MEDICINA INTERNA: OPEN ACCESS (MI)

L.A.F Method, A New Approach in Physiotherapy in The Diagnostic and Treatment of Mechanical Dysfunctions.



Juan Castellano*1


1 Physiotherapist, President and CEO of Life Pilates, Life-Pilates, Spain.


*Corresponding Author: Juan Castellano, Physiotherapist, President and CEO of Life Pilates, Life-Pilates, Spain, TEL: +34671355392; FAX: +34671355392; E-mail:juancastellanogroup@gmail.com


Citation: Juan Castellano (2018) L.A.F Method, A New Approach in Physiotherapy in The Diagnostic and Treatment of Mechanical Dysfunctions. Medcina Intern 2018 2: 123


Copyright: :© 2018 Juan Castellano, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited


Received date: October 20, 2018; Accepted date: November 05, 2018; Published date: November 08, 2018.


L.A.F method (Location, Analysis and Facilitation), has been designed by Dr Juan Castellano, to train professionals in the field of orthopaedic exercise as therapy, providing an exclusive and dinamic approach to evaluate and manage mechanical dysfunctions. The Orthopaedic exercise is designed individually related to morphological and functional factors to prevent and treat diseases in the musculoskeletal system. With L.A.F we can provide the correction of the most common patterns of movement and identifify the most common dysfunctions that are the cause of prevalent injuries. L.A.F solves mechanical dysfunctions in 3 steps (3 R System):


Rebalance

Global muscle retraining which is required to correct multisegmental or myofascial dysfunctions in terms of controlling the site and direction of load that relates to provocation, by proprioceptive and corrective technics. Figure 1.


Figure 1

Re-education

By specific patterns of movement adapted to morphology and physical condition. Figure 2.


Figure 2

Re-training

It targets both, the local and global stability systems. Activation of the local stability system to increase muscle stiffness along with functional low-load integration in the neutral joint position to control segmental or articular give. L.A.F method applies precise forces through manual techniques and provides accuracy to the movement being very effective in the physical condition recovery phase, in re-education and training for a high spectrum of traumatic diseases. Figure 3.


Figure 3

L.A.F (Location, Analysis and Facilitation) intend to align the right steps for the management of mechanical dysfunctions using specific patterns of movement to analyze the reasons or causes of the loss of mobility or stability. The method is based on palpating bone references to analyze what happens during the integrated movement and to know if there are lacks of stability or mobility in the arthrokinetic chain. In the corrective phase, forces are applied to facilitate certain segmental patterns of movement with sufficient stability.


LAF® Method is ideal to develop our diagnostic methodologies, the motor learning and the rebalancing of the physical condition.


L.A.F level 1. Diagnosis and management of mechanical dysfunctions.

This first level is designed to acquire skills in identifying the most common dysfunctions in the musculoskeletal system and learn to solve them through techniques and corrective exercises. The L.A.F techniques and exercises are available in presential and online format.


Outline contents - L.A.F level 1


- Palpatoria anatomy.


- Techniques for the evaluation of muscle functions and joint mobility.


- Analysis and prognostic of clinical biomechanics


- Rationale for muscle and joint dysfunctions.


- Neurolinguistics in the facilitation of movement.


Fundamentals of the L.A.F method


1. Morphological analysis of the locomotor apparatus


2. Kinetics and kinematics of the locomotor apparatus


3. Viscoelasticity and extensibility of tissues


4. Enough stability and control of the movement


5. Strength and coordination. Cinematic


6. Re-evaluation in orthopedic diagnosis


Methods

1- Re balance - myofascial and articular


2- Re education –neuro-motor


3- Re-training- functional and proprioceptive


The L.A.F method teaches people to recognize their functions, to recognize the causes of dysfunction, the harmful effect of muscular compensations and as a result of injuries. This shows us how to be effective in the prevention of chronic diseases. L.A.F gives you all the necessary information about the functional and pathological characteristics and trains you in the recognition of your daily activities. With LAF®Method you will learn how to evaluate your clients and make them understand the causes and the state of their dysfunctions and injuries by making them part of the recovery process.


Principles of movement with L.A.F method

Mobility, Alignment and Stabilization are the important concepts that will always be present in the evaluation and management of mechanical dysfunctions.


The Correct alignment requires:


Elongation + Neutral position + enough Stabilization


Stabilization = Alignment + enough muscle activation


When we introduce someone to initiate movement, the first thing we have to do is communicate what we intend to do.


So the first act is always concentration. It depends on the interest of each subject and the surrounding environment.


At this first contact we are already evaluating cognitive capacity, interest and motivation. After the concentration the alignment is the first step. Even before thinking about breathing we try to get the subject to be active and do it in a way that seeks alignment. When we ask for alignment without specifying how, the first reaction is usually to stretch or straighten up. These actions already involve the use of global stabilizing muscles such as the flexors of the toes, thighs, buttocks and abdominal muscles and praising muscles of the trunk and head. Stabilization is a universal principle that allows us to perform daily actions under the name made by Panjabi of sufficient stability. Only when our physical condition is not in balance do we use our body through compensation.


L.A.F® Method intends to always train our capacity for evaluation and reasoning from the first movement.


Material and methods

In the first level is recommended equipment and accessories as resorts, elastic bands and other fitness-pilates equipment with accessories. Figure 4.


Figure 4

In this way we can teach low impact exercises that train proprioception and develop strength-resistance, flexibility, balance and coordination. These devices with springs (Trapeze table, chair, spine corrector) and dynamic platforms (reformer) are unique for the facilitation of functional patterns that re-adapt the muscles and reeducate movement.


We use a wide variety of fitness equipment and accessories to develop strength. The combination of material with the L.A.F method makes this system stand out for its efficiency in recovery and re-adaptation. Nowadays scientific evidence speaks for itself and it is well known that planned exercise with the appropriate parameters of progression, intensity, duration and frequency is the best option that exists as part of the treatment of chronic diseases. L.A.F method is an educational program that teaches anatomy and biomechanics to our patients by applying corrective exercises.


This course is ideal to evaluate the physical condition and guide exercise by improving some parameters of health immediately.


L.A.F® will teach you how to reduce or eliminate limitations and improve body functionality.


L. Teaches you the anatomical location. Palpatoria anatomy. Muscle tests and functions.


A. Analysis of movement (Biomechanics) kinetics and kinematics, how and how much it moves, training motor control.


F. Facilitation of movement. Special techniques for stabilization and correction of movement.


- Active global strectching


- Neurokinetic activation


- Corrective manual techniques.


- Structural-morphological evaluation


- Muscle tests and functions


- Biomechanics applied to exercise


- Indications and contraindications of movement


- Manual techniques and level 1 corrective exercises


Scientific perspectives

The only way to demonstrate the effectiveness of this method of work is to solve tables with mechanical dysfunctions that are limiting our daily activities. Motor reeducation and the immediate implementation of strength exercises resolves in most cases certain syndromes without surgery. Orthopedic surgery should always be considered as an option in relation to bodily harm and the level of risk of each subject. The level of risk depends on non-modifiable factors such as age and other modifiable factors such as physical exercise. L.A.F is a system that provides rationale and helps to improve the orthopedic diagnostic capacity that must be contrasted with the diagnosis by image and be in agreement.