Sports Medicine

The pre/Formance CXS team is a collective of science-based physiotherapy sports performance specialists with two goals: (1) injury prevention, (2) hastening return to play (RTP) at low cost. We achieve over mission by utilizing proven science, emerging theory, and delivering results that meet the athlete’s expectations and personal values, while case-managing outcomes and costs.

The pre/Formance CXS team serves athletes and clinicians. We focus on the individual needs of the athlete’s performance, as well as the needs of the Team, as a strong performing unit. For clinicians, we provide workshops and training events supported by evidence-based research to meet the demands of emerging conservative therapy-based practices worldwide. We believe that clinical care is also team-based. Our sports performance specialists are athletes themselves. We strive to fast-track the best possible outcomes to minimize the duration of being sidelined. We know how it feels to lose training time, and we understand how this feeling can impact recovery. Recovery is partly physical, but also mental and emotional. We are intrinsically curious about novel science-based theories and systems that can improve athleticism, reduce injuries, and promote optimism.

Our sport-minded specialists have proven that a same-day return to play is possible for many types of athletic impairments. We prescribe CORE-based systems to restore function, and to reduce symptoms; every sport has a ‘CORE neutral’ application. Failure to produce CORE activation results in Faulty Motor Patterns (FMP) and therefore a failure to provide spinal stability, maximum performance, or to reduce the occurrence of injury. Our therapeutic systems utilize the ‘entire athlete’ approach to restore function, instead of offering only palliative care and isolation ‘exercises.’

Our main goals are (1) to act with clinical professionalism, (2) to meet the athlete’s expectations, (3) to understand the athlete’s personal values, (4) to set an example of excellence for all clinicians, and (5) to deliver clinically meaningful outcomes based entirely on conservative care systems. Our clinicians support the platform of professionalism by acting in a non-reductionist manner; considering the ‘entire athlete’ by providing a complete diagnosis on the first visit. Athletes learn and adapt quickly; providing a summary explanation of the causes and contributors is critical to recovery and injury prevention. Our systems address motor pattern insufficiencies on the first visit.

Important clinical research is being published every day. Case management should utilize these emerging theories in order to provide the best possible outcomes for the athlete. Case management should not be based on bias, trends, gimmicks, personal clinician preferences, or financial gains, nor should it be directed by the athlete.

We recognize that there is a holding-pattern in the progress of conventional performance and conditioning programs to meet the demands of current athletic expectations. Athletes are looking for un-conventional training programs that offer injury-free results and reduce the total training time fraction. Conventional coaches are not trained to observe and diagnose faulty motor patterns, and are not licensed to prescribe corrective training. Regardless of the sport or position played, our programs begin with a foundational awareness and readiness to stimulate maximum CORE recruitment to stabilize joints, improve overall motor coordination, and create athletic confidence. We have a 5-step approach: (1) assess the athlete for faulty motor patterns, (2) diagnose faulty motor patterns, (3) prescribe and manage corrective motor programs, (4) prescribe and manage constructive performance programs, and (5) assign the athlete to sport specific professionals. Excellence in athletic performance requires a critical eye to be able to diagnose and prescribe properly. Readiness + Awareness + CORE components evolve proportionally. If only Readiness (physical training including sport-specific/position-specific knowledge) is in the training program, and not awareness or CORE components, elite-ness can’t be achieved. The best way to achieve elite-ness is by expanding the missing foundational-base skills such as the elemental CORE skills: (1) involving anatomically and functionally continuous interdependent myofascia, (2) curating instantaneous center of movement, (3) coordinating acceleration into deceleration, (4) while simultaneously providing, receiving and transmitting forces and loads across the athlete’s body. CORE conditioning is our primary focus.