Performance and Recovery Course
Master the revolutionary TBRx approach to performance and recovery for optimal health and wellness.
This immersive course is designed to help healthcare providers and fitness professionals learn about the TBRx approach to performance and recovery.
This module 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. This unique approach to performance and recovery will help you improve client outcomes.
COURSE OVERVIEW
Welcome to the TBRx Performance and Recovery Course
Pliability Module Outline
1
Course Overview
What to expect and course goals.
2
Introduction to Key Concepts
In this section we will discuss an overview of TBRx treatment concepts, treatment goals, and introduce the philosophy behind pliability. We will introduce the pliability amplifiers such as hydration, nutrition, functional movement and cognitive function.
3
Pliability Module
Here we will dive deep into the concepts and techniques necessary to promote pliability in your clients.
4
Conclusion
The module will end with a brief summary of the learning goals and provide insight into how you can implement the TBRx method into your practice.
5
Self Assessment Quiz
Test your foundational knowledge of the TBRx method before advancing to the next module.
Course Overview
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.
Comprehensive Approach
Learn the integrated TBRx method combining pliability, hydration, nutrition, functional strength, and cognitive fitness.
Evidence-Based
Explore the scientific principles behind the TBRx approach to performance and recovery.
Practical Application
Gain skills to implement TBRx concepts in your clinical practice or fitness training.
Course Outcomes
By the end of this module you will be able to:
1
Identify the TBRx Method
Understand the core principles of the TBRx Method and the treatment used to deliver it.
2
Understand Pliability
Explain what pliability means and how we utilize it in client care.
3
Describe Treatment Components
Explain the components of the treatment including pliability, hydration, nutrition, functional strength & conditioning, and cognitive fitness.
4
Integrate Components
Describe how each component of the treatment relates to the other components and overall performance and recovery.
At the end of this course you will have sufficient knowledge to proceed to the next module.
INTRODUCTION TO THE TBRx PERFORMANCE AND RECOVERY COURSE: KEY CONCEPTS
Treatment Overview: Comprehensive Approach
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.
1
Assessment
Evaluate client's current state and goals
2
Customized Treatment
Design personalized TBRx protocol
3
Implementation
Apply TBRx components in integrated sessions
4
Ongoing Support
Provide guidance for lifestyle changes
Overview of TBRx Treatment Goals
The TBRx treatment goals are defined by the following key principles:
Enhance Awareness
Help clients understand how their lifestyle choices impact their performance and recovery.
Promote Daily Change
Encourage small, consistent improvements in physical well-being every day.
Empower Ownership
Guide clients to take responsibility for their treatment progress and personal goals.
Pliability: The Foundation of Performance
Effective Tissue Function
In the TBRx treatment, pliable tissues are well-vascularized, permeable, energy efficient, and elastic - capable of repeatable, forceful function under stress.
Pliability Techniques
Our pliability techniques include deep force muscle work, targeted stretching, and vibrating roller exercises to enhance tissue quality and function.
Pliability Benefits
Improved pliability leads to better muscle function and recovery, enhanced range of motion, reduced injury risk, and overall enhanced athletic performance.
TBRx Performance And Recovery Theory: Treatment Components
TB12 Treatment Components

Pliability

In the TB12 treatment, 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.

Hydration

At TB12, 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.

Nutrition

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.

Functional Strength & Conditioning

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

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.

