Health Sciences 3025A/B Study Guide - Final Guide: Pehr Henrik Ling, Chiropractic Treatment Techniques, Manual Therapy
17 Dec 2016
School
Department
Course
Professor
1
. Maual Health Tehiues I &
Philosophy
• Holistic tenets:
o The body is a unit
o Structure and function are interrelated
o When normal adaptability is disrupted, disease may ensue
Concepts of Manual Healing
• 11 concepts
o Bilateral symmetry
o Gravity
o Tensegrity
o Postural maintenance/coordinated movement
o Connective tissue (fascia)m segmentation
o Reflexes/autonomic nervous system
o Pain/guarding
o Compensation/decompensation
o Range of motion
o Active vs passive/direct vs indirect
• Posture
o As a species, we did not start walking on two legs
• Connective tissue
• Reflexes
Goal of Manual Therapy
• Restoration of proper anatomical and physiological balance in the patient:
o Restoration of proper joint range of motion and body symmetry
o Restoration of balance of nervous system activity
o Restoration of proper arterial flow and venous/lymph drainage
Basic Treatment Principles
• Active vs Passive
o What is the role of the patient?
o Active is vital in restoration of normal range of motion and getting back to the quality of life you experienced
before
• Massage therapy – direct vs. indirect
o Direction of approach to physiological barrier
o Direct – towards the barrier
o Indirect – moving away from barrier using antagonist muscles to treat the agonist muscle in question
Massage Therapy
• Pai is loe
• Fascia – connected throughout the entire body
• ***VIDEO ***
o All manual therapy evolved dealing with fascia
• History
o Pg 249 fig 17-2
o Likely predates written history
o Ancient Greece – Æsculapius
o China – tui na
▪ Pushing and pulling
o Renaissance Europe – Ambraoise Paré
• Modern History
o Sweden – Pehr Henrik Ling (Swedish Movement Cure)
find more resources at oneclass.com
find more resources at oneclass.com
2
▪ Gymnastic instructor – founder of the Royal Gymnastics Institute
▪ Founder of modern massage
▪ Student: Johann Metzger – fathe of “edish assage
o Germany – Izrayl Zablu**
▪ Brought science to massage
▪ Pioneering with massage that lea to the legitimization of massage as a therapy
o USA – John Harey Kellogg
Essential Practices
• ‘ule of the Ate
o **look in book
o Aim in therapy is to restore normal flow
• Direction of application = always towards the heart
• Muscles are addressed in groups
• Progression from gentle to aggressive applications
• Can lower blood pressure, heart rate, make you more relaxed
• Edageet “ites
o Special care needed in these sites
o Sensitive areas either due to innervation or relative fragility
• Lubricant use
Swedish Massage Techniques
• Effleurage
o Gentle glide stroke
o Smooth gliding motions
o Warm-up
o Can serve as a diagnostic tool
• Pétrissage
o More aggressive
• Frottage
o Deeply applied pressure
o Considerable fatigue to practitioner – may use other parts besides thumbs
• Tapotement
o Percussive movements
• Vibration
• Shear Force
o Like Indian burn
o Using opposite directions
• Largely French terms
o Students wrote it in French and it just stuck
Further Applications – Modern Guide (from Swedish Massage)
• Touch Abilities Essential Connections
o Breathing has a direct effect on all our symptoms
o Cognitive – helps with diagnosis and treatment of issue
o Energy – muscle – detecting distortions (e.g., knots)
o Compression – direct application of force (pushing in – flushes out fluid)
o Expansion – lifting (letting in fluid)
o Kinetics
o Oscillation –
▪ Fatiguing, taxing
o Gliding –
Trigger Points
• kots
• Hyperirritable nodules within the fascia
o Pressure on these points radiates sensation (usually pain)
find more resources at oneclass.com
find more resources at oneclass.com
3
• Massage theap ais to elease the pessue of tigge poits
• Correspond to traditional Chinese acupuncture points
Hydro/Thermal Applications
• Sometimes used to complement manual therapy
• Muscles relax when heat is applied, contract in contact with cold
o Help stimulate fluid movements
▪ Desensitizes the player to pain
o Vasodilation vs. Vasoconstriction
o Both can be applied alternatively during a single session
o Neutal/a ate soeties used i hdotheap
o Use of cryotherapy
Special Applications
• Infant
o Prenatal massage
o Infant massage
▪ May enhance gastrointestinal function
▪ Enhances parent-infant relationship
▪ Would greatly benefit fathers, as they do not traditionally get as much skin-to-skin contact as fathers
• Elderly
o Age-associated physiological and socioeconomic changes
• Oncology
o Specialized knowledge of pathophysiology of disease
• Hospice Care
o Emotional and psychological benefits
Lymph Drainage
• Using very light pressure to promote drainage of lymph
• Different from standard effleurage
o Deeply-applied effleurage can inhibit drainage and damage to lymphatic vessels
• Benefits athletes when they have swelling from injuring something
Myofascial-Soft Tissue Techniques and Release
• Getle tehiue aied at eleasig fious tissue
• Can be uncomfortable
• Can be aided by instruments (i.e., Graston Technique)
Neuromuscular Therapy (NMT)
• Medically-oriented technique
• Used for treatment of chronic pain and recent trauma
• Borrows from chiropractic massage therapy
• Focus: trigger point softening/release
Orthopedic Massage
• Medically-oriented technique
• Requires orthopedic assessment skills
o Extensive knowledge of injury and pain
• Roots in sports medicine
• Practice settings include physical therapy facilities, sports clinics, etc.
Spa Massage
• Extremely popular
• Not a distinct type of massage – refers to practice setting
• Originally reserved for the more affluent
• Helped popularize massage
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Philosophy: holistic tenets, the body is a unit. Structure and function are interrelated: when normal adaptability is disrupted, disease may ensue. 11 concepts: bilateral symmetry, gravity, tensegrity, postural maintenance/coordinated movement, connective tissue (fascia)m segmentation, reflexes/autonomic nervous system, pain/guarding, compensation/decompensation, range of motion, active vs passive/direct vs indirect. Posture: as a species, we did not start walking on two legs. Indirect moving away from barrier using antagonist muscles to treat the agonist muscle in question. ***video **: all manual therapy evolved dealing with fascia, history, pg 249 fig 17-2. Likely predates written history: ancient greece sculapius, china tui na. Pushing and pulling: renaissance europe ambraoise par , modern history. Sweden pehr henrik ling (swedish movement cure) 1: gymnastic instructor founder of the royal gymnastics institute. Student: johann metzger fathe(cid:396) of (cid:862) (cid:449)edish (cid:373)assage(cid:863: germany izrayl zablu*, brought science to massage, usa john harey kellogg. Pioneering with massage that lea to the legitimization of massage as a therapy.
