Efficiency, Confidence, and Faster Results with LTAP™: A Conversation with a Level 1 Alumni

If you’re someone who wants to treat patients more effectively without wasting time on guesswork, this one’s for you.

In this episode, I sit down with Kacie Shively, a physical therapist in the Tri-Cities area of Washington and owner of Game Changer Physical Therapy, to talk about what shifted in her practice after taking the in-person LTAP™ course this past February.

Kacie works almost exclusively with athletes, from middle schoolers to pros, and efficiency is non-negotiable in her one-woman practice. She shares how learning and applying LTAP™ helped her:

  • Quickly identify and treat the real root of a client’s lingering pain

  • Feel more confident in her assessments and hands-on decisions

  • Achieve better, faster outcomes with her athletes, one who had spring training deadlines right around the corner

We also talk about why the structure of the LTAP™ course helped her actually implement what she learned (immediately), how the assessment process helps cut through complexity, and how LTAP™ gives you a framework to apply your existing tools with more precision, whether that’s cupping, needling, exercise, or soft tissue work.

It’s not about learning more. It’s about knowing where and when to use what you already know.

This is a great listen for anyone wondering if LTAP™ is “worth it” or if it’ll actually help in their daily clinical reality.

Resources Mentioned In This Episode
Sign Up HERE for the 2025 Online LTAP™ Level 1 Course
Learn the LTAP™ In-Person in one of my upcoming courses

Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com

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  • Hello. Hello. Welcome back to another episode of the Unreal Results Podcast. Today is another recording of a Facebook Live I did with one of the LT a level one alumni, Kacie Shively. Kacie is a physical therapist that works. In, um, the sports ortho world, mainly with athletes from all levels from high school to the pros.

    And, uh, she shares with me just, um, the amazing results she's getting in her practice since coming to, um, a recent in-person LTAP™ level one course. So it was super fun to talk to her. Um, and she shares how important just having an assessment tool like this is to get results fast and be like most efficient and effective with her work.

    So give it a listen. Thanks for joining us.

    Anna Hartman: Good morning. Um. Thanks for everyone, um, watching these lives. I hope you're enjoying them. I, I really enjoy it. Um, especially as I teach more and more people, I. Obviously I don't know everybody really well, and it's hard to keep in touch with everybody. And so, um, this is just such a fun way to like, touch base and see how people are using the LTAP™ and even just talking to people about like why they even originally came to the course and like what problems they were seeking to have.

    So I hope everyone is enjoying this. Um. You know, I've gotten some feedback from other people since I put this on the podcast too, is like, it's just helpful for people to hear how other clinicians, practitioners are using it in their practice. So this morning we have Kacie. Uh, Kacie is a PT up in the Washington like Tri-Cities area.

    She just actually took my live course or not live. They're all live the in-person course in, um, Tacoma, Washington in February, which feels like eons ago, even though only a couple months ago. 

    Kacie Shively: Yep. 

    Anna Hartman: Thank you. Um, I'll let you do a little bit more thorough introduction of yourself and like, um, it's always good for people to hear sort of like what patient population you work with and like what kind of setting too.

    So. 

    Kacie Shively: Yeah, great. So I'm Kacie. Kacie Shively. I own Game Changer Physical Therapy, and I am located in Kennewick, Tri-Cities area of Washington state. I primarily see athletes at my clinic, so I'm working with anyone from high school, middle school athletes to triathletes and professional, um, athletes. So it really, it's.

    Quite the span. And, uh, I, it's just me at my practice. Uh, I'm the one that does all the scheduling, the patient care and everything. So efficiency is like the key to everything running smoothly. And so, yeah, I, uh, I love what I do. I got into starting my own practice because I was just kind of sick of the.

    Uh, traditional model of physical therapy, if you will, where it's just run 'em through, get as many people in as you can, and people are coming in multiple times a week. So it just didn't really jive with how I do things And, yeah. You know, that's how I found, um, I just kind of went with courses that really aligned with kind of my goals.

