• Mark Pitkin.
• Department of Physical Medicine and Rehabilitation, Poly-Orth International, Sharon, MA 02067, USA.
• Mil Med. 2021 Jan 25; 186 (Suppl 1): 814-819.

BackgroundA new training and rehabilitation methodology called Sanomechanics® is presented based on a recent discovery of the anatomical system called Floating Skeleton System (FSS) responsible for redistributing contact pressures in the joint capsules and thus minimizing the loads on joint cartilages.Materials And MethodsThe main idea behind the Sanomechanics® methodology (SMM) is that when this system of subperiosteal pressure transmission is disrupted, the overloading of cartilages may occur leading to trauma, osteoarthritis and other related pathologies. Conversely, if functioning of the FSS is adequately restored and continuously maintained, the pathological developments can be effectively stopped.ResultsAnalysis of existing training systems using mind-body approach revealed that they are lacking the understanding of a physiological mechanism of their success or failure in training. It is postulated that maintaining/restoration of transmission of pressure between the joint capsules is necessary component of preventing overloading of joint cartilages occurring in military training and operations and in civilian life. Visualization of this concept has been suggested as a key element to the SMM training system.ConclusionsThe FSS provides for a guidance for development of scientific approaches to the training and rehabilitation techniques. The SMM is balanced mind-body training system, which can help U.S. Servicemen and Servicewomen be better prepared for extreme load during their service.© The Association of Military Surgeons of the United States 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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