Neuroplastic-Guided Pain System
N-GPS is a physical therapy program that retrains both your body and your brain through functional movement to help you get back to your life.
Whether you’ve recently had surgery, are nursing an old injury or have been living with chronic pain for years, we can help you recover quickly and safely. Originally developed for active duty military, our six-week course has proven effective in minimizing or eliminating chronic pain and improving injury recovery for thousands of patients — from weekend warriors to professional athletes, kids to grandparents, and everyone in between. The program works for all ages and activity levels, achieving the same successful results.
Often our patients have been told to stop doing what they love in order to avoid pain or further injury. We will get you moving again.
- RESEARCH PAPER
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Behind the science
Meet the science behind what we do.
Here are some of the research articles behind what we do.
Exercise as a treatment for chronic low back pain
Rainville J, Hartigan C, Martinez E, Limke J, Jouve C, Finno M.
Exercise as a treatment for chronic low back pain. Spine J 2005; 4: 106-115.
- Clinical Implications for N-GPS: Exercise is SAFE for individuals with back pain and it will not increase the risk of future back injuries or work absence. There is significant evidence to suggest exercise will lower pain scores while additionally decreasing the behavioral, cognitive, and disability components of low back pain syndromes.
- Exercise alone can have all these benefits to chronic low back pain. When combined with the N-GPS biopsychosocial treatment approach these effects can be compounded.
- Kernan T, Rainville J. Observed outcomes associated with a quota-based exercise approach on measures of kinesiophobia in patients with chronic low back pain. J Orthop Sports Phys Ther 2007; 37(11):679-687
- Kinesiophobia decreases during an intensive physical therapy program when exercises are performed in a quota-based manner. Additionally, fear of injury decreases which can have a positive impact on disability.
- The time-based, ability-based approach to N-GPS exercise meets the definition of quota-based exercise and demonstrates similar results showing an average improvement of 110% in functional exercise and 10% reduction in Oswestry Disability Index
Can group-based reassuring information alter low back pain behavior?
Frederiksen P, et al. Can group-based reassuring information alter low back pain behavior?
A cluster-randomized controlled trial. PLoS ONE 12(3): e0172003. http://doi.org/10.1371/journal. pone.0172003
- Providing people who suffer from chronic low back pain with simple, reassuring, information about low back pain significantly decreases disability behavior. This effect is enhanced in a group environment.
- It is recommended that all N-GPS treatments take place in a group setting. All treatments provide basic education about pain research to decrease kinesiophobia and dysfunctional cognition associated with the chronic pain cycle which has a positive impact on patient perception of disability.
- Sletten CD, et al. Economic Analysis of a comprehensive pain rehabilitation program: a collaboration between Florida Blue and Mayo Clinic Florida. Pain Med 2015; 16:898-904
- Use of a comprehensive outpatient pain rehabilitation program results in decreased medical costs up to at least 18 months after discharge. N-GPS provides many aspects of an outpatient pain rehabilitation program at an exceedingly low cost. One of the primary goals of N-GPS is to increase volume and decrease cost without compromising positive outcomes. A significant reduction in consumption of medical resources and associated costs is beneficial to both the patient and insurance companies alike.
Running-induced systemic cathepsin B secretion is associated with memory function.
Moon HY, et al. Running-induced systemic cathepsin B secretion is associated with memory function. Cell Metab. 2016 Jun 21. Pii:S1550-4131(16)30247-9.
Berg U, Bang P. Exercise and circulating insulin-like growth factor-1. Horm Res 2004: 62 (suppl1): 50-58.
- When exercise is performed at a high enough intensity the exercised muscles release the neural active proteins insulin-like growth factor 1 (IGF-1) and cathespsin B. These proteins are capable of penetrating the blood-brain barrier to enhance neurogenesis and brain function. “Moderate to Intense” movement makes you faster, stronger, smarter AND accelerates neuroplasticity.
- N-GPS is a high-intensity Continuous Movement Therapy which allows these neural active proteins to be released and takes full advantage of the enhanced neurogenesis by combining all exercise with biopsychosocial pain education. Education while in this neutrally active state enhances the desired effect of creating new, normalized neural pathways in the pain experience.
Low Back Pain Clinical Practice Guidelines
Low Back Pain Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association J Orthop Sports Phys Ther. 2012;42(4):A1-A57. doi:10.2519/jospt.2012.0301
- The APTA Clinical Practice Guidelines are meant to provide an evidential basis to all physical therapy treatments. A key statement in the low back pain guidelines is, “however, if your pain becomes chronic, moderate- to high-intensity exercises and progressive exercises that focus on fitness and endurance are helpful in pain management.” While this concept sounds simple, many therapists do not know how to concretely provide this kind of treatment to achieve the desired results.
- N-GPS provides physical therapists with a treatment approach that is simple to implement within the four walls of their own clinics. It is a systematized approach that can be followed by any physical therapist interested in receiving the training allowing all therapists a means to provide evidence-based health care with confidence.
- MEET THE STAFF
- JEFFERY FRANKART, PT
- CAITLIN LUBER, PT, DPT
- YVONNE MANN
- ALEXANDRA OXFORD, MT
MEET THE STAFF
Throughout the years, Jeff has collected his perfect team of N-GPS professionals who have quickly bonded into one quirky but functional family. We are a spirited group who understand how to use each other’s strengths to get you back to where you want to be. Besides our work, it is our drive, passion and dedication that sets us apart from the rest.
