Intro Flashcards
What is the Bowen Technique?
- Primarily a remedial therapy tool
- Does NOT attempt to inflict the will of the therapist or a specific outcome onto the client.
- Instead it offers the body an opportunity to restore structural integrity.
- The Bowen Technique consist of a series of moves across _______, ________ & other ____ _______.
- The therapist uses their ________ or ______ on specify areas, applying ________ _________ to affect a __________ of the tissue.
- The majority of the moves can be performed through _____ ________.
The Bowen Technique consist of a series of moves across muscle, tendon & other soft tissue.
The therapist uses their fingers or thumbs on specify areas, applying gentle pressure to affect a movement of the tissue.
The majority of the moves can be performed through light clothing.
In Bowen there is NO…? (5)
- Hard tissue manipulation involved
- Adjustment or high velocity movement
- Massaging or use of oils
- Deep or prolonged pressure
- Equipment required.
There is no situation where the Bowen Tequnique cannot be used safely and to good effect. People at every age can be treated: New born babies, the elderly & everyone in between.
When we talk about people however, it is very different from discussing conditions. People are unique and any one condition will vary greatly from person to person.
What are the 4 major “no-nos” of the Bowen Tequnique?
- We DO NOT DIAGNOSE - Bowen is holistic or wholistic therepy. Treat the body as a whole, with the body choosing what it will & will not address.
- We DO NOT TREAT SPECIFIC CONDITIONS - Again Treat the body as a Whole! I.e can we treat cancer? No! Can we treat people with cancer? - Yes!
- We DO NOT PRESCRIBE OR ALTER MEDICATION
- We DO NOT MAKE CLAIMS - Keep expectations low - there by any outcomes are appreciated rather than a degree of disappointment.
- Where did Tom Bowen come from?
- Geelong, Victoria, Australia.
What are the eight R’s? (9)
- RECEPTION - Make every stage of the clients journey as easy as possible; Clear booking procedures, welcome packs, waiting rooms should be clean, quiet & welcoming.
- ROOMS - Relaxing & welcoming, avoid strong odours and music - both subject to taste - a client should be able to chose the music.
- RELAXATION - Treatment should encourage relaxation or parasympathetic innervation. Soft table or bed, warm room & ensure cushions, pillows & blankets are available to adjust clients position and ensure their comfort.
- RHYTHM - Refers to the way you move through your treatment as well as in & out of the room.
- RESPONSE - A two-fold area looking at the response of the client as well as the response of the therapist to it. We are looking for the client to respond to the work that we are putting into the body. Therefore we need to try and stay focused as possible on what we are doing, as well as ask questions that reveal changes!
- REPAIR - This is what we are trying to initiate. Remember, it is the client that does the repair and that we need to trust the process. Never ‘chase pain’. Allow 5-10 days between treatments in order for the body to have time to respond & repair.
- REWARD - Wa are helping the natural process; that someone’s body changes, pain decreases and quality of life increases is a huge reward. Always be willing to help even if they can’t pay!
- REFERRAL - Understand that although Bowen has consistently good results, it is by no means the last word in physical therepy. Many situations will need other modalities and a good therapist will have a contact list of various practitioners. Remember we might suggest that the client refer to their GP for medication or advice or a physiotherapist for areas we might not be confident or qualified. Over time a good referral works both ways and we will find referrals from other practioners arriving at our door.
- REPORTING - Writing good notes and tracking information is vital. It is the only real evidence of how effective you are.
How does it work?
There is no definitive answer.
What is certain however is that it does work. We can’t make claims, but using the technique on a constant basis will yield results. What is important is to be patient and allow the body and the technique to do the work, rather than trying to force the issue with your own set of principles or learned responses.
What Can I treat?
Remeber we treat the body as a whole! If we assign specific pages or procedures to specific problems then we are fundamentally misunderstanding what Bowen is all about. Naturally enough, ther are indications that certain pages might be involved in certain problems, but we mustn’t forget to look at the bigger picture. Just remember to treat the person!
