Procedure names and descriptions Flashcards
What is the thoracolumbar myofascial release and when do you use it?
Patient: prone, with feet off the end of table
Student: stands on side of table with dominant eye over patients midline. Gently sink hands into fascia of the thoracolumbar region on both sides of the spine. Then test up/down, L/R, CW/CCW for tension; decide indirect or direct with respiratory assist and feel the creep. Re-asses
This techniques is performed to help relieve fascial tension
Thoracic and Rib myofascial treatment: elaborate
Patient: supine
Student: sits at head of table with elbows touching the table using the forearms as levers. Place hands underneath patient on either side of the thoracic spine. Perform myofascial techniques. Re-asses.
Scapulofascial release
Patient: on their side facing the student close to the edge of the table
Student: myofascial release on the medial border of the scapula.
Seated cervical exam active and passive
Active-
Patient: moves head through all 3 plans of motion
Student: stabilizes shoulders during this process
Passive-
Patient: patient sits and relaxes the neck
Student: Has one hand on head for stability and one on the shoulder. Moves head through 3 planes of motion to identify ease of motion, degree of motion, and any restrictions.
Seated sidebending thoracic- passive (T1-T3 or T4)
midthoracic (T4-T8), Rotation (T8-T11)
Seated side-bending thoracic: Student-place hands on the root of the neck, apply pressure on one side at a time to elicit side-bending . Look for asymmetry.
Seated side-bending midthoracic: same as above except pressure is applied to the acromion process.
Rotation: Student: place hands on shoulder and rotate patient truck to the left and then right. Look for asymmetry.
Palpate and identify which superficial back muscles?
deltoid, trapezius, latissimus dorsi, external oblique
List the supine landmarks
What is purpose of the hip flop and how do you do it?
How do you asses hamstring tension, and hip range of motion?
landmarks- malleolus, hamstring, rotation of flexed hip
The purpose of the hip flop is to reset the hip and leg bones for examination; you can also asses the eveness of the medial malleolus.
Hamstring tension can be assesed by lifting the legs up one at a time by the heel, keeping the knee extended and resting one hand on the pelvis.
Hip ROM can be asses with a Hip 90-90 IR/ER-hold leg in a flexed elevated position bending at the knee so that the leg is perpendicular to the femoral region. Then asses the ROM by rotating the leg around the axis of the knee. Remember that moving the ankle medial is externally rotating the hip and vice versa.
What are the four components of the standing ROM and flexion exam?
Sidebending trunk-patient slide hand down lateral aspect of the thigh toward the knee, asses spine
Backward bending-patient bends back, asses evenness and degree of extension
Standing flexion test- patient legs hip width apart w/ knees extended. Place fingers on iliac crest and thumbs on PSIS. As patient bends forward observe superior movement of either PSIS, this is a positive flexion test.
Gross spinal flexion test- done at the same time as the standing flexion test. look for any spinal humping indicative of a lateral curve.
What are the seven components of the seated ROM cervical and thoracic regions and flexion test?
Seated cervical exam active, then passive
Flexion/Extension thoracic spine-passive (patient clasps hands behind the neck keeping their elbows together, student assists in moving them in both directions)
Seated sidebending thoracic-passive (T1-4) press at root of neck. Mid-thoracic (T4-8), Rotation (T8-11). Look for asymmetry
Seated flexion test
What are the prone landmarks?
How would you detect and alleviate tissue texture changes on the thoracic and lumbar and sacral region of a prone patient?
How would you asses quad and psoas tension?
Landmarks: PSIS and thoracolumbar spine
Detect with the palm of the hand by assessing the regional springing of the spine. This can be alleviated with myofacial release
Quad ROM, and psoas-lift above the knee and hold the hops down.
Thoracic inlet diaphragm release
Patient-supine
Student-head of table seated. Hands over thoracic inlet, fingers anterior, thumbs posterior. Test all 3 plans, stack, and respiratory assist.
Subclavicular stretch for thoracic inlet dysfunction
patient-supine
sudent- hook 1 finger in clavical, other hand grabs the wrist and then takes the arm into flexion, AB duction, and extension. With each cycle readjuct fingers to increase fascial stretch.
What do you do for paraspinal muscle dysfunction?
Direct method-kneading and stretching with patient supine.
Hold head with thumb and forefinger, then slowly lift muscle and fascia on the side opposite your position each time the head is facing that same side. Move the head away, reposition; then move the head toward fingers and lift.
What is the direct method for rib raising/springing meant to alleviate diaphragmatic restriction?
Patient is supine
Student begins at inferior ribs and moves superiorly. Place fingers between the costotransverse articulation and lateral angle of ribs, and lifts anteriolaterally.
what is the thoracic and pedal pump?
Thoracic pump- patient supine (female can optionally place hands on superior portion of the chest).
Student uses palms to press chest while patient exhails (at max point pumps), resists the next inhalation, and then presses deeper the following exhalation pumping again, the following inhalation the student does a quick release.
Pedal pump is just placing both hands on the balls of the feet and repeatedly pumping the feet in the cephalad direction. 1-2 mins.