    And I feel like a lot of what you teach Anna is very, very much that way. It's efficiency, it's effectiveness. And you work with athletes too. So that's what really drew me to your courses was I was like, okay, she gets it. Yeah. She knows exactly what I'm trying to go for. Yeah. I think any, any patient though appreciates having an effective and efficient treat.

    Anna Hartman: For sure. I'm like, I know our patients end up like loving us and like, yes, you know, I I'll, it's, most of us are. Doing it 'cause we like care about people and like usually when you care about people, you really value relationships over most other things. And so yes, our people like us and like spending time with us and hopefully enjoy the rehab experience, but nobody wants to be stuck in rehab.

    Yeah. And nobody wants to be injured, like nobody. 'cause you have 

    Kacie Shively: to, 

    Anna Hartman: right. Like even like, I mean even like, my athletes are good examples. Like they don't love working out always and they don't love taking care of their bodies. They, they do it because it's like a means to the end of like, them being good performers.

    Yes, but not because it's like fun by any means. It's like, it can be fun, but like it's, you know. I'm always like, this is a question when people ask me about like home exercise program, I'm like, I mean, this is a great thing. You're gonna fix them in the sessions and you don't have to give them a home exercise program because news flash.

    Yeah. Nobody likes a home exercise program. That's across the board. Yeah, across the board. Doesn't matter. Nobody likes homework. Yeah. Like I, and I am biased, I've never been a homework kind of person, but I'm like, yeah, nobody wants homework and this is why they're coming to you is like, they need your help to feel better.

    If they could do it on their own, they would already have it done, so. Right. Um, I might kind of live by the rule of like maybe three things for homework. And they all have to like create a change. Mm-hmm. And, um, the only other rule would be if the person is not an active mover or exerciser, then yes, it is appropriate to help them out to create that habit and create an exercise plan.

    So, 

    Kacie Shively: or if they, or if they, you know, are like, oh, I never ever do strengthening. Yeah. And then you're like, well, no, maybe that would be helpful. Yeah. 

    Anna Hartman: The classic runner, like I just run, I don't Exactly, yes. Me one or two exercises and then I'm like, do you even still call it a home exercise? Because I'm like, no, you call it a straight training program.

    Kacie Shively: Exactly. Or an activation. It's like, it is exactly that. Yeah. I feel like the, the one thing I've given people for homework is really more like the neural resets. Mm-hmm. You want something and then they can feel that change and I feel, yeah. That's been really helpful Yeah. For people and it's like, uh, you know when you need it.

    Yeah. Do it 

    Anna Hartman: as many times as you want, but you'll know when you need it. Mm-hmm. I love that. Um, well it's very, so I, we were talking before I started live and it's very unique because you did not do the free missing link first. You just jumped right into an in-person class. Um. Per the referral of a, a, a colleague of ours.

    But also, like you said, you know, you saw what I was offering and I was like, that's like what I've been looking for. So, um, was that kind of like the problem that you were having, you know, that you were hoping to solve too? Is not, is the efficiency piece, like getting people fast results faster? 

    Kacie Shively: I would say it's kind of, I mean, your messaging really spoke to me.

    It's the, you know, like when you know that there's something going on Yeah. And you're able to address it most of the way, but you're not able to get every little piece. Yeah. And so I feel like just knowing that hey, there's something else out there. Uh, you know, whether it's visceral or nervous system, tension, there's a lot going on and there's just a better, more effective way to.

    Assess that, rather than just being like, well, it's not getting better with all the orthopedic things we're doing. Yeah. By process of elimination it's this. Yeah. Instead it was like, oh, if you can address that first, then all of your treatments are gonna be more effective and they're gonna do what you actually want them to do.

    Yeah. If you need them at all. Right. 

    Anna Hartman: I love that. So 

    Kacie Shively: that for me was just a huge selling point. Mm-hmm. 

    Anna Hartman: And 

    Kacie Shively: I guess the biggest like pain point that I had was just when you know there's something going on. And you're not exactly sure how to assess it. 

