Neuromuscular Therapy Massage – Flashcards

1. Ischemia 2. Trigger Points 3. Nerve compression/entrapment 4. Postural distortion 5. Biomechanical dysfunction

The science by which homeostasis is brought about between the nervous system and the musculoskeletal system.

1. Eliminate spasms and hyper contraction in tissue (therapy) 2. Restore proper (biomechanics) 3. Restore flexibility to the tissues (stretch) 4. Rebuild strength of injured tissues (exercise) 5. Build endurance (conditioning exercise)

Weak stimuli activate physiological processes, very strong stimuli inhibit them. (activate response by using lighter pressure - inhibit response by using deeper pressure)

When an impulse has passed through a certain set of neurons to the exclusion of others one time, it will tend to take the same course on a future occasion, and each time it traverses this path, the resistance will be smaller. (pain will typically manifest the same way again by following the same nerve pathways)

If a mild irritation is applied to one or more sensory nerves, the movement will take place usually on one side only and on the side that has been irritated. (typically the pain reflex is in control and will stay on the same side of the body as the trauma)

If the stimulation is sufficiently increased, motor reaction is manifest not only by the irritated side, but also in similar muslces on the opposite side of the body. (if there is excess pain stimuli on one side of the body/nerve plexus the pain sensation can sometimes "leak" over to the opposite side)

Reflex movements are usually more intense on the side of irritation: at times the movements of the opposite side equal the movements in intensity, but they are usually less pronounced. (as pain stimulus increases movements on the opposite side experience pain as well even though there is no trauma)

If the excitation continues to increase, it is propagated upward, and reactions take place through centrifugal nerves coming from the cord segments higher up. (as pain stimulus increases the movement of the pain goes up the body)

When irritation becomes very intense, it is propagated in the medulla oblongata which becomes a focus from which stimuli radiate to all parts of the cord, causing a general contraction of all the muscles of the body. (fibromyalgia; very intense pain felt in one area can cause contractions all over the body as a response)

A nerve trunk that supplies a joint also supplies the muscles of the joint and the skin over the insertion of such muscles. (ie: cartilage breakdown results in joint instability and pain thus the muscles that surround this joint activate in order to protect the joint)

If the muscle ends are brought closer together, then the pull of tonus is increased, thereby shortening the muscles, which may even cause hypertrophy. If muscle ends are separated beyond normal, then tonus is lessened or lost, thereby weakening the muscle. (Tight/short muscles on one side of the body (pecs) means weak/long muscles on the other (traps)

Law of bone transformation Every change in the form and the foundation of a bone, or in its function alone, is followed by certain definite changes in its internal architecture and secondary alterations in its external conformation. (Form Follows Function)

1. Pelvic Rocking 2. Pelvic Lateral Press 3. Pelvic Shifting 4. Hip Rotation 5. Sacroiliac Joint ROM

1. Correct postural distortion 2. Increase ROM of joints 3. Decompress Joints

Movement: passive (therapist guides) Goal: Increase movement of SI joint, passively relax mm of pelvis CI: Acutely inflamed SI joint Procedure: - client in supine, knees bent to 90 degrees, legs relaxed on therapist's legs - therapists on table, kneeling, supporting clients lower legs (same position as pelvic lateral press) - therapists hands gently rotate client's pelvis in one direction, immediately repeals, and rotate in opposite direction creating rocking action - movement proceeds in each direction until resistance is felt in the SI joint - NO FORCE necessary - repeat as indicated - no set number, look for quality/quanity, equal movements

Movement: passive (therapist guides) Goal: decompression at the SI joint CI: Osteoporosis or possibility of osteoporosis Procedure: - client in supine, knees bent to 90 degrees, legs relaxed on therapist's legs - therapists on table, kneeling, supporting clients lower legs (same position as pelvic rocking) - therapist place both hands on either side of the client's pelvis - gently apply pressure medially (squeeze hands toward client's abdomen) 5-10 pounds of pressure maximum and hold 8-12 seconds - slowly and gently release pressure - repeat 3 times or as indicated

Movement: active (client activates, therapist guides initially) Goal: Increase movement in SI joint CI: Lateral disc condition (symtoms characterized by numbness and tingling in legs) Procedure: - client supine, knees bent, feet flat on table and even, knees together - therapist stands beside table, ready to provide guidance in accuracy of movement - simultaneously, client moves one side of pelvis toward shoulder, the other side toward feet. - reverse and repeat up and down without stopping - movements are SLOW, smooth, even, continuous for 15-20 times - pelvis and knee move, no movement in shoulders should be seen - therapist assists client, encouraging correct movement by client - often given as home care

Movement: passive (therapist guides) Goal: Increase ROM of hip joint CI: absolute - hip replacement, relative - osteoarthritis Procedure: - client supine, thigh flexed, adducted - therapist, using client's foot as a lever, externally rotate thigh in semi-circle to limit - internally rotate thigh and move in semi-circle to limit - repeat 3-4x or as indicated

Movement: passive (therapist guides) Goal: reduce anterior rotation of pelvis CI: absolute - disc prolapse or protrusion, relative - pelvis in posterior rotation Procedure: - therapist positions lateral hand at client's ASIS region, medial hand under client's ischial tuberosity, placing client's knee on therapist's shoulder, or client's leg straight pressing into therapists shoulder - therapist moves ilium posteriorly and ischial tuberosity anteriorly, then have client GENTLY push knee into therapists shoulder (contraction) - hold 8 seconds, relax - therapist further rotates pelvis, repeats contraction, hold and relax - repeat 3-4x or as indicated

1. Soma Soma - Pain causes pain elsewhere in MS 2. Soma Viscera - Pain in MS causes pain in organs 3. Viscera Soma - Pain in organs causes pain in MS Soma = voluntary skeletal muscle Viscera = smooth muscle in organs

Acute/Chronic stimulus to tissue

Caused by a muscle that acts in synergy to another muscle. Overworked primary TP causes secondary.

Primary or secondary TP that refers to another area

Muscle, Myofascial, Visceral, Periosteum

Primary TP

Secondary TP

Satellite TP

Active

Latent

Lacrimation Tingling Numb Dull Aching Ischemia Heat Sweating

Contraction, force.

Runny nose

Twitch response

Stretch PROM Heat

Adductor Magnus

Anterior-Laterally

Tingling down the leg, andy thigh to knee. Weak lateral rotation of obturator muscles?