3.1. Transverse Tendinous & Ligamentous Stretching of the Lower Limb

3.1. Transverse Tendinous & Ligamentous Stretching of the Lower Limb

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TTLS is a technique that addresses the structural needs and sensory functions of tendons, ligaments and specific muscles. Its focus is to normalize mechanical tension in a contracted or shortened ligament, tendons and muscles by creating a temporary inhibition in their protective mechanism. As our understanding and skills continue to grow during the program, TTLS is introduced along with detailed joint biomechanics in the tensegrity model.


Specialized sensory cells in ligaments, tendons and muscles provide constant feedback to the central nervous system. The higher proportion of collagen fibers and specialized sensory cells found in tendons, ligaments and muscles call for a different treatment strategy than other fascial tissue with a lower proportion of fibers or sensory cells. Therapists who learn TTLS techniques acquire the skills to:

    1.) Increase vascularisation of the tissues by treating tendons, ligaments and     muscles
    2.) Affect the quality of sensory input from the tendon, ligament or muscle to the central nervous system, thereby increasing the overall quality and function of the tendon, ligament or muscle that is acutely or chronically injured.

    Course outline

    • Descriptive & Relational Anatomy of the Lower Limb
    • The theory and physiology of TTLS
    • Classic & Tensegrity Biomechanics the Lower Limb
    • Clinical Application
    • Comprehensive instruction and hands on learning of the many TTLS techniques for the foot, ankle, knee and the hip

    Manual therapy qualification and experience. Please contact us for details if unsure. 
    This is a manual therapy course. Participants are responsible for their own professional liability insurance.

    What's included?
    Anatomy manual
    Treatment technique manual
    Hands-on instructions and practice
    Follow-up course review - online webinar
    Water and snacks

    Who would benefit from this course?
    Physiotherapists, Osteopaths, Chiropractors, Sports therapists, Massage therapists, SomaTrainers