What are the 4 junctions that are assessed for fascial restrictions (i.e., Zink pattern)?
How do you do perform indirect MFR - Thoracic/Lumbar SD’s in supine position?
- Pt supine w/ doc on side opposite the PTP
- Contact SP on side of PTP and induce force by pulling the SP toward you, causing rotation into the freedom of motion (indirect tx)
- Maintain force until sense of increasing rotation to freedom of motion felt/tissue creep
Pedal pump is a good choice for patients who have had surgery where?
How to perform MFR of thoracic cage w/ pt in seated position?
- PT seated, leaning forward slightly w/ feet on floor or step stool
- Doc stands behind pt and places hands (fingers spread) on pt’s thoracic rib cage and applies anterior force to engage tssues
- Tissue is moved superior/inferior, right/left, and clockwise/counter-clockwise
- Hold tissue in positions of ease until tissue softens
How to perform Quadratus Lumborum Release Tx?
- Pt seated or supine w/ doc on side to be treated
- Palpate the 12th ribs and note if one or the other is pulled more inferior (using tip of rib as reference point)
- Contact the body of the 12th rib and apply anterior and lateral pressure
Where is the anterior/posterior chapman’s point for the esophagus?
Anterior = B/l 2nd ICS
Posterior = B/l T2
Where is the anterior chapman’s point for the Stomach and Spleen?
- Stomach = L 6th ICS
- Spleen = L 7th ICS
How to do Prone I-Sacral Release tx?
- Pt is prone w/ doc standing next to patient
- Place bottom hand over sacrum w/ heel over base and fingers over apex. Place other hand on top in opposite direction
- Evaluate pattern of restriction by rocking sacrum into multiplanar direction, noting laxity and restriction
- Tx indirect or direct barrier by stacking dysfunction and consider utilizing REMs
How to do Upper Limb and Shoulder MFR tx?
- Pt is prone w/ arm dangling over table and doc seated on side of dysf.
- Grasp humeral head of pt w/ both hands and monitor the tissues for tissue texture response to: F/E, IR/ER, AD/ABduction, Protraction/Retraction of scapula, Superior/Inferior scapular motion, Traction/Compression
- Engage either for direct or indirect MFR.
After stacking the RB’s while doing Still’s Wrist MFR, what do you instruct the pt to do?
- Make a fist and/or spread fingers widely for 5 seconds and then relax hand
- Doc then engages new RB and repeats until no new RB’s met