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Home >> A Process Approach in Manual Therapy
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A Process Approach in Manual Therapy

Course Description

TouchU Sample Video for Eyal Lederman's Course: Process Approach in Manual Therapy


This course includes the video recordings of Eyal Lederman’s “A Process Approach in Manual Therapy” Plenary Presentation and the Biopsychosocial Discussion Panel at the Conference plus reading of Dr. Lederman’s paper: Fall of the postural-structural-biomechanical model in manual and physical therapies: exemplified by lower back pain.


Each component of the course is described below:


The notion that the body/person has self-recovery capacity is an underlying principle in many manual and physical therapies disciplines.

The capacity of the body/person to self-heal is also the premise of a Process Approach. The aim of this approach is to identify the dominant recovery processes and to co-create with the patient environments (physical and psychosocial) that support these intrinsic processes. The management focuses on three body/person processes associated with recovery, namely: repair, adaptation and alleviation of symptoms. This is in contrast to the traditional Structural model in manual and physical therapies where it is believed that recovery, prevention of injury and even well-being can be achieved by creating ideal, optimal biomechanical conditions.

A Process Approach is a viable and practical development from the structural model. It has important implications for clinical management, the role of therapist, the manual techniques used, the exercises prescribed and patient self-care management. These implications are discussed and debated during the lecture.


Dr. Lederman spends a significant amount of time debunking the foundational myths underlying much of manual therapy practice. Then he goes on to explore and explain what a process approach of manual therapy looks like and how it is applied along the time course of recovery from acute injury as well as its application to chronic pain states.

This is a 1.25 hour video recording.


Bodhi Haraldsson RMT (Research Department Director at the Registered Massage Therapists Association of British Columbia) moderated this exciting panel with Dr. Lederman, Walt Fritz PT, and Ravensara Travillian Ph.D., NA-C, LMP.

Bodhi began the discussion with these statements and questions:

“Research findings have challenged the possibility of the structural model as the main model that we work by and has lent support to the biopsychosocial model of care.”

(Bodhi took a moment to say that neither one is wrong or right; just that there has been a shifting of evidence away from the former and toward the latter.)

“How do we pivot our practices, education programs and post-graduate courses to respond to these changes? What does contemporary manual therapy practice look like?”

Each panelist then spent 10 - 15 minutes addressing these questions from their own professional experience. Then the audience asked questions and shared their perspecitves on applying the biopsychosocial model, research and interprofessional relationships in their work.

This is a 1.25 hour video recording.


Dr. Lederman’s paper is a landmark exploration of significant scientific evidence that challenges many of the basic assumptions underlying current manual therapy and massage therapy training and practice.

The paper starts with a summary of the foundational assumptions that underlie a model of the body in which posture, structure and biomechanics are thought to lead to understanding of the mechanisms of pain and movement problems as well as to effective manual therapy. Then, Dr. Lederman cites numerous scientific studies that cast these fundamental assumptions in doubt.

This paper is vital to set the stage for manual and massage therapists to treat clients in a more scientifically grounded Process Approach that Dr. Lederman outlines in his plenary recording, and the Biopsychosocial Approach as discussed in the Plenary Panel recording part of this course.


  • Drawbacks of the Structural Model
  • Principles of a Process Approach and Clinical Applications/Management Considerations
  • Repair, Adaptation and Alleviation/Modulation of Symptoms
  • The Co-Created Environment that Supports the Recovery Processes
  • Multidimensional Management: Working in the Tissue, Neurological and Psychological Dimensions


  • Video recording of Dr. Lederman’s 1.25 hour presentation at the 2016 RMTBC Manual Therapy Conference: An Interdisciplinary Approach to the Science and Practice. Dr. Lederman’s power point is also available within the course for downloading and studying.
  • Video recording of the 1.25 hour Biopsychosocial Discussion Panel with Eyal Lederman DO, PhD, Walt Fritz PT and Ravensara Trivallian, PhD, LMT.
  • Reading of Dr. Lederman’s 6,100 word journal article: Fall of the postural-structural-biomechanical model in manual and physical therapies: exemplified by LBP. 2010. CPDO online journal.
  • It takes 3 hours to watch the videos and perform a preliminary reading of Dr. Lederman’s paper.


The TouchU course “Process Approach in Manual Therapy” has been approved for continuing education credit in the following jurisdictions:

e TouchU course Complex Pelvic Pain Disorders in Women and Men has been approved for continuing education credit in the following jurisdictions:


CMTBC (Canada) CMTNB (Canada) CMTNL (Canada)
2 PD CEC 1.5 Category A CEU 1.5 Category A CEU 1.5 CEU
MTAS (Canada) MTAA (Canada) MTANS (Canada) MTAM (Canada)
3 Primary CECs 3 Primary Credits 1.5 Primary CEUs 3 Primary CECs



Eyal Lederman


Eyal Lederman, DO, Ph.D.

Dr. Eyal Lederman, DO, PhD graduated from the British School of Osteopathy in 1986 and is working as an osteopath in London. He completed his PhD in physiotherapy at King’s College, where he researched the neurophysiology of manual therapy. He currently holds a post of Honorary Senior Lecturer at University College London (UCL), Orthopedics and Musculoskeletal Health, where he is researching the clinical application of stretching in ROM rehabilitation.

Dr. Lederman also researched and developed Osteopathic Harmonic Technique, Functional Movement Re-Abilitation and Functional Stretching. He is involved in research examining the physiological effects and clinical use of manual therapy. Apart from his work in clinic and research, he is also the director of CPDO, a centre providing continuing professional development for manual and physical therapists (UK).


Walt Fritz


Walt Fritz, PT

Walt Fritz, PT is a licensed physical therapist with a B.S. in Physical Therapy and B.A. in Community Mental Health from SUNY Buffalo. He has been a physical therapist since 1985 and has taught Myofascial Release continuing education since 1995. He is proud to now lead the Foundations in Myofascial Release Seminars™, teaching therapists of all types across the country.

Walt’s interest and passion for myofascial release combined with obvious holes in the theories that explain it have led him into his present path. His Foundations in Myofascial Release Seminars are a blending of theories; pulling from the strengths of the older beliefs/models, along with newer views on neurological explanatory models of treatment, to bring a fresh and easy to integrate approach into the manual therapy practice.



Ravensara S. Travillian


Ravensara S. Travillian, Ph.D., NA-C, LMP

Dr. Ravensara S. Travillian, Ph.D., NA-C, LMP, has been a licensed massage practitioner in Washington State since 1992. In 2006, she completed her PhD in Biomedical & Health Informatics at the University of Washington School of Medicine.

Ravensara practiced at the Refugee Clinic at Harborview Medical Center in Seattle for 7 years, providing massage therapy for refugees living with the aftereffects of having survived war, genocide, and other forms of trauma. In private practice, she has provided massage therapy for veterans with post-traumatic stress and traumatic brain injury, geriatric clients living with the effects of stroke and Alzheimer’s disease, clients with high-risk pregnancies, and parents at high risk of child abuse and neglect due to intergenerational effects of previous abuse and of low socioeconomic status.


Eyal Lederman


Eyal Lederman, DO, Ph.D.

Dr. Lederman's biography is provided above.



Image of book covers for books authored by Dr. Lederman


The two recordings in this course were plenary presentations at the 2016 Manual Therapy Conference sponsored by the Registered Massage Therapists Association of British Columbia


RMTA of British Columbia, sponsor of 2016 Manual Therapy Conference


If this course does not help you to significantly improve your knowledge or clinical skills, notify us within 30 days of your purchase and we will refund your purchase price.

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