april 14 massage

cross fiber frictions purpose

break down existing + forming adhesions

cross fiber frictions side effects

pain during, redness, warmth, tenderness, analgesic effect after ~1 min

cross fiber frictions risks

bruising , post-treatment soreness, fatigue in the area

fascial techniques (general) purpose

release fascial restrictions, improve glide, increase mobility

fascial techniques side effects

burning, itching, mild discomfort, redness, temp tenderness

fascial technique risks

bruising, soreness, fatigue, increased sensitivity

PNF / AIT purpose

reduce tone to increase elongation when m.m. tight / spasmatic

PNF / AIT side effects

stretch sensation, mild effort during contraction, light fatigue, temporary tightness

PNF / AIT risks

temporary soreness, cramping, irritation, fatigue

strengthening / setting (isometric + isotonic) purpose

maintain / improve mobility and stability, improve strength

strengthening / setting (isometric + isotonic) side effects

muscle effort, temporary fatigue

strengthening / setting (isometric + isotonic) risks

delayed muscle soreness, cramping, overtraining

PROM purpose

maintain mobility and elasticity of injured tissue, increase synovial fluid, encourage healing

delete

risks / side effects of range of motion

light pulling, mild soreness, risk of cramping / irritation / increased guarding

use PIR when

reduce tone to allow elongation, can treat trigger points

hold relax use when

reduce tone to allow elongation when pain is present

contract relax use when

reduce tone to allow elongation when no pain is present

agonist contract use when

reducing tone to allow elongation when muscle spasm / pain present

HR / AC use when

reduce tone to allow elongation when muscle is tight / spasmatic; gain control of new ROM

isometric setting use when

muscle is weak, early rehab

isotonic strengthening use when

for functional strength

AFROM use when

client can contract muscles; postural strengthening; immobilization rehab

AAROM use when

client can contract muscle but not through full ROM

PROM use when

early rehab (acute, inflamed tissue)

PIR protocol

first barrier - 20% isometric contraction of tight muscle (5-10s) - next barrier - repeat x3

hold relax protocol

first barrier - strong but pain free isometric contraction of tight muscle (5-10s) - next barrier - repeat x3

contract relax protocol

first barrier - concentric isotonic contraction of tight muscle through small range (~5s) - relax - next barrier - repeat x3

agonist contract protocol

first barrier - active contraction of opposite (agonist) muscle (~5s) - new active end range - return - repeat x3

hold relax / agonist contract protocol

first barrier - isometric contraction of tight muscle (5-10s) - relax - immediate agonist contraction into new range (~5s) - repeat x3

ROM protocol

1-2 sets x 10 reps

fascia protocols

warm tissue, assess fascia, lengthen if possible, hold until tissue softens

frictions protocol

lengthen - apply frictions 1-2 min / analgesic effect - flush - stretch - patch test - ice until numbness (max 5 min)

isometric setting protocols

5-10s hold x 5-10 reps

isotonic strengthening protocol

8-12 reps x 1-3 sets

joint mobilizations purpose

reduce pain, restore/improve normal joint movement

joint mobs side effects

mild soreness / loose capsular feeliing

joint mobs risks

joint trauma / hypermobility, inflammation

joint mob gr 1

small amplitude at beginning of range; pain modulation

joint mob gr 2

large amp within mid range; pain modulation

gr 3 joint mob

large amplitude into resistance; increase ROM

gr 4 joint mob

small amplitude at end range

gr 1 oscillations (pain relief) protocol

open packed - small amp oscillations at beginning of range x7s - rest - repeat total 30-60s (~5)

joint mob gr 2 oscillations (pain relief) protocol

open pack - large am, mid range oscillations x7s - rest - repeat 30-60s

joint mob gr 3 oscillations (increase ROM) protocol

open packed - large amp oscillations into barrier x7s - rest - repeat total 30-60s

general joint mobs protcol

warm up - assess with gr 2 5s distraction

sustained joint play dosage

7 sec sustained hold - brief rest - repeat 30-50s total

ankle DF joint play

posterior talus

ankle PF joint play

anteriro talus

ankle inversion joint play

medial calcaneus

ankle eversion joint play

lateral calcaneus

knee joint play flexion

posterior tibia

joint play knee ext

anterior tibia

joint play patella (ext/flexion)

up - extension, down - flexion

hip flexion joint play

posterior

hip extension joint play

anterior

hip abduction joint play

inferior

hip internal rotation joint play

posteiror

hip external rotation joint play

anterior

spinal rotation right joint play

glide right facet inf/post

spinal rotation left joint play

glide left facet inf/post

spinal rotation extension joint play

inf / posterior

spinal joint play flexion

superior + anterior

spinal joint play lateral right

glide right facet inf + post

spinal joint play lateral flexion left

glide left facet inf + post

isotonic / isometric protocol

7-10; 3-5 sets; 3 joint angles

j-stroking

use PIP of 2nd digit - press into tissue - draw slow, deep J stroke 3-5x over restricted line

cross hands fascial stretch

palms flat, forearms crossed - take up slack in opposite directions

shearing / fascial spreading

fingertips / thumbs contact tissue - spread tissue apart in opposite directions - maintain slow, steady tension over restriction

fascial torquing

lift tissue between thumb + fingertips - twist in one direction - hold until softening

s-bowing

thumbs point toward eachother - push tissue into S shape

c-bowing

thumbs together - push tissue into c

connective tissue cutting

fingertips contact and pull tissue toward therapist in muscle strip motion