Impairments of mobility and control of the foot can impact function of the entire body. This course will be about understanding how all the sites of non-optimal function in the body are impacting each other with an emphasis on the contribution of the foot to persistent foot, knee and pelvic pain. A key feature of the Integrated Systems Model (ISM) is determining the relationships between multiple sites of non-optimal alignment, biomechanics and control and deciding where best to intervene. This process, termed finding the driver, is task and individual specific. Meaningful task analysis and finding the primary driver underpin the ISM. These key concepts will be highlighted during this course with specific application to the foot. Learn to determine the drivers for each screening task, and to confirm the underlying system impairment (articular, neural, myofascial, visceral) with vector analysis. Use these skills to formulate a treatment prescription of which structure/s to release, align, connect and move (RACM).
In this course emphasis will be placed on clinical reasoning of multiple findings as well as manual and visual assessment and treatment skills. Ample practical time/discussion will be devoted to these two clinical practice tools.
Specific course objectives
- Understand how the Integrated Systems Model can provide a framework to find the underlying driver for the patient’s problem – whether this is pain, loss of stability, loss of performance, or other disability.
- Demonstrate and practice some key clinical tests for the knee, fibular joints and foot (hindfoot, midfoot and forefoot) to determine whether or not a patient is using an optimal strategy for function & performance for their chosen task and when there are multiple sites of impairment, how to determine the ‘primary driver’ or impairment to be addressed first.
- Discuss the clinical reasoning process required to determine if the knee or foot is the primary, secondary or co-driver for loss of optimal function (develop reflection skills).
- Demonstrate and practice key clinical tests for the articular, neural, and myofascial systems pertaining to the determined primary driver.
- Discuss the clinical reasoning process for the development of a prescriptive treatment program that targets interventions to various system impairments pertaining to the primary driver (articular and neuromyofascial release techniques, vector taping for the foot)
- Demonstrate and practice treatment techniques and movement training to release, align, connect & move the lower extremity (4 stages of foot training as developed by Rachael Corbett of Diane Lee & Associates) for restoration of better strategies for function & performance.
This course is open to physiotherapists, priority is given to Japanese speaking registrants. The course will be translated into Japanese, Diane will be speaking in English. We will be capturing videos of the labs during this course and they will be available to all course participants on this website once completed and translated into Japanese.
This course will be held in Kitakyusyu-shi, Fukuoka, Japan. Registration is managed by the course host, to register email your interest to
Miwako Ishii firstname.lastname@example.org