© 2019 by Spinal Symmetry Pty Ltd


The History of the Dynamic Therapy Strap and How to use it !

June 2, 2016

The History


One of the key elements in the Spinal Symmetry method is the use of Dynamic Therapy, or as it is more colloquially known as “strapping”. 

Many of you have spent much time using the therapeutic strap, and we are often asked where and how did it all come about?

And why is it so vital to the treatment you are receiving?


To begin, we need to firstly revise the Spinal Symmetry approach to understand where the Dynamic Therapy fits in with the bigger picture.
The hips and pelvis are the foundation of your spine. Much like the foundation of a house, if the hips and pelvis are unbalanced and unstable there are compensatory stresses and strains above and below which may lead to symptoms such as pain.

As shown on the right >>


The Spinal Symmetry approach balances and stabilizes any imbalance in the foundation of the skeletal system of the body, i.e. the hips and pelvis.
To maintain this correction, we use the Dynamic Therapy to complete the treatment.

Firstly, how did it all come about?
In the 1980s & 90s the founder of Spinal Symmetry, Malcolm Jack, was working with a large number of children who had cerebral palsy- which we discussed in our previous article. Through experience and treatment of these children, he came to realise the importance of starting with the hips and pelvis as the primary priority in dealing with the skeletal system.

It was during a session in 1993 with a Japanese boy who had cerebral palsy, that Malcolm would come to learn about Dynamic Therapy. As the boys mum watched Malcolm examine her son, she relayed to Malcolm that he was performing the Isogai method. Unaware of the Isogai method, Malcolm assured her that he was simply examining her son’s hips to correct the imbalance in his hip angles.
The next time they came in, they also brought with them a book- “Isogai Dynamic Therapy”. This is when Malcolm came to realise that the methods he was using had also been performed in a similar fashion by a bone setter named Isogai in Japan.

After Malcolm read the book he made some inquires about Isogai and his methods, and within a few months, he had flown to Japan to study under Isogai himself.
The most significant distinction Malcolm made while in Japan was the use of the Dynamic Therapy.
On return to Australia, Malcolm immediately began to implement this new procedure into his treatment with his cerebral palsy patients and also all of his existing patients. The results that were achieved were highly significant, leading to Isogai himself to come to Australia to see the work that was being done in our Sydney and Canberra clinics at the time.

So what is Dynamic Therapy? 
Dynamic Therapy is the use of the therapeutic strap nightly to act as a brace.

This brace helps to maintain the correction of your hips and pelvis that has been performed by a Spinal Symmetry practitioner.


Your hip joints are held in position by ligaments. It is the hip ligaments that must be rehabilitated or re-programmed to maintain the hips in the correct orientated position.


While using the therapeutic strap, a stretch response is applied to the hip ligaments, which creates a nerve stimulating pathway to the central nervous system (CNS) that engages a feedback mechanism of proper joint position memory of the hip joint . In other words it is essentially a re-training of the tension-ing of the hips, having had the central nervous system send and reinforce messages to the hip ligaments to remind the hips of how they should sit in the correct orientated position.

With the correct amount of time of using the strap nightly, we are able to completely re-program the hip ligaments to maintain the correct, balanced hip angles on a permanent basis.
Once the correct hip angles are maintained, the pelvis will unwind itself to return to a balanced configuration.

As the pelvis stabilizes, the rest of the spine will also return to a neutral state, thereby releasing the stresses on the previously unbalanced structure.
This process is driven by the central nervous system’s natural desire to return the body to its genetic structural configuration.
As each individual is unique, each person has an individual process and time frame.

This process is aptly named ‘Dynamic Therapy’ due to this unwinding and dynamic process that takes place in the body after the hips and pelvis have been corrected.
Isogai describes this process as creating a ‘homeostatic’ response within the body.

The type of therapeutic strap has changed within the clinic, initially being a cotton belt-like band that was tied in a knot around the knees, to now being made of Velcro with a plastic buckle to make the process much easier and efficient.

The use of Dynamic Therapy is unique to the Spinal Symmetry method as Malcolm is the only practitioner from Australia to go to Japan to undertake and utilise the Isogai course. He has since mentored many practitioners who work in the two Spinal Symmetry clinics as well as many others who have opened their own clinics throughout Australia and New Zealand. 


How to use the Dynamic Therapy Strap


Make sure it is the LAST thing you do before sleeping:


  • While seated- Turn either your Right/ Left /or both  knee/s inwards, your practitioner will tell you which one you should do. 


  • Place Dynamic Therapy Strap (DTS) behind both your knees and bring the ends up so that it sits approx. 3 finger widths above your knee caps 


  • Feed the end of the DTS through ONE of the plastic slits and fasten with velcro 


  • Ensure that the DTS is tightened so that it is FIRMLY comfortable- you should only barely be able to squeeze one or two fingers under the DTS as a measure of how far to tighten it 


  • Place a pillow/s behind your knees (optional) and allow your legs to relax/straighten 


  • Lie flat on your back for a MINIMUM of 30 mintues (it is ok to fall asleep with it on) 


  • DO NOT stand up once you have completed your Dynamic Therapy hip rehabilitation exercise - as gravity will shut down the “neurological switch” that you have activated in your nervous system to benefit the


     hips ligaments. You must be out of gravity for a minimum of 4-6 hrs for the therapy to be effective. 




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