    Anna Hartman: Yeah, yeah. You're like, I know I'm missing something, but like can't pinpoint.

    Exactly. I love that. And so now, you know, we're two and a half months, two months from the course. Like how have, like what kind of results have you been seeing with it? 

    Kacie Shively: It has been incredible. Honestly, it's been, I've been getting more confident with all my assessments too, which I feel like makes the treatment more effective.

    Absolutely. But I, I've been getting really good results and like you said, it's, I mean, it's been two months, but it hasn't, it's felt like I've done this forever now. Great. And I'm getting faster. So I've had, I have had some pretty good, uh. Patient results. Honestly, I've had three that I can think of just right off the top of my bat of like success stories where we've really changed their, their course of treatment and how they're.

    They're viewing their rehab. 

    Anna Hartman: Yeah. Were were these patients that you were seeing before the course too? So you were uh, 

    Kacie Shively: yes. Yeah, actually I had two of them. I had had like their assessment done right before the course and I was like, Hey, I'm gonna take this course this weekend, which I think is gonna change everything.

    And, and it did. And I had one guy that he was getting mostly better. Uh, you know, he'd had kind of what he thought was like a classic case of a bicep strain and, you know, it was getting better. We thought, okay, I, I went down the route of thoracic outlet syndrome. We treated that and he was like, 90%. And then going into this course, I'm like, okay, I'm gonna figure out exactly what it is.

    So, in doing, when I came back, we, you know, went through the LTAP™ and I went into his left lung. Now he had his shirt on, so I didn't see anything. Yeah. And I was, you know, how, how's your left lung? You know, just thinking. Maybe he'll gimme a history and he is like, oh yeah, I forgot that it, like, it collapsed like three times on me when I was in middle school.

    This guy's like in his forties. And I was like, oh my gosh. That would've been so good to include in your, yeah. Um, so anyway, just working on that area. Dynamic cupping. Yeah. What I chose and he didn't have to come back. So we're like, well, 

    Anna Hartman:

    Kacie Shively: guess that was great. 

    Anna Hartman: That was it. That was great. Was it, um, was it his same side of her tremor or opposite?

    Same side. Same side. Same side. Yeah. I like how people are like, oh yeah, I forgot to tell you I had 

    Kacie Shively: one. Those chest tubes getting Yeah. No big deal. Yeah. And so, um, you know, that one's a, a really. Big, uh, success for me and a big turning point. I was like, absolutely. And then I had another, um, professional athlete, he's a baseball player.

    He came to me and he kind of was like, I've got this, this, this and this wrong. I'm like, and he's like, and I got a report for spring training here in the next month or so. Yeah. Okay, thanks. So, yeah. Yeah. Thanks. Appreciate it. Um, and so I was like, Hey, we'll give it a shot. And I feel like that's also like a case of.

    Um, you know, where I've been applying it too is people that just have multiple things going on and you're like, what do we wanna start with? Yeah. The LTAP™ is perfect for that. So for him, I, you know, treated multiple areas, uh, nervous system tension, and he was able to get his velocity back. He was able to throw without his shoulder.

    Just killing him. 

    Yeah. And 

    Kacie Shively: able to report for spring training. So that was a huge success. 

    Anna Hartman: That's huge. Yeah. That's awesome. I love too that you have like a performance measure with him too, right? Like it's not just like he didn't have pain. It like he went from feeling like his arm was dead to. 

    Kacie Shively: Well, and his velocity was way down.

    Yeah. He was focusing on the numbers and everything like that and, and the metrics. And I was like, Hey, just, just don't look at the numbers. Just do me a favor. Yeah. Just check me on this. We're gonna do some things here and uh, and get, get it back. And it truly, it did work. 

    Anna Hartman: Yeah. That's awesome. Oh, I love that.

    This is fun. I'm, I'm excited. You know, like, obviously some of the people I've talked to have, you know, it's been like a year or so since they've been through the course, but it's like so cool to hear like Yeah. Immediate results. Like, I mean, and that's like the whole point of. Both courses, but obviously in the in-person course it's like, yeah, two days and like you literally go from maybe not even knowing it, right?

