Training Driven By Diagnosis – Program Handbook


The following materials are being used at DxF affiliated facilities in Suffolk County, NY.  Contact us at for more information.

Program Handbook

What is the Training Driven By Diagnosis (TxDx) Program?

GOlf Exercise with CablesIt is a supervised group exercise program where each person receives their own personalized training plan that is developed through extensive examinations. Testing determines which muscles need exercise and which should be avoided to achieve the best performance for your particular sport or lifestyle.

The program format is based on research showing how to achieve optimal rates of physical development.  It is offered as a series of quarterly training ‘Courses’ with each focused on different types of physical skill (i.e. SPRITE – Speed, Power, Range, Independence, Technique, Endurance). Each physical skill course is available in 5 different ‘Tracks’ targeting different body regions (1. Scapula, Shoulder & Elbow   2. Knee & Ankle   3. Pelvis & Hips   4. Spine: Cervical, Thoracic & Lumbar   5. Wrist & Hand).

Your path through the program is individualized to make it as focused or diversified as you wish.  You can focus on a specific problem area and take the same course in the same body region every quarter.  At the other end of the spectrum, you can work on total body development and take 2-3 different courses each quarter and repeat them in every body region.

Current & Future Coursesguymnastics-uneven-bars-wiki
  • Individual Muscle Strength & Joint Balance – Available NOW
  • Individual Joint Range: Flexibility & Stability – Winter 2017
  • Sport Technique: Deconstruction & Reconstruction – Spring 2017
  • Sport Technique: Speed – Fall 2017
  • Regional & Whole Body Strength – Winter 2018
  • Sport Specific Flexibility & Stability – Spring 2018
Each Course Includes…
  • Workshop – 1 hr. presentation & discussion
  • Exam – ½ hr. exam with Computerized Movement Imaging (CMI) & Muscle Strength Testing
  • Re-exam – ¼ hr. re-exam includes retesting of abnormal findings to track progress
  • Supervised Group Training – ½ hr. sessions with 1-4 students / doctor
  • Individual Training Plan (ITP) – updated every 4 training sessions
Age Groups

As the first classes fill up, they will be split by age groups.

  • Primary School (1st – 6th grades)
  • Secondary School (7th – 12th grades)
  • Adult, College & Professional
General Schedule
  • TxDx Programs Are
    • 10 weeks long
    • Fall, Winter & Spring terms
    • Summer Term: Customized by arrangement
Program Includes
  • test-glut-med-positioningWorkshops – are held the first week of each term (i.e. September, January, April)
  • Exams – By appointment during 1st week
  • Re-Exams – By appointment the last week, additional re-exams by appointment during term
  • Supervised Group Training
    • 1, 2 or 3 x’s / week depending on Development Rate schedule desired
    • Time slots are: _________, __________,  & _________
    • Groups of 4 can create their own supervised training time slots with doctor

Development Rate                                                  Hours / Term                     

  • 1 / Week
    • Workshop:                                                          1 hr
    • Exam:                                                                 0.5 hr
    • Re-Exam:                                                           0.25 hr
    • Supervised Training: ½ hour / week                5.0 hr
    • Individual Training Plan & Log Book
    • Total contact time                                             6.75 hrs. / term
  • 2 / Week
    • Everything in TxDx-1 PLUS
    • 1 additional re-exam                                        0.25 hr
    • 1 additional supervised training / week          5.0 hr
    • Total contact time                                          12.00 hrs. / term
    • 3 / Week – Note: Research shows that this is the optimal rate for physical development
      • Everything in TxDx-1 PLUS
      • 2 additional re-exams                                  0.5 hr
      • 2 additional supervised training / week     10.0 hr
      • Total contact time                                        17.25 hrs. / term
  • A La Carte prices
    • Workshop: $40
    • Half Hour Exam: $240
    • 15 minute re-ex: $120
    • Half hour group training session: $40 / session
  • Prices       A la carte                   Package (40% off a la carte prices)
    • TxDx – 1: $800                            $480
    • TxDx – 2: $1320                          $792
    • TxDx – 3: $1840                          $1104
  • Drop Ins – You can participate in any component of the program as oftenliim-exercise-room as you like on a space available basis (i.e. no more than 4 people / training session). A La Carte pricing applies.
  • Late Start – No workshop, but still receive exam, re-exams, & group training until end of term
    • 5% off package price for each week missed
  • Early Termination/Refunds – Participants may stop at any time and will be refunded any unused portion of their tuition based on A La Carte pricing.
  • Referral Program
    • Form a group with 3 new people & you attend free – or –
    • Get a discount off of your fee equal to 20% of the paid enrollment of each New Participant you refer in.
    • Referred: 5% off when referred by current or previous TxDx student
  • Payments
    • Full program fee due at first visit – or –
    • Payment Plan:
      • Total fee + $30 book keeping fee
      • 3 monthly installments
      • 1st payment due first visit. Subsequent payments at beginning of 2nd & 3rd months

