Myofacial Release

Question 1

cerivical traction/supine traction

Answer 1

cradle occiput, apply axial cephalad traction rythmically; force maintained until tissue soft/relaxed

Question 2

C-spine: unilateral forearm fulchrum forward bending

Answer 2

rotation towards elbow stretches trapezius, rotation toward hand stretched posterior scalene; flex cervical spine (from the knees); rhytmical or constant; TART before and after, REPEAT on OPPOSITE SIDE***

Question 3

C-spine: Bilateral forearm fulchrum forward bending

Answer 3

repetively flex pt’s neck giving longitudinal stretch to the cervical paravertebral muscles; rhythmical/constant till soft/relaxed

Question 4

C-spine: contralateral traction

Answer 4

supine, caudad hand reaches across to paravertebral muscles (*lateral to spinous processes), cephalad hand on pt forehead pushing in opposing direction, engage tissue with ventral/lateral force creating perpendicular stretch, do both side*

Question 5

C-spine: cradling with traction

Answer 5

supine, fingers under pts neck BILATERALLY on paraspinal muscles; engage soft tissue w/ anterolateral force=perpendicular stretch; longitudinal traction toward cephalad; GOAL: relax cervical spine tissues

Question 6

Head & C-spine: suboccipital release

Answer 6

fingers placed in subocciptal region, curl fingers, apply anterior P; maintain steady force, PALPATING for release of tension; kneading: slow and rhythmic or inhibition: constant P

Question 7

Thoracic: prone pressure

Answer 7

thenar (thumb) and hypothenar (pinky) eminence on paravertebral muscles opposite to side you’re standing on; stack hands; elbows straight, use body weight to engage tissue w/ ventrolateral force = perpendicular stretch, GOAL: relax thoracic paraspinal tissue

Question 8

Thoracic: prone pressure w/ counter pressure

Answer 8

cephalad hand- hypothenar on ipsi- paravertebral muscles, cuadad hand-thenar on contra- paravertebral muscles; engage tissue w/ ventral f. and move in dirction of fingers = longitudinal stretch, rhythmical manner until tissues are relaxed

Question 9

Thoracic: subscapular stretch

Answer 9

prone or lateral recumbent; pts arm behind back; fingers in medial border of scapula; engage tissue with anterolateral traction, pull scapula away from rib cage, maintained until tissue softens

Question 10

Upper thoracic: shoulder block lateral recumbent

Answer 10

lateral recumbent, face pt, caudad hand under pt arm contact thoracic paravertebral muscles, cephalad hand on ant. shoulder providing counterforce to caudads’ anterolateral force= perpendicular stretch, rhythmical manner until soft, BOTH* sides

Question 11

Lower Thoracic: under the shoulder lateral recumbent

Answer 11

lateral recumbent, fingers on lower thoracic paravertebral muscles, engage w. anterolateral force= perpendicular force, rhythmical manner until tissues soft, BOTH sides*

Question 12

Lumbar: prone pressure

Answer 12

thenar & hypothenar eminence on lumbar paravertbral muscles opposite to side you’re standing on, one hand on top of another, elbows straight, anterolateral force=perpendicular stretch, rhythmical manner, GOAL: relax lumbar paraspinal muscles

Question 13

Lumbar: prone pressure w/ counterleverage

Answer 13

stand opposite to side treated, caudad hand in contra- ASIS, thenar+hypothenar eminence of cephalad hand on lumbar paraspinal muscles, pull ASIS posteriorly to counteract anterolateral P of cephalad hand = perpendicular stretch, rhythmic motion, reassess TART

Question 14

Lumbar: paraspinal perpendicular stretch lateral recumbent

Answer 14

face pt, fingers on paravertebral muscles, engage w. anterolateral force= perpendicular stretch, rhytmical manner until tissue soft, BOTH sides*

Question 15

Iliotibial Band prone

Answer 15

stand opposite to side being treated, caudad hand to grad ankle flex knee to 90°, cephalad hand along lateral thigh, iliotibial tissue, lateral force to ankle, engage IT band by pulling in posteromedial direction, rhythmical manner until softened

Question 16

Iliotibial Band lateral recumbent

Answer 16

treatment side facing superior, face pt, cephalad hand on posterolateral aspct of ipsi-iliac crest, caudad hand fisted: proximal phalanges over IT band, provide downward P to IT band in DISTAL => PROXIMAL (or vice versa) in rhytmical manner till soft

Question 17

plantar fascia

Answer 17

longitudinal stretch, pt supine, hand on dorsum, other hand fisted on plantar fascia just proximal to metatarsal head, apply moderate P distal => proximal (toward calcaneus) in rhytmical manner

Question 18

supine cradling MFR treatment

Answer 18

pt supine, engage paraspinal tissue by touching TP of dysfunction, apply ventral force, verbally assess tissue while moving inferior/superior/rotate L/R noting ease of motion vs. restriction, force into ease of motion=indirect treatment; force into restriction =direct treatment wait for tissue creep b4 releasing

Question 19

thoracic spine MFR treatment

Answer 19

prone, stand opposite to treatment side, thenar&hypothenar eminence on thoracic paravertebral muscle, hands stacked, elbows straight, use body weight, apply anterolateral force = perpendicular stretch, ASSESS by moving tissue sup/inf/R/L/CW/CCW descirbing ease of motion and restriction; provide indirect (until tissue soften) and direct treatment (until tissue creep)

Question 20

lumbosacral spine MFR treatment

Answer 20

prone, hand over inf lumbar seg. and sup. sacral segment, move through tissue inf/sup/R/L/CW/CCW, provide direct (wait for tissue creeping) and indirect treatment

Question 21

MFR assesment

Answer 21

prone, thoracolumbar paraspinal tissue move superfical to deep, can be applied to ANY soft tissue, describe ease of motion w/in tissue => indirect tx, name of dysfunction, restriction/bind describes restrictive barrier targeted => direct tx, treatment forces applied more deeply into soft tissue in rhythmic manner, Parallel traction= force parallel to muscle+fascia, INC length of structure, Perpendicular traction= force directed away from longitudinal axis causing RELAXation of tissue