    Maybe watching the four hours of tutorials and then, um. The weekend. We just like the, the, that's exactly right. Yeah. Saturday we, I, I tell you guys all Saturday morning and I'm like, you're really excited and you're so pumped. And then by the end of the day, you're gonna think you don't know anything because they're gonna, that's so true.

    The whole Saturday just learning the assessment and getting the reps and like getting really clear on the. After all the tests. Yes. And then Sunday we put it all together and you like treated somebody in the class like you would on Monday. 

    Kacie Shively: And I feel like that was, you know, like one of the things in kind of reflecting on the course was just how lovely it's put together.

    Yeah. Truly there's not many courses out there where you can. You can learn stuff ahead of time. So you're not going in with like, what in the world is this? 

    Yeah. 

    Kacie Shively: You learn what you're gonna do and then you learn how to apply it and you're getting that real time feedback. That's why I felt like the in-person course, I was like, I have to capitalize on this opportunity because I wanna know where to put my hands.

    Mm-hmm. How much pressure to use and that in like that tactile feedback for me was, was crucial. So, yeah. That was, that was great though. It's like you, yeah. You learn the stuff ahead of time. You go there, get more feedback, you're like, I know nothing. Then you put it together and, and it is like, I think just learning to trust yourself too is one of the things you had said in the course over and over again.

    Just quit thinking. Yeah. And feel, trust yourself. And when you do that, you're able to, um, take a more objective approach. And again. The inefficiency is where you're sitting there thinking and processing. Oh my gosh. So inefficient. Yeah. But, but on Monday morning, I, I was seriously able to apply it. I mean, I thought that was so cool because a lot of courses you just don't have that.

    Anna Hartman: Yeah. 

    Kacie Shively: The ability, and a lot of 

    Anna Hartman: courses claim they have that. They're like, Monday morning, the applicability and then you're like, Monday morning, 

    Kacie Shively: like, fuck, I 

    Anna Hartman: don't know what I'm doing. 

    Kacie Shively: Exactly. You're like, there's not a chance. Yeah. 

    Anna Hartman: Like, but no, this is like for real. Like you don't leave Sunday until I know you got it.

    Kacie Shively: Yeah. And I think like another thing about it too is like, you're not making people like super sore with this treatment. It's a very, like, it's a nice session, like you leave feeling good. Yeah. And in the in-person course you ran us through a few of the regen exercises, which like, you know, you get to experience yourself and.

    That was like, okay, I can do this. 

    Anna Hartman: Yeah. Like, oh, we didn't really do anything crazy, but I feel like so different after that session. Yeah. Yeah. And that is exactly, exactly how the patients feel is like, yeah. It doesn't have to hurt them. It doesn't have to be complicated and they can come in not feeling great and then leave feeling much better and, and 

    Kacie Shively: is, yeah.

    It's just, it's such a game changer. This course like is for. For everyone and I feel like every clinician should take it because I mean, honestly taking just a more holistic approach and just whole body, I should say like whole body approach. Yeah. To why does this person have pain? It makes sense. Or whatever their symptoms are.

    Anna Hartman: Yeah. I love that. Um. Yeah. I love that you felt that. And the, and it's interesting too because actually we, we were talking yesterday, uh, Katrina and I, another, um, alumni about how I did design the course and it's a little bit combination of like, you know, I took a course very early in my career, like my first ever con ed course, and this is really similar to how he taught and I didn't even realize it.

    Until reflecting on it now, and I'm like, wow, I ended up like designing a course very similar to that. And so I love hearing that it has made such an impact on you all, like immediately being able to implement it in practice. But at the, it's also like the emphasis, and, and I, I know I did get this from him, is the emphasis of like.

    The only way you get good at it and make it part of your practice is literally if you practice it. And so it's like hammering to you all that is like you need the reps in your hand. So it doesn't matter if you're gonna let it guide your treatment at first, it doesn't matter. If the patient comes in with ankle, foot, knee, back, neck, like whatever it is, like you're doing the same assessment on every single patient that walks in the door.

