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Ligamentous Articular Strain Technique

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Aug 16 2013

The role of research in LAST and manual therapy as I see it.

The treatment of the human body by manual therapists has been in a constant change for about a decade now, thanks in part to a renewed interest in the study of Fascia. With an infusion of new research and a revitalization/rejuvenation of old techniques, the treatment of the ligamentous Articular system is currently going through an evolution.

The days of treating with vintage techniques have been replaced by more precise, sensitive techniques where the manual therapist follows the innate self correcting mechanism of the body, rather than forcing tissues through barriers that were most likely there for a reason.

Don’t get me wrong, I truly feel that there is a place and time for almost all techniques, depending on what the patient presents with, but we are in a time of ever changing and advancing knowledge. We must adapt and improve to continue to play a positive part in our patients’ lives.

I’ve been blessed to have a career as a Manual Therapist that has spanned 20yrs. I’ve had the fortune to work along side some of the professions most knowledgeable and influential therapists not only in the manual therapy world, but also in the Naturopathic and physical therapy worlds. Having a diversified perspective allowed me to step outside my small world of old beliefs to see new opportunities as a manual therapist to continue to help improve the quality of life of my patients.

 Old Beliefs

We are in an amazing time as manual therapists. With todays level of current research, we now know that what treatment techniques seemed to have worked in the past for the ligamentous and fascial tissues, has been proven inefficient or ineffective. Many of our treatment techniques were based on concepts, theories or the beliefs of others and we performed recipe treatments just because it had been handed down over the years.

Today

With the ease of accessibility to ever-changing research, you can quickly become an informed expert, or a quick study, in your area of interest. Therapists are now more than ever able to solve problems and give strategic insight and formulate appropriate treatment plans for their patients.

KISS

We are an assymetrical, non-linear feedback system relaying kinesthetic and proprioceptive information to the CNS, working in series with the ligamentomusculoskeletal system providing function to the body. Its dysfunction, due to pathology or injury, greatly affects the quality of life of the host.

Simplicity in manual techniques is the hardest thing of all to achieve when dealing with a mechanism as complex as the human machine. Developing, researching, evolving and revitalizing a technique that is simple, that everyone can understand and reproduce with high quality, efficiency and precision has been my main goal in instructing LAST courses.

We’ve always known about the human body’s innate ability to heal its self, but now we are able to recognize them and cooperate with the tissues, rather than attempt to force the tissues, to make the necessary changes to the tissue environment. This change in environment allows the dysfunctional tissues to function as efficiently as possible in whatever state of healing they are in.

Practicing from a position of always seeking more knowledge about your patients’ injury, pathology, and life circumstances increases your strategic ability to add value to your patients’ life. It also increases your credibility and improves your position within your community as an expert in that field.

Challenging and informing yourself more with current research, be it in the form of abstract articles, full papers, videos from the most recent scientific conferences and so on allows you to become more strategic in developing innovative ways to treat dysfunctions.

In the past our structure and cytology were studied and researched, but on an individualistic nature akin to studying a sway-bar or linkage of a suspension system of a car. Today we are at the precipice of understanding not just how connected all our systems are but also just how connected we are to each other and our environment.

The “Ligamentous stocking” was initially a term applied to the lumbosacral complex. The Ligamentous Articular system is a systemic stocking that has no beginning or ending, having the ability to effect change not only at a site of injury, but also at distant locations in tissues which seem unconnected to the initial assault.

It’s my calling to not only add value to my manual therapy family, but more importantly to their patients’. It’s my hope that those that walk away from LAST courses, walk away with an increased ability to treat at their highest level, having gained tangible practical techniques that can be implemented immediately.

Hope to see you out at one of the courses!

