Manual therapy in the Training Room

93 Pages·2008·6.82 MB·English

Manual therapy in the Training
Room
More than joint mobilization
6 modalities for your bag of
“tricks”
(cid:138) Positional Release Therapy, (PRT)
(cid:138) Myofascial Release, (MFR)
(cid:138) Craniosacral Therapy, (CST)
(cid:138) Tui Na, (Chinese Massage)
(cid:138) Shiatsu, (Japanese massage)
(cid:138) Acupressure
PRT
(cid:138) Place the involved tissues in a position
of comfort, (POC).
(cid:138) This reduces irritability of the tender
point, (TP).
(cid:138) Ideal position is determined by the
patients perception of reduced
tenderness & the clinicians perception
of reduced tone in the TP.
Effects of PRT
(cid:138) Normalization of muscle hyper tonicity
(cid:138) Normalization of fascial tension
(cid:138) Reduction of joint hypomobility
(cid:138) Increased circulation & reduced swelling
(cid:138) Decreased pain
(cid:138) Increased strength
Contraindications for PRT
(cid:138) Open wounds
(cid:138) Sutures
(cid:138) Healing fx’s
(cid:138) Hematoma
(cid:138) Hypersensitivity of the skin
(cid:138) Systemic or localized infection
(cid:138) Malignancy
Contraindications
(cid:138) Aneurysm
(cid:138) Acute rheumatoid arthritis
Conditions that respond to
PRT
(cid:138) Patients with a distinct physical
mechanism of injury, e.g. Sports
injuries, motor vehicle accidents
4 Phases of Tx
(cid:138) Phase 1: acute phase--PRT can be used
immediately after injury, due to the
gentleness of the tx.
(cid:138) Phase 2: treating structural dysfunction
in the acute and chronic pt.
(cid:138) Phase 3: restoration of functional
movement
(cid:138) Phase 4: normalization of life activities
General Principles of tx
(cid:138) Anterior TP’s usually tx’d in flexion
(cid:138) Posterior TP’s usually tx’d in extension
(cid:138) TP’s near the midline tx’d with more
flexion if anterior and more extension if
posterior
(cid:138) TP’s lateral to midline tx with
sidebending and rotation
Achieving the optimal position
of comfort
(cid:138) Ultimate goal of PRT
(cid:138) Comfort zone, (CZ), is specific and
different for each tx position