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In Case Study #1, Erik and Paul find that Matt has a _________ pattern that may be contributing to his neck pain.
Viewed from behind, Matt’s key back pain complaint is centered in his ___________spine.
In the mid-thoracic spine, it is common to find an area around bra line where the facet joints are not_________
When Matt flexes his neck toward his chest, the cervical spine ______________ to the right
Technique Tip: Notice in the video the direction Matt’s head drift
The goal of Myoskeletal Alignment is to level the _______ and _______.
Technique Tip: Always seek alignment at the occipitoatlantal (O-A) joint and sacral base
When assessing to see if the client’s head rolls back nicely on the neck, the client is asked to tuck his ________ toward his ___________.
Technique Tip: What motion creates neck flexion?
During the O-A Assessment and Treatment, therapist adds _________ seconds of overpressure as the chin reaches its end range of motion
Technique Tip: We barely add overpressure to help mobilize the O-A joint capsules
During the O-A maneuver, the therapist notes the type of _________. Is it leathery, spongy or hard?
Technique Tip: As the chin tucks to client’s chest, what do you feel at the end range?
During the atlas-axis (A-A) technique, the therapist flexes client’s head ________degrees to ligamentously lock the typical cervical vertebrae (C2 – C7).
Technique Tip: Straight up and down is 90 degrees and the ligaments usually lock midway
Therapist rotates client’s head right and left along a ___________axis making sure not to let the head drop.
Technique Tip: Imaging a pole penetrating straight through client’s head and neck
Do not allow client’s head to drop during this maneuver. Use __________ if they turn too hard
Technique Tip: Visual enhancers fire the optic nerve, which causes the suboccipital muscles to rotate the head
After performing the O-A and A-A routines, therapist’s hands grasp client’s neck with fingers draping the _________ muscles and gently decompress
Technique Tip: These little muscles are primary culprits causing O-A and A-A joint fixations
To address client’s tight diagonal line, therapist snakes his ________ arm around client’s biceps and braces against his body
Technique Tip: This technique addresses client’s tight line and low shoulder
Therapist’s left hand softly contacts client’s contralateral (lower) ___________
Technique Tip: Pin these bony structure so they don’t flare up when you traction client’s arm
In this stretching routine, client is asked to gently pull his______ towards his _______ hip
Technique Tip: This post-isometric relaxation technique is addressing client’s right side
In Action B of this routine, therapist snakes ________ arm around client’s knee and __________ client’s leg
Technique Tip: Therapist pulls client’s leg away from the midline and tractions
In the Facet Closing routine, one of the goals is to release the ____________ groove muscles that are preventing upper t-spine joints from _________
Technique Tip: What is the name of the group of muscles that include multifidus and rotatores? The superior vertebra won’t glide down on its inferior neighbor
With client prone and face in the cradle, therapist asks client to slowly _______ head while keeping his ________ tucked
Technique Tip: Client must extend neck from cradle but not his head
In the Facet Closing routine, therapist uses both ________ and ________ to glide into the lamina groove tissue and drag inferiorly
Technique Tip: Use a small tool to dig into the groove and a larger tool to drag the groove
In the Restoring Normal T-spine Kyphosis segment, if the client presents with a flat spot in the t-spine, therapist’s fingers move the tissue ________ to _________
Technique Tip: Scoop the erector spinae tissue out of the groove to decompress the spinal joints stuck closed
To treat the flat spot, therapist’s fingers contact the ___________ lamina groove and push the tissue away from the spine
Technique Tip: To push the tissue away from the spine, you stand where?
In the Reposition Scapula technique, the therapist’s left hand slides under client’s anterior______ and his right ________ braces client’s scapula
Technique Tip: One hand goes under and the other on top to form a counterforce between therapist’s hands
Client is instructed to push his ______ towards the table to a count of ____ and relax
Technique Tip: Therapist’s goal is to elevate the shoulder girdle to stretch pecs and front line
Therapist awaits a ___________ relaxation and gently increases the _________ muscles stretch
Technique Tip: When client pushes against therapist’s resistance and then relaxes, what type of response is this?
In the Home Retraining segment, the goal is to remove the restriction, _________ the weak line, ______ the tight line and establish _____stability
Technique Tip: If it’s tight, get it loose and if it’s weak, get it strong
Client steps back into a _______ position with right leg and pulls against TheraBand resistance with his right arm at _______
Technique Tip: Client steps back with one leg and drops weight into what position?
In section B of the retraining, the Turkish Get-up starts in a ______ position with client on the floor
Technique Tip: What position does a baby sleep?
The client can use a _________ to increase strength during the Get-Up
Technique Tip: The client must hold this in one hand during the Get Up
In Action C, the client begins the Bretzel exercise by pulling top leg to _______ and ____________ under right leg to ________ the lateral calf
Technique Tip: Think hip flexion
The final goal of the Bretzel is with both ______ touching the floor
Technique Tip: To get the most stretch, what part of the body needs to have full contact with the floor?