What Responds Well to Bowen?
- Most commonly Back pain & here Bowen excels.
- Frozen shoulders
- Neck pain
- Hey Fever
- Asthma &
- Migraines
- Sports Injury & sports injury prevention.
- What other treatments should not be done alongside Bowen?
- What can be done alongside Bowen?
- Is bowen the best therapy?
- Physical therapies, Reiki, Ultra sound, ice, magnetic therapy & Spiritual healing
- Drug therapy, nutritional therapy, homoeopathy or exercise programs.
- No, just finish the other treatment before starting Bowen if needed.
What is the Bowen Move?
- Skin Slack
- Pressure
- The Rolling Type Move
- Do we slide over the skin when going for the Skin Slack?
- Does skin slack vary over the body and between individuals?
- If poor skin slack can we press harder?
- What else can we look for with skin slack?
- Never slide over the surface of the skin
- yes, veries over the body and varies between individuals.
- No, it is important that the pressure is not increased simply due to lack of skin slack.
- Good observation regarding the condition of the skin, its temp, colour & elasticity. Also the responce to the Bowen move, is there any redness or erythema
- How hard shoulde we be pressing?
- What principal should we follow in bowen?
- How should the therapist be when treating?
- ‘Eyeball’ pressure - confident without being hard.
- Less is More!
- Hands, arms and shoulders should be relaxed!!! - Tension will translate into the hands very easily, resulting in a heavy or hard move.
- What is the idea of the Rolling type Move?
- The action of the move creates?
- When should the move be made
- How long should a move take?
- To create a disturbance of the muscle, about which the brain will need to take action. The disturbance creates a set of questions that need answers, and this question & answering takes place in the breaks.
- an equal & opposite reation in the muscle.
- generally on the exhalation of the client
- about 2 full seconds from begining to end.
- Where are the bottom stoppers located?
- What do we do when do the bottom stoppers?
- Where are the top stoppers located?
- Bottom stoppers are n the lower, inward curve of the spine in an area of a high degree of stress. Lumbar (L2-L4).
- release and open the ‘energetic potential’ of the area and alow it to be a focal point for the rest of the lower back.
- Top stoppers are in the upper outward curve of the spine, at a point of extreme stress. Mid-thorasic (T6-T8).
- Rules of energy?
- What are the implications for the whole spine if the tightest or most stressed points are relaxed?
- Energy canot be created and therefore cannot be destroyed. - We can only convert or divert it.
- Given that the nerves of function for the entire stystem stem from the spine, any relaxation in associated spinal muscles creates the possiblity that there will be change for the entire system, simply by the application of 2 moves.
Muscle Groupes in Page 1
1 & 2 =
3 & 4 =
Holding point 5a =
5 & 6 =
7 & 8 =
9 & 10 =
Muscle Groupes in Page 1
1 & 2 = Erector Spinae
3 & 4 = Glutei (Maximus/ Medius & Minimus)
Holding point 5a = Holding at Long Head of Biceps Femoris
5 & 6 = Popliteal fossa between tendons of Biceps Femoris & Semitendinosus/Membranosus
7 & 8 = Ilio Tibial Band/ Vastus Lateralis
9 & 10 = As for 3 & 4 Vastus Lateralis (HTL)
Muscle Groups in Page 2
Moves 1 & 2 =
Moves 3 & 4 =
Moves 5 - 8 =
Moves 9 & 10 =
Moves 11 - 14
Muscle Groups in Page 2
Moves 1 & 2 = Erector Spinae
Moves 3 & 4 = Erector Spinae
Moves 5 - 8 = Rhomboids and Lavator Scapulae
Moves 9 & 10 = Latissimus Dorsi
Moves 11 - 14 = Erector Spinae
Muscle Groups in Page 3
Moves 1 & 2 =
Moves 3 & 4 =
Moves 5 & 6 =
Muscle Groups in Page 3
Moves 1 & 2 = Scalenus Posterior, Medius & Levator Scap
Moves 3 & 4 = Spinalis & Semi-spinalis Capitis
Moves 5 & 6 = Trapezius & Splenius Capitis
Muscle Groups in the Ankle Procedure
Moves 1
Moves 2 a & b
moves 3
Muscle Groups in the Ankle Procedure
Moves 1: Extensor Hallucis Longus, Extensor Digitorum Longus, Tibialis Anterior (Extensor Retinaculum)
Moves 2: Fibularis Brevis & Longus
Moves 3 Tibialis Posterior and 3 deltoid ligaments (Tibiotalar, navicular & Calcaneal)
Muscle Groups in the Elbow/ Wrist Procedure
Move 1
Move 2
Move 3
4,5 & 6
7 & 8
RSI moves:
Carpel Tunnel:
Muscle Groups in the Elbow/ Wrist Procedure
Move 1: Medial Deltoid
Move 2: Extensor Digitorum communis
Move 3: Triceps tendon (medial border)
4, 5 & 6: Tripod holding points: Radiohumeral joint & adjacent to Lat & med Epicondyle.
