Positional Release Techniques

Description

Positional Release Techniques continues to be the go-to resource for those who want to easily learn and confidently use this manual approach to safely manage pain and dysfunction in humans (and animals). As well as a structural revision, the fourth edition now includes new illustrations and chapters with videos and an image bank on a companion website to reinforce knowledge. At its core, the book explores the principles and modalities of the different forms of positional release techniques and their application which range from the original strain/counterstrain method to various applications in physical therapy, such as McKenzie’s exercise protocols and kinesio-taping methods that ‘unload’ tissues. These methods are traced from their historical roots up to their current practice with a showcase of emerging research and evidence. In addition to a series of problem-solving clinical descriptions supported by photos of assessment and treatment methods, learning is further boosted by practical exercises which examine PRT methodology and the mechanics of their use. Emphasises safety and usefulness in both acute and chronic settings Comprehensive coverage of all methods of spontaneous release by positioning Easy to follow and extensively illustrated Balanced synopsis of concepts and clinical-approach models throughout Learning supported by problem-solving clinical descriptions and practical exercises in the book as well as videos and downloadable images on the companion website BY WWW.ANTİTUSİF.COM Front Cover......Page 1 Positional Release Techniques......Page 2 Copyright Page......Page 5 Table Of Contents......Page 6 Contributors......Page 8 Foreword......Page 10 References......Page 11 Preface to the third edition......Page 12 Preface......Page 14 Acknowledgements......Page 16 Abbreviations......Page 18 A painful example......Page 20 Therapeutic benefit of reduced stimulus?......Page 21 Jones’s contribution......Page 22 What if patients cannot communicate verbally?......Page 23 Exaggeration of distortion......Page 24 Functional low back approach......Page 25 (Schiowitz 1990)......Page 26 (Goodheart 1985; Walther 1988)......Page 28 7. Integrated neuromuscular inhibition technique (INIT)......Page 29 10. Sacro-occipital ‘blocking’ technique (SOT)......Page 30 Reducing the time the position of ease is held......Page 32 What does the finger spread do?......Page 33 Commonalities, Differences – and Timing......Page 34 References......Page 35 Failed or Failing Adaptation and Somatic Dysfunction......Page 38 PRT: Inviting Change Rather Than Demanding It......Page 42 Palpatory Literacy: Introducing ‘TARTT’......Page 43 Comparing SCS Palpation with Standard Methods......Page 44 Identifying general somatic dysfunction......Page 45 What we can learn from this study......Page 50 Precautions......Page 51 References......Page 52 Introduction......Page 56 The clinical interaction......Page 57 Levels of Research Evidence......Page 58 Quality research methodology......Page 59 Muscle excitability and stretch reflex......Page 60 Methodological research......Page 61 Acutely ill, hospitalized patients......Page 62 Fibromyalgia......Page 63 Elements of experimental design research......Page 64 1. Complete subject data......Page 65 3. Neck pain......Page 66 3. Neck mobility in non-neurological neck pain......Page 67 1. Hip strength......Page 68 2. Global ratings......Page 69 Strength of Research Recommendations for Strain/Counterstrain......Page 70 Priorities for Future Study......Page 71 References......Page 72 Chapter Contents......Page 76 Theoretical Models......Page 77 Crisis......Page 78 More complex than described......Page 80 Restriction......Page 81 Connective Tissue and Counterstrain Concepts......Page 82 Conventional SCS and the Modified Approach......Page 83 Where to look for tender points......Page 84 Tender Points and the Position of Ease......Page 85 What are the tender points?......Page 86 Different focus......Page 87 Applied pressure and positioning......Page 88 The Geography of SCS......Page 89 Notes on patient feedback......Page 90 Tips and comments about positioning into ease......Page 94 Advice and choices......Page 95 What does SCS treatment do?......Page 96 (Woolbright 1991)......Page 97 Method......Page 98 2. SCS cervical flexion exercise......Page 100 5. SCS exercise involving compression......Page 101 6. SCS low back/lower limb exercise......Page 102 SCS Techniques......Page 103 (see Fig. 4.4B,E)......Page 104 (see Fig. 4.4B,E)......Page 106 (Knebl 2002)......Page 107 Assessment and PRT treatment of shoulder flexion restriction......Page 108 Assessment and PRT treatment of shoulder abduction restriction......Page 109 Assessment and PRT treatment of internal rotation restriction of the shoulder......Page 110 Subclavius......Page 111 Pectoralis minor......Page 