CONNECT 2025
Fascia Tissue Manipulations for Enhancing Lumbopelvic-Hip Function in Sport Rehabilitation Using the 4xT Method®
Workshop duration: 9h-12h
Location: TUM CAMPUS
Free of charge with conference ticket
Registration mandatory
Presenters:
Robbert van Amstel, M.Sc., PT (Vrije University Amsterdam)
Summary:
The purpose of this workshop is to equip participants with a systematic approach to managing lumbopelvic-hip disorders using the Test Trigger Tape Train (4xT) decision tree. This decision tree involves a structured algorithm designed to improve joint mobility. The algorithm includes the Dynamic ArthroMyofascial Translation Test procedure (DAMT-Test) (Test), manual therapy techniques (Trigger), elastic taping (Tape), and directional preference exercises (Train), all performed in the positive direction identified by the Test. The aim of the 4xT is to instantaneously reduce motion-dependent pain/stiffness and increase range of motion (ROM) to ensure the individual can move freely, which is crucial for performing sport rehabilitation exercises.Specific
Learning Objectives:
By the end of this workshop, participants will have the skills to effectively utilize the 4xT protocol for managing lumbopelvic-hip disorders, important to perform sport rehabilitation exercises. They will be capable of conducting thorough assessments of motion-dependent pain and trunk range of motion, using the Dynamic ArthroMyofascial Translation Test procedure to determine the optimal direction for intervention.
Participants will also be skillful in applying manual techniques, including myofascial mobilization and joint mobilizations, to address fibrous connective tissue stiffness. They will learn to use elastic taping methods to align fibrous connective tissue according to their assessments.
Furthermore, participants will be able to evaluate the effectiveness of their interventions by sequentially applying the Test Trigger Tape at various anatomical sites and assessing its impact on pain, stiffness, and range of motion. This comprehensive approach will enhance their ability to perform sport rehabilitation exercises effectively.
In summary the participants will be able to perform the 4xT decision tree:
Test: Aim to determine the best intervention direction
Baseline: Motion-dependent pain/stiffness
Baseline: lumbopelvic- hip mobility using trunk range of motion (ROM).
SKD Manuever: joint motion with ongoing skin displacement to the left
SKD Manuever: joint motion with ongoing skin displacement to the right
Evaluate the effect of skin-fascia displacement on change in ROM and Pain/stiffness
Determine the individual its preferred skin-fascia displacement direction
Trigger: Aim to locally reduce fibrous connective tissue stiffness in the preferred direction
Myofascial mobilization