PNF STRETCHING – It’s Role in Rehabilitation UPPER BODY · fascia, as well as of the lymphatic...

2016-05-21

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World Massage Conference Presents:

Session Sequencing for the Best Outcomes in Every Treatment

with Paula Nutting

WHAT ARE WE DOING TODAY

•Understanding why stress hormones adversely effect the body

•Learn how to muscle test some of the most relevant neurolymphatic points of the body

•How simple joint play moves will assist in PROM

•Understand which of the Big Anatomy Train Lines will pull the ilium into posterior or anterior positions and what creates the long or short leg

© 2016 Paula Nutting BHSc MST Dip Rem Mass

Paula Nutting Stretching and self care for

the Therapist WMC 2016

STRESS STRESS!

1. Absolute Safety 2. Rage 3. Alarm 4. Exhaustion


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the Therapist WMC 2016 © 2016 Paula Nutting BHSc MST Dip Rem Mass

DEFENSIVE PATTERNED

POSITIONS

FIGHT & FLIGHT vs. REST & DIGEST


Jaw muscles clench and

tighten to prevent

mandible from traumatic

removal. This is a food

survival technique.

Pancreas activates rapid

intake of blood glucose

for effective energy.

Digestive system shuts

down via the sympathetic

nervous system as blood

is required in the

musculoskeletal system.

Thyroid reduces its

output in an effort to

keep the body cooler.

Muscles tighten along

the spine to protect

the spinal cord and

CNS subconsciously.

Rapid productions of

adrenaline via the

adrenal glands for

fight or flight.

Sacrum tucks to

protect the brain and

spinal cord.

Reproductive system increases its activity in

an effort to fulfill basic instinct of survival

of the race.

The superficial fascia tightens to protect the

skeletal muscles from injury, bruising and

blood loss.


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TREATMENT ORDER 1. Returning the body to the parasympathetic nervous system via diaphragm

facilitation and breathing

2. Address strength and length via assessment and facilitation of neurolymphatic points of

• The Janda’s Lower Cross Syndrome (Psoas, gluteus maximus, hamstring) • The Lateral Sling (lateral trunk, gluteus medius and minimus, adductors) • The Functional Back Line or Posterior Sling (Latissimus dorsi, piriformis)

3. Evaluate Ligament tension at the lumbrosacral junction, sacral poles, AC and SC

Joints

4. Assess muscle sequencing of the Anatomy Trains of: • Functional Back Line • Lateral Line • Deep Front Line 5. Stretches the hip rotator and iliopsoas groups




ARE WE TRICKING THE MIND OR IS IT

CLEVERER THAN US??




TESTING HORMONES


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To understand Chapman’s Reflexes, we must have knowledge of the autonomic nervous system, the endocrine system, the embryologic segmentation and fascia, as well as of the lymphatic system which are necessary to work out the pathways from viscus or gland to associated lesions. Beal, Myron, C. Osteopathic Basics, Journal Of The American Osteopathic Association. 1980 March; 79 (7): 458. (p.7)

‘‘ ’’

Chapman himself stressed that results would come more quickly and be less painful by gentle, rather than strong, pressure to the reflex point. Mitchell stressed that over-treatment fatigued the reflex arc and nullified the good effect produced.




“There is no use trying. One can’t believe impossible things.”

“I dare say you haven’t had much practice. When I was your age, I always did it for half an hour a day. Why, sometimes I’ve believed as many as six impossible things before breakfast”.


(Lewis Carroll



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MANUAL MUSCLE TESTING IS NOT ABOUT TESTING

MUSCLES;

IT IS ABOUT TESTING THE NERVOUS SYSTEMS ABILITY

TO RESPOND IN SPECIFIC POSITION/S.

THE BRAIN DOESN’T KNOW HOW TO ISOLATE

MUSCLES.

THE BRAIN DOES KNOW HOW TO CREATE A

STRATEGY TO ACCOMPLISH A MOVEMENT TASK.

