in the world with which applies to the Mulligan是一种手法技术
entire musculoskeletal system they can 它可以应用到所有肌骨方面的问题
prepare the results and he have a 而且它的效果可以说是立竿见影
partner between developers and the truth 当适应症出现时
is it takes about two all this to decide 利用Mulligan手法
if they are then it stopped 几乎可以让症状在两分钟的时间
within two minutes 就消失
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when I started out as a physical 当我开始从事物理治疗事业的时候
therapist and was pretty exciting about 我对物理治疗方面的继续教育感到非常兴奋
continuing education I would go to these 因为我可以通过这样的继续教育参加一些课程
classes and I was pretty impressed if I 如果在学习的过程中
ended up getting at least one idea that 我能学到一个技巧
I could use the next week when I went 并且在我回到我的诊所后就能立刻用上
back into the clinic but then I went to 我会感到非常地兴奋
a Mulligan course and there in the first 我参加Mulligan课程的时候就是这样的情况
hour there were probably three or four 一开始我就学到了三四个
things that I could use and then by the 我认为可以用得上的技巧
end of the class I had written down name 课程结束时我写了一串名字
after name of different patients I was 他们都是我的患者
going to try things on and so it was 我要按照这些名单，在他们身上做一下尝试
very different than other continuing Mulligan和其它继续教育课程
education courses it's a little bit like 有很大的不同
surfing if you catch a great wave you 上它的课就像是在冲浪
can surf for three weeks and just sit 一旦你遇到了一个大浪
out there and Bob around and not catch 你就足可以在这个大浪上玩上好几周的时间
any more waves but you catch that one 也就是说这一个手法就够你用上一阵子了
good way that keeps you surfing for 在这期间你根本不用再学习另一个手法
another three weeks no pain now with the 现在不再疼了
free mobilization that's movement to 你的手腕可以活动了
make it permanent 这种方法可以根除你的问题
you must give over pressure or mental 你不要有太大的压力
have you got a colleague here 如果你有同伴和你一起来
up that left that stabilizers you 你可以让他在这个地方固定一下
understand you extends keep kicked 用贴布就这样
triplet that suicide 贴一下就行了
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anyone could not have respect in 1990 I 1990年我和一些志同道合的朋友
was with a group of colleagues who'd 走到了一起
been teaching with me and helping and 我们在一起研习Mulligan技术
then started to teach in Europe and in 随后我们开始在欧洲和英国讲课
in the UK and I remember these people 后来我们
and we formed an organization called the 形成了一个组织，这个组织的名称就是
Mulligan concept Mulligan讲师协会
Teachers Association and the purpose of 我们成立这个协会
setting it up wish to promote courses 旨在促进课程的推广
and increase the number of teachers we 以及扩大讲师的队伍
had to have standards mr. Issa this 我们还设立了自己的标准
organisation up we have no control over 我们不想将这个技术据为己有
what was being taught and the standard 我们只是想把这个技术
of teaching that might just occur around 推向全世界
the world and that was the best thing we 让它在所有的手法治疗中成为一枝独秀
ever did and today we've got teachers 今天，我们培养出的讲师
from many countries I think we offer 遍及全球
courses 20 something different languages 讲授这些课程时所用的语言高达20多种
and what an amazing group of people they 这些讲师令人惊奇
all are but we found a way of putting 他们经常会把两种方式
two things together and the outcomes 组合起来使用，也就是动态关节松动术
have been amazing yeah conceptually a 效果是令人震惊的
unique and they offer something in the 他们的做法从概念的角度看是独特的
field of men and therapy that's never 这是手法治疗领域中
been done before 从未有过的
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[Applause] 鼓掌
so my name's sue Reed and I'm a academic 我叫Sue Reed
at university with a research and 是一名大学老师
teaching position so I've been likely to 我在讲课的同时也做一些研究工作
receive two research grants from the Mulligan讲师协会
Mulligan concept Teachers Association 曾两次给予我研究经费
the first one was to do randomized 第一次经费是针对治疗
