Dylan Crake RMT & R.KIN

It’s important to note for this station to not jump right into the technique. Be sure to warm up the tissue and close the treatment with an appropriate technique

Fascial

• Name two indications that this technique is needed and two CIs
• Perform a warm up technique ( Stretch the tissue, assess the tissue)
• Move fascia to assess and determine any restrictions. Be sure to state what you find
  • Do a post-evaluation as well
• Use two different forms of fascial techniques at least
• Finish with a closing technique

Communication

• Negotiate intensity 0 -10
• State that the client may feel burning or pulling of the skin

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Stimulating Tapotement

• Name two indications and two CIs
• Perform a warm up technique
• Move onto a stimulating technique such as vibrations or shaking
• Apply to muscle that’s indicated
• Be sure to perform technique at a good rate, proper direction, light pressure from fingers
• Finish with a general stimulating technique ( body rocking)

Communication

• Check in with client comfort
• Seek active contraction
• Explain the purpose of the techniques

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Autogenic Inhibition

• List two indicators and two CIs
• Warm up tissue with two techniques
• Double check you are in the right location
• Place client’s body in a stable position
• Do ROM of joint and place into a stretch
• Stretch for 30 seconds. State what you are doing here
• Perform 3 cycles of resistance for 8-12 seconds long
• Finish with 30 second stretch
• Perform a finishing technique

Communication

• Check in with client at initial stretch and throughout the process
• “Don’t let me move you”

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High Grade Joint Mobilization

• Name two indicators and two CIs
• Begin with autogenic inhibition stretch and petrissage OR deep moist heat
• Traction joint to a pain-free range – state

Ensure

• Client is comfortable and relaxed
• Proximal bone is stable, distal bone free to move
• Joint is in open packed position
• Mobilizations are occurring in 1 direction
• No pivoting of distal bone
• Be sure to state what grade you’re doing and identify that you are taking up slack and moving to the physiological barrier
• Hold 8- 10 seconds for sustained
• Partial release to lower grade for 3-5 seconds
• Repeat 3 times
• Finish with ROM of joint
• Perform three finishing techniques

Communication

• Check in with client throughout

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Frictioning

• List two indicators and two CIs
• Warm up tissue first
• Stretch tissue for 30 seconds
• Identify tissue to be frictioned by:
  • Palpation ( for all tissue)
  • Stretch ( all tissue)
  • Resistance ( for muscles)
• Be sure client is in the proper position and your body mechanics are right
• Do not make any small movements, movements should be coming from the shoulder and there should be NO skin glide
• Check for pain relief after 2 minutes
• If pain relief:
  • Continue for 3 more minutes – 5 minutes max. State this
  • Finish with fluid work, followed by 30 second stretch
• If no pain relief:
  • Stop and apply ice
• Perform finishing technique

Communication

• Inform client it may hurt, negotiate pain scale
• Check on ice application ( verbally, tactile and visually)
• State that the ice will be on for 5 to 10 minutes

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Trigger Points

• List two indications and two CIs
• Perform warm up technique
• Identify trigger points ” local tenderness within taught band of muscle with a jump sign”
• Check for referral pain and accurately describe the pattern
• Negotiate pain intensity
• Achieve therapeutic response
• Muscle should be be myofascially stripped and stretched ( 30 seconds) after decrease in trigger point
• Check in with client
• Apply deep moist heat , state it will be for 10 minutes
  • Check in on DMH application verbally, visually and tactile
• Finish with 2 techniques

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Passive Stretch

• List two indicators and two CIs
• Warm up tissue with 2 techniques
• Stabilize the proper area of the body
• Negotiate intensity of stretch
• State that it will be held for 30 seconds
• Hold still
• State you are looking for an increase in relaxation of the muscle and creep of the tissue
• check in with client
• Complete with finishing techniques