7 & 8: Extensor retinaculum
RSI moves: Extensor Digitorum, 2 moves
Carpel Tunnel: 1. tease Flexor Digitorum, 2. close Flexor Digitorum.
Muscle Groups in the Hamstring Procedure
Move 1
Move 2
Move 3
Move 4
5,6 & 7
8 & 9
Move 10
Muscle Groups in the Hamstring Procedure
Move 1: Cojoined head of long head of biceps Femoris & Semitendonosis
Move 2: Popliteal Fossa
Move 3: Jar Metatarsal ball of foot
Move 4: HTL (Varsus Lateralis)
5, 6 & 7: ‘The bears’ Biceps Femoris, Semitendinosus, Semimembranosus.
8 & 9: Medial & Lateral Gastronomius
Move 10: Achilles Tendon
Muscle Groups in the Knee Procedure
Move 1
2 & 3
Move 4
5 & 6
Move 7
8, 9 & 10
Move 11
Move 12
Muscle Groups in the Knee Procedure
Move 1 HTL - Varsus Lateralis
2 & 3 Patella Ligament/ Retinaculum
Move 4 Varsus Medialis
5 & 6 Head of Lateral and Medial Gastrocnemius/Soleus
Move 7 Tease down Gastrocnemius
8, 9 & 10 3 moves on Achillies Tendon
Move 11 close the Gastrocnemius
Move 12 Tibial Nerve
Muscle Groups in the Sacrum Procedure
Move 1
Move 2
Muscle Groups in the Sacrum Procedure
Move 1 Holiding point on the Gluteus Maximus/ edge of Sacrum.
Move 2 Gluteus maximus, medius & minimus
Muscle Groups in the Shoulder Procedure
Move 1
Move 2
Move 3
Muscle Groups in the Shoulder Procedure
Move 1 Posterior Deltoid & Triceps
Move 2 Jar Medial Deltoid
Move 3 Anterior Deltoid/ Pectoral
Muscle Groups in Breast Procedure
Move 1
Move 2
Muscle Groups in Breast Procedure
Move 1 Pectoralis Major (Superior)
Move 2 Pectorais Major (Inferior) + serratur Anterior, External Oblique
Muscle Groups in the Coccyx Procedure
Move 1
Move 2
Muscle Groups in the Coccyx Procedure
Move 1 Gluteus Maximus at lateral edge of Sacrum
Move 2 Rectus Abdominus
Muscle Groups in the Diaphragm Procedure
Move 1
Move 2
Move 3
Muscle Groups in the Diaphragm Procedure
Move 1 Erector Spinae
Move 2 Rectus Abdominus/Diaphragm junction (at costal margin).