controlled trial looking at treating 颈源性眩晕人群时
dizziness in people with neck problems 所做的随机对比实验
the second one was just recently to look 第二次就发生在最近
at treating people after a distal radius 是在我第一次学习了Mulligan松动术后
fracture with Mulligan mobilization 针对远端桡骨骨折患者的
equipment with my first study it showed 相关治疗方面的研究
that just four treatments with a Mulligan技术
therapist of having snags to the neck 对有颈部障碍的患者
and so snags had a significant effect on 只需四次治疗就可以产生明显的效果
reducing people's dizziness and pain 患者多年来的眩晕和疼痛
that they had had for many years the 就会得到很大的缓解
average time people have had their 患者中眩晕所持续的时间
dizziness was nine years and the longest 平均长达九年之久
36 years and after four simple 其中最长的一位竟有36年
treatments they were able to reduce 但是经过了四次简单的Mulligan手法治疗之后
their symptoms of pain and dizziness and 他们的眩晕和疼痛都得到了缓解
that effect was still there twelve 而且经过了长达12个月的时间竟没有反弹
months later with the second study we 后来经过了第二次学习之后
showed so distal radius fracture is the 我们认识到，远端桡骨骨折
most common fracture and we showed that 只是普通的骨折
by adding Mulligan mwm and self mwm s 在采用Mulligan动态关节松动术的手法治疗后
that people had a substantially greater 患者的活动度得到了很大的提高
result with range of motion decreased 疼痛也缓解了许多
pain function and ability to be able to 他们也能继续进行日常工作了
do everyday tasks then the usual 在治疗后他们要做的只是
recommendation which is just to do 在日常生活中按照治疗师的要求不断的去做
exercises 训练而已
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position 姿势（前面的话听不清）
the big difference between modern 现代手法概念和治疗中
concept and their treatments is of 很大的一个特点就是手法的总合性
course that primal will combine two 患者的积极配合也非常重要
things the manual part so the the best 只有把治疗师的正确治疗
positive correct position and the active 和患者的积极配合结合起来
part so we combine the two things in one 这个技术才能发挥出其应有的作用
technique and that's really unique is Mulligan技术很独特
doing it over the whole body 适合在全身运用
yeah and I've never seen in the other in 在手法治疗中
the other approaches MLT approaches such 我还没见到过其它手法
good results and quick results as with 有如此好的效果，而且见效如此的快
my own concept so yes that's that's 这真是令人感到惊奇
fantastic with our teachers throughout 我们遍布全球的讲师中
the world now we have some people who 有一些在专职对Mulligan技术
are specializing in the research element 进行研究工作，并且有着大量的研究成果
so we have a lot of research backing up 有了这些理论研究成果
our work as well as the evidence-based 以及诊所在实践中的循证
medicine of real-time within the clinic 作为支持
our concepts when indicated particularly 我们的MWM方法
vocalizations with the movement give you 也就是动态关节松动术
an instant pain free resort now you 就会让患者的疼痛很快消失
can't get better than that if a patient 如果有患者来找你
comes in and they've got a problem and 说他的身体出现了一个问题
they can walk in pain free on your on 他走路时总是感觉很疼痛
the thirty-first visit and that should 这种情况已经持续了很长时间了
be long lasting if there's a slight sort 总是不见好转
deterioration what you might treat them 而且还有轻微的恶化
more than once we've got that 这时你用Mulligan的
competition in this field you can't get 动态关节松动术
better than interested pain-free result 就可以很好的解决他的问题
Oh 哦
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and instantly 立刻
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having fun well it has been a great 和Brian相遇
experience for me meeting Brian 是我人生中非常宝贵的一次经历
personally very positive energy showing 他毫无保留的教授Mulligan手法治疗
and trying to teach but he has already 彰显了他崇高的正能量
been doing all his life 他毕生都在从事着这样的事业
I'm learning new things and is very 我非常兴奋，因为我从他那里学到了
exciting and report about me yeah it's 很多新的技能
