ICRFR II Flashcards
Suboccipital Tension Release Utilization
- Tension headaches
- Prep for cervical correction
- Assess & stretch dural attachments of at C2, C3 and the occiput
Suboccipital Tension Release Treatment
Patient lies supine.
Physician seated at head of table.
Place finger pads under occipito-atlantal junction.
Direct pressure anteriorly and superiorly with force comparable to weight of head.
Tissue release evident when pt’s head falls into physician’s palms.
Posterior Cervical Soft Tissue Utilization
- Treat short restrictor muscles of the cervical spine.
Posterior Cervical Soft Tissue Treatment
Patient lies supine.
Physician standing at patient’s side.
One hand stabilizing forehead. Other hand placed across neck so finger pads land between spinous and articular processes of cervical vertebrae.
Rhythmically stretch and compress the posterior cervical soft tissues while side-bending, rotating and extending the c-spine.
Finger pads directed anteriorly and laterally.
Treatment bilaterally from occipito-atlantal region to T1.
Cervical Stretching Utilization
- Treat long restrictor muscles of the cervical spine.
- Stretch the myofascial elements of the cervical and upper thoracic regions.
- Promote venous and lymph drainage of tissues.
***Done slowly and gently so also used to evaluate pathophysiologic barriers.
Cervical Stretching Treatment
Patient lies supine.
Physician seated at head of table with arms crossed under patient’s head, hands placed on anterior shoulders.
Raise arms, stretching pt’s c-spine until pathologic barrier of motion (restriction).
Hold until release or use muscle energy to stretch the barrier.
For sidebending/rotation, cross only one arm under the neck and use the other hand to guide and roll patient’s head cross forearm until resistance is felt.
Stretch gently until release or use muscle energy.
Rib Raising - Lateral Recumbent Utilization
- Aid in respiration (asthma)
- Aid circulation of patient with congestion (pna, copd, cardiovascular, and structural injury)
- Pre-/Post-operative care (atelectasis)
Rib Raising - Lateral Recumbent Treatment
BEFORE: ask about shoulder instability/pathology.
Physician stands facing patient, who lies in lateral recumbent position with arm abducted and hand placed on head, cupping ear.
Physician holds elbow with one hand, places on hand on rib cage, rib angles.
Move rib cage anterior and lateral with gentle rhythmic motion, using abducted elbow as counter-force.
Rib Raising - Supine Utilization
- Aid in respiration (asthma)
- Aid circulation of patient with congestion (pna, copd, cv, structural injury)
- Pre-/Post-operative care (atelectasis)
Rib Raising - Supine Treatment
Patient in supine position.
Physician sits at side of patient with fingers under rib cage, at rib angles. Physician flexes fingers in a rhythmic manner, raising rib cage anteriorly and pulling laterally, then releasing.
Prone Thoracic Perpendicular Stretch Utilization
- Laterally stretch fascial restrictions within the paravertebral musculature of the t-spine.
- Free up rib or thoracic restrictions.
Prone Thoracic Perpendicular Stretch Utilization
Patient lays prone.
Physician stands at bedside and places one hand (“listening hand”) on spine with thumb/thenar eminence in trough between spinous and transverse processes, over erector spinae mass.
Use other hand to apply rhythmic force in lateral and anterior motion (into table) to stretch and compress tissues.
Do NOT slide across tissues. Hold pressure 3 seconds.
May stretch full thoracic region.
Pectoral Traction Utilization
- Increase A-P diameter of thorax.
- Improve venous and lymphatic drainage of thorax.
- Release tension in clavi-pectoral fascia.
- Drain anterior axillary fold from upper extremity.
- Provide drainage from head and neck.
Pectoral Traction Treatmetn
Patient lies supine, KNEES FLEXED, feet flat.
Physician seated at head of table, hands placed in deep axillary anterior folds.
Physician pulls with 2-4 digits by leaning backwards superiorly to stretch muscles and deep fascia in axillary.
Patient inhales deeply while physician stretches and continues to hold traction through exhalation, x3.
Clavi-Pectoral Stretch Utilization
- Provide drainage from head or neck.
- Treat illnesses causing edema to head or neck (tonsillitis, pharyngitis, etc.).
- Anterior/rounded shoulders.
***Completed AFTER inlet has been addressed.
Clavi-Pectoral Stretch Treatment
Patient lies supine.
Physician stands at head of table, places thenar eminences on anterior/superior shoulders and puts pressure posteriorly (into table) and inferiorly with ~10 lbs. of force. Hold 20 sec. and release.
Posterior Axillary Traction Utilization
- Increase A-P diameter of thorax.
- Improve venous and lymph drainage of thorax.
- Release tension in the clavi-pectoral fascia.
- Drain congestion from posterior axillary fold, upper extremities, head and neck.
Posterior Axillary Traction Treatment
Patient lies supine, KNEES FLEXED, feet flat.
Physician seated at head of table with fingers grasping patient’s posterior axillary fossa. Physician applies traction superiorly, by leaning back, to stretch the muscles. Patient inhales deeply while physician stretches, and traction is maintained through exhalation.
Several deep breathing cycles. Min. 3.
Thoracolumbar Soft Tissue - Prone Utilization
- Relax paravertebral and quadratus lumborum musculature.
- Free up motion in ribs 11 and 12.
- Therapeutic as well as diagnostic for somatic and visceral dysfunction.
- Optional special attention to areas over sympathetic nerve supply to organs needing treatment.
Thoracolumbar Soft Tissue - Prone Treatment
Patient in prone position, physician standing opposite side being treated.
Place one hand across pt’s body, grasping ASIS.
Second hand is placed over the paraspinal muscles of lumbar spine.
First pull pelvis off table using hand over ASIS.
Then knead into paraspinal muscle with gentle pressure, using other hand, and lower pelvis back to table.
Hand doing kneading can be used on paraspinal muscles of entire low back from sacral base to lower thoracic.
Upper/Mid and Thoracolumbar Soft Tissue - Lateral Recumbent Utilization
- Relax paravertebral and quadratus lumborum musculature.
- Free motion of ribs 4 through 12.
- Therapeutic and diagnostic for somatic and visceral dysfunctions.
- Optional special attention to areas over sympathetic nerve supply to organs needing treatment.
Upper/Mid and Thoracolumbar Soft Tissue - Lateral Recumbent Treatment
Patient lays in lateral recumbent position, knees flexed, resting head on lower shoulder. Patient uses second arm to stabilize themself on the table.
