Procedures Flashcards
- Client position for Ankle Procedure?
- Which ankle first?
- What are the ankle prerequisites?
- Sitting or lying, with the ankle resting on my leg, medial side facing me and heel free.
- Better side first, except in acute cases
- HTL
Ankle Moves:
- Lateral Malleolus to Medial Malleolus: Extensor Retinaculum (Extensor Digitorum Longus, Extensor Hallucis Longus & Tibialis Anterior)
- a) Lateral Malleolus b) A T-shaped move: (Lateral Malleolus) Fibularis Longus & Brevis
- Medial malleolus: Tibialis Posterior & Deltoid Ligament (Tibiotalar, Tibionavicular & Tibiocalcaneal)
- Rotate & Jar
Bunions & Hammer Toes!
Give 10 Indications for Ankle Procedure:
10 Indications for Ankle Procedure:
- Injury (sprain or break) Acute Injury (HTL, 1st Aid, No Jar!)
- Addressing postural issues
- Hip or back pain
- Inflammation and swelling
- Oedema
- Pervious ankle history/ ankle weakness
- Migraines/ Headaches (Tensional relationships)
- Patella displacement (medial or leteral, superior or inferior)
- ITB tightness
- planta fasciatis
- Fusion & Plateing
- Bunions
- Arthritis
- Gout
How many bones are in the foot?
26 bones
- Client position for Elbow/wrist Procedure?
- What are the elbow/wrist prerequisites?
- Sitting is best but can be done lying supine.
- Page 2 moves 1-10, page 3 moves 1-6
Elbow / Wrist moves:
- Medial Deltoid
- Extensor Digitorum Communis
- Triceps Tendon
4, 5 & 6. Radiohumeral Joint Lateral Epicondyle (adjacent to)
- Extensor Retinaculum
- Stretch, Rotate & Flick
- Snake Extension
Carpel Tunnel Tease.
Indications for Elbow/ Wrist Procedure:
- Injury (sprain or Break)
- Repetative Strain Injury (RSI)
- Tennis Elbow
- Golfers Elbow
- Neck Pain or Injury
- Carpel Tunnel
- Shoulder problems
- neck tension
- arthritis
- Gout
Position of Client and Prerequist moves for Hamstring?
Client Prone
Page 1, moves 1-8.
Hamstring Moves:
- Biceps Femoris (Long head)
- Popliteal Fossa
- Jar to Metatarsal Heads
- Hit the Lat (Vastus Lateralis)
5, 6 & 7. Biceps Femoris, Semitendinosus, Semimembranosus.
8 & 9. Medial & Lateral Gastocnemius.
- Achilles Tendon
10 Indications for Hamstring Procedure?
- Hamstring Injury - strain & pulls
- Tight Hamstrings
- Sport maintainance
- Lower back tightness & pain
- Knee restriction & clicking
- Ankle injury or weak ankles
- Sciatic type pains
- Pelvic tightness
- Tight achillies tendon
- Post injury to achillies
Why is the knee bent at a right ankle during the hamstring procedure?
If it is less than 90<span>o</span> the client is able to contract the hamstrings and if pressure is applied this could be painful. By putting the knee int flexion, the muscle grouping is effectivly switched off and work can be done in this area safely.
What break is left after doing the jar in hamstring procedure & why?
a 5 min break is indicated to allow the client time to rest and for the jarred nerve endings to settle.
Knee Pre-requisites and which knee first?
Page 1.
Better side first
Knee Moves:
- HTL (Vastus Lateralis)
2 & 3 Patella Ligament/Retinaculum
4 Vastus Medialis
5, 6 & 7 (tease) Lateral & Medial Gastrocnemius/ Soleus
8, 9 & 10 Achilles Tendon
- Closing Gastrocnemius
- Tibial Nerve
when are the Knee Breaks?
During the 2 min breaks the other knee may be treated.
Breaks are:
Moves 1,2 & 3 —- Break
Moves 4,5 & 6 —-Break
Moves 7,8,9 & 10 —- Break
Moves 11 & 12.
10 Indications for the Knee Procedure:
- Knee injury
- Blood supply diseases such as Diabetes
- Lower leg oedema (lymph problems, drainage problems/ swelling)
- ankle injuries
- Pre & post knee surgery
- Sciatica
- Gout
- Osteroarthritis (hip/knee)
- Patellar tendonitis
- Knee ligament sprains (eg. ACL)
- Plantar faciatis
- Meniscal tears
- Bursitis of the knee joint
Pre-requisit moves for Sacrum procedure?
