Independent Learning Activity Notes for PAVM Techniques

Independent Learning Activity - Week Three: PAVM Techniques for Spinal Pain

Overview

  • The video provides guidance on basic hand and body positioning for performing PAVM (Passive Angle and Vibration Manipulation) techniques for patients experiencing spinal pain.
  • Emphasis is placed on the importance of practice in preparation for class.

Hand Positioning

Pisiform Grip
  • Definition: The pisiform grip involves contacting the patient with the fleshy part of the hand rather than directly on the spinous process.
  • Contact Point:
    • The contact should be slightly distal to the spinous process in a soft, fleshy area for patient comfort.
  • Demonstration:
    • Use the right hand to initiate contact, though either hand is acceptable.
    • Visualize and prepare to place the hand on the patient using the pisiform area.
C Shape Formation
  • C Shape Technique:
    • Form a 'C' shape with the other hand, which is crucial for proper technique.
    • Slide the C shaped hand over the top of the contacting hand to form a supportive grip.
  • Common Mistake:
    • Students often grip with the thumb extended out away from the body, resulting in poor hand coordination.
  • Correct Positioning:
    • Ensure that the top hand (C-shaped hand) remains over the other hand to promote effective grip and coordination.
    • Little fingers and thumbs should interlock when the grip is established.
Angle of Contact
  • Optimal Angles:
    • The contacting hand can be positioned at approximately 60 degrees relative to the patient.
    • While it’s not required to be perfectly square, maintain a comfortable angle that avoids excessive strain.
    • Avoid pulling your hand upwards for a single point of contact; this can strain the wrist and is unnecessary.

Body Positioning

Shoulder Alignment
  • Posture:
    • Position your shoulders directly over the patient for optimal leverage and effectiveness.
  • Bed Height:
    • Ensure that the bed is at a suitable height to facilitate this alignment.
  • Movement Strategy:
    • Employ small movements utilizing the larger muscles of your shoulders instead of relying on wrist or forearm movements.

Conclusion

  • The techniques demonstrated aim to provide comfort and effectiveness for both the practitioner and the patient during spinal pain treatment.
  • Practice these foundational techniques before attending the next class to enhance learning and skill application.