113 Assessment of elevated first rib......Page 114 Assessment of rib status (ribs 2–10)......Page 116 (see Fig. 4.4B,F)......Page 117 Treatment of depressed ribs (ribs 2–10)......Page 118 A note on induration technique (a derivative of SCS)......Page 119 Treatment for anterior thoracic flexion strains......Page 120 Extension strains of the thoracic spine......Page 122 SCS method......Page 123 L3, L4......Page 124 SCS for psoas dysfunction (and for recurrent sacroiliac joint problems)......Page 125 Sacral tender points and low back pain......Page 126 (Fig. 4.47)......Page 127 Locating sacral foramen tender points......Page 128 Coccygeal (‘filum terminale cephalad’) lift......Page 129 Method as described by Goodheart (1985)......Page 131 Coccygeal lift variation......Page 132 Method......Page 133 Tibialis anterior......Page 134 (McPartland 1996)......Page 135 References......Page 136 Chapter Contents......Page 140 Essential difference between counterstrain and functional methods......Page 141 Terminology......Page 142 (Johnston et al. 1969)......Page 143 Hoover’s experimental exercises......Page 144 (Hoover 1969a)......Page 145 (Hoover 1969b)......Page 146 Hoover’s summary......Page 147 6. Exercise in cervical translation palpation......Page 148 Functional treatment of the knee – a case study......Page 150 Functional treatment of the atlanto-occipital joint......Page 152 (DiGiovanna et al. 2004; Schiowitz 1990, 1991)......Page 154 Do Muscles Cause Joint Problems or Vice Versa?......Page 155 1. FPR for soft-tissue changes affecting spinal joints......Page 156 2. Cervical restriction – FPR treatment method......Page 157 3. FPR treatment of thoracic region dysfunction......Page 158 5. Prone FPR treatment for thoracic flexion dysfunction......Page 159 8. FPR treatment for lumbar restrictions and tissue change......Page 160 Muscular Corrections Using FPR: Piriformis as an Example......Page 161 Similarities and Differences between FPR and SCS......Page 162 Treatment of cranial structures......Page 163 Caution......Page 164 (Fig. 5.15)......Page 165 Clinical Evidence of Cranial Treatment Efficacy......Page 166 References......Page 167 Chapter Contents......Page 170 To summarize......Page 171 Trigger point characteristics......Page 172 Muscle pain and breathing dysfunction......Page 173 Recommended trigger point palpation method......Page 174 Clinical relevance......Page 175 Counterstrain and fibromyalgia......Page 176 Attention to underlying causes......Page 178 Postoperative uses of positional release......Page 179 Functional treatment of surgically traumatized tissues......Page 180 Functional release of the diaphragm attachment area......Page 181 Method......Page 182 Schwartz’s description of tender points......Page 183 3. Posterior thoracic spinal dysfunction in bed-bound individuals......Page 184 6. Anterior lumbar dysfunction in bed-bound individuals......Page 185 References......Page 186 Connective Tissue and Fascial Concepts......Page 190 Chains, trains and positional release......Page 191 Cellular Fascial Research and Counterstrain......Page 193 Counterstrain, balanced ligamentous tension and fascial stiffness......Page 194 The ‘crowding’ of ligaments......Page 195 References......Page 196 Basic Concepts......Page 198 Ligamentous Articular Strain......Page 199 Principles of Treatment......Page 200 (Figs 8.1, 8.2)......Page 203 (Figs 8.5–8.7)......Page 204 (Figs 8.8, 8.9)......Page 205 (Figs 8.11–8.13)......Page 206 (Figs 8.17–8.19)......Page 207 (Fig. 8.20)......Page 208 (Fig. 8.22)......Page 209 (Fig. 8.25)......Page 210 (Figs 8.27, 8.28)......Page 211 (Figs 8.30, 8.31)......Page 212 (Fig. 8.34)......Page 213 References......Page 214 Introduction to and Definition of Visceral Positional Release......Page 216 Theory......Page 217 (Fig. 9.1)......Page 218 (Fig. 9.3)......Page 220 (Fig. 9.5)......Page 221 References......Page 222 Introduction......Page 224 Lumbar spine......Page 225 Cervical spine......Page 229 Examination Findings......Page 231 Dysfunction syndrome......Page 233 Derangement syndrome......Page 234 References......Page 237 Introduction......Page 240 Transverse offload......Page 242 Taping as a form of proprioceptive biofeedback......Page 244 Taping as a means of altering muscle function......Page 245 Taping guidelines: shoulder as an example......Page 246 Conclusion......Page 248 References......Page 250 History of Animal Treatment......Page 252 Central responses......Page 253 Diagnostic Process......Page 254 Palpatory examination......Page 255 Cervical spine......Page 256 The limbs......Page 257 Treatment under General Anaesthetic......Page 258 Is Equine Osteopathy (Positional Release) Effective?......Page 259 References......Page 260 B......Page 262 D......Page 263 F......Page 264 L......Page 265 P......Page 266 R......Page 267 S......Page 268 U......Page 269 W......Page 270