In Case Study #2 Treating Dowager’s Hump, therapist begins by lifting the client’s ribcage using a seated ____________ release to improve breathing
Technique Tip: What muscle is most active during breathing?
In the diaphragm release, as the client turns her head and rotates her torso right, fingers of the therapist’s _________ hand stretch the _______ side of the diaphragm
Technique Tip: Visualize which side of the diaphragm is being stretched as the client rotates right
In Action B, therapist places both elbows on client’s upper traps, client begins to slowly flex forward, and the therapist drags the fascia ___________
Technique Tip: We’re dragging the tissue in which direction as she bends forward?
In Action C, therapist’s left arm comes under client’s folded arms, grasps her body, and he _________ his legs to lift client into extension
Technique Tip: To lift the client’s front line, therapist’s knees have to what?
In the Table Dowager’s Work, therapist’s thumb and index finger, makes a ____________ tool with and straddles both sides of the lamina groove
In Action B, titled the ________________ technique, therapist’s thumb contacts the right side of client’s lamina groove and rotates her head toward the ceiling
Technique Tip: The technique is named for its ability to wind into the lamina groove muscles
Therapist pushes back the ___________ muscles to contact the border of splenius capitis and splenius cervicis
Technique Tip: What are the big (shoulder-shrugging) muscles overlying the splenius capitis/cervicis
In the Dowager’s Home Retraining segment Action A, the client leans back into _______ over the physioball to help reduce excessive thoracic kyphosis
Technique Tip: The goal is to flatten the excessive t-spine curve so what position does that?
In section B, the client places hands behind her neck, chin tucks, and reaches back with elbows to stretch the _________ and apply pressure to _________ joints stuck in flexion
Technique Tip: We are attempting to stretch the front side of the body and influence the joints
In Case Study #3, if the curve improves during forward bending, sidebending or rotation, the client has a _________ or fixable scoliosis, if it stays the same or gets worse, it is a ____________ scoliosis
Technique Tip: If the curve gets better, aren’t they functioning better?
In section B, if the lumbar spine is sidebending right and rotating left, the convexity (hump) of the curve will appear on the _______
Technique Tip: The convexity (hump) will appear on the side the spine is rotating to
Action A, therapist assesses for ___________ rotation restriction by bringing client’s arm up to the first restrictive barrier
Technique Tip: With client’s arm at 90-90, internal rotation is down so what is up?
In Action B, make sure the client keeps his _____ up and _____ tucked to improve shoulder function
Technique Tip: Don’t let the anterior ribcage droop and the chin to jut forward
When performing the triceps stretch, the client is asked to gently push his elbow down against therapist’s resistance, relax and then reach his left hand toward his ___________
Technique Tip: Client enhances the stretch by reaching down toward what?
To increase glenohumeral adduction, therapist’s left hand grasps client’s elbow and brings his arm across his _______ while bracing client’s scapula from behind
Technique Tip: Horizontal adduction brings client’s arm across his body
To stretch the anterior glenohumeral capsule, therapist grasps, abducts, externally rotates, and __________ both of client’s arms
Technique Tip: Pulling the arms back is what?
The last range of motion that needs to be addressed in those suffering a frozen shoulder is _____________ with client’s arm on therapist’s shoulder
Technique Tip: Frozen shoulder clients can’t raise their arm up to their side past 90 degrees
In Case #4 Low Back Assessment Treatment, Action A, client performs a forward bending (Adams Test) so the therapist can observe for scoliotic ______
Technique Tip: Three or more dysfunctional vertebrae that create a scoliosis
In Action B, the seated client is taught how to _________ by bringing one arm under the contralateral flexed knee
Technique Tip: This is a term used to describe trunk flexion and coupled rotation
In Action C, the L5-S1 decompression technique, therapist places his right palm on client’s sacral base and his left hand on client’s __________ t-spine
Technique Tip: Therapist controls the client’s upper torso with his left hand
In Action A of the home retraining exercises, client holds medicine ball close to his ________ and swings the ball to _______ his weak line
Technique Tip: Got to strengthen the posterior chain
In the Pallof Press, client holds TheraBand handles against his body and lifts his left leg to ______ degrees and extends his arm to load the ___________ chain
Technique Tip: Client’s left hip is flexed parallel to the floor
When assessing for calcaneal eversion and inversion, it is best to first place a line along the angle of the client’s ____________
Technique Tip: Viewed from behind, this line shows calcaneus inversion or eversion
If the client’s Achilles tendon is everted (flat arch), the client would __________ the foot against therapist’s resistance and relax
Technique Tip: In this post-isometric relaxation maneuver, therapist wants to invert the foot to raise the arch, so client would push in the opposite direction
In the alternate calcaneal eversion technique Action B, therapist restores alignment to an everted calcaneus by bringing client’s heel into___________
Technique Tip: Therapist takes the ankle to the first restrictive barrier to ankle eversion, so he is moving it opposite
In Action C, therapist’s right webbed hand grasps below the medial and lateral ___________ and his left drapes over his right so he can place foot between his ______
Technique Tip: Ankle bones are called what?