Pliability Components:
Hydration
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.
Improved Muscle Function & Enhanced Recovery
Proper hydration is essential for optimal muscle and nerve function, as well as accelerated recovery.
Drink Half Your Body Weight in Ounces Daily
The recommended daily water intake is to drink half your body weight in ounces to maintain proper fluid balance.
Add Electrolytes to Your Water
Electrolyte-infused water helps replace minerals lost through sweat and supports overall hydration.
Monitor Urine Color for Hydration Status
The color of your urine is a simple way to gauge your hydration level and make adjustments as needed.
Pliability Components:
Nutrition
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.
Macronutrients
A healthy diet includes lean proteins, complex carbohydrates, and healthy fats to fuel the body.
Micronutrients
Micronutrients like vitamins, minerals, and antioxidants provide essential nutrients for optimal health.
Timing
Proper nutrition before, during, and after exercise is key for fueling workouts and supporting recovery.
Pliability Components:
Functional Strength & Conditioning
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.
1
Assessment
Evaluate client's current strength and movement patterns
2
Goal Setting
Establish functional strength targets based on client's needs
3
Exercise Selection
Choose exercises that mimic real-life movements and activities
4
Progressive Overload
Gradually increase difficulty to continually challenge the body
Pliability Components:
Cognitive Fitness
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.
Mental Clarity
Improve focus and decision-making abilities
Stress Management
Develop techniques to handle pressure and anxiety
Positive Mindset
Cultivate a growth-oriented and resilient attitude
Brain Health
Support long-term cognitive function and neuroplasticity
MODULE 1: PLIABILITY
Module 1: Pliability Introduction
By The End Of This Module You Will Be Able To:
1
Define Pliability
Define pliability relative to the TBRx treatment through evidence-based practice
2
Understand Cellular Elements
Understand the cellular elements of pliability: how structural and functional improvements of tissue are created by utilizing the treatment to enhance overall performance and recovery
3
Identify Connections
Identify the connection between pliability and the remaining four components: hydration, nutrition, functional strength & conditioning, and cognitive fitness
4
Describe Pliability Exercises
Describe how pliability exercises are utilized within a TBRx treatment
Pliability and Other Components
This module will establish the connection between pliability and the remaining four components: hydration, nutrition, functional strength & conditioning, and cognitive fitness.
1
Pliability
Core focus of TBRx method
2
Hydration
Supports muscle elasticity
3
Nutrition
Fuels tissue repair
4
Functional Strength
Enhances muscle resilience
5
Cognitive Fitness
Optimizes mind-body connection
Defining Pliability
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.
Characteristics of Pliable Tissues
  • Well-vascularized
  • Permeable
  • Energy efficient
  • Elastic
  • Capable of forceful, repeatable function
  • Able to return fully to resting state
Benefits of Pliable Muscles
  • Increased strength without muscle shortening
  • Faster recovery
  • Reduced susceptibility to injury
  • Improved overall performance
Pliability Assessment and 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.
Pliability Techniques
Pliability, Flexibility, and Mobility: What's the Difference?
Effects of Pliability Treatment
Mechanical Elements of Pliability
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.
Mechanoreceptors
Specialized sensors in skin and muscles providing feedback to the central nervous system
Proprioceptive System
Critical for structural and functional adaptations during pliability treatments
Intentional Positive Trauma
Mechanical forces applied during treatment to stimulate tissue adaptation
Activity-Specific Engagement
Functional strength & conditioning creates short and long-term adaptations
Hormonal Elements of Pliability
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.
1
Hormone Regulation
TBRx approach helps regulate key hormones
2
Increased Permeability
Pliability exercises enhance vascular system permeability
3
Hormone Utilization
Efficient use of hormones leads to positive adaptations
4
Long-term Enhancement
Functional strength & conditioning supports ongoing hormonal benefits
Metabolic Elements of Pliability
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.
Efficient Metabolism
  • Improved vascular perfusion
  • Enhanced tissue permeability
  • Better nutrient delivery
Pliability Benefits
  • Increased oxygen utilization
  • Improved waste product elimination
  • Enhanced energy production
Long-term Adaptations
  • Activity-specific metabolic improvements
  • Optimized nutrient and oxygen use
  • Enhanced overall tissue function
Short and Long-Term Adaptations of Treatment
Short-Term Adaptations
  1. Increased blood flow to muscles
  1. Improved muscle flexibility
  1. Enhanced neural activation
Long-Term Adaptations
  1. Increased muscle fiber density
  1. Improved connective tissue strength
  1. Enhanced metabolic efficiency
APPLYING THE TBRx APPROACH
Comprehensive Approach to TBRx Treatments
Introduction to Pliability
Explain the concept using relatable terms and examples
Goal Setting
Collaborate with client to establish pliability-related objectives
Demonstration
Show and guide client through pliability exercises
Progress Tracking
Help client recognize and celebrate improvements in pliability
Client-Centered Pliability Explanation of Benefits
  • Improved flexibility and range of motion
  • Enhanced athletic performance
  • Faster recovery from exercise and injury
  • Reduced risk of future injuries
Conclusion: Provider Insights
Self Assessment Quiz
Evaluate your current level of pliability
This self-assessment will help you identify areas for improvement and guide your personalized TBRx performance and recovery plan.
  1. What is tissue pliability, and why is it important for athletic performance?
  1. How does hydration impact muscle recovery and performance?
  1. What key nutrients are essential for effective recovery?
  1. How do functional strength exercises differ from traditional strength training?
  1. What role does cognitive fitness play in overall physical performance?
  1. What are the best practices for improving tissue pliability?
  1. How can electrolyte balance affect hydration levels?
  1. What are the signs of poor tissue pliability?
  1. How do you assess your hydration status?
  1. What is the relationship between nutrition timing and recovery?
  1. What techniques can enhance mental clarity during physical activities?
  1. How often should one adjust their fitness routine for optimal pliability?
  1. What is the significance of goal setting in physical training?
  1. What tools or methods are recommended for tracking performance progress?
  1. How do nutrition, hydration, and tissue pliability work together to support recovery?
Continue to Module 2: Hydration
Now that you have a strong foundation in pliability, it's time to dive into the next crucial component of the TBRx Performance and Recovery approach - hydration. Proper hydration is essential for optimal muscle function, recovery, and overall health.
Continue to Module 2: Hydration