“ ” SUGARMAN PHD 9TH ANNUAL SOFT TISSUE CONFERENCE 2015




TESTING AND STRENGTHENING THE

DIAPHRAGM


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LOWER CROSS SYNDROME &

CHAPMAN’S






ACTIVATION OF THE LOWER CROSS

SYNDROME


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•STRESSED PEOPLE LOCK JAWS

•SLEEP GRIND & POOR PATHOLOGICAL RESTING JAW

•ONGOING TIGHTNESS = Cx 1st & 2nd TENSION = DAMPENED

NEURAL ACTIVITY

•DEFENCE PATTERNS TIGHTEN SOFT TISSUE OF THE

PARAVERTEBRALS = TIGHTENED GLUTEAL MUSCLES

•ACTIVITY – walking under stress

DEFENSIVE PATTERNS AND HOW YOU

PRESENT




LATERAL SLING & CHAPMANS




FUNCTIONAL BACKLINE

[JANDA’S MCS]


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TREATMENT ORDER

• RETURNING THE BODY TO THE PARASYMPATHETIC NERVOUS SYSTEM

VIA DIAPHRAGM FACILITATION AND BREATHING.

• ADDRESS STRENGTH AND LENGTH VIA ASSESSMENT AND

FACILITATION OF NEUROLYMPHATIC POINTS OF

THE JANDA’S LOWER CROSS SYNDROME WHICH INCLUDES THE PSOAS, GLUTEUS MAXIMUS, HAMSTRING.

THE LATERAL SLING WHICH INCLUDES LATERAL TRUNK, GLUTEUS MEDIUS AND MINIMUS, ADDUCTORS.

THE FUNCTIONAL BACK LINE OR POSTERIOR SLING WHICH INCLUDES LATISSIMUS DORSI AND PIRIFORMIS.

• EVALUATE LIGAMENT TENSION AT THE LUMBOSACRAL JUNCTION,

SACRAL POLES, AC & SC JOINTS.

• ASSESS MUSCLE SEQUENCING OF THE ANATOMY TRAINS OF

• STRETCHES THE HIP ROTATOR AND ILIOPSOAS GROUPS.


BALANCE THE BONES

• ASSESS PELVIC SYMMETRY

•ASIS, PSIS, UPSLIP

•ASSESS LEG LENGTH

•.SHORT OR LONG?

•DEPENDS ON ANATOMY

TRAINS

•ASSESS ELEVATED ARM LENGTH

•TIGHT LS FASCIA

•SACROTUBEROUS LIGAMENT

•ILIOLUMBAR LIGAMENT

•SACRUM NEEDS TO BE BALANCED

IN ALIGNMENT AND TENSION

VARIANCE MAKES A BIG

DIFFERENCE.




MANAGE THE MUSCLES


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AREAS MOST PROBLEMATIC

LUMBO-SACRAL JUNCTION




SACRAL SPRINGING




SCM STRENGTH & MOTILITY

FACILITATE THE DEEP NECK FLEXORS

• CHAPMANS POINTS AT THE SC

JOINTS

• CHAPMANS POINTS AT C7/T1

INSTRUCT THE CLIENT TO LIE SUPINE

WITH ARMS ABDUCTED 90 DEGREES

• ELEVATE HEAD WHILST

LATERALLY ROTATING

• LOWER HEAD WHILST MEDIALLY

ROTATING

• REPEAT X 6 THEN RETEST

ROM.


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•BALANCE IS REQUIRED OF THE

ACROMIOCLAVICULAR AND

STERNOCLAVICULAR JOINTS

•AS THE TENSION AT THE SACRUM

SO TO THIS APPLIES AT THE

CLAVICLE/SCAPULA COMPLEX

•20-30 SECONDS MAX BETWEEN

REGIONS X 3.