In the right sidelying position (Action D), therapist pulls client’s _______ into plantar flexion while his fisted right hand contacts the navicular and _________ bones
Technique Tip: Therapist pulls forefoot down while his fingers push up to try and correct the dropped arch
The foot home retraining goal is to improve strength in the ______ muscles
Technique Tip: Calf muscles help pull this up
In Action B, client stands on a _______ platform to improve _____________
Technique Tip: An unstable platform stimulates the balance receptors
There are four side plank progressions and the final goal is to _________ the top leg while maintaining the side plank position
Technique Tip: Bringing the leg away from the midline is what?
In Case Study #6, therapist assesses and corrects clients with _____________
Technique Tip: Vladimir Janda developed this slouched muscle imbalance pattern
In Action B, supine client perform an assessment called ____________ by reaching arms over his head attempting to keep the back of his hands close to the table
Technique Tip: This table assessment helps correct upper crossed syndrome
In the bilateral pec release, therapist crosses his arms to allow both elbows to contact the pec minor fascia just below the ___________ processes
Technique Tip: Where is the proximal attachment for pectoralis minor?
In the pillowcase decompression technique, therapist first stretches the mid-cervicals and then moves the towel up to the __________ junction
Technique Tip: Where do the O-A joint and suboccipital muscles meet the cranium?
In the Upper Crossed Syndrome home retraining exercise Action A, client grasps handles of training straps and steps forward into a ________ while keeping _______ up
Technique Tip: Client keeps chest upright while stepping forward
In Case Study # 7, therapist evaluates pelvic landmarks and discovers a ______ anteriorly/inferiorly rotated ilium caused by ______ pelvic bowl rotation
Technique Tip: Her pelvic bowl is rotating opposite her anterior ilium
In Action B, client performs a squat as therapist palpates her ______ spine observing for a _______ movement
Technique Tip: There should be no side-to-side low back movement as she squats
In the first step for correcting a sacral torsion, therapist’s left hand cups client’s left _______ and his right palm braces her right ___________
Technique Tip: PSIS = posterior superior iliac spine and ASIS = anterior superior iliac spine—therapist pulls with one hand while bracing with the other
In Action B, the springing technique should be applied only to the _________ rotated side because the sacral base and inferior lateral angle are both flipped up
Technique Tip: The high ilium is rotated back
In Action C, therapist brings client’s hip into extension while resisting this motion with his other hand on the __________ sacral border
Technique Tip: The sacrum will be flipped up on both ends, so you need to contact the edge with your palm
In the DonTigny technique, therapist’s ______ arm snakes under client’s _____ flexed knee and his hand contacts her opposite thigh
Technique Tip: Hand placement is important in this technique so bring one arm under the knee and place it on top of the other
In Action E, client is instructed to push her ______ up into a bridge using her _______ while squeezing her knees together against therapist’s resistance
Technique Tip: Client fires her glutes to help extend what?
In home retraining for sacral torsions (Action A), therapist places a TheraBand around client’s pelvis and she is asked to perform a ______ against slight traction
Technique Tip: Client has a trick movement to the right as she goes down so we challenge her weakness with resistance in the opposite direction
Action B has the client go through a progression of exercises to help strengthen her hips, weak diagonal line, and __________
Technique Tip: Most all the home retraining exercises are aimed at strengthening this group of deep muscles
In Case Study #8, the seated client drapes his arm over therapist’s ______so therapist can ___________ his body to the side opposite his rib fixation
Technique Tip: The goal is to move the client’s body toward you while holding a compressive force on the 1st rib
In the table technique, client is asked to roll over on his left side enough to allow therapist’s arm to come under and grasp the _________ fascia overlying client’s 1st rib
Technique Tip: What muscle attaches to the 1st rib?
In the chin-tucking exercise, the goal is to get the ______ back up on the neck and the _______ back up on the shoulders
Technique Tip: In a forward head posture, what has to come back to restore balance?
To perform the Action C technique effectively, therapist must first ______ client’s right arm so his own right arm can traverse between client’s arm and body
Technique Tip: Moving a limb laterally away from the mid-line is what?
The goal of Action B is to release tension in the ____________ muscles that may be restricting smooth occipitoatlantal O-A movement.
Technique Tip: What muscles attach to the occiput from behind?
In Action C, client performs the same technique this time using the web of his hand along the __________ arch.