    Mm-hmm. 

    Anna Hartman: Just to get the reps of the assessment. Yeah. And some people are like, oh, but isn't that like, not, not a lot of people, but every once in a while somebody's like, I just don't like how that feels like using my patient as a Guinea pig. And I'm like. I'm sorry. Yeah. Your patients are a Guinea pig all the time, whether you realize it or not.

    Like Yeah, 

    Kacie Shively: you do. The first like year you were in practice. 

    Anna Hartman: Exactly. So it's like you might as well make it like very like mm-hmm. Intentional and thoughtful of what you're actually trying to do, which is get the practice versus like just from, it 

    Kacie Shively: doesn't. It doesn't long, like, it's not like this is a you, you know, you can go through it that one to three times, but if you went through it one time with every single patient and just say, Hey, we're just gonna, you know, like, get the most effective treatment.

    We're gonna see what comes up first and, and just, you know, that would give you the reps. I mean, if you think about it, you're seeing so many patients a week or a month and just, I mean, even every other patient starting with one round of the LTAP™. Yeah, I think would be really huge. 

    Anna Hartman: Yeah, and I think too, one of the things that helps that, and you kind of touched on it, about talking about how in the course we talk about like trusting what you feel, part of the trusting what you feel is trusting, well trusting what you feel, but then also it is like critically thinking through.

    If something doesn't go the way you think it should. Yeah, and like what that means, because what we find in the classes is like the instant default for most practitioners when something doesn't go the way it should, their instant default is to be like, oh, I'm so fucking dumb. Like, yep, I don't understand this.

    I can't do this. Like this isn't possible. Right? Like throw the hands up there, like this is dumb. And so that's what happens often in other courses is you go back. Practice that on your patients and you run into a scenario where you don't like, it didn't, it didn't go the way you thought it should. And instead of critically thinking through it, you're like, I'm an idiot.

    I'm not gonna do this anymore because it's making me look bad to my patient. And so then you like. Even if you set out to do the assessment on every single patient that day, if the second one you run into a roadblock like that, you won't do it the rest of the day. And so in the course we talk through those roadblocks and we, and we approach it of like, don't be so hard on yourself.

    Yeah. Like. Yeah, it didn't like, it didn't go the way you thought because there could be reasons for that and what are the reasons for it? Like, yeah, one of the reasons could be you didn't take the time to set it up to be successful, number one. But then number two, there's like actual reasons in their body why it might be not be giving you the information you need.

    And it doesn't mean that you did it wrong. It means it's not the right test to get the information you're trying to seek. And so it's like that critical thinking piece. I mean. Since I was a kid, right? Like critical thinking was like a, a something that we, I don't know how the schools do it nowadays, but like, I feel like when I was in grade school and high school, I.

    In college, critical thinking was a really important piece of every class. It is, I think, but it was also a hard piece for people because critical thinking takes a little bit of common sense and not relying on like, just tell me what to do. 

    Kacie Shively: Right. And I think, I mean, correct me if I'm wrong, but you probably get a lot of clinicians that go through your courses that they really care about what they do.

    They wouldn't be like, I wanna get the most effective treatment. If they didn't care, they'd just be like, ah, whatever. It's my nine to five. Yeah. But I think, yeah, I just think that it's so, um, helpful to set the perfectionism aside. And learn to trust and that, and when to analyze. Right? Because it's not like you just go through like, oh, I don't even pay attention to what I'm doing.

    It's, yeah. It's writing it down, it's going step by step, following the process. And I mean, you lay it out perfectly. I mean, there's, we go through and we do like that, that chart where we web, make a web and it just like you talk through every Yeah. That's 

    Anna Hartman: the critical thinking piece. Yeah. And that is, like you said, like to not over, we choose to overanalyze the wrong thing.

    Mm-hmm. 

