Added: 3 years ago
From: DRERICMCGRAW
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  • Hi again. I am going to attend an ART course and thought you could help me w/some concerns I have if you don't mind. I'm looking through the materials & I'm having some issues w/some of the I think the tech. can help, but maybe not for the reasons espoused. Not trying to be a smart ass, I'm a perpetual student, so I'm interested in genuine input. I've heard good things about the procedure, I just wonder about the theoretical models.

  • Pg 58 wrkbook indicates sacrotuberous lig will often have pain WITHIN the ligament itself.Note Dr. Kuslich’s performed 1000's of surg studies to determine pain sensitivity of tissues, yet even after such,he's not conclusive. How does Dr. Leahy determine this? I have to wonder what leads him to this assertion? Tissue Origins Of Pain Kuslich and Ulstrom (Kuslich&Ulstrom,The Tissue Origin of Low Back Pain,Orthopedic Clinics of N America,Vol22,No2,April 1991).93 surgical patients being operated on.

  • Sacrotuberous lig How can a ligament tighten and/or shorten up? He relates a problem w/this lig. tightening up, etc.. no mechanism of injury is noted I notice for any of these things other than heavy lifting tearing muscle, but this too seems to be an assumption. The 1st thing I would think of w/pain from heavy lifting wouldn't be a torn muscle; usually it would be from the spine itself & theoretically the spinal stabilizers may not have functioned properly (notice how I use term theoretical)

  • Iliolumbar Lig:What does he mean ‘release the lig’ It’s somewhat elastic; contract? ILL tech is also causing an posterior pelvic tilt affectg SIJ; twisting the body can gap facets. Are u familiar w/ligament tightening in &of itself?Thanks; I appreciate input.. I have other such questions as I review things. I'm taking this course to have more tools to try w/my patients, but it seems that while he's targeting muscles; changes could be occurring from affecting other structures (spinal jts).

  • he's orange

  • i'd be dying laughign if i was tony, i'm too ticklish for this therapy

  • Have you considered that you appear to be providing a cranially directed mobilization with movement affecting spinal joints? This is similar to a Mulligan procedures, however, you have a belt around the waste (ASIS's) and glide the facets as the person bends forward. Could it be an assumption the soft tissues are being worked when in fact you are helping the motion segment glide better?

  • This movement would worsen many of my LBP patients because you're flexing the spine; I assume you don't just go ahead and start flexing w/out first ensuring the direction won't potentially be a problem? What was your criteria for using this; what history & what were the results of a movement assessment that told you to do this technique? Thanks

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