not every day we can leave that person 我们非常需要像Brian这样的人
like Brian that has made such a 他让我们明天的职业生涯
difference in our profession is coming 发生了很大的
tomorrow 变化
enthusiasm is unparalleled and it's 他异常高涨的激情
something that it's absolutely 同时也传染给了我们
contagious it's the way we need to be 而这种激情也正是我们治疗患者时
able to our patients showing that 所应该展示出来的
enthusiasm but showing good professional 伴随着这种激情我们同时还要表现出
skills at the same time he just 专业的职业技能
encourages that so much and just such an 他鼓励了我们，也赋予了我们极大的
honor to be here 荣誉
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hi 嗨
I met ride Mulligan September they love 我是在1982年9月份接触到Mulligan的
1982 and might notes on that day I still 我把这一天刻在了我家的碗橱上
have them in my cupboard at home says 并且写着
this man is insane “这个人简直就是个疯子”
Brian Mulligan is just a genius he's one of Brian Mulligan就是一个天才
the last pioneers of physiotherapy at 他是物理治疗行业的先驱
home and he's so innovating to the 他在这个行业中做了许多创新性的工作
physiotherapy and he's so fascinating to 听他讲话让人觉得很着迷
listen to and I would describe him as a 在我看来他就是一个天才
is a genius and he has a great sense of 而且他很有幽默感
humor so he's a normal person actually 他也是一个普通的人
it's not a dinosaur is not a world is 他并不是一个恐龙
just right it's an example to follow not 他是我们学习的榜样
only as a professional not only piece of 不仅仅是物理治疗师的榜样
physical therapists but as a human being 作为一个普通的人，他也同样是我们学习的榜样
and as a man he's always been this 他总是热情高涨，精神百倍
high-energy individual it completely 他在物理治疗的领域
believes in his paradigm and his 总是不停地进行研究
principles and techniques we don't get 尽管他已达到了很高的成就
to steam that often when we do it really 但他仍然在不断的学习和工作
is very inspirational and motivates me 他的精神不断地鼓舞和激励着我
to expect more from what I do 使我的工作不断地取得新的成绩
well Brian Mulligan is an optimistic man 嗯，Brian Mulligan 是一个乐观的人
we innovate he's a bundle of energy and 他的精力总是那么旺盛
yeah a man who's not scared of the big 他总是希望自己站上更大的舞台
stage just one word or described rang 如果用一句话来形容Brian Mulligan的话
mulligan ever enthusiastic twenty plus 那就是“激情四溢”
years of Peter Brown riding around again 二十多年了，Brian Mulligan
is both energy in any way 还是那么有活力
Are you ready? yes I am ready! 你准备好了吗？是的，我已经准备好了
Brian Mulligan is uh he's he has the Brian Mulligan可以说他是一个冒险家
mind of an adventurer or a composer I 或者一个作家
think he has the hands of a skilled 我觉得他有一双灵巧神奇的手
manipulator he is the heart of a saint 还有一颗圣人的心
he has the energy of a child is the 他总是像一个孩子那样充满活力
tenacity of a bulldog and he's applying 像斗牛犬那样具有韧性
all those character traits to physical 五六十年来他始终如此
therapy for over five or six decades so 在物理治疗的领域不停地开拓前行
this incredible man and I think it's got 这个人真是不可思议
more energy than me 我已经是三个人那么大的精力了
I mean I'm three energetic person I 可是他的精力比我的还要大
think I like to perform but you know I 我很喜欢表现自己
think I was struggling to compete with 我在努力让自己的成绩向他靠近
Mulligan so he's wonderful Mulligan他很棒
the solution in ceará really happy to be 我非常高兴能成为
a part of this mannequin family all Mulligan家庭的一员
senior teachers they are helping us to 所有高阶的讲师都在帮助我
grow in the field and they're wanting us 使我在这个领域中不断地成长
new Fazio's to take the concept right 他们希望我能正确地理解Mulligan概念
and they are helping us to go every time 他们无时无刻不在帮助我
to go into technical aspect go into 让我全面学习到了这个技术
research aspect that's what a beautiful 他们也帮助我进行理论方面的研究
part of it and that leaves us like a 我们之间就像是一家人
family made person and there is good 这让我感觉非常好
pointing with all of us I think I think 我向这样的氛围
that's a really really good part of the 正是我想要的
