Quadrant 4 sport is a whole different ballgame. And over the past couple of years working with this demographic, I have come to learn and realize a few things that have not only changed my thought process but has also molded my approach to “therapy”.
Sports Therapy
- A reactive approach to injury management. “A” before “B”. Injury before Therapy
- A mini clinic
- Largely focused on rehabilitation
- Rehabilitative and corrective exercise
- Analogous to a body shop mechanic
- An extreme emphasis on manual therapy and electromodalities
- Tissue-targeted
- Technique driven, clinician centered
- “Injury prevention” occasionally an emphasis
- End goal is return to training
Performance Engineering
- A dynamic, collaborative approach between coach(es), athlete and “therapist”
- A pit stop
- Largely focused on skill correction for mechanical efficiency
- Motor learning and skill acquisition
- Analogous to a Formula 1 mechanic
- Manipulation for facilitation. As little as necessary.
- Skill-targeted
- Situational driven, athlete centered
- “Injury prevention” often a by-product
- End goal is performance enhancement
…this post was inspired by Stuart McMillan’s post on performance therapy and ongoing commmunication with Patrick Ward
.













Great information, glad I read the Leibenson link! Nice work Doc!
Thanks Doc