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Treatment of Injuries Using Functional and Kinetic Treatment with Rehab, Provocation and Motion or FAKTR-PM
by Thomas E. Hyde, DC, DACBSP, CSTI, FRCCSS (Hon), FICC

 

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Editor's Note from Dr. Jeffrey Tucker: I have had the pleasure of spending time with Dr. Hyde. He is a transformative teacher, author, researcher and clinician. He understands that there is no ‘one-to-one’ treatment protocol and that each patient is an individual. His teaching style is inspirational, creative and demonstrates his dedication to helping professionals achieve the best results. The technique he developed is called Functional and Kinetic Treatment with Rehab, Provocation and Motion (FAKTR). It facilitates the release of acute and chronic pain through soft tissue therapy, manual therapy and exercise therapy. This document showcases the text taken from a slide presentation by Dr. Hyde. This presentation is used as an educational tool for doctors and patients in the latest concepts in fascial and manual therapy.

There are many soft tissue techniques employed by chiropractors, osteopaths, physical therapists, medical practitioners, massage therapists, occupational therapists and others around the world. All are designed to assist in the treatment of disorders related to soft tissue lesions.

The term ‘Functional’ in this case refers to treating patients during function, not simply in a static posture. Chiropractors determine if the patient’s condition is worse with load or no load and if with load, we treat them with load.

The term “Kinetic” means the doctor looks at the kinetic chain when assessing for any soft tissue injury.

The treatment from a FAKTR practitioner could include any soft tissue treatment such as ART®, MRT, Nimmo, PNF, Mattes, Mulligan, Graston Technique®, Cyriax, Muscle Energy, PIR, FMP-(GIFT), PNF, etc.

The exercise portion of the treatment will include low tech rehab equipment such as Therabands, Stability Pads, Vibration, Pertubation, iJoyBoard, etc.

As part of the treatment process the Doctor will place the patient into a position of provocation, i.e., if back pain is present when seated, we treat the patient seated. FAKTR assesses functional movement patterns, and treats not only pain but loss of ROM, feelings of tightness or lack of function. The same principle of ‘motion’ is used to evaluate the patient. FAKTR determines if the pain is worse with or without motion, if with motion, treat with motion. Through the use of active motions, functional positioning, and exercise rehabilitation during the soft tissue treatment it is possible to immediately initiate proper alignment of collagen synthesis and soft tissue remodeling through fibroblastic activity.

Dynamic activities force fascial planes to move against each other. If there is an adhesion preventing proper fascial, muscle, ligament, soft tissue function why would we ever treat statically?

We can use dynamic activities to assist us in breaking down adhesions with our soft tissue treatment. Robert Schleip states, “Fascia forms a continuous tensional network throughout the human body, covering and connecting every single organ, every muscle, and even every nerve or tiny muscle.”

Muscles hardly ever transmit their full force directly via tendons into the skeleton but rather distribute a large portion of their contractile or tensional forces onto fascial sheets. In turn, these fascial sheets transmit there forces to both synergistic as well as antagonistic muscles when means they stiffen not only the respective joint, but may even affect regions several joints further away.

Fascia describes the soft tissue component of the connective tissue system that permeates the human body. This includes not only dense planar tissue sheets (like septa, joint capsules, aponeuroses, organ capsules, or retinacula), which may be also called “proper fascia”’ but it also encompasses local densifications of this network in the form of ligaments and tendons. 

Fascia is densely innervated with many sensory nerve endings including mechanoreceptors and nociceptors, which can become the source for acute myofascial pain. It also has the ability to contract. Fascia has a blood supply in addition to a nerve supply and lymphatics. These coupled with it’s ability to contract raises the possibility for classification as an “organ.”

With the FAKTR-PM concept, we place focus on areas or regions rather than on origins and insertions. We look at regions and how these regions overlap or interconnect, rather than treating isolated, individual muscles. One important aspect of what we stress is how groups of muscles and fascia work together. 

Please visit www.faktr-pm.com for more information.

 

 

Have a comment or question? Visit our Chiropractic Forum to start or join a conversation.

 

 

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About the Author


Thomas E. Hyde, DC, DACBSP, CSTI, FRCCSS (Hon), FICC
34 Hearthstone Drive
Asheville, NC 28803
828-505-3452
e-mail: tomhyde444@gmail.com

Some of Thomas E. Hyde's most recent accomplishments include:

2010 American Chiropractic Association Sports Council – ACA SC Poster Award Contest, named Hyde Award

2009 World Federation of Chiropractic/Federation Internationale de Chiropratique du Sport, Roast and Toast, Montreal, Canada

2009 Logan University names Sports Master’s Scholarship, Hyde Scholarship

2008 Person of the Year, Dynamic Chiropractic



 

 

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