Technique Biomechanics Treatment modality

Muscle Energy works because the ISOMETRIC CONTRACTION

of the ipsilateral muscle by my force will increase the pressure
and stimulate firing of your own your GOLGI TENDON- relays
info about excessive stretch; This will cause a REFLEX
ME is a DIRECT and active technique. Direct because I will be placing you into INHIBITION in the IPSILATERAL MUSCLE, therby causing the
your Barrier or in other words placing you into a position that your body does not muscle to relax and restoring it to its normal length. Therby
like going towards; And ACTIVE because you will be ASSITING ME throughout the reducing your somatic dysfunction.
ME treatment.
Thoracic: Type I (group) N SxRy ; Type 2 (single) F/E RxSx
T1-T4; Stand on same side of dx. Rest elbow on patient's shoulder with forearm
touching their cheek and palm- face down on their head. You will be PLACING
patient into their RESTRICTION, while patient pushes toward their ease. 3-5s x 3-5
Head Assist times or until you feel better ROM
T5-T12;
Type 2-Hand OVER genie arms; Type 1- Hand UNDER and OVER GENIE arms,
making sure medial shoulder of the patient is lifted up on sidebending and
Genie arms rotation.

Cervical F/E StRt

HVLA works because by engaging the restrictive barrier in

more than one plane of motion and then applying a quick High
velocity low amplitude thrust, I will be releasing the restrictions
HVLA is a DIRECT and PASSIVE technique. Direct because I will be placing you into by disrupting the periarticullar adhesions and releasing the
your barier or in other words placing you into a postion that your body does not entrapped synovial fluids. An audible "pop" or cavitation" may
like going towards; And PASSIVE because you will not be helping me throughout be heard.
HVLA the treatment.
I will be placing the MCP joint (or the KNUCKLE) of my index finger on the articular
pillars of your dysfunctional segment that you have, while I lay my _ (right/left)
CERVICAL HVLA thumb
THORACIC HVLA
PRONE "TEXAS TWIST"
SUPPINE "KIRKSVILLE"
 COUNTERSTRAIN works because by SHORTENING your
hypertonic (contracted) MUSCLE I will be resetting the output
of your MUSCLE SPINDLE. A muscle spindle is a structure that
sends messages about position and strength of your muscleto
COUNTERSTRAIN is a INDIRECT and PASSIVE technique. INDIRECT because I your brain to contract your muscle, when it believes that your
will be placing you into your position of ease or freedom or in other words placing muscle has been overstretched. Resetting your muscle
you into a position that your body likes to go towards; And PASSIVE because you spindle, will cause a reduction in the hypertonic muscle therby
Counterstrain will not be helping me throughout the treament. relaxing it and returning it to its normal length.

Place finger and monitor for duration of treatment and flex patient to that level by
Anterior Tenderpoints moving the head of the table.
AT1-Episternal notch
AT2-Sternal angle
AT3 to 6 Body of Sternum

With finger on tenderpoint, pick up legs bend knees and place the patients ankles
on your most lateral knee. Pull ankles toward the tender point and push medial
hip to tenderpoint forward to induce rotation.
AT7- 1/4 below AT6
AT8- between AT7- AT9
AT9- just above the umbilicus

AT10-just below the umbilicus

 AT11- at the pubic symphosis (wrist on pubic symphosis
AT12- on the ilium at the midaxillary line

Posterior
Tenderpoints Extend using the table:
PT 1-9 -infralateral spinous process- move finger minally to L/R; Use table head to
lift to the vertebra.
St (tender point) and pull ASIS towards you.
PT 9-12 Stand on opposite side of prominence and St (the tender point) and pick
up the ASIS toward you.