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