The ISM Flow – Ready for More ISM Learning?

This online package contains over 300 videos beginning with an explanation of what ISM is, how it developed and who it is appropriate for.

It then goes through the new ISM graphic – the Lotus flower flow – in great detail with videos for each step of the way.

This is followed by a brief synopsis on what should we be understanding from the patient’s story to develop an ISM assessment (bio-psycho-social features of the patient’s story).

Then, how do we determine the meaningful task and thus screening tasks for a meaningful ISM assessment?

Once a meaningful task is chosen, how do you then choose the screening tasks that relate to the meaningful task?  The assessment of each screening task is divided into analysis of functional units (which will be explained in the ISM Flow). Drivers are found in each functional unit first, and then the functional unit drivers are prioritized to determine the final drivers and their relationship to each other and to the task.

The Screening Tasks Covered in the ISM Flow

  1. Standing Posture Starting Screen – how to find the relevant findings in standing – the place in which many tasks begin.
  2. Standing Task as a Screening Task – how to find the unit drivers, then final driver(s)
  3. Squat Task as a Screening Task – how to find the unit drivers, then final driver(s)
  4. Seated Trunk Rotation – how to find the unit drivers, then final driver(s)
  5. Seated Head & Neck Rotation – how to find the unit drivers, then final driver(s)
  6. Seated Arm Elevation – how to find the unit drivers, then final driver(s)

The ISM Flow then goes into further assessment (active mobility tests, passive mobility tests (including passive listening techniques for dominant vectors), active control tests, passive control tests) of the following body region drivers:

Pelvis, Hip, Thoracic Rings, Lumbar spine, Shoulder girdle, Neck, Cranium, Knee & Superior tib-fib, and the Foot.

This part of the ISM Flow is extensive and shows you how to do ALL those tests for each region of the body.

Then we talk about when we need to assess motor control of a body region. In other words, when do we need to train specific muscles because it isn’t always necessary.

There are videos that demonstrate how to assess motor control of the abdominal wall and the foot in relationship to the task drivers.

Example Video

Squat – Finally Finding the Driver

Treatment – The Principles of an ISM Treatment is explained followed by detailed demonstration of release techniques for the various system impairments (articular, neural, myofascial and visceral (general techniques only)) of the pelvis, hip, thoracic ring, thoracic zygapophyseal joints, thoracic costotransverse joints, lumbar spine, clavicle, cervical spine, craniovertebral region, cranium, dura, knee and foot.

The ISM flow then moves into Stage 1 motor learning and movement training videos for transversus abdominis, deep multifidus, intercostals, deep muscles of the neck, interthoracic ring control, intra-thoracic ring control and the intrinsics of the foot. Stage 2 (building capacity) and Stage 3 (adding more complexity to the training is also covered.

Together with The Thorax – An Integrated Approach the ISM Flow course package is for anyone who has done the ISM Series from 2007 to date. It has been included with the tuition of the ISM Series since 2020. If you did the ISM Series prior to this date, it is available for you to purchase. It is a requirement for ISM Certification. It will bring you up to speed with what is currently being taught in the ISM Series.

Purchase of this online material is restricted to those who have have completed the ISM Series prior to 2020, or are currently enrolled in, the ISM Series.

Course Reviews

  1. I highly recommend the courses that Diane and her associates offer!


    If you ask me, Diane Lee and her highly skilled associates offer the best training there is out there today for physiotherapists. I highly recommend taking her courses, it has been the best decision I have made in my professional career. I am forever thankful for all the work Diane and her associates have done, making the knowledge accessible so that others can learn and evolve.

  2. ISM Flow


    Thanks, this is a great course for reviewing ISM!

  3. Brilliant!


    A brilliant resource to take all Series Graduates to the new level and guide them to using and developing the framework. Thank you Diane, and Courtney.

  4. This is amazing!


    Thank you so much Diane, this is amazing! Again thank you so much for sharing your knowledge with us, this has been the best thing I could have done for my career and longevity as a Physio

  5. Fantastic Resource


    A great collection of really specific videos. Clear and concise. A perfect go-to for any of the techniques that you are unsure of, and a great revision tool for the ISM principles.

  6. Great synthesis!


    Amazing to have all aspects of the ISM assessment in one place. Well organized and easy to follow. Well done!

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