By Dr Harry D Friedman DO, Dr Jerel H Glassman DO, Dr Wolfgang G Gilliar DO
-Basic and complicated point educational guide -Detailed connective tissue anatomy and body structure -Theoretical ideas of myofascial and fascial-ligamentous free up -Diagnostic and remedy ways for every physique zone together with a myofascial screening examination -Release improving maneuvers and a number of operator innovations -Includes ways of Sutherland, Becker, Ward, Chila and Barral.
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Extra resources for Myofascial and Fascial-Ligamentous Approaches in Osteopathic Manipulative Medicine
Each operator holds onto one of four contact points: the head, the two upper extremities individually, and the two lower extremities simultaneously. Each operator should find his direction of ease with respect to side-bending, rotation, flexion, extension, and then add traction in order to activate the unwinding process. Each operator should follow the slow and progressive unwinding, being careful to avoid the other operators in the process of this total body unwinding. The patient may move around the table, may change from supine to prone, and may even come off of the table in this process.
After treatment, tissues should be reassessed for greater symmetry. Supine Pelvis Treatment 38 4. Pubic Fascial Release, Patient Supine Using a Direct Stretching Technique The operator stands to the side of the patient facing his head, with his hands contacting the pubic sym physis. Behind the pubic symphysis there are ligamentous and tendonous attachments originating from the inguinal and abdominal components. The tension is assessed just posterior to the pubic symphisis in an inferior direction.
Contact of both extremities is through the forearms or wrists. ) Double Upper Extremity Treatment 29 Notes 30 TREATMENT OF THE CERVICAL SPINE 1. Cervicothoracic Twist, Patient Supine Using a Direct Stretching Technique The operator stands at the head of the table with hands contacting the patient's neck. Assess the tension of the tissues in the cervicothoracic and cervical area posteriorly, laterally, and anteriorly to test their relative myofascial tensions. Assessment is followed by treatment, where the operator places his knee behind the neck of the patient while lifting the patient's head with a posterior hold around the patient's mid-upper cervical region.