Departments & Course Descriptions


There are 4 departments in the TxDx Program.  They are: I.C.T.E. (pronounced Ice Tea)

  • Individual Muscles & Joints
  • Complete Body Development
  • Technique for Sports
  • Extent of Performance

Individual Muscles & JointsAre each of your body pieces working properly? Athletes will be evaluated for joint integrity & strength of individual muscles for the anatomical track they have enrolled in. Previous injuries or imbalanced muscle development can lead to abnormal mechanics which need to be corrected before progressing to more advanced training methods.  Athletes who skip this stage of training and progress directly to sport specific techniques, put abnormal strains on an imbalanced body.  This limits their athletic performance and increases the potential for injuries with long term implications.  Proper training sequencing that starts with correcting joint integrity and muscle balance greatly increases the efficiency of exercise time by eliminating the need to reestablish new motor patterns after bio-mechanics have been corrected.

Complete Body DevelopmentIs your whole body working efficiently together?  Athletes will be evaluated and trained for complete body performance in Speed, Power, Range of motion, Independence, Technique & Endurance (SPRITE).  These courses focus on mastering basic athletic abilities (i.e. running, jumping, climbing, pushing, pulling, twisting, etc.) by deconstructing the motions into individual components, training each component in the SPRITE skill and reconstructing the activity in a series of steps.  This method of training the entire kinesthetic chain involved in basic physical activities identifies and corrects weak links & improper transfers of power that limit an athlete’s potential.

TechniqueAre the kinesthetic chains involved in each of your sport motions utilizing: all the muscles they can; in proper sequence; with good timing?  This series of courses focuses on the same procedures used in Complete Body Development described above, but applies them to sport specific activities (i.e. golf swing, throwing, catching, agility, etc.).  Participants choose which sports and techniques they wish to develop.  These courses do not recommend which techniques the athlete should use. Those decisions are left to the athlete and their coaches.  The TxDx program focuses on ensuring each body component that can be involved in the technique is contributing to the motion and that each component is transferring power properly to the entire activity.

ExtentAre you performing each of your sport activities at their maximum potential? Attention will focus on maximizing the extent to which you can perform all your athletic skills.  This is what most athletes think of when they envision physical conditioning for their sport but done at an advanced level.  Examples in this department include: faster golf swings, throwing balls more accurately, hitting further, spiking balls with more power, better triathlon times.  It is important to emphasize that these training methods will achieve optimal results when they are undertaken AFTER the athlete has corrected abnormal biomechanics, has establish basic physical condition and mastered their techniques at sub-maximal levels.

Athletes are evaluated for each of the appropriate SPRITE capabilities for their sport activities and receive advanced, custom programs to optimize their performance (i.e. muscle fiber size; muscle fiber recruitment; preferential development of fast & slow twitch muscle fiber types; neurological firing thresholds; etc.).