money concept as far as NCTA is 大家作为NCTA中的成员
considered it's a group of friends we 彼此都是朋友
meet every two years and we have a lot 我们每两年就相聚一次
of discussion on things we're doing we 就Mulligan技术我们会进行很多讨论
can develop the concept further and it's 这进一步发展了Mulligan手法治疗
just a great interaction and ability to 反过来Mulligan的发展又促使我们更多的交流
exchange ideas 这是一个相互作用
I hope that the concept will be 我希望，
implemented in the work of every 在肌骨领域中工作的物理治疗师们
therapist working in the musculoskeletal 都能运用Mulligan技术
region I think it's just the first 当患者的脚扭了或者膝关节受伤了
choice method to start when people come 我希望Mulligan手法
coming with a sprained ankle a twisted 是第一个被使用的方法
knee or well I would encourage students 我总是鼓励物理治疗专业的学生们
to learn the concept just because of 学习这个手法
research and evidence which guides to 就是因为它有着大量的研究成果和循证
that unique thing of combining 而且它所采用的MWM方式
mobilization and activity it's quick 确实是非常独特有效的
effective safe so as I said before that 它不但非常安全而且效果立竿见影
would be the main goals for a student I 这个技术应该成为学生首要学习的目标
think all physiotherapists should be 我希望所有的物理治疗师
aware and have knowledge of the mulligan 都能了解Mulligan手法
constant techniques because without them 并且能熟练地运用这个技术
you were denying your patients the best 让它成为服务患者的最好选择
options for some of the most revered and 对我来说，我每天在使用这种手法
sustainable improvement with 来处理肌骨方面的问题
musculoskeletal conditions I'll use it 因为它确实安全有效
every day I'm still working 在实际工作中
orthopedically and an eclectic clinic I 我不得不把这个技术作为我的首要选择
see everything from 在日常的工作中
flex and lower is certainly pain all the 我用它来治疗各种各样的疼痛
way up to shoulders and necks and 肩部的疼痛、颈部的疼痛
headaches on a regular basis so I get 以及头部的各种疼痛
the pleasure of music and all the time 从中我获得了极大的成就感
oh I see this being the global concept 我觉得这是一个具有普适性的技术
of how the CEO actually treats in the 作为一个有效而且见效快的
next five to ten years as fast effective 安全手法，在今后5到10年的时间里
its efficient it works 还会有更大的推广
there's a lot of things out there that's 当然除了Mulligan手法
good and some things that are nice and 还有很多其它的手法
some things fairly effective but this 它们都非常的有效，都非常的好
stuff is head and shoulders above 但是Mulligan手法
everything outside of you the ball game 却能在所有这些手法中
concept again is the perfect bridge 显得鹤立鸡群
between pain science and manual therapy 在治疗疼痛方面
it exists in the middle and I think 它的效果显得尤为突出
that's where reality is and that's where 在神经障碍方面的治疗
we see you know when you apply it to the 它也有不俗的表现，这些都是无法否定的事实
neural matrix and some of these things 我非常希望这个技术
that I hope are being taught at school 能在学校里教授给学生
now I think you see some good results 它所表现出的这些良好的成绩
because it's the marriage between 在患者和物理治疗师之间
and a therapist and two human beings and 建立起了良好的桥梁
I really think that's where the magic 我想这正是它的魅力所在
occurs you know you may stay do you 你可以对患者做按摩
friction massage or your other stuff 或者其它什么
what have you but you're always gonna 但最终你还是会
fall back with Mulligan because just 运用Mulligan手法
works so bloody Tarbell ethnos 因为它的表现实在是太完美了
absolutely perfect woke up there telling 只要你看到它的效果，你一定会发出一声
whoa 哇哦
you do not like what I do touch it it's 只要你们不断地学习和实践
not and I have a breakdown or something 我想你们也一定能达到我这样的水平
but if you don't do the courses 对于这个手法背后的理论原理
completely 你们要充分地理解
you've only catch our concepts every 掌握了原理后再进行实践就会融会贯通
person in the world has access to what 我希望我教授的这些手法和技巧
we have to offer in the field of 世界上每一位肌骨领域的治疗师
musculoskeletal medicine I'm happy 都有机会接触到，对此我会非常开心
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