Myofascial Release II

Question 1

Direct/ Indirect Thoracolumbar MFR

Answer 1

• Introduce myofascial stress

(clockwise/counterclockwise motions)

• Engage barriers

(sidebending, rotation, flexion, extension)

• Perform release enhancing maneuvers

Question 2

Prone Regional Thoracic Direct or Indirect MFR

Answer 2

(Prone)

• hands on bilateral sides of thoracic spine
• put area under myofascial stress

(clockwise right hand, counter clockwise left hand)

• engage barriers

(sidebending, rotation, flexion, extension)

Activating forces: inhalation/exhalation, leg extension/flexion, arm abduction/adduction

Question 3

Lower Thoracic Under Shoulder

Answer 3

(Lateral Recumbent)

• Forearms in contact with axilla and iliac crest
• Elbows spread apart, elongating distance between shoulder and hip
• Move muscles laterally
• Pt breathes deeply

Question 4

Seated Paraspinal Lumbar Soft Tissue

Answer 4

• Palm on erector spinae muscles
• Hand grasps shoulder
• Apply force with inferiour and and translate shoulder until tissue response

Question 5

Lumbosacral Region MFR

Answer 5

• One hand over inferior lumbar segment
• Other hand over superior lumbar segment
• Monitor inferior/superior glide, left/right motion, counterclockwise/clockwise motion
• Treat indirect or direct barrier

Question 6

Direct/ Indirect Lumbosacral MFR/INR Prone

Answer 6

• One hand at L/S junction
• Other hand over superior lumbar vertebrae
• Engage barriers: superior/inferior, rotation, sidebending

Activated force:

leg extension, int/ext rotation

inhalation/ exhalation

Question 7

Fascial Release Technique: Prone I- Sacral release

Answer 7

• Hands placed on top of each other, covering sacrum
• Engage barriers: superior/inferior, rotation, sidebending

Activating force:

inhalation/ exhalation

leg extension, int/ext rotation

Question 8

Hamstring Hypertonicity SD & ME/MFR

Answer 8

• pt supine
• Stabilize at contralateral ASIS with one hand
• other hand grasps leg above ankle, flexes at hip until FASCIAL barrier is reached
• pt is instructed to push leg downward towards floow against resistance

Question 9

LE: ITB Syndrome

Prone

Answer 9

(prone)

• Use caudad hand to grab foot/ankle, flex knee to 90 degrees
• Cephalad hand contacts thigh
• Push foot out while also engaging the thigh

Question 10

LE: ITB Syndrome

Lateral Recumbent

Answer 10

• Stand facing pt
• stabilize pt by places hand on iliac crest
• make a fist, run it over the thigh
• engage tissue

Question 11

Knee MFR/INR

Answer 11

• grasp either side of knee cap
• twist in ER/IR motion

Question 12

Knee Myofascial Release

Answer 12

*Contraindications: acute fracture, deep venous thrombosis

Question 13

Indirect MFR of Sprained Ankle

Answer 13

• inferioir hand on forefoot:

inversion/eversion, plantarflexion/dorsiflexion, internal/external rotation

• engage as many indrect barriers as possible
• follow release until no more creep

Question 14

LE: Plantar Fascia: Longitudinal Stretch

Answer 14

Question 15

Plantar Fascia MFR

Answer 15

Question 16

Upper Limb and Shoulder MFR

Answer 16

Question 17

UE: Thoracics: Lumbar stretch, rhomboid region

Answer 17

Question 18

Still Wrist MFR

Answer 18