In the Individual Muscle & Joint Department there is:

  • Muscle Strength & Joint Balance – Fall & Winter
  • Individual Joint Range: Flexibility & Stability – Winter

Muscle Strength & Joint Balance – There are many thousands of exercises possible to do, but which ones should you do to improve your performance? The weaker ones!  Exercising the muscles which are already stronger will have limited or even detrimental effects by imbalancing a joint.  The more imbalanced a joint becomes, the more the fulcrum moves from the optimal position, decreasing efficiency and increasing the rate of tissue damage.  How can you tell which are the weak muscles?  You need to test them on an individual basis.  If instead, you measure full body strength on some maneuver, it will not tell you which muscles are the ‘weak links’ that limit your ability.  Continually exercising whole body activities typically do not cross the threshold necessary to stimulate growth of all the weaker muscles.

This course will test all the muscles in the body region of the track(s) you selected and come up with a customized set of exercises to improve your weak links.

Individual Joint Range: Flexibility & Stability – A joint with too much flexibility is as big a problem as a joint with too little.  Too loose and the joint shifts in the middle of a motion, throwing off your accuracy or damaging tissue.  Too tight and you lose some of the range of motion needed to accelerate and power decreases.  How can you tell which joints are too tight, too loose or just right?  You have to test them individually!  Doing stretches that lengthen 2 or more joints at the same time may improve your total flexibility but it runs the risk of making your performance worse by obtaining some joints too loose while other remain too contracted.  This course will not only target which joints to stretch and which to tighten, but will also cover which stretching techniques to use for what goals.  Techniques such as active vs. passive stretching, focal vs. whole muscle techniques and static vs. intermittent.

  • Fall 2016
    • Start 10/3/16, Last day 12/9/16
    • No classes 10/10/16 (Columbus), 11/25/16 (Thanksgiving)
    • Classes are held on 11/11/16 (Veterans Day)
    • Workshop – Saturday 10/8/16 12:00 pm
    • Supervised Group Training
      • 1/week – Fridays 5:00 pm
      • 2/week – Monday & Wednesday 5:00 pm
      • 3/week – Monday, Wednesday, Friday 5:30 pm
    • Exams – Schedule week of 10/3/16
    • Re-Exams
      • 1/week – Schedule during week 10 (starting 12/5/16)
      • 2/week – Schedule week 5 & 10 (starting 10/31 & 12/5)
      • 3/week – Schedule week 4, 7 & 10 (starting 10/24, 11/14, 12/5)
  • Winter 2017
    • Start 1/9/17, Last day 3/24/17
    • No classes 2/20/17 through 2/24/17 (Winter recess)
    • Classes are held on 1/16/17 (Martin Luther King Day)
    • Workshop – Saturday 1/14/17    12:00 pm
    • Supervised Group Training
      • 1/week – Fridays 4 & 5:00 pm
      • 2/week – Monday & Wednesday 4 & 5:00 pm
      • 3/week – Monday, Wednesday, Friday 4:30 & 5:30 pm
    • Exams – Schedule week of 1/9/17
    • Re-Exams
      • 1/week – Schedule during week 10 (starting 3/20/17)
      • 2/week – Schedule week 5 & 10 (starting 2/13, 3/20)
      • 3/week – Schedule week 4, 7 & 10 (2/6, 2/27, 3/20)
  • Spring 2017
    • Start 3/27/17, Last day 6/9/17
    • No classes 4/10/17 through 4/14/17 (Spring recess) & 5/29/17 (Memorial Day)
    • Workshop – Saturday 4/1/17     12:00 pm
    • Supervised Group Training
      • 1/week – Fridays
      • 2/week – Monday & Wednesday
      • 3/week – Monday, Wednesday, Friday
    • Exams – Schedule week of 1/9/17
    • Re-Exams
      • 1/week – Schedule during week 10 (starting 6/5/17)
      • 2/week – Schedule week 5 & 10 (starting 5/1, 6/5)
      • 3/week – Schedule week 4, 7 & 10 (4/24, 2/27, 6/5)