Final Practical Tx Specifics Flashcards
Rib 3-10 Exhaled HVLA
- Pt supine with arms crossed (dysfx side on top)
- Thenar eminence of top hand on INFERIOR aspect of rib angle
- Slightly flex pt head wit bottom hand and load into barrier
- Anterior thrust on exhalation (thru my abdomen)
Rib 3-10 Inhaled HVLA
- Pt supine with arms crossed (dysfx side on top)
- Thenar eminence of top hand on SUPERIOR aspect of rib angle
- Slightly flex pt head wit bottom hand and load into barrier
- Anterior thrust on exhalation (thru my abdomen
Rib 1-2 Inhaled HVLA
- Pt seated, my knee supporting side opposite of SD
- Contact rib with 2nd MCP, monitor T1 or T2 with thumb
- SB toward, R away until loaded into barrier
- Inferomedial thrust on exhalation (45 degrees)
FIbular head MET
Posterior fibular head = plantarflexed
=> take into dorsiflexion RB, do MET
Anterior fibular head = dorsiflexed
=> take into plantarflexion RB, do MET
Piriformis MET
Pt supine, hip and knee flexed
Abduct ankle (for IR RB)
Pt force in ER (push ankle out)
Colon Release MFR
Direct
Pull affected colon segment towards midline
Hold until softening
Small intestine Release MFR
Indirect
Scoop SI towards umbilicus (or mesenteric root)
Scoop and hold with slow release, repeat 3-5x
Liver/pelvic strain release MFR
Indirect
Assess F/E, SB, Rotation
Move to indirect barrier, hold until release
Abdominal ganglia release MFR?
Posteriorly directed inhibitory force at feather’s edge of restriction
Maintain force until softening occurs
SMG is halfway between xiphoid and umbilicus, CG splits SMG and xiphoid, IMG splits SMG and umbilicus
Supraspinatus CS
Supine
F Abd ER
Levator scapulae CS
Prone
IR Abd
Biceps brachii short head (medial) CS
Supine
F Add IR
Biceps brachii long head (lateral) CS
Supine
F Abd ER
Subscapularis CS
Supine
E IR
OA, AA, C2-7 diagnosis
OA: F/E sidebending and rotation all different
AA: Rotation only (fully flex C spine for tx tho to lock rest of vertebrae)
C2-7: F/E, sidebending and rotation same (T2 mechs)
Anterior Rib CS
F StRt
1-2 do supine
3-10 do seated with knee supporting oppo side
Posterior Rib 1 CS
E SaRt
pt supine, move neck
Posterior Rib 2 CS
F SaRa
pt seated, move neck
Posterior Rib 3-10 CS
F SaRa
pt seated, move trunk
Lateral jaw deviation MET
Translate jaw to opposite side of deviation to engage restrictive barrier, have pt translate jaw to neutral for iso
i.e Lt deviation = engage RB with Rt translation
S-curve deviation (temporalis, masseter, medial pterygoid hypertonicity) MET
Depress jaw to engage RB, have pt close jaw to neutral for iso
*these muscles close the jaw, so direct barrier will be found with opening jaw
S-curve deviation (digastrics, mylohyoid, lateral pterygoid hypertonicity) MET
Hold jaw closed to engage RB, have pt open jaw to neutral for iso
*these muscles open the jaw, so direct barrier will be found with closing jaw
BMT tx
Move fascia towards strain pattern
Hold until tissue relaxation
Return to neutral
Flexor carpi ulnaris CS
Wrist
F Add
Flexor pollicis brevis CS
F wrist, Abd thumb
Extensor carpi ulnaris CS
Wrist
E Add
Flexor carpi radialis CS
Wrist
F Abd
Extensor carpi radialis CS
Wrist
E Abd
Radial head CS
E Sup Valgus
Medial epicondyle (pronator teres) CS
F Pro Add
Piriformis CS
Prone
F Abd ER
Medial ankle CS
Inversion (+IR)
Lateral ankle CS
Eversion (+ER)
Popliteus CS (posterior, lateral knee)
F IR (of tibia)
Gastrocnemius CS
F knee + compression thru calcaneus
IT band / Lateral trochanter CS
Abd hip
Lateral hamstring CS
F knee, Abd, ER
Medial hamstring CS
F knee, Add, IR
Left sidebending rotation air hands
Lt hand gets wider, Rt hand gets narrower
Saggital axis (same), 2x vertical axes (opposite)
Right lateral strain air hands
parallelogram, pinkies shift left, indexes shift right
Parallell vertical axes (same direction)
Inferior vertical strain air hands
hands roll back
parallell transverse axes (same)
Left torsion air hands
hands rotate opposite (Lt index up, Rt index down)
saggital axis (opposite)