Technique Tip: What structure is directly under the nose?
The goal of Action D is to help client open up the ______ line and correct his upper crossed syndrome pattern.
Technique Tip: By releasing the pec fascia, it helps lift which side of the body?
In Action D, therapist uses ________ relaxation to help lift clients chest wall.
Technique Tip: What is another name for a contract-relax technique?
In Action E, client is instructed to pin elbows to his side, chin tuck, and gently pull his scapulas to his ___________.
Technique Tip: Client is trying to drag his shoulder blades down to his hips
In Action F, therapist grasps client’s shoulder at the __________ joint in front and __________ in back.
Technique Tip: Therapist grasps just below this arm joint while bracing the shoulder girdle in back
In Action B of the “Simple 7” home retraining exercises, client lies supine with knees _________, elbows ________, and arms abducted to 90 degrees.
Technique Tip: Client’s feet must be flat on the table and arms out to her side
In the next progression, the client ________ her right leg and reaches toward the ceiling with her ____________ arm to train her weak diagonal line.
Technique Tip: We’re working along a diagonal line so the leg and arm on opposite sides should be working
In Action D, the client places ankles on a ______ , bridges into a plank position, and lifts right leg off the ball toward the ________.
Technique Tip: The extended right leg must move up
In progression 2, client raises left arm toward ceiling while maintaining the position above for _____ to ______ seconds.
Technique Tip: Since this is a progression, some will need to continue working in position one until the weak pattern is strengthened
Action E introduces a “straddle plank” exercise to work the ______ spring system.
Technique Tip: Side planks challenge the sides of the body
In the straddle plank, the top leg should be extended ________ into a scissors position.
Technique Tip: This position challenges both the lateral and anterior spring systems due to the pelvic rotation
In the upper crossed training, the client pulls her elbows back to fire the ______ chain and _________ stabilizers.
Technique Tip: By pulling on the TheraBand, client challenges which muscle group
In Action G, client pulls elbows to her side; tucks chin, ________arms, and ________ her torso back against therapist’s resistance.
Technique Tip: Client’s arms go to her side allowing her to straighten her body to train the posterior musculature
In Case Study # 10, the therapist first tests __________ joint movement by placing fingers on the ________ border of the medial clavicle.
Technique Tip: The goal is to assess whether the medial clavicles drop down during shoulder shrugging
In Test 2, the client _______ his shoulder girdle and the therapist’s fingers monitor if the medial clavicular heads are dropping back.
Technique Tip: Pulling the arms back is shoulder retraction
In Action B, the therapist treats client’s SC joint fixation by bringing his arm back while keeping a ___________ force on the dysfunctional clavicle.
Technique Tip: Gotta’ keep the medial head pinned down during this maneuver
To assess for __________rotation restriction at the acromioclavicular joint, therapist flexes client’s elbow to 90 degrees and ________ the arm to 90 degrees.
Technique Tip: The client’s arm is at 90-90 in the starting position
When stretching the client’s intertransversarii muscles, the goal is to relieve _________ compression of the brachial plexus.
Technique Tip: What are the nerves called as they leave the spine?
To stretch the intertransversarii, the therapist right rotates and gently lifts client’s head to first _________ barrier.
Technique Tip: Therapist lifts client’s head toward his chest. What is the neck doing?
When correcting cervical restrictions (Action A), therapist’s hands grasp client’s head and his thumbs create a ___________ on both sides of the spinous processes.
Technique Tip: Therapist’s thumbs form a wedge that allows him to extend client’s neck and jut the chin
In cervical sidebending (Action B), therapist’s hands right sidebend client’s neck while the right thumb presses against the side of the ___________.
Technique Tip: These spinal projections are the most easily palpated
When translating the cervical joints, therapist’s ________ pushes the spinous processes when he steps to his left foot.
Technique Tip: In the sidebending technique, therapist’s right thumb pushes as he steps to his right, so this is opposite
In the sternoclavicular correction (Action A), therapist’s right hand blocks the _______ clavicular head while his left pulls up on client’s ___________.
Technique Tip: The goal is to mobilize a clavicle that won’t drop back on the sternum during shoulder protraction
In the anterior scalene release (Action B), therapist’s soft finger pads scoop under client’s right _______ muscle so his finger pads contact the anterior scalenes.
Technique Tip: This muscle originates on the lateral occipital ridge
To stretch SCM and anterior scalenes (Action C), therapist slowly drop client’s head towards the floor while right hand braces the pectoral tissues of the _________.
Technique Tip: The tissue that extends from SCM all the way to the feet is what…think Tom Myers
In Action D, therapist’s left hand _____ sidebends and _____ rotates client’s head while right gently pushes down on client’s ______ shoulder to stretch.
Technique Tip: Non-neutral cervical biomechanics is sidebending and rotation to opposite sides