hormones are chemicals that control a number of cellular functions including energy metabolism, tissue growth, hydration levels, and muscle protein synthesis. Important hormones such as insulin, glucagon, cortisol, and epinephrine regulate the physiologic processes that lead to short- and long-term adaptations of tissue.

By following the TBRx approach, a client can help regulate key nutrient and oxygen levels in the blood.

This, coupled with pliability exercise creates a state in which the vascular system is more permeable and the receptive sites are primed to accept the hormones delivered to the tissue during and after treatment. Efficiently using the hormones and eliminating pro-inflammatory markers leads to short-term positive adaptations.

The activity-specific functional strength & conditioning enhances the long-term presence and use of these key hormones based on the energy needs and continued process of regeneration and healing.

Metabolism involves chemical reactions at the cellular level that work to convert substances for energy or to eliminate waste products. Vascular perfusion and tissue permeability are key to an efficient metabolism. Pliability exercise enhances the neural and mechanical stimulus that improves perfusion and permeability.

Client adherence to the TBRx treatment components creates an environment in which oxygen and key nutrients are efficiently delivered to the blood, and delivered to and utilized at the working tissues. The functional strength & conditioning reinforces the use of these key nutrients, oxygen, and energy enzymes in an activity-specific manner that leads to short- and long-term adaptations.