    Anna Hartman: Like critical thinking is analyzing, it's analyzing like what could have gone wrong. Mm-hmm. I was wrong. Yeah. Or not their body was wrong. It's like, no, what could have gone wrong in this assessment? Because I didn't get the information I was hoping to get out of it. 

    Kacie Shively: Mm-hmm. And like taking the time to make sure you ask people scoliosis, because there's a lot of 'em that you're like, that never even put it.

    'cause they're like, oh, I didn't even think about it. Yeah. But then, you know, when I go to get 'em laying down, I'm like, okay. They look kind of uncomfortable. Yeah. You look 

    Anna Hartman: uncomfortable. 

    Kacie Shively: Yeah. Well, and I'm like, let's just try this out. And it, it makes a big difference. So, I mean, that's something that would, again, skew results if you didn't address it.

    Anna Hartman: Yeah. But it's, and that, and a little bit of that is paying attention to the person mm-hmm. On the table so often. Right. Being up. Exactly. I'm like, when you're thinking too much, you're not paying attention to anything. You're in your own body. Exactly. Like, yeah, your eyes are open and yeah, your hands are on somebody, but you're not with them.

    Yeah, so it's like if you're not with them and paying attention to them, you miss those subtle cues that something's off. Like so many people come to the course, the in-person course, and when we go over that scoliosis bit, they're like, I had no idea I had scoliosis. And I was like, yeah, yeah. Have you always been uncomfortable when you lay flat and they're like, yes, I hate laying flat.

    Kacie Shively: I'm like, okay, I actually hate massage therapy. I'm like, well, you shouldn't hate massage. That's, yeah, 

    Anna Hartman: exactly. So it's so, it's so interesting. But I love that. I mean, I love that you picked that all up. Like, again, like you picked that up in a two day course. How cool. It's, 

    Kacie Shively: I know, I mean, it's, it's kind of funny because I feel like I, even like the first few times I did the LTAP™ with patients.

    Like they had an immediate reduction in like their pain and it was like shoulder pain and I was working on their like. You know, post like, yeah. Oha. Yeah. And they're like, we look at each other like, what did that just happen? Yeah. You saw that, right? Yeah. Well that was cool. Yeah. And so I love that they're like, I don't know, I don't know what you're doing, but this is working.

    Anna Hartman: Yeah. Well, and there's two, I re I remember it as you were saying that. I'm like, okay, so there's two things I wanna say. One is going back to like how the course was like is created, I think. The interesting thing is, the other reason why the in-person course is so good is 'cause I've taught it online so much and online teaching ma as a teacher makes you really highlights that you can't fire hose people with information.

    Yeah. They can only do like, retain and like really like understand, like. You know, one thing at a time. And so even this, this missing link week that I taught, like this is the eighth time I've taught, taught it, and the last probably four times I've taken stuff out every time I've teach. And what hap like.

    Sometimes you're like, oh, I don't wanna take it out, because people won't feel like they're getting as much outta the cross. But it's actually opposite. When you take more information out, people get more out of it because then it becomes understandable and not overwhelming and very practical and applicable.

    Yes. Um, and so I think as I've witnessed people in online learning, it's made the in-person learning better because I also realize that. We all have a certain capacity of what, you know, what we can retain and learn and so like that's why we need to not do so much. Right? Yeah. Um, yeah, I mean we still cover a lot in those two days, but it's 

    Kacie Shively: like, I would say there's still a lot of, you know, like there's still a lot of detail, so it's not like you're just saying, ah, just trust me on this.

    Yes, no. 

    Mm-hmm. 

    Kacie Shively: You know, there is a lot of information and you can take what you want, but I think there's a really good balance of giving the information and then the practical application of that information. Yeah. How does this help you in your practice? How does this help your patients? 

    Yes. 

    Kacie Shively: How will this change the way that you approach treatment sessions?

    And you know, I, I feel like some people are really caught up in the time aspect and yeah. I guess if you're treating like five, 10 patients at one time, that can be a little challenging to start with. Right. But it is, I think it's so worth it, you know, and you'll get faster, you'll get more confident. Oh one, be able to trust.

