The Institute of Orthopaedic Manual Therapy (IOMT) as taught by Martin Langaas PT, OMT, FAAOMPT has helped me grow as a clinician and improve patient outcomes by helping me understand and implement three distinct variables of evaluation and treatment. The logic behind differential diagnosis in biomechanics, the art of manual handling skills as it relates to the manual diagnostic and treatment process, as well as the art of patient education and management outside the clinic.Read More
First, let me attempt to simplify and review some neuromuscular physiology of the sensory spindle fibers (intrafusal fibers) and the stretch reflex before we get into real world application. For more nerdy details check out Laurie Lundy-Ekman’s bookNeuroscience: Fundamentals for Rehabilitation.Read More
When rehabilitating a patient who has had a neurological incident, like a stroke or a brain injury, many times they have difficulty voluntarily moving the way they want, let alone moving the way we want them to move. Knowing when and how to appropriately apply the Traction and Approximation principle helps us tap into subcortical motor strategies to guide voluntary movement control in clinical/training scenarios.Read More
This basic principle was formerly introduced by Maggie Knott as “Maximal Resistance,” but over the years her students, who continued on the legacy of PNF, realized therapists misunderstood Maggie’s intent and were completely misusing this basic principle.Read More
Having good body mechanics is typically brought up in conversation in regards to protecting yourself from injury as a manual therapist. This is absolutely true, but the conversation should not stop there.Read More
Maggie Knott use to say “What you touch is what you get.” Where you put your hands can greatly affect the motor response with something as simple as a manual muscle test.Read More
The PNF basic principles can serve as a professional checklist and can also be considered principles of Manual Therapy. These principles become the corner stone of EVERY treatment plan and problem solving opportunity for the manual therapist. In the “stethoscopic” hands of a skilled clinician, these principles could also be highly effective assessment tools. Dr. Kabat and Maggie Knott developed PNF extremity patterns AFTER all the other basic principles, yet PNF patterns are the first thing we think about when we hear the term PNF isn’t it?Read More
Delivering proprioceptive input to the sensorimotor system in PNF is a very intricate process that requires a great deal of awareness and mindfulness.Read More
Plain and simple this philosophy is looking at a pre-post test before and after treatment, as well as making the short and long term goals specific to the client’s goals.
If you want responsiveness from the client/patient, there has to be a functional purpose in the treatment that the client can feel and see how it is relating back to their function. It has to be salient or it has to matter to them.Read More
The 3rd philosophy of PNF states that in order to access someone’s potential, the treatment should begin with positives, “small wins” or should begin with what the individual can do.Read More
THIS CONSISTS OF 3 THINGS:
Given the philosophy that every living thing has potential, our question needs to be:Read More
YOU CAN MAKE A CHANGE.
There is a plethora of research out there about the concept of neuroplasticity, which states that the brain has the capacity to make new connections and learn.Read More
In the current movement industry, there are several approaches claiming to be “the answer” to all our movement problems.
Whether you’re a strength coach/trainer or a clinician, trying to decide which approach to use can get pretty overwhelming. I too have been trying to decide:Read More