 

Robert

Written by Robert Libbey, RMT · Categorized: Blog · Tagged: Chiropractic, Injuries, Ligament Pain Referral, Ligaments, Manual Therapy, Massage, MVA, Naturopathy, Physiotherapy, Rehabilitation, Robert Libbey, Soft Tissue Injuries, Sports Massage, Sprain, Strain, Tendonitis, Therapy, Whiplash

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Course Lessons

Introduction

  • Shoulder Watch Me First!

Section One

  • Shoulder Section 1 – Anatomy Discussion

Section Two

  • Shoulder Section 2 – Anatomy Discussion

Section Three

  • Shoulder Section 3 – Anatomy Discussion

Section Four

  • Shoulder Section 4 – Anatomy Discussion

Conclusion

  • Conclusion to the Shoulder Course

Bonus Material

  • Shoulder Bonus Material – Full Treatment 1 Hr

Lessons

  • Knee Introduction
    • Watch Me First!
    • Welcome to the Knee Course
    • History, Principles & Research Supporting the Theory of L.A.S.T.
    • Ligament Referral Patterns for the Knee
    • Knee Course – Neurophysiological Model for Referred Pain
    • Understanding Pain Science and Your Practice
  • Knee Section 1
    • Technique for Popliteal Fascia
    • Technique for Posterior Meniscus
    • Technique for Anterior Meniscus
  • Knee Section 2
    • Technique for Medial Collateral Ligament
    • Technique for Lateral Collateral Ligament
  • Knee Section 3
    • Technique for General Cruciate Ligaments
    • Technique for Anterior Cruciate Ligament
    • Technique for Posterior Cruciate Ligament
  • Knee Section 4
    • Technique for Articularis Genu
    • Technique for Patellar Ligament & Infra-Patellar Fat Pad
    • (Bonus Video) Technique for Proximal Tibiofibular Joint
    • (Bonus Video) Technique for the Fibula
  • Knee Section 5 – Conclusion
    • Conclusion to the Knee Course
    • Online Knee Exam
    • Knee Ligament Pain Referral Pattern Posters
  • Knee Section 6 – Treatment Section – Vanessa
    • Vanessa Interview
    • Vanessa Assessment
    • Vanessa Pre-Treatment Gait
    • Vanessa Treatment
    • Vanessa Post-Treatment Gait
    • Vanessa Post-Treatment Interview

Lessons

  • Leg & Foot Introduction
    • Leg & Foot Watch Me First!
    • Welcome to the Leg & Foot Course
    • Leg & Foot History, Principles & Research Supporting the Theory of L.A.S.T.
    • Ligament Referral Patterns for the Leg & Foot
    • Leg & Foot – Neurophysiological Model for Referred Pain
    • Understanding Pain Science and Your Practice
  • Leg & Foot Section 1
    • Calcaneus (Boot Jack) Technique
    • Technique for General Talocrural Joint
    • Technique for Talus Anterior
    • Technique for Talus Posterior
  • Leg & Foot Section 2
    • Technique for General Tarsals & Metatarsals
    • Technique for MTP/PIP/DIP
  • Leg & Foot Section 3
    • Technique for Proximal Tibiofibular Joint
    • Technique for the Fibula
    • Technique for Interosseous Membrane
  • Leg & Foot Section 4
    • Technique for Dorsiflexors of the Foot/Pretibial Fascia
    • Technique for Plantar Flexors of the Foot
    • Technique for Plantar Connective Tissue
  • Leg & Foot Section 5 – Conclusion
    • Conclusion to the Leg & Foot Course
    • Online Leg & Foot Exam
    • Ligament Pain Referral Pattern Posters
  • Leg & Foot Section 6 – Treatment Section
    • Michelle – Pre Treatment Interview
    • Michelle – Pre Treatment Assessment
    • Michelle – Full Treatment 1 Hr
    • Michelle – Post Treatment Assessment
    • Michelle – Post Treatment Interview