AC/SC SPRINGING


HOMEWORK FOR NECK FLEXORS

• DEEP NECK FLEXORS NEED

HOME ATTENTION

• SMALL NECK FLEXION WITHOUT

THE SCM’S CONTRACTING

• HOLD FOR 2 BREATHS X 4 – 4

TIMES DAILY

*ONE OF THE BEST NECK

STRENGTHENING EXERCISES

BUT NEEDS LOTS OF COACHING

AT THE OUTSET.


•LOW LOAD EXERCISE THERAPY IS A GLOBAL TREATMENT. IT WORKS

ON THE PRINCIPLE THAT THE BODY FUNCTIONS AS A WHOLE –

WHEN ONE PART MOVES IT AFFECTS THE REST. THE MUSCLES ARE

INTERWOVEN WITH THE LINES OF CONNECTIVE TISSUE, REFERRED

TO AS FASCIAL TRAINS.

•WHEN THE TENSEGRITY OF THE FASCIAL TRAINS ARE COMPROMISED DUE TO OVERUSE, DISUSE OR ABUSE OUR BODY TENDS TO COMPENSATE.

MUSCLE FIRING PATTERNS ARE ALTERED ALONG THESE FASCIAL LINES

LEADING TO DYSFUNCTION, WHICH CAN RESULT IN JOINT HYPOMOBILITY

AND MUSCLE AND/OR NERVE PAIN.

THE ANATOMY TRAINS

UNRAVELLED


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LONG LEG AND GLUTEUS

MAXIMUS




ACTIVATION OF THE GLUT

MAXIMUS


• SIDE CLAMS

• HOOK HIP LIFT

• STRETCH

(easier version)

GLUTEUS MAXIMUS STRENGTH

AND STRETCH


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Bridge poses and

Hip extension are

excellent ways to

Strengthen the

Large gluts

TAKE HOME EXERCISES




SHORT LEG AND LATISSIMUS DORSI




•STANDING LATISSMUS ACTIVATION

• LOW LOAD MUSCLE

RECRUITMENT

• PRESSING THE HAND ONTO A

STABLE SURFACE

• ACTIVATES THE HUMERAL

ATTACHMENT

• DEPRESSES THE SHOULDER

GENTLY

• RE-ESTABLISH THE MUSCLE

FIRING SYSTEM

• FUNCTIONAL BACK LINE

ACTIVATION OF THE LATISSIMUS DORSI


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LONG LEG AND GLUTEUS MEDIUS




ACTIVATION OF THE GLUTEUS MEDIUS




SHORTLEG & THE ADDUCTOR GROUP


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• LOW LOAD MUSCLE RECRUITMENT

• EFFECTED SIDE DOWN UPPER LEG ON A

BLOCK & BODY AND LOWER LEG IN

ALIGNMENT

• LIFT LOWER LEG FOCUSING ON UPPER

INNER THIGH AND UPPER TRUNK

• LEG MOSTLY STRAIGHT

• FOOT ISN’T ENGAGING

• REST LEG AND TRUNK BETWEEN

ACTIVATIONS

• RE-ESTABLISH THE MUSCLE FIRING

SYSTEM

ACTIVATION OF THE ADDUCTORS


STRENGTH AND STRETCH


SIDE STRETCH TRUNK FOR ADDUCTOR BALANCE



STRETCHES TO FINISH


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THANKS FOR YOUR TIME!

FREE BOOK: REDUCE NECK PAIN

http://yms-books.appsot.com/

MORE INFORMATION:

http://yourmusculoskeletalspecialist.com/

•Chapmans reflex manual

•eBook series OMG You’re a pain in the…

EMAIL [email protected]

FACEBOOK https://www.facebook.com/paulanutting/

YOUTUBE https://www.youtube.com/user/paulanutting





http://yourmusculoskeletalspecialist.com/

mailto:[email protected]

https://www.facebook.com/paulanutting/

https://www.youtube.com/user/paulanutting

PNF STRETCHING – It’s Role in Rehabilitation UPPER BODY · fascia, as well as of the lymphatic...

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