Remedial Exercise/Positional/Drainage/Massage/releases Techniques

Question 1

How do you perform C/S PR ROM?

Answer 1

(ROM PR)

Question 2

How do you perform the Posterior Tilt Isometric exercise?

Answer 2

lay supine on table
Instruct client to posterior tilt (push butt into table) to flatten lumbar
(Contracting Abdominals)

Question 3

How do you perform the Rib Recoil Technique?

Answer 3

(Testing for taut ribs, positive sign is not proper recoil)
One thumb is on angle of post fixed rib
other thumb slides med to nearest SP
Spine challenged lat to elastic end feel, placing stretch of elevator cot arum
thumbs maintain end feel between rib and SP while client inhales
Exhaltion, release SP and Rib, allowing elastic recoil

Question 4

How do you perform the Rib Springing Technique?

Answer 4

Client is prone
Stand beside client, place hands on back with fingers spreader so they lie between each rib
press pressure against ribs when exhaling
wait until client has almost reached full breath (inhalation) before quickly springing back

Question 5

How do you perform the Thoracic Mobilizations?

Answer 5

Make a fist and push into your side

take a deep breath, and when you exhale lat flex into fist

Question 6

How do you perform the Chest Mobilization?

Answer 6

Place hands on back of head while in extensions
breathing in with motion
exhale when flexing hand forward with slight pressure from hands

Question 7

How do you perform the Diaphragm release

Answer 7

Stand opposite side of body, reach across body
start at xiphod process
client takes deep breaths
gently let thumbs sink in while client exhales
When client inhales, keep thumbs in position they were with exhalation
get deeper with each breath

Question 8

How do you perform Upper Lobe Postural Drainage?

Answer 8

(mostly bedridden people)
seated position
pillows piled up in lap and on table to support the thorax (Lay forward on pillows)
DDB/purse-lip breathing
Tapoment: 3-5 minutes (on Back)
slower rate, give breaks to cough up mucous
finish with effleurage/stroking

Question 9

How did you perform Middle Right Lobe Postural Drainage

Answer 9

(right) 1/4 turn from supine with affected side higher
supported by pillows under right thorax and knees (and head)
DDB/purse-lip breathing
Tapotement: 3-5 minutes (over side of rib)
slower rate, give breaks to cough up mucous
finish with effleurage/stroking
(PERFORM ONLY ON RIGHT SIDE BECAUSE RIGHT SIDE HAS 3 LOBES AND LEFT HAS 2)

Question 10

How do you perform Lower Lobe Postural Drainage?

Answer 10

Prone, raise hips to 30-45
pillows built into wedge under hips
(one under ankles)
DDB/purse-lip breathing
Tapoment: 3-5 minutes (over lower lobes)
slower rate, give breaks to cough up mucous
finish with effleurage/stroking

Question 11

How do you perform Sinus Drainage?

Answer 11

Lateral modified MLD drainage
Start at forehead, work way down
when done of face, move down neck. Pump before clavicle

Question 12

How do you perform Sinus Opening

Answer 12

Semi-circle kneading on forehead and around face

light massage

Question 13

How do you perform Suboccipital Release?

Answer 13

(Same thing as clinic movement)

Question 14

How do you preform Central Vertebral Pressure for Joint Mobs?

Answer 14

Client prone
Place thumbs on specific SP
Mobilize for each grade by pushing Anteriorly (into table)

Question 15

How do you perform Transverse Vertebral Pressure for Joint Mobs?

Answer 15

Client Prone
Place thumbs laterally to SP
Mobilize for each grade medially (against SP)

Question 16

How do you preform Long Axis Traction on L/S (Joint Mobs)

Answer 16

Client Prone
Place one hand on base of sacrum, other on upper L/S (low-mid back)
Push each hands in opposite directions (away from each other)

Question 17

How do you perform Long Axis Traction on C/S (Joint Mobs)

Answer 17

Supine
Place hands under Occipital Condyles
(Thumbs are relaxed on sides of neck)
Pull with weight of body)