Principles of Restorative Mechanotherapy

Approved by CPTA for CEUs for California PTs and PTAs

RMT Principles establishes the scientific rationale behind RMT and describes the clinical application of RMT. This course covers the relationship between exercise and connective tissue health, with emphasis on the role of mechanical stimuli (exercise and manual therapy) in promoting repair and regeneration of symptomatic tissues. Improved tissue health results in greater activity tolerance, improved function and decreased pain.

What you should expect to learn

  1. The role of activity in maintaining the health of the musculoskeletal system
  2. How changes in connective tissue health relate to pain and loss of function
  3. The classification of rehabilitative treatment according to intent: tissue healing and protection; biomechanical optimization; and restorative mechanotherpay.
  4. Examples of restorative mechanotherapy treatment for common musculoskeletal disorders, for example sprains, strains, tendinopathy, chondromalacia, intervertebral disc disorders etc.
  5. The process of restorative mechanotherapy evaluation and management.

Course OUtline Day One

AM: Connective Tissue Health and Musculoskeletal Dysfunction:

8:00    Maximizing Physical Longevity

8:30    Connective Tissue Structure & Function

9:00    Maintenance of Connective Tissue Health

9:30    Defining Musculoskeletal Dysfunction

10:00  Classification of Musculoskeletal Injury

10:30  Break

10:45  Musculoskeletal Pain

11:15    Connective Tissue health & Functional Loss

12:00  Clinical Reasoning Exercises

12:30   Lunch (on your own)

PM: The Three Primary Rehabilitation Paradigms and Treatment Selection

1:30    Categorization of Treatment

2:00    Rx: Tissue Healing and Protection (THP)

2:45    Rx: Biomechanical Optimization (BMO)

3:30    Break

3:45    Rx: Restorative Mechanotherapy (RMT)

4:30    Treatment Selection (THP, BMO, RMT)

5:00    Exercise and Manual Technique Demo

5:30    End Day One

course outline Day Two

AM: Musculoskeletal Pathology and Optimal Rehabilitation Strategies:

8:00   Peri-articular Tissues: Sprains & Capsular Hypomobility & Adhesive Capsulitis

8:45    Tendon: Ruptures, Tendinosis & Tenosynovitis

9:15     Muscle: Strains & atraumatic muscle pain

9:45    Bone: Osteoporosis & Stress Fractures

10:15    Break

10:30   Cartilage: Tears, DJD & Chondromalacia

11:15     Intervertebral Disc: Fissures, HNP & DDD

12:00   Clinical Reasoning Exercises

12:30    Lunch (on your own)

PM: Clinical Application of Restorative Mechanotherapy:

1:30     Axioms of Musculoskeletal Rehab

2:00     Principles of Restorative Mechanotherapy

2:45     Evaluation Strategies

3:30     Break

3:45     Therapeutic Exercise

4:15     Manual Therapy

5:00     Exercise and Manual Technique Demo

5:30     End Day Two


Upon completion of this course, participants will learn:

I. how to classify injury and functional loss to facilitate the selection of effective management

II. the scientific relationship between activity, connective tissue health and activity tolerance

III. how to estimate the range of optimal loading for various connective tissues (bone, cartilage, tendon, ligament and muscle)

IV. the similarities and differences of restorative mechanotherapy and other treatment approaches (biomechanical optimization and tissue healing)

V. how to clinically apply evidenced based strategies to restore function and promote physical longevity


Instructor: Roland LUcas PT MPhty FAAOMPT

Roland Lucas graduated with a Degree in Physiotherapy from the University of Sydney in 1992. Soon after graduation he immigrated to California and undertook post professional residency training in Orthopedic Manual Therapy (Hayward, CA-1996) and Proprioceptive Neuromuscular Facilitation (Vallejo, CA-1999). In 2000, he completed a Master of Manipulative and Sports Therapy at the University of South Australia. Currently, he is studying Biostatistics through the University of Sydney.

Roland divides his time between clinical practice in Sunnyvale, CA and teaching continuing education. He founded a Yearlong Manual Therapy Course in 2001, which is offered August through May every year in Redwood City. Since 1999, Roland has written and instructed weekend continuing education courses on orthopedic, sports and manual therapy. Additionally, Roland has presented at State and National Conferences for Physical Therapists, Chiropractors and Medical Doctors. In 2014, he presented on Restorative Mechanotherapy at the Annual Conference of the California Chapter of the APTA.

While completing his Master’s Roland developed a special interest in tendon rehabilitation, and since that time he has explored the role of connective tissue loading through manual therapy and exercise. Through combination of his clinical experience with modern histopathology and scientific evidence Roland developed the rehabilitative approach he has coined Restorative Mechanotherapy.  In his free time Roland enjoys running, windsurfing and spending time with his family.