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MUSCULOSKELETAL
MANIPULATION THERAPIES
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Facilitated positional release is used
to restore normal tissue texture. With the patient in a relaxed
position, the physician flattens the anterior to posterior aspect
of the spine in the area to be treated and puts the tissue in
a position of ease of motion. The physician then applies
compression, traction, and/or torsion and holds it for a few
seconds, then releasing the force to
reevaluate. Here the physician is treating a first rib dysfunction. |
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Matrix Repatterning uses gentle
manual pressure or a light recoil (release of pressure) at a
restricted site. It is based on the Tensegrity Matrix model which
maintains that, due to the interlinking nature of our molecular
matrix, many disorders arise from patterns of tension caused
by primary fixations anywhere in the body. It is valuable for
relieving pain and restoring function and range of
motion. |
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Muscle Energy Technique calls for the
active participation of the patient. After the doctor places the
area of dysfunction in a specific position, the patient is asked to
gently, with about 1 pound of force, contract a muscle or move part
of a limb against the resistance of the physician. The contraction
is held for 2-3 seconds and the limb then repositioned or retested.
Here the physician is treating a posterior right hip
bone. |
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All organs and muscles
in the body are covered by a tissue called fascia as if they were
shrinkwrapped. Myofascia is that which is around muscles.
Occasionally this fascia can cause restrictions. Releasing these
constrictions can relax abnormally contracted muscles, increase
blood flow to areas where it has been lessoned, increase venous and
lymphatic drainage from the area, and stimulate lax muscles.
Myofascial release techniques
are very gentle. In this picture myofascial release is being used to apply
traction to thoracolumbar muscles along the spine. |
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Integrated Neuromusculoskeletal Release,
like myofascial release, stretches and releases soft-tissue and
joint restrictions by using reflex action. Mechanical,
anatomical, and neurological relationships are
interdependent. Integrated
neuromusculoskeletal release is used to diagnose and
treat altered mechanical patterns and reflexes anywhere in the
body. This picture illustrates one of a series of steps to achieve
combined sacral base, sacroilliac, and lumbopelvic
release. |
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In strain / counterstrain, spinal or other joint
pain is relieved by passively putting the joint in the position of
greatest comfort, leaving it there for 90 seconds, and then
passively and slowly returning it to its normal position. Putting
the joint in the exact opposite position from the one that causes
pain will relax the contractive force that is causing
the pain. The technique is very gentle and effective, and
especially good for use on elderly and hospitalized patients. This
patient is being treated for depression of ribs 3-6. |
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