Biomeccanica muscolo-scheletrica arto inferiore

Dysfunctions of the hip, knee, and foot cannot always be assessed in isolation.
Axial deviations, joint instability, and recurrent pain are often the result of dysfunctional muscular forces that spread along the entire lower limb and connect biomechanically to the thoracolumbar spine.

In this course, we will work with both analytical and systemic approaches:

• Analytical, in identifying and treating the imbalance of muscular forces acting on a given joint, responsible for altering its physiological articular sequence (e.g., genu valgum, high arch, etc.);

• Systemic, in evaluating and treating peripheral symptoms related to the biomechanical connections between the lower limb and the thoracolumbar spine.

The goal is to move beyond the limitations of a segmental and symptomatic approach,
and to acquire a clinically relevant, functionally integrated view.

⚙️ A New Clinical Logic
Many lower limb dysfunctions do not originate where the symptom appears.
Axial deviations, functional recurrences, and joint instability may be the result of dysfunctional forces distributed throughout the entire musculoskeletal system,
not just within the symptomatic area.

👉 That’s why a segmental assessment may not be enough to explain — or resolve — the clinical picture.

✳️ When the Problem Starts Elsewhere
Have you ever treated a painful foot or an unstable knee,
but had the feeling that the real problem was somewhere else?

This course starts from that intuition:
the body behaves like a system, and to truly intervene, you need a biomechanical model capable of capturing its functional complexity.

🔍 Structure your clinical reasoning. Treat where it truly matters.

A hands-on course for physiotherapists and osteopaths, designed to help you identify and treat dysfunctional muscular forces affecting the entire lower limb — from peripheral joints to their biomechanical interactions with the thoracolumbar spine.

✨ A Biomechanical Language to Understand the Body’s Complexity
You will learn specific techniques based on the idea that the muscular system, when subject to connective tissue shortenings, influences joint adaptation like a “short rope” that forces the skeleton to find new trajectories.
These shortenings create the conditions for intra-articular conflict, instability, and axial deviations.

Through practical exercises and functional mapping, you’ll learn to interpret clinical signs through a biomechanical lens and act on the underlying causes of joint misalignment.

This course provides practical and clinically effective tools to:

• Analyze biomechanical dysfunctions of the hip, knee, and foot

• Understand functional relationships and compensations involving the thoracolumbar spine

• Design active and passive interventions aimed at reducing abnormal compressive forces and restoring proper joint alignment

The approach integrates joint biomechanics, vector analysis, and treatment of mechanical misalignments,
with particular focus on axial deviations and dynamic imbalances of the lower limb.

Throughout the course, you will learn to:

• Assess axial deviations (valgus, varus, etc.) and adaptive muscular and joint compensations

• Analyze the influence of myofascial vectors on joint instability and dysfunction

• Treat hip, knee, and foot dysfunctions with an integrated approach, using:
  • Manual techniques for shortened or inhibited muscles
  • Active exercises to reorganize kinetic chains
  • Specific interventions targeting breathing dynamics and lumbar curvature

• Integrate local assessment with spinal biomechanics to gain a systemic understanding of musculoskeletal dysfunctions

📅 4 days – 32 hours – 50% theory / 50% practice

The course is structured around:

• Articular and vector-based biomechanics

• Functional assessment focused on biomechanical connections

• Active and passive treatments aimed at normalizing dysfunctional muscular forces

🎯 Each technique is first demonstrated on a participant, then practiced in small groups.
All hands-on work is closely supervised to reinforce clinical reasoning and operational effectiveness.

If you work in rehabilitation and are looking for scientifically grounded yet immediately applicable tools, this course is for you.

It is designed for:
Physiotherapists – Physicians – Osteopaths – Podiatrists – Pediatric Therapists – Occupational Therapists – 

This course is based on an original theoretical model developed from clinical observation of muscular trajectories and persistent joint alterations.

Behind every joint dysfunction lies a force that cannot be seen with the naked eye.
During the course, you'll learn an original model of vectorial muscle analysis, where muscles are considered as generators of:

• compressive forces
• rotational forces
• corrective forces

This approach allows you to:
✅ Identify the true mechanical causes of misalignment
✅ Precisely target joint and muscular dysfunctions
✅ Prevent recurrent issues through systemic and focused treatment

📚 Want to explore the theory before the course?
Read the scientific articles written by the instructor Mauro Lastrico:

• Biomechanics of the Hip Joint
  Vectorial analysis of rotator, compressive, and destabilizing muscles in the frontal and transverse planes.

• Biomechanics of the Knee
  Muscle forces influencing varus, valgus, and axial rotations of the femoro-tibial joint.

• Biomechanics of the Ankle Joint
  Role of muscle vectors in joint stability and compensations between foot and leg.

• Biomechanics of the Medial Longitudinal Arch – Flatfoot and Cavus Foot
  Interactions between bone structure and muscular chains in the longitudinal stability of the foot.

• Biomechanics of the Forefoot and the Big Toe
  Compressive vectors and metatarsophalangeal deviations.

Dr. Laura Manni and Dr. Mauro Lastrico
Physiotherapists with over 25 years of experience in both clinical practice and professional training.
Specialized in musculoskeletal rehabilitation, systemic biomechanics, and the integrated treatment of postural and joint dysfunctions.

he full program — including the 4-day structure, techniques, practical exercises, and clinical frameworks — is available here:

👉 Download the PDF Program

📌 Limited seats to ensure an interactive hands-on experience.
💸 Flexible payment options – Credit card or bank transfer
🎓 ECM Accredited – 41.6 CME credits

This course is part of the AIFiMM educational track focused on functional assessment and integrated treatment of musculoskeletal dysfunctions.

A modular and advanced curriculum designed to build broad and in-depth clinical expertise.

📈 Expand your professional skills. Build a solid method.
Systemic biomechanics is the key to effective, precise, and long-lasting treatment.

📌 Is this course compatible with the techniques I already use in my practice?
Yes. The techniques you'll learn can be easily integrated with manual therapy, physical modalities, and neuromuscular approaches you already use.
This course provides a new biomechanical framework to help you understand when and why certain strategies are effective—and when targeted interventions on shortened muscular vectors are required.

📌 Do I need an advanced understanding of biomechanics?
No. The course is designed for professionals who want to strengthen their clinical reasoning with new, immediately applicable tools.
You'll start from clear joint schematics, repeatable functional assessments, and supervised hands-on practice.

📌 Is this a theoretical course or a hands-on one?
This is a highly practical course: 50% of the time is dedicated to real case applications, hands-on techniques, and active exercises—demonstrated by the instructor and practiced by participants.
The goal is to give you tools you can use right away in your clinical work.

📌 How is this course different from other hip, knee, and foot training?
The key difference is in the systemic biomechanical approach.
Instead of focusing solely on individual joints, we analyze muscular trajectories, compressive forces, and the connections between the lower limb and the spine.
This enables you to address the root causes of dysfunction—not just the symptoms or visible movement patterns.

📌 Is it suitable for those working in sports therapy?
Yes—just as it is for any patient presenting with complex biomechanical dysfunctions.
The course is designed for physiotherapists and healthcare professionals working in orthopedic, neurological, or sports contexts, who want to treat axial deviations, joint instability, and recurring dysfunctions—even in high-performance individuals.
A systemic approach is especially useful when symptoms keep coming back despite local treatment.