fall 2012: austin notes
TRANSCRIPT
Integrative Evaluation,
Treatment & Rehabilitation
for
Neuromusculoskeletal Conditions
(Dr Kevin Jardine)
William M Austin DC
CCSP, ACRB-1
Integrative Evaluation,
Treatment & Rehabilitation for
Neuromusculoskeletal Conditions
Integrate: to make into a whole
by bringing all parts or
components together
Neuromusculoskeletal Conditions
might include:
Interference with neurological
communication (sensory and/or motor)
Muscle strains
Ligamentous sprains
Joint misalignment & faulty biomechanics
Impaired circulation (blood & lymph)
Faulty tissue temperature regulation
Remind you of what you already know
Teach a few adjustments with a new ‘twist’
Demonstrate a functional ancillary technique
that aids you patients between adjustments
Integrative Evaluation, Treatment &
Rehabilitation for NMS Conditions
Seminar Goals:
Joseph Stephenson
1874 - 1960
Secrets of an English Bonesetter
4 Key Principles
1) Reposition substance:
bones, nerves, muscles, ligaments
2) Break up congestion:
blood, lymph, mucus, wastes
3) Restore flow (circulation):
blood, lymph, mucus, air
4) Restore tissue temperature:
increase or decrease heat
Principle #1: Reposition Structure (Adjustment)
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Lift Gluteal Nerves ¼ Twist Gluteal Nerves Piriformis M & Sciatic N
¼ Twist Lumbars ¼ Twist Thoracics
Rotate Cervicals
Seated ¼ Twist
Blood and Lymph Circulation
Breakup Congestion (#2) – Restore Circulation (#3)
#2 Breakup Congestion
Areas of congestion
(stagnated blood or
lymph), are dispersed
using a light circular
motion with the finger
pads that gently drags
the congested tissues
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#3 Restore Circulation
A light, gentle, gliding
or drawing, motion to
create ‘a vacuum’ over
the affected area to
stimulate the normal
circulation
Therapeutic Taping
1970’s
Dynamic Support, neuromuscular
stimulation, increased micro-circulation &
lymphatic drainage
• Acute strains and sprains
• Athletic injuries
• Swelling & inflammation
• Chronic pain syndromes
• Arthritis
• Musculoskeletal rehab
• Muscle imbalances
• Post-operative care
Therapeutic Taping
Dr. Kevin JardineCreated SpiderTechPre-cut kinesio tape
Dynamic Support, neuromuscular
stimulation, increased micro-circulation &
lymphatic drainage
Athletes
All Patients
Vibration Exercises for
Strength, Coordination, and Balance
Gentle English Bonesetting for the Cervical Spine
With light pressure, stabilize the facets with your thumb
Gently tilt the head forward and roll the head ¼ turn towards the thumb side up to the neutral position (T4 - Occiput)
SpiderTech™ provides functional
ancillary care 24-7
Neck
Spider™
Neuromuscular
facilitation
Blood capillary
stimulation
Lymphatic
drainage
Keys to Effective Application of Elastic Therapeutic Taping
Apply to clean,
dry, hairless skin
DO NOT STRETCH
the base or ends
DO NOT TOUCH
the ADHESIVE
RUB THE TAPE to activate the glue
Do not completely remove the backing of the
tape until 90% of the section is applied
Bonesetting for High Blood PressureVenous and lymphatic
congestion
High Blood Pressure Treatment
18
Venous and lymphatic congestion in the internal
jugular veins, right and left subclavian veins, right lymphatic duct and the
thoracic duct
3. Create a vacuum to drain the jugulars
2. Decongest clavicular-trap triangle
1. Adjust the Spine (T4-Occ)
Overall treatment time 5-10-15 minutes
Bonesetting for the Shoulder
Adjust the Spine & Ribs as necessary
¼ Twist under SCJ
Mobilize* AC & Scapular
•Front hand stabilizes. Back hand cups scapular & pushes forward
Inferior glide of humerus
Decongest
Exercise the Shoulder Stabilizers
Supraspinatus mInfraspinatus mTeres Minor mMid-traps / Rhomboids
Dynamic Support
Adjust-Rehab-Support
Dynamic
Support, neuromusc
ular
facilitation, stimulate
micro-circulation
and lymphatic
drainage
Right A-P
Elbow Anatomy
Ulnar nerve (in groove on
posterior side)
Median nerve (anterior side)
Move Median N
back towards midline
Move Ulnar N
back into groove
Forearm Pain
Push in articular cartilageVacuum Down
Dynamic Support
Bonesetting for Extremity Joints Reset the Articular Cartilage
1. Open the joint (flexion)
2. Pressure on the articular cartilage
3. Close the joint (extension)
Bonesetting for the Wrist & Hand
Articular Cartilage
Reposition Substance
Find tender spots between the bones of
wrist or fingers
1. Open the joint
2. Hold pressure on cartilage
3. Close the joint
Reset the Articular Cartilage
Find the
painