Bill Hartman 14:18–16:34
Okay, so how do you do manual therapy? I don't. Okay, but you can, if you understand the principles associated with, okay, how do I need to change shape, what shapes do I need, and then you can actually select a rolling behavior because, again, all manual therapy is an applied sensory input. And so in many cases, many of the strategies that would use from a manual therapy perspective are just compressive or expansive. And so there you go, guess what? Now you have a way that you can actually influence the shape of somebody to allow them to move more effectively. Again, understanding how these strategies are applied, use the ground and use gravity and you use the mushy stuff that people are made out of that allows them to change shapes. So now you do have a way to influence this. So again, it's an adjunct to what I already do. So if I'm applying a manual therapy to someone that is useful and successful and buys us a window of opportunity for us to change their movement behaviors in a favorable way, I can't follow them home. I suppose I could, but it'd be kind of weird. But so I need a way for them to produce this input that they would have maybe difficulty with on their own. And I can use a rolling behavior to influence that favorably, have them create their own window of opportunity, and then maybe make another activity or exercise even more effective in this process. And so we can accelerate this thing. So again, it alleviates me of some of the limitations that are associated with this isolated treatment that I might do in the treatment room, and then they can take this home. And then, like I said, they have a similar strategy. What we're going to do then is we're going to have to identify what this behavior needs to be. And this is going to determine what type of rolling we're going to do. And so this could be like forward rolls, shoulder rolls, backward rolls, partial rolls, movements from middle propulsion outward, movements from early, movements from late. And so again, each one of these strategies can be applied based on the patient or the client's needs under those circumstances. So you want to distinguish between upper and lower?
manual therapyrolling patternsshape changesensory inputpropulsion