A38, lifts four days a week
Findings
- Lumbar tissue irritable under load
- Trunk cannot control the hinge at speed
We start with
Tissue & Movement
Tissue treatment, then rebuild the hinge
The ATP System
The symptom is where we start.
It is not the answer.
An elbow, a plateau, or a bad fourth inning is the visible result of several systems. ATP finds which of them limit you, and in what order.
Tissue & Movement. How do the tissues tolerate load, and how does the body move under it?
Three disciplines.
One evaluation. One plan.
Three disciplines under one roof, working from the same evaluation and the same plan, in the same order.
Integrated Performance Therapy
Integrated Performance Coaching
Mental Performance
You
Evaluated once. One working diagnosis. A plan built for you.
- Integrated Performance Therapy
- Pain, injury, surgery, and the cases other places send home.
- Integrated Performance Coaching
- Strength, power, speed, and the sport skill they have to show up in.
- Mental Performance
- Confidence, focus, pressure, and the gap between practice and competition.
Someone may need one of these or all three. The evaluation decides that, and the plan is built from it.
What ATP evaluates
Seven areas of investigation, one working diagnosis.
Every evaluation looks across all seven, because the one you walk in talking about is often not the one limiting you.
Tissue & Movement. How do the tissues tolerate load, and how does the body move under it?
How ATP thinks.
No single framework explains a whole person. The same finding may be read through several of these before it becomes part of the working diagnosis.
Every lens has a job. The evaluation comes first, and the lenses read what it finds.
Proxy screening
ATP may use behavioral, cognitive, autonomic and symptom-based screening to identify patterns worth investigating. These are proxy patterns used in clinical reasoning; ATP does not directly measure brain neurotransmitter levels. A pattern on a screen is a question for the working diagnosis, never a conclusion on its own.
- Orthopedic and sports medicineStructure, injury, healing timelines, when to refer.
- Movement scienceHow the body organizes a pattern, and where it compensates.
- Strength and conditioningWhether the engine is big enough for the demand.
- Sports performanceWhether capacity shows up in the skill: the throw, the swing, the sprint.
- Functional neurologyHow the nervous system controls movement, balance and timing.
- Visual and vestibular assessmentWhether the eyes and inner ear are changing how the body moves.
- Nutrition scienceWhether the person is fueled to adapt to the work.
- Recovery physiologySleep, stress and load, and whether they are helping or fighting the plan.
- Mental performanceAttention, pressure, routines, and what changes between practice and competition.
- Whole-system pattern recognitionAlongside the frameworks above, our clinicians are trained in Traditional Chinese Medicine. It is useful for one thing in particular: seeing how sleep, stress, digestion, energy and recovery connect to a pain or performance problem that has not responded to local treatment. One lens among many, used in selected cases.
The tools follow the problem.
We decide what we are trying to change first. Then we choose the tools that fit the working diagnosis.
Pick a person
17, strong in the weight room, stuck at 84 mph for a year.
What mattered
Working diagnosis
Strength is there. Power and transfer are not, and short sleep limits what he can absorb.
We start with Strength, Power & Physical Capacity.
Integrated Performance Therapy
Not needed for this person.
Integrated Performance Coaching
- Strength and power training
- Speed and conditioning
- Motor-control training
- Throwing and hitting development
- Arm care
- Nutrition and bodyweight targets
- Sleep and load management
Mental Performance
- Stress regulation
4 more available. Not chosen here.
Illustrative examples, not individual athletes.
The loop. The last step feeds the first.
Scroll. Six steps for an adult whose back keeps flaring. The same loop runs for every person ATP sees.
- 1Evaluate
- 2Working Diagnosis
- 3Prioritize
- 4Intervene
- 5Reassess
- 6Adapt
Illustrative case
Evaluate
Everything that could matter.
Back, head position, gaze, load, sleep, history. Each one measured.
Same system. Different priorities.
Four people say “my back hurts.” The steps never change. What changes is which domains carry the weight, and which comes first.
B45, golfer, headaches too
Findings
- Gaze stability changes trunk strategy
- Symptoms shift with head position
We start with
Neuro-Sensory & Motor Control
Vestibular work first, manual therapy alongside
C52, new night pain
Findings
- Pain at rest and at night
- Progressive weakness in one leg
We start with
Medical & Structural
Medical evaluation before anything else
D19, in-season, sleeping five hours
Findings
- Load spiked three weeks ago
- Recovery cannot keep up
We start with
Recovery & Physiology
Manage load and sleep, then restore capacity
Illustrative examples, not individual athletes.
What the system produced.
Constant arm discomfort to healthy baseball, with therapy, training and mental performance in one place.
“Prior to starting I would have constant arm discomfort and lingering issues that I felt would never resolve. Not only is it a facility where you get the absolute best training and guidance from Brian and the rest of the staff, but there are numerous resources…” Read more
at the facility. The treatment with Kevin and Taylor and mental performance with Matt are two areas that tremendously helped me take the next step in my athletic career.”
Dennis Gamester
Catcher, San Jose State
Told she had a herniated disc. Six years of daily back pain, gone. The limiter was neurological.
“As a high level athlete, I was faced with many physical pains and limitations. I felt so fearful of the unknowns and the path forward. I was dealing with severe lower back pain and was told I had a herniated disc. After working with ATP, my lower back pain is…” Read more
non-existent and I'm both physically and mentally stronger than ever.”
Monica Lieving
World Long Drive champion, ranked No. 1
Rehabbed at ATP after UCL reconstruction in college. Seven professional seasons since.
“I came to ATP fresh out of UCL reconstruction surgery. I decided to come to ATP instead of a traditional PT clinic because I wanted to be challenged throughout my rehab and surround myself with therapists and trainers who work with elite athletes on a daily…” Read more
basis. Taylor was incredible at listening to how I was feeling on a daily basis, using that information to adapt our plan as needed while ensuring that I hit every checkpoint in my surgeon-prescribed rehab plan.”
Jake Walkinshaw
UCL rehab at ATP in college; seven professional seasons since; Miami Marlins organization
You don’t need to know what you need.
Bring the symptom. The evaluation finds the system, and the order.