Holding Point - Inferior to Xiphoid Process
Move 3 Rectus Abdominus/Diaphragm (just inferior to Xiphoid Process)
Muscles Groups in Kidney Procedure
Move 1
Muscles Groups in Kidney Procedure
Move 1 Erector Spinae
Muscle Groups in Pelvic Procedure
Move 1
Move 2
Move 3
Move 4
Muscle Groups in Pelvic Procedure
Move 1 Vastus lateralis (HTL)
Move 2 Adductor Longus
Move 3 Sartorius
Move 4 Inguinal Ligament
Muscles Groups in SCM & TMJ Procedure
SCM
1 & 2
3 & 4
5 & 6
6a
7
TMJ
1 & 2
3
4
Muscles Groups in SCM & TMJ Procedure
SCM
1 & 2 Submandibular Gland
3 & 4 Trachea
5 & 6 Sternal attachment of SCM
6a Hyoid & Attachments
7 Drain along sternocleidomastoid
TMJ
1 & 2 Temporo Mandibular Joint
3 Posterior Border of Mandible
4 Posterior edge of Temporalis
What are the Functions of the Skeleton?
- Support - without the skeleton the body would be flabby and could not stand up. Arrangement of BONES give shape to the body.
- Protection - of delicate organs. Cranium = Brain : Thoracic cage = heart/lungs.
- Movement - due to attachments of muscle to bones and joints, pulls the body in different directions. Bones act as levers.
- Storage - minerals such as calcium salts and phosphorus
- Production - Red blood cells in red bone marrow.
The nervous system can be devided into three… name them?
- the motor system (for muscular control)
- the sensory system (for providing info to the brain from the senses)
- the autonomic system (which controls bodily functions whic are not under concous control, such as digestive system)
The motor signal from the brain consists of an electrical impulse which flashes along the nerve, jumping the gaps between nerve cells - called _______- on chemical carriers called ____-__________. The signal is received at the muscle by ____ ___ ______ which stimulate the muscle fibers to contract, thus causing movement.
The motor signal from the brain consists of an electrical impulse which flashes along the nerve, jumping the gaps between nerve cells - called synapses - on chemical carriers called neuro-transmitters. The signal is received at the muscle by motor end plates which stimulate the muscle fibers to contract, thus causing movement.
The brain is devided into various areas, each one of which controls one function of one area of the body. However, complex incoming sensory signal may be processed in more than one area of the brain at once - give an example…
visual signalss are received in one part of the brain but interpreted in another.
There are two seperate systems in the autonomic nervous system… name them
- the sympathetic (fight or Flight)
- the parasympathetic (rest & digest or feed & breed)
- What does the Sympathetic Nervous Sytem do?
- How are the sypathetic nerve signals relayed?
- What happens when these nerves are stimulated?
- “Flight or Fight” - It prepared the body for emergency action by reducing non-essential activities such as digestion.
- From the sympathetic ganglia which form a chain along either side of the spine.
- Leads to an increase in heart & breathing rates, increase blood supply to muscles and dilation of the pupils of the eyes. Meanwhile salivation, urine production and digestive activity are reduced.
- What does the Parasympathetic Nervous Sytem do?
- How are the parasypathetic nerve signals relayed?
- What happens when parasympathetic comes into play?
- Rest & Digest or Feed & Breed
- The parasympathetic system emerges from the spine in the lower lumbar area
- Comes into play during rest & sleep, slowing the heart & breathing rates, constricting pupils & increasing digestion.
Anatomical Planes
- Coronal or Frontal Plane
- Sagital Plane or Lateral Plane
- Axial Plane or Transverse Plane
Anatomical Planes
- Divides the body into front and back. Related to the terms anterior and posterior. The actions of adduction and abduction happen along this plane
- Divides the body into Left and Right halves. Related to the terms medial and lateral. The actions of flexion and extension ocur along this plane.
- Dived the body into upper & lower parts. Relates to the terms superior and inferior. Rotation happens along this plane.
Name the Planes or describe how the Plane divides the body, what Terms are used and what actions occur.
Anatomical Planes
- Divides the body into front and back. Related to the terms anterior and posterior. The actions of adduction and abduction happen along this plane
- Divides the body into Left and Right halves. Related to the terms medial and lateral. The actions of flexion and extension ocur along this plane.
