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Akasha Studio - South Surrey, BC


March 23, 2024





Who is Inspire for ISM for?


This is the second of hopefully several 4 hour workshops led by Diane Lee & Kate Pearsall with the intention of inspiring young, newly graduated (0-3 years) physiotherapists to explore the world of regional interdependence. What’s that? Regional Interdependence is a term coined by Josh Cleland in 2007 to describe approaches that consider the relationship between remote impairments to determine where best to focus treatment.  This is an approach that Canada has embraced throughout the evolution of the Orthopaedic Division courses from 1977 to date.

In the early 1980’s a group of passionate physiotherapists including Cliff Fowler, John Oldham, Erl Pettman and Diane Lee to name a few, were determined to develop an approach, or model, that focused on function and not pain. Biomechanics were the foundation of this approach that over time, and with the contribution of many other passionate physio learners, evolved into The Integrated Systems Model (ISM).

ISM is a model, not a methodology.  It is a framework to help clinicians organize their knowledge and provide the best possible assessment and treatment for the individual patient.  Since every clinician has a different skill set, an ISM therapist will never be a clone of someone else nor will they only adhere to specific therapies or algorithms. Each therapist is as unique and individual as the people they seek to help, why would therapy be any different?

The first few years of a newly graduated physiotherapist’s work life can be confusing. There isn’t enough evidence to apply an evidence-based approach to every patient seen in private practice and sometimes (most times in fact) clinical reasoning and best hypotheses are required. These workshops will introduce the participant to the world of regional interdependence through the Integrated Systems Model (introduction only) that help to develop sound hypotheses. We will also provide an opportunity to share cases, both during the workshop and on a private forum, to support each other, as you navigate these first years.

Here is our agenda for the second workshop (limited to 14 people only): You do not have to have attended the first workshop to join us for the second; however, if this is your first please watch this online lecture on ISM before coming

Registration and welcome: 8:30am

9am – 11am (Diane):

  1. Theory and biomechanics of the thoracic rings with a primary focus on trunk rotation
  2. How to determine which region of the thorax is restricting active trunk rotation (active listening technique)
  3. How to determine which thoracic ring in that region is rotated incongruent to the requirements of that direction of thoracic rotation
  4. How to facilitate the biomechanics of that incongruent thoracic ring (correct/change) and validate/negate the hypothesis that this is the impaired thoracic ring to treat to restore trunk rotation
  5. How to release the neuromyofascial vectors restricting rotation of the impaired ring and provide a home practice to maintain the release gained in session

11-11:15 short break

11:15 – 12:30 Kate

  1. How to determine if the thorax is a driver of loss of pelvic control in a meaningful screening task
  2. Discuss when to treat the poor pelvic control vs the thorax mobility restrictions

12:30 – 1pm Case challenges, successes – group discussion

This final time will be for discussion of material covered as well as time for you to present some cases yourself that you would like some help with. We will ask you questions about the case and try to help you through the lens of ISM, or at least give you some suggestions of what to look for during your next appointment.

If this type of supportive workshop interests you, sign up soon! We think this will fill quickly given the response to the first on in January.

Diane Lee & Kate Pearsall


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