Introduction

Restorative Mechanotherapy is defined as the use of manual therapy and exercise to initiate the body's regenerative and adaptive processes to improve tissue quality and increase function. Roland provides a series of courses covering the principles and clinical application of Restorative Mechanotherapy (RMT).  The RMT PRINCIPLES course, provides the theoretical framework and clinical reasoning strategies needed to successfully apply the approach. All other courses are more practical in nature, including: regional evaluation procedures, manual therapy techniques and therapeutic exercise strategies. Courses do not need to be taken in any particular order.

Any clinician with a manual therapy background will be able to implement the approach after taking RMT PRINCIPLES. Other clinicians will need to take some or all of the other courses to effectively treat musculoskeletal pain with Restorative Mechanotherapy. The manual therapy and exercise courses (RMT BACK, RMT NECK, RMT LEG, RMT SHOULDER AND RMT HVLA) show clinicians how to use RMT to address common clinical presentations. Many of the techniques taught in the technique courses are also taught in the Yearlong Manual Therapy Course, so students should be aware that there is potential overlap between the RMT series and the Yearlong Course. However, the theoretical basis of the yearlong course is primarily the Maitland/Australian Approach and does not cover all of the RMT principles. For many years, Roland has found that frequently discussion during the Yearlong course moved into the theory and practice of what is now known as RMT. This is one of the main reasons why he decided to develop the RMT series.

CEUs

All Restorative Mechanotherapy Courses provide CEUs for California Physical Therapists and Physical Therapy  Assistants. Courses are either approved or pending approval by the California Physical Therapy Association.

Background

Many individuals suffer pain when the forces of activity exceed the loading tolerance of one or more connective tissue structures. This imbalance between activity demands and connective tissue loading tolerance can result from:

1) excessive or uneven loading due to sub-optimal biomechanics;

2) deterioration in tissue quality, lowering loading tolerance below normal; or

3) the combination of sub-optimal biomechanics and poor tissue quality.

Therapeutic exercise and manual therapy intended to address unfavorable biomechanics to improve movement quality is referred to as Biomechanical Optimization. Whereas Restorative Mechanotherapy  uses exercise and manual therapy to restore connective tissue structure and health. Improved tissue health results in elevated loading tolerance and improved pain-free function.  

Why Restorative Mechanotherapy courses?

Clinical improvement due to the initiation of regenerative and adaptive processes has always been a component of physical therapy.  However, Roland felt that many physical therapists could benefit from a more detailed understanding of the physiology behind RMT, as well as learning a framework to more effectively use mechanotransduction to restore function. Roland has spent the last decade experimenting and refining this approach and he feels that it is a necessary partner to treatment that addresses biomechanical dysfunction.

current Courses

Please Note: that courses do not need to be taken in any particular order

RMT PRINCIPLES: Science-based rehabilitation for musculoskeletal tissues (Clinical Reasoning Course)

The aim of RMT PRINCIPLES is to explore the role connective tissue health plays in the development of musculoskeletal pain and how manual therapy and exercise can be used to improve tissue quality and activity tolerance. Participants will learn about the relationship between exercise and connective tissue health and why physical therapists need to prioritize increased physical activity over pain relief in persons suffering from musculolskeletal pain. Participants will learn how connective tissue injury or insufficiency can lead to symptoms and functional loss.  Up-to-date information in the structural and histological changes behind common musculoskeletal pathologies will be presented. Participants learn about the clinical application of Restorative Mechanotherapy, in particular how to use manual therapy and exercise to initiate adaptive and regenerative processes to improve tissue quality and increase activity tolerance. Case-study and clinical reasoning exercises will be used to consolidate understanding of taught principles. Participants looking for manual therapy techniques and specific exercises are encouraged to explore our RMT lab courses.

RMT BACK: Manual Therapy and Exercise for the Lumbar and Thoracic Spine (80% lab course)

RMT BACK addresses the management of musculoskeletal conditions from the lumbopelvic and thoracic spine. It is a lab heavy course designed to provide participants the necessary practical skills to improve musculoskeletal tissue quality and activity tolerance.  The manual therapy component covers instruction in a wide range of joint mobilization techniques and selected soft tissue mobilizaiton techniques. Participants will learn mobility and strengthening exercises designed to target symptomatic tissues. The theoretical component focuses primarily on the clinical reasoning principles used to select treatment. Although, the course includes a brief summary of the scientific rationale and evidence behind the techniques and exercises, participants are encouraged to explore RMT PRINCIPLES for a thorough discussion of the theory and clinical reasoning process behind Restorative Mechanotherapy.

RMT HVLA: Spinal High Velocity Low Amplitude Techniques (80% lab course)

RMT HVLA presents the theoretical and practical concepts necessary for successful use of thrust techniques in the clinic. Ideal for Physical Therapists with non-thrust manual therapy experience, but with limited experience with high velocity low amplitude techniques. The practical component is devoted to the presentation of two commonly used approaches to HVLA mobilization: segmental localization and spinal locking. Participants will an understanding on how to multiple thrust techniques, of varying difficulty, for each region of the spine. The theoretical component of this course addresses the mechanical principles of HVLA techniques, contraindications, risk factors and efficacy.

Future Courses

Cervical Restorative Mechanotherapy (RMT NECK)

RMT NECK address musculoskeletal conditions of the neck, including: the upper cervical spine, mid and lower cervical spine and upper thoracic spine. Clinical presentations of neck disorders and how best to maximize function through RMT will be discussed followed by evaluation and manual therapy technique instruction. Exercise application and neurodynamic assessment and mobilization of the upper extremity are also included.

Upper Extremity Restorative Mechanotherapy (RMT SHOULDER)

RMT ARM targets the assessment and treatment of upper extremity musculoskeletal disorders. Due to the complexity of the glenohumeral joint much of this 2 day course focuses on manual therapy examination and treatment techniques for the shoulder. The remainder of the course covers the elbow, wrist and hand. Participants will learn how to manage sports and orthopedic upper extremity disorders.

Lower Extremity Restorative Mechanotherapy (RMT LEG)

In RMT LEG participants will learn how to evaluate and treat orthopedic and sports injuries of the lower extremity. Each joint of the lower extremity (hip, knee, foot and ankle) is covered as well as relevant myofascial structures. Instruction in relevant self treatment is included to complement manual therapy strategies.