- Dived the body into upper & lower parts. Relates to the terms superior and inferior. Rotation happens along this plane.
Anatomical Planes
- Coronal or Frontal Plane
- Sagital Plane or Lateral Plane
- Axial Plane or Transverse Plane
Anatomical Terms
- Medial
- Lateral
- Proximal
- Distal
- Inferior
- Superior
Direction
- Towards the midline of the body
- Away from the midline of the body
- A structure closer to the trunk.
- A structure further away from the trunk of the body’s midline.
- Lower or below
- Upper or above
Anatomical Terms
- Cephalad or Cranial
- Caudal or Caudad
- Anterior
- Posterior
- Dorsal
- Ventral
- Prone
- Supine
Direction
- Head
- Tail, tail end
- Towards the front
- Towards the back
- Posterior
- Anterior
- Face down
- Face up
Anatomical Terms
Direction
- Towards the midline of the body
- Away from the midline of the body
- A structure closer to the trunk.
- A structure further away from the trunk of the body’s midline.
- Lower or below
- Upper or above
Anatomical Terms
- Medial
- Lateral
- Proximal
- Distal
- Inferior
- Superior
Anatomical Terms
Direction
- Head
- Tail, tail end
- Towards the front
- Towards the back
- Posterior
- Anterior
- Face down
- Face up
Anatomical Terms
- Cephalad or Cranial
- Caudal or Caudad
- Anterior
- Posterior
- Dorsal
- Ventral
- Prone
- Supine
Cervical Spine - Name the areas & possible affects
C1
C2
C3
C4
C5
C6
C7
Cervical Spine
C1 Blood supply to head, pituatry gland, scalp, bones of the face, brain, inner & middle ear, sympathetic nervous system. ===== headaches nervousness, insomia, head cold, high blood pressure, migrane headaches, nervous breakdowns, amnesia, chronic tiredness, dizzyness
C2 Eyes, Optic Nerve, Auditory nerves, sinuses, mastoid bones, tongue, forhead ===== Sinus trouble, allergies, cross eyes, deafness, eye trouble, earache, fainting spells,certain cases of blindness
C3 Cheeks, outer ear, face bones, teeth, trifacial nerve ===== Neuralgia, neuritis, acne or pimmples, eczema
C4 Nose, lips, mouth, eustachian tube ===== Heyfever, catarrh, hearing loss, adenoids
C5 Vocal chords, neck, glands, pharynx ===== Laryngitis, hoarseness, throat conditions such as soar throat or quinsy
C6 Neck muscles, shoulders, tonsils===== Stiff neck, pain in upper arm, tonsilitis, whooping cough, croup
C7 Thyroid gland, bursae in the shoulders, elbows ===== Bursitis, colds, thyroid conditions
Thorasic Spine - Name the areas & affects
T1
T2
T3
T4
T5
T6
T7
T8
T9
T10
T11
T12
Thorasic Spine
T1 Arms from the elbows down, esophagus & trachea ===== Asthma, cough, difficulty breathing, shortness of breath, pain in lower arms & hands
T2 Heart, including its valves, coverings, coranary arteries ===== functional heart conditions & certain chest conditions
T3 Lungs, bronchial tubes, pleura, chest, breast ===== Bronchitis, pleurisy, pneumonia, congestion, influenza
T4 Gall bladder, common duct ===== Gall bladder conditions, jaundice, shingles
T5 Stomach ===== Stomach troubles, including nervous stomach, indegestion, heartburn, dyspepsea
T6 Pancreas, duodenum ===== ulcers, gastritis
T7 Spleen ===== Lowered resistance
T8 Liver, solar plexus, blood ===== Liver conditions, fevers, low blood pressure, anemia, poor circulation, arthritis
T9 Adrenal and supra-renal glands ===== Allergies, hives
T10 Small intestines, lymph conditions ===== Rheumatism, gas pains, certain types of sterility
T11 Kidneys ===== Kidney troubles, hardening of the arteries, chronic tiredness, nephritis, pyelitis
T12 Kidneys, ureters ===== Skin conditions, acne, pimples, eczemz, boils
Lumbar Spine, Sacrum & Coccyx - Areas & Affects
L1
L2
L3
L4
L5
Sacrum
Coccyx
Lumbar Spine, Sacrum & Coccyx - Areas & Affects
