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
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
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”
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
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
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
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