    Again, it's repetition. It's, yeah. Most people aren't good at anything the first time they do it. No. But no. Yeah, 

    Anna Hartman: I'm like, I always think too, I'm like, man, if I had five people at a time, like having just the first test, just the SI joint test mm-hmm. To correct me would be like, I mean, that's gonna make such a difference already.

    Kacie Shively: Yes. Yeah. And that would be way more effective than like, I mean, yeah, trying to balance five different patient treatments and, um, you know, guess at what the main cause is. If you can just narrow it down and focus their treatment, you're gonna get. So much more out of it. 

    Anna Hartman: So much more 

    Kacie Shively: for your time and theirs.

    You know, everyone's time is precious and I feel like that is exactly, that's something to respect for sure. 

    Anna Hartman: 100%. So the other thing I wanted to say too, and you kind of, you know, we've been talking about it, is just like the emphasis on, like, it works with anybody's practice, like anybody's tool set. Um, you don't need to know.

    Um, you know, visceral manipulation or neural manipulation or whatever to like, make it work. So just to kind of go, 'cause I don't even know that if I know fully, like what tool set are you working with? Like, um, what is your go-to like treatments? Do you know any of those specialized treatments? Are you or, or are you just coming from a more, um, traditional sports ortho type of approach?

    Kacie Shively: So I think that was like the craziest thing for me, like just realizing in taking the course, and I don't even know, I feel like maybe it actually hit me like day, like end of day one or day two. I was like, wait a second. This is just like learning to apply what you already know. It's not, and you say that the whole time.

    It's like this assessment, I'm like. But wait, and it is taking exactly what you already know. So I do a lot of cupping. I do a lot of scraping, so like some general ortho stuff. I have my endorsement in dry needling, so I use that a lot as well. Um, I don't have a visceral manipulation background and so, you know, I don't venture too much into that side of things, but.

    It's using like the everyday essentials and you know, then you can, and I feel like that's a great foundation for, you can take additional coursework in some of these. 

    Mm-hmm. 

    Kacie Shively: You know, I have a little bit of work on, uh, nervous system, neural resets, that kind of thing. But, uh, just learning to apply everything that I've used every single day, um, to get the effective treatment.

    It's not. It's not that the treatment is really, I guess the, the change for me was it's not just the treatment, it's applying it in the right place at the right time to get them better. 

    Anna Hartman: Yes. I love that. Yeah, exactly. Yeah. And exactly like I've been saying the whole time, you don't, 

    Kacie Shively: it's like you don't have to have all this extensive knowledge and visceral manipulation and things like that.

    And if you do have a concern, you know, having your network of people too, um, you know, that you can refer to, I think is huge. And having the confidence to be able to do that is important. 

    Anna Hartman: Yeah. Yeah. I love that. That's really cool. It kind of what you said too of like Oh, exactly what you said. Yeah. It's kind of like too, when we tell our patients like all the things and then they like don't hear it and then they find the experience it and they're like, oh, you know what I think is causing them.

    Yeah. And you're like, oh really? What did I think of that? 

    Kacie Shively: Yeah. I dunno who could have come up with 

    Anna Hartman: that 

    Kacie Shively: one. 

    Anna Hartman: Yeah. But it is, I mean, it just goes to show you that like mm-hmm. And that's the whole premise of like the courses, right? Is like we have a hypothesis and don't believe me. I want you to prove it. I want you to see it.

    I want you to feel it. I want you to then have the light bulb moment, not me turning the light bulb on for you. Yeah. Because I know that that's the only way you're gonna change your practice is when you see it and feel it for yourself. 

    Kacie Shively: Yeah, and I mean, I think one of the great things about, and I'm sure the online courses the same way, but having the, the resources to go back and look at and go back and rewatch.

    Some of the, um, materials is really helpful 'cause you like go through it, you get experience like, I don't know about other people, but sometimes I'm like, I wish I could just redo PT school knowing what I know now. Yeah. I would with a totally different lens. It, it would 

    Anna Hartman: be a totally different experience.