Client Position?
Page 1, moves 1-8
In emergency cases, the stoppers can be performed.
Standing
Sacrum Moves:
1 & Holding point Gluteus Maximus/ Edge of Sacrum
2 Gluteus Max, Med & Min
10 indications for Sacrum Procedure:
- Sports injuries
- Back injury
- Back spasm
- Pregnancy
- Previous pregnancy
- Pelvic problems
- Sciatic type pain
- Sacroiliac conditions
- Spinal curvitures
- External rotation of the legs/ feet
- Restricted hip or pelvic movement
- Anterior or Posterior pelvic tilt
- Useful when not practical or possible to give someone a full treatment.
Pre-requisite Shoulder Moves?
Position of Client?
Which shoulder first?
- Pages 2 & 3
- Cliet should be sitting in a chair with a back.
- Start with the better shoulder and always treat both shoulders.
Shoulder moves:
- Posterior Deltoid, triceps
Jar Mid Deltoid
- Anterior Deltoid/ Pectoralis Major
10 Indication for the Shoulder Procedure:
- ‘Frozen Shoulder’
- Shoulder Injury
- Reduced mobilization of the shoulder
- Problems with the neck or arm.
- Respirational issues such as asthma
- Carpel tunnel
- Neck restrictions
- Head aches
- Useful to perform with ankle procedure where ‘compensational movement’ might be an issue
- Rhomboid/ shoulder - tentional issues
- Spinal deformaties (watch for the angle of the jar - suitable to the posture)
Which Procedure has the 28 day rule and why? Any time when it an be done more?
Shoulder Prcedure.
The general rule of learning a physical movement is that it will take approx 3 weeks of repetative activity for the brain to start to accept a new pattern. This applies for both positive as well as negative change.
In order for the shoulder work to be absorbed and accept the new functional model, as well as to avoid inflaming a very suseptable area, the shoulder is only performed twice in 2 weeks and then is allowed time to take on the change.
The only time the work can be repeated is in the case or re-injury.
- Pre-requisite moves for Breast Procedure?
- Which side first?
- What Cautions are necessary?
- Page 2 & 3, None if self-adjustment.
- Better side first.
- Does NOT require removal of underware.
- Discuss with client before proceeding
- Have 3rd party present if necessary
- Do NOT use on women with breast implants!
Breast Procedure Moves:
- Pectoralis Major
- Serratus Anterior/ External Oblique
10 Indications for the Breast Procedure:
- Hormonal Imbalance i.e Menopause, Puberty
- Lymphatic issues
- Menstral problems
- Breast feeding
- Shoulder injuries
- Problems with adducting arm
- Problems with medial rotation of arm.
- Mastitis
- Lack of grip in hands
- Tingling in hands
Pre-requisits for Coccyx
& Cautions
Insert stoppers before assessing. (Page 1, moves 1 & 2)
Discus with client before proceeding. Make sure they know where the coccyx is and where you are going to be working. Get a third party if necessary. Make sure they ahve no major social/family gatherings organised.
Assess! - is one side more tender than another.
L side if neither side is more tender!
Coccyx moves:
1 & Holding Point (prone) Coxxyx & edge of sacrum
2 min break & turn over
- Rectus abdominus
10 Indications for Coccyx Procedures:
- Bed Wetting
- Stress Incontinence
- Stress related conditions
- Injury to the coccyx
- Spinal Injuries
- Pelvic Floor issues
- Structural Blancing
- skin problems exacerbated by stress; excema or psoriasis
- constipation
- Emotional stress, lack of emotional support
- Fertility problems
- erectile dysfunction
- early pregnancy (not in the 2nd or 3rd trimester)
- post pregnacy
What is the order of Moves when prone?
- Page 1
- Page 2
- Kidney
- Hamstring
- Diaphragm
- Coccyx
What is the order of moves when Supine?