L1 Appendix ===== Cramps, difficulty breathing, acidosis, varicous veins
L2 Larger Intestines, inguinal rings ===== Constipation, coliotis, dysentry, diarrhea, some ruptures or hernias
L3 Sex organs, uterus, bladder, knees ===== Bladder troubles, menstual troubles such as painful orirregular periods, miscarriages, bed wettng, impotency, changes of life symptons, many knee problems
L4 Lower legs, ankles, feet ===== Poor circulation in the legs, swollen ankles, weak ankles and arches, cold feet, weakness in the legs, leg cramps
L5 Prostate gland, muscles of the lower back, sciatic nerve ===== Sciatica, lumbago, difficult, painful or too frequent urination, backaches
Sacrum Hip bones, buttocks ===== Sacro-iliac conditions, spinal curvatures
Coccyx Rectum, anus ===== Hemorroids (piles), puritis (itching), pain at end of spine on sitting
Apple Cider Vineger
- What are the indications?
- Application
- Frequency
- Cautions & Remarks
ACV
- Acts as an astringent, drawing fluid & swelling away from injury. RACE not RICE (rest, ACV, Compression & Elervation) Typically applied to sprain or twists, but also used for any soft tissue trauma such as bruises, inflammation, soreness & areas of redness or heat. Has also 100s of other uses such as in arthritis, hair rinse, stings & rashes and weight loss.
- ACV is applied by soaking material in neat vinegar, this can be diluted for children & sensitive skin. Material (cloth, bandage or flannel) applied direct to skin and wrapped lightly in cling film and left on for 1-2 hours
- 2 hrs on 1+ hr off for skin to dry out. Repeat as necessary. Extensive bruising or trauma should be sent for medical advice.
- Can sometimes cause irritation- can be diluted to 3:1 with water. Any open cuts can be smeared with Vaseline. Do NOT apply to open wounds or to Cellulitis.
Epsom Salts
- What is Epsom Salt?
- What are the indications?
- Application
- Frequency
- Cautions & Remarks
Epsom Salts
- What is Epsom Salt? Magnesium Sulphate
- What are the indications? Where there is calcification of the joint or where there is stiffness and soreness after treatment or physical activity. Can be used locally such as hands or feet. General aid to relaxation. Cold or flu and skin conditions such as excema or dermatitis.
- Application; foot/ hand soak - 2tbl in 2lts warm water soak for 15-20mins. In a bath approx 10oz in 70lts. Bath water should be warm not hot.
- Frequency; when ever a bath is taken or specific problems such as bunion 5soaks/week
- Cautions & Remarks; bath water warm not hot! Careful with dry skin conditions, Children under 5 not recommended except under medical supervision.
Washing Soda
What is Washing Soda?
What are the indications?
Application
Frequency
Cautions & Remarks
- What is Washing Soda? Sodium Carbonate
- What are the indications? Great as an osmosis agent and drawing fluid away from a swollen joint, such as knee or ankle
- Application: Crushed crystals or flakes placed in a Cotten handkerchief, wrapped and placed at the lower end of the swelling and tied in place with either old tights or bandage and an old towel wrapped around to soak up the fluid released. Should be applied just before bead and left over night, 6 hours.
- Frequency: Until swelling has been relieved. Every night but no more than 3 per week.
- Cautions & Remarks: Any cuts or grazes should be covered in Vaseline before application. Care so no fluid runs into any orifices. If no reduction or pack remains dry, change the position to allow the fluid to be drawn. Clients with high BP or heart disease might prefere to start with shorter periods of application to avoid radical removal of fluid from their system and if in doubt should seek medical advice.