    Kacie Shively: And so I feel like that's the same even with, with the information that you teach, you know, having the access to the online modules and even the Voxer access that you allow, um, is really, really. Helpful because it's like, then you can get feedback on your treatment and you can, you know, everything sticks a little bit more each time you hear it.

    And I think that is, um, that's gonna be a really helpful resource for me. You know, when I think about moving forward and applying it and refining and honing in my skills. 

    Anna Hartman: Yeah, I love that. I mean, that's true too. 'cause I'm like, I mean, how many other courses like offer you connection with the teacher outside of the course?

    Like they don't, they No, I was like, yeah, they don't. Yeah, they don't. 

    Kacie Shively: And it's really, it is really helpful and I think that also incentivizes you to like actually. Apply it. You know, you've got a couple weeks of like access to you for questions. So it's like you better be applying that the next day. Yeah.

    Yeah. Than 

    Kacie Shively: your questions. So I feel like that is a really, um, well done component too. And yeah, I appreciate that. Even more fuel to the, like, you gotta take this in person course and, um, the online course is gonna be great, you know? Yeah. I just kind of jumped in 'cause I was like, this is in, uh, yeah, it was in 

    Anna Hartman: your area.

    So yeah, I was like, I mean, close as close as you can, we can get, 

    Kacie Shively: well, when I look at all the other options, I'm like, okay, I could fly across the country, which would be fun. Yeah. But if I could or get strip. Exactly. And I'm like, if I miss out on this course, I'm gonna be missing out. I'm gonna regret it.

    Yeah. And I think people don't know what they're missing. So I'm super thankful to, you know, our colleague that kind of. Shared some of your stuff on Instagram and led me that direction. 'cause I'm like, everything resonates. That's exactly what I want. And I feel like personality wise it's great too. 'cause you just get it.

    You're a real person. You're not just like up in the clouds, like, oh yeah, yeah, this works. Yeah. And I'm not just 

    Anna Hartman: a teacher, like I'm actually practicing and like 

    Kacie Shively: practicing. You're working with professional athletes. 

    Anna Hartman: Yeah. 

    Kacie Shively: And you know the pressure's on, so getting. Getting treatments that do what they're supposed to do when they're supposed to do it is crucial.

    Anna Hartman: Yeah, absolutely. Well, that's like a mic drop. Well, this has been fun. It's been so good to talk to you. I really appreciate you. Um, I mean, you kind of already said it, but I always ask people at the end, like, if, you know, if you were to like tell somebody that was on the fence, like what your recommendation would be without being like, Anna's the best, the course is the best, like mm-hmm.

    I, what would you say to them? 

    Kacie Shively: I would say that I wish I would've taken this class. I don't know when it came about, but I wish I would've taken it years ago. 

    Anna Hartman: Yeah. 

    Kacie Shively: Because it just could help so many of my patients. I. And again, I, I worked in other settings. I worked in traditional outpatient orthopedics. I worked with a neuro population and I just am like, man, I wish I had this years ago, so I could have helped even more patients.

    But I guess I'm just so thankful moving forward that I have the ability to do it and the ability to grow, and I wouldn't have it without the course. Yeah. So, oh, I love that. 

    Anna Hartman: Hmm. Thank you. I love that. Well, you're welcome. I can't wait to see what you continue to do with it and how you continue to grow and it'll be fun.

    Kacie Shively: I'm crossing my fingers for like an LTAP™ level two coming up. Yeah. 

    Anna Hartman: Maybe in the fall. Mm-hmm. But definitely in 2026. 

    Kacie Shively: Yep. I'm, I'm excited for that. 

    Anna Hartman: All right, my dear. Um, I'll let you go. I know you got a busy day today, so I appreciate you making the time and, uh, we'll see you soon. Okay. See you soon. Thank you.

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Using the LTAP™ to Find Structure and Ease in Massage Therapy- an LTAP™ Level 1 Alumni Interview