- Coccyx
- Diaphragm
- HTL
- Page 3 or Hamstring
- Hamstring or Page 3
- Pelvic
- Knees
- Ankle
- Breast
- TMJ
- Elbow
- Shoulder
- Sacrum
Pre-requisite for Diaphragm
Bottom stoppers, Page 2 moves 1-10
Diaphragm moves:
1 & 2 Erector Spinae
two min break
3 & 4 Rectus Abdominus
Holding point Inferior to Xiphoid Process
5 Rectus Abdominus
10 Indications for doing the Diaphragm Procedure:
- Asthma
- Scistic Fibrosis
- Colic
- Digestion Issues - Indigestion
- Spinal deformaties (Scoliosis, Kyphosis & lordosis)
- Liver & gall bladder problems
- Pancreatitis
- Grief
- Fatigue
- Bloatedness
- Gall stones
- Anger issues
- Ulcers of the stomach
- Duodenum issues
- Hernias & disorientation
- Constipation
- Chest pain/ reflux problems
- panic attacks
- Kidney Procedure Assessment
- Which Kidney is treated first?
- Pre-requisits for the kidney procedure?
- Contra-indication?
- Discuss with client, tenderness, swelling, heat & observation.
- The affected kidney is terated first, if in doubt treat the R side first.
- Page 1, moves 1 & 2; Page 2 moves 1 & 2 and 11-14.
- Kidney stones - history of, where no opperation has been done!
Give 10 indications for the Kidney procedure:
- Urinary infections
- Gout
- Lymphatic issues
- Hormonal issues
- Renal Colic
- Stress
- Alcohol/ drug Abuse
- ME
- Oedema
- Nephritis
- Regulate Blood Pressure
- Bed Wetting/ stress incontinence
- Dialysis
- Urinary infection
- Diabetics
What organ can adjust the temperature of the body as well as being part of the stystems that control blood pressure?
Kidneys
- Pre-requisite for the Pelvic Procedure?
- Which side first?
- Cautions?
- Page 1, moves 1-4
- Treat better side first or L if unsure.
- Third party present if necessary! Make sure client knows whats going to happen, if client has had hip replacement then do not carry upper leg past 90o or past where any degree of resistance is felt.
Pelvic Moves
- HTL (Vastus lateralis)
- Adductor longus
- Satorius
- Inguinal ligament
Give 10 indications for using the Pelvic Procedure?
- Pelvic injuries
- Pelvic imbalances (forward or anterior tilt, backward or posterior tilt, lateral tilt or torsion, & rooted pelvis.
- Knee or Ankle problems
- Hormonal
- Lymphatic
- Shoulder & neck problems
- Diaphragmatic or breathing problems
- Knee & ankle problems
- Lifted Pelvis
- Menstral Problems
- Reproductive issues
- Urinary infection
- Asthma
- Diaphragmatic
15.
What does TMJ stand for?
What does SCM drainage stand for?
Temporo Mandibular Joint
Sterno-Cleido-Mastoid
- TMJ Pre-requisites?
- Cautions?
- Page 2 moves 1-8; Page 3 moves 1-6
- Make sure clients dont have extensive dental work and subtle changes in their bite may occure and require occlusal adjustment. Make sure they are aware of this. Check with their dentist!
TMJ Moves:
SCM Drainage
1 & 2 Submandibular Gland
3 & 4 Trachea
5 & 6 Sternal Attachment of SCM
7a Release Hyoid
7 Drain SCM
TMJ Structure
1 & 2 Temportmandibular joint
3 Posterior Border of Mandible (parotid gland)
4 Posterior edge of Temporalis
Give 10 indications for the TMJ procedure:
- Hayfever
- Jaw Injuries
- Use of, or removal of braces
- Postural issues
- Neck injuries
- Torticolis (cricked neck)
- Tension headaches
- Skullcap headaches
- Migranes
- Stress - what it means to them!
- Guilt
- Neck rotation
- Sinuse problems
- Eyes
- Ears - vestibular - balance
- Teeth grinding
- Epidurals - spinal blocks - headaches
- Front line problems, SFL (Superficial Front Line)
- Irregular heartbeat
- Panic Attacks
- Trigeminal Neuralgia, Bells Palsy
- Tinnitus
- Foot drop - ankle injury
Breath
Is the very essence of life and drives all other functions of the body. We can’t do without it, but we can do it badly for a very long time. In turn poor or dysfunctional breathing can lead to a whole host of other problems including…
- Poor digestion and bowel function
- Poor posture
- Less ability to control pain
- Stress
- Depression
- Migraine
- Poor sleep patterns
- Lack of concentration and so on.
Perched atop each kidney is a ______ shaped _______ _____ which produces _______ hormones.
Perched atop each kidney is a triangular shaped adrenal gland which produces steroid hormones. These have several functions including maintaining normal blood pressure by balancing sodium, potassium and fluid levels. The adrenal cortex also makes small amounts of sex hormones, namely testosterone & estrogen.
