Tissue Repair Training in Rehabilitation and Athletic Performance

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Video Runtime: 95 Minutes; Learning Assessment Time: 36 Minutes

This course focuses on advancing clinicians’ understanding and application of mechanotherapy to optimize tissue repair and athletic outcomes. This course offers evidence-based strategies for addressing various musculoskeletal conditions, emphasizing tissue-specific interventions tailored to healing stages. Participants will explore the physiological processes of mechanotransduction, exercise dosing principles, and differential diagnosis techniques to design effective rehabilitation and performance training programs. Designed for athletic trainers and physical therapists, this course bridges the gap between acute injury management and return-to-sport readiness, equipping clinicians with the tools to enhance tissue resilience and function.

Learning Objectives

Implement mechanotherapy techniques to promote tissue repair and recovery
Apply targeted exercise design principles to optimize tissue tolerance and performance outcomes
Evaluate pain pathways and their implications for rehabilitation strategies in mechanical nociception
Determine issue-specific intervention protocols based on stages of healing and mechanical properties

Course Series Overview

Meet your instructor

A person with spiky hair in a light suit and patterned tie stands indoors, representing modern hybrid care for medbridge.

Jim Rivard

Jim Rivard received his bachelor of science in physical therapy from the University of Puget Sound in 1988. He then completed four years of postgraduate residency and fellowship training at the Ola Grimsby Institute (OGI) and a chronic pain management certificate program at McGill University. Jim is the founder of MTI…

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Chapters & learning objectives

1. Clinical Application of Mechanotherapy

This chapter introduces mechanotherapy as a cornerstone of tissue repair and remodeling. Participants will explore the historical and modern frameworks of mechanotransduction and its clinical applications. Key concepts include optimal stimulation for repair (OSR), stress shielding, and progressive loading to transition from early healing phases to tissue tolerance training. Practical applications of slings and movement planes will be discussed to ensure effective intervention design.

2. Mechanical Nociception: Pathways, Language, and Resolution

This chapter examines the biological and psychological dimensions of pain in tissue repair. It emphasizes the differentiation of acute and persistent pain through tissue-specific “language” and nociceptive pathways. Clinicians will learn to apply mechanoreceptor-driven interventions to inhibit pain and restore motor control while addressing fear-avoidance behaviors and sympathetic responses. Strategies for pain modulation and resolution are highlighted to improve treatment outcomes.

3. Differential Diagnosis: Finding the “What” to Know the “Why”

This chapter equips participants with tools for pathoanatomical and impairment-based differential diagnosis. Using movement patterns and tension versus compression analysis, clinicians will identify contractile and noncontractile lesions. The content focuses on designing training sequences that normalize axis motion, address guarded patterns, and progress patients from sparing strategies to tissue tolerance training. Clinical examples of compression, tension, and instability patterns will be explored in detail.

4. Segmental Sensitization: Implications for Pathology and Interventions

This chapter delves into segmental sensitization and its implications for nerve root pathologies and musculoskeletal dysfunctions. Participants will examine the role of spinal and sympathetic nervous system influences in pain and tissue repair. Emphasis is placed on integrating psychological, social, and environmental factors into treatment planning to address healthcare disparities and improve patient engagement. Practical approaches for segmental assessment and intervention are provided to ensure comprehensive care.

More courses in this series

Rehab to Resilience: Transforming Sports Therapy Outcomes

Jim Rivard