Jeffery Frankart, PT
N-GPS Creator, Founder & N-GPS Movement Coach
"The Fearless Leader"
- Jeff created the Neuroplastic-Guided Pain System approach to chronic pain while supporting wartime operations in Afghanistan and Iraq as the Chief of Chronic Pain Physical Therapy at Landstuhl Regional Medical Center (LRMC) in Germany, the largest overseas military hospital. From there N-GPS continued to gain steam leading him to co-author on multiple publications utilizing his N-GPS approach in both military and civilian populations including dancers in the Boston Ballet. He has personally put over 15,000 patients through N-GPS yielding consistently positive and predictable results in both functional improvement and disability reduction. But don’t worry, this ex military bad ass is just a big softy at heart, with a passion for his craft and his patients that can’t be matched.
Caitlin Luber, PT, DPT
Director of Continuing Education & N-GPS Movement Coach (US Branch)
- Caitlin is a physical therapist who worked closely with Jeff Frankart at LRMC including co-presenting with him about the use of N-GPS within the military in 2017. She has two years of experience utilizing N-GPS in direct patient care which she has gone on to apply into developing N-GPS continuing education and training materials for other health care professionals. She is a force to be reckoned with and the heart that keeps our team going.
Physiotherapist & N-GPS Movement Coach (European Branch)
- Yvonne Mann is a physiotherapist who worked closely with Jeff Frankart at LRMC by providing patient care in medical self-massage, yoga, and physical therapy. She has been involved in N-GPS data collection and analysis of chronic pain questionnaires. She is our go-to-girl who knows all the inner workings of the N-GPS machine. We would truly be lost without her.
Alexandra Oxford, MT
Medical & Sports Massage Therapist, Pain Therapy Coordinator, & N-GPS Movement Coach
- Alexandra has specialized in Orthopedic and Sports Massage techniques working with pain and soft tissue injuries since 2009. She has created the self-care massage course used within the N-GPS platform. Working with athletes, and active duty military, including special operations forces, she has developed a way of targeting the myofascial areas where patients need help the most. Lovingly described as, “whiskey in a tea cup”, the US ARMY Rangers gave her the nickname ‘The Hammer ‘, she kills your pain with a smile.
Jeff's program CHANGED MY LIFE! I have been am athlete my entire life from wrestling as a kid, to baseball in college and even competing on the AF Wilderness Challenge team. In 2012 I started getting back pain. I was golfing 3-days a week, lifting weights 6-days a week and running whenever I had a spare moment. During a deployment I slipped while carrying a heavy back pack and have never been the same since. The slip caused shooting pain down my right leg and didn't improve for over a year. Finally my leg stopped working in April of 2014 and I was forced to have surgery. The surgery gave my leg range of motion back but the scar tissue and recovery was causing pain and anxiety. Not being able to follow my workout routine or golf caused me to sink into a dark place.
Once I was cleared by the doctors to go back to work I volunteered for a TDY to Germany so I could focus on the mission rather than myself. During that time I heard about Jeff's program and was referred by the neurosurgeon to participate. Wow, what a difference it made. Jeff basically kicked my butt! No excuses, no meds, no whining, just results. I was only in his program for about 8 workouts but I took his literature and mindset home with me and continued the program on my own. Before the program I couldn't do a single sit-up. Well it's been close to two years since I was in Jeff's program and this past March I scored a perfect 100% on my fitness test and am back to lifting weights and running. I still can't golf because of the torque golf requires but I have found other hobbies to fill the void. Without Jeff's program I would probably be out of the Air Force, I think he saved my career. I am indebted to him and his team for life. Michael
Program, I was sitting in my car at work crying. I was in so much pain from a 12+ hour day that the thought of driving home was overwhelming. I prayed to God that if this was how my life was going to be, please don't let me make it home. Every curve on that ride home I wondered what His decision would be and as I pulled into my house, I said, "Ok Lord, now you need to get me better -- stronger."
My First day in the class was absolutely a mind blower! Here was this Adonis telling us we could do things that I knew full well my body was NOT capable of doing. He was yelling and jeering and I thought if I could get the strength, I would punch him. How does he know what I feel like? How can he give me advice? These thoughts continued for the first week and slowly subsided as I felt soreness in places I had forgotten worked. Soreness - not pain. As the soreness increased, the pain decreased. By the completion of the second week, I can remember coming to class and crying as I told Jeff that this was the first day I was able to comb and braid my own hair without help in a year and a half. By the end of the third week the soreness was less and the pain was less.
In this program I learned to listen to my body and not my head. The head that was terrified of falling, jerking, and pressured the rest of me to go on. I mean common -- we are taught don't be weak, suck it up, pain is weakness leaving the body. Years of military service and cross-fit drilled that into me. But now I realized that soreness was good, pain was bad. Stop when I reach the red zone instead of popping a pill or three and pushing through. I learned that motion is in fact lotion and while I am not doing all of the exercises each day, I do still faithfully do the yoga (daily) and warm up routine (2-4x) a week. I learned that while I will never be pain free, I will have a quality life worth sticking around for. Thank you to the whole team who gave me my life back! Sarah
Prior to my injury in 2001, I was an extremely active individual. I tried to get right back into being fit but the pain was too much. I do not take pain medications because I don’t like the idea of being constantly medicated. After my mandatory career MOS change, I would do very little physical activity, almost to the point of being lethargic. Going through MRP, I really regained my confidence in working out and got over the fear that activity would aggravate my hardware. I still have the pain but I am so much more active today because of MPR. I am even able to run on the treadmill for up to three minutes now. Now I have the mindset that I feel the same pain with activity that I did with doing none. I only wish that this program was available to my years ago. I play and do so much more now with my youngest daughter now, sometimes she can’t take all of the energy I have. Thank you for the opportunity to attend this program. My wife and kids thank you as well. Renn