Lessons

  • Shoulder Introduction
    • Shoulder Watch Me First!
    • Welcome to the Shoulder Course
    • Shoulder History, Principles & Research Supporting the Theory of L.A.S.T.
    • Ligament Referral Patterns for the Shoulder
    • Shoulder – Neurophysiological Model for Referred Pain
    • Understanding Pain Science and Your Practice
  • Shoulder Section 1
    • Shoulder Section 1 – Anatomy Discussion
    • Technique for Anterior Cervical Fascia
    • Technique for SCM
    • Technique for Anterior Sternoclavicular Joint Capsule/Ligament
    • Technique for Posterior Sternoclavicular Capsule/Ligament
    • Technique for Interclavicular Ligament
  • Shoulder Section 2
    • Shoulder Section 2 – Anatomy Discussion
    • Technique for Costoclavicular Ligament/ Upper Mediastinum
    • Technique for for Rib 1
    • Technique for Subclavious
    • Technique for Coracoclavicular Ligaments (Conoid & Trapazoid)
  • Shoulder Section 3
    • Shoulder Section 3 – Anatomy Discussion
    • Technique for Pectoralis Minor, Coracobrachialis & Short Head Biceps
    • Technique for Pectoralis Major
    • Technique for Long Head Biceps
    • Technique for Teres Major & Minor
    • Technique for Glenohumeral Capsule Disengagement
  • Shoulder Section 4
    • Shoulder Section 4 – Anatomy Discussion
    • Technique for Restoring the Bucket-Handle Motion of the Ribs
    • Technique for Respiratory Diaphragm
  • Shoulder Section 5 – Conclusion
    • Conclusion to the Shoulder Course
    • Shoulder Online Shoulder Exam
    • Shoulder Ligament Pain Referral Pattern Posters
  • Shoulder Section 6 – Treatment Section
    • Shoulder – Bonus Material – Pre-Treatment Interview
    • Shoulder Bonus Material – Full Treatment 1 Hr
    • Shoulder Bonus Material – Post-Treatment Interview

Course Lessons

  • Shoulder Introduction
    • Shoulder Watch Me First!
    • Welcome to the Shoulder Course
    • Shoulder History, Principles & Research Supporting the Theory of L.A.S.T.
    • Ligament Referral Patterns for the Shoulder
    • Shoulder – Neurophysiological Model for Referred Pain
    • Understanding Pain Science and Your Practice
  • Shoulder Section 1
    • Shoulder Section 1 – Anatomy Discussion
    • Technique for Anterior Cervical Fascia
    • Technique for SCM
    • Technique for Anterior Sternoclavicular Joint Capsule/Ligament
    • Technique for Posterior Sternoclavicular Capsule/Ligament
    • Technique for Interclavicular Ligament
  • Shoulder Section 2
    • Shoulder Section 2 – Anatomy Discussion
    • Technique for Costoclavicular Ligament/ Upper Mediastinum
    • Technique for for Rib 1
    • Technique for Subclavious
    • Technique for Coracoclavicular Ligaments (Conoid & Trapazoid)
  • Shoulder Section 3
    • Shoulder Section 3 – Anatomy Discussion
    • Technique for Pectoralis Minor, Coracobrachialis & Short Head Biceps
    • Technique for Pectoralis Major
    • Technique for Long Head Biceps
    • Technique for Teres Major & Minor
    • Technique for Glenohumeral Capsule Disengagement
  • Shoulder Section 4
    • Shoulder Section 4 – Anatomy Discussion
    • Technique for Restoring the Bucket-Handle Motion of the Ribs
    • Technique for Respiratory Diaphragm
  • Shoulder Section 5 – Conclusion
    • Conclusion to the Shoulder Course
    • Shoulder Online Shoulder Exam
    • Shoulder Ligament Pain Referral Pattern Posters
  • Shoulder Section 6 – Treatment Section
    • Shoulder – Bonus Material – Pre-Treatment Interview
    • Shoulder Bonus Material – Full Treatment 1 Hr
    • Shoulder Bonus Material – Post-Treatment Interview

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