MFR Techniques Flashcards
Cervical Traction
1) Cradle occiput and chin
2) Apply axial cephalad traction slowly and rhythmically, with gradual increasing amplitudes
3) Continue until desired soft tissue or disc response
4) recheck
C-Spine: Bilateral Forearm Fulcrum Forward Bending
Arms are crossed under patient’s head and hands placed palm down on patient’s shoulders
Repetitively flex patients neck, giving a longitudinal stretch of the paravertebral muscles
Repeat for 203 minutes or until desired effect is achieved
Re-evaluate for TART
C-Spine: Unilateral Forearm Fulcrum Forward Bending
Contract patient shoulder with one hand and use the same arm to cradle patients occiput
Repetitively flex the patients c-spine, stretching the desired muscle by moving the forearm anteriorly for 1-2 seconds
Repeat for 2-3 minutes or until desire defect is achieved
Re-evaluate for TART improvement
C-Spine: Contralateral Traction, Supine
Caudad hand reached across with finger pads medial to the cervical paravertebral muscles on side opposite of where you are standing
Superior hand rests on patient’s forehead to stabilize head preventing rotation
Engage tissue with anterolateral force thru you finger pads creating a perpendicular stretch to the cervical paraspinal muscles
C-Spine: Cradling with Traction, Supine
Fingers placed under patient’s neck bilaterally on paraspinal muscles, just lateral to the spinous process
Engage soft tissue with anterior and lateral force
Longitudinal traction exerted by moving cephalad along the soft tissues
Head and C-Spine: Suboccipital Release
Finger pads are placed in the suboccipital region
Apply anterosuperior pressure
- kneading: pressure may be slowly and rhythmically applied until tissue texture changes occur of for 2 min
- Inhibition: apply a constant inhibitory pressure for 30 sec-1 min
Thoracic: Prone Pressure
Place thumb pads medial to the side opposite to the one you are standing
Keeping you elbows straight-ish and using you own body weight, engage soft tissues with a ventrolateral force creating a perpendicular stretch
Thoracic: Prone Pressure with Counterpressure
Place thenar eminence and thumb of caudad hand over the thoracic paravertebral muscles opposite the side you are standing
Place hypothenar eminence of cephalad hand on paravertebral muscles on the same side you are standing
Engage tissue with a ventral force and then move your hands in direction in which they are facing
Thoracic: Subscapular Stretch
Take patient’s arm, on the side being treated, and placed it behind their back
Place fingers around medial border of scapula
Engage the tissue ventrally then give gentle and upward traction, pulling scapula away from rib cage
Upper Thoracic w/Shoulder Block
Standing at side of table facing patient
Inferior hand passes under patients arm and contacts paravertebral muscles
Superior hand contacts anterior portion of shoulder to give counterforce. Drape patient’s arm over your arm
Thoracic and Lumbar MFR
Finger pads placed on paravertebral muscles, lateral to the spinous processes
Engage muscle with ventrolateral force to induce a perpendicular stretch
Lumbar: Prone Pressure
Place thenar and hypothenar eminence on paravertebral muscles opposite the side you are standing
Place other hand on top of hand contacting the muscles
Keeping your elbows straight and using own body weight, engaging soft tissues with a ventral force and move out laterally creating a perpendicular stretch
Lumbar: Prone Pressure with Counterleverage
Using Inferior hand, grasp ASIS on other side of patient
Place thenar and hypothenar eminence of superior hand on the paraspinal muscles
Pull posteriorly on the ASIS and apply anterlateral pressure on lumbar paraspinal muscles in a repetitive rhythmic fashion holding the stretch for 1-2 seconds
Treat the tighter portions of the muscles and move after the muscle release
Lumbar: Paraspinal Perpendicular Stretch
At side of table facing patient, reach over patient’s back and place finger pads on the paravertebral muscles
Engage tissues with a ventral force and mover out laterally to create a perpendicular stretch
Hip Myofascial Release
Flex hip and the knee to 90 degrees, and test internal rotation and external rotation to determine direction or laxity and restriction
Indirect: Move the hip to its position of laxity, apply compression or traction along the femur to facilitate laity and follow any tissue release until tissue release is perceived
Direct: Move the hip into its restrictive barrier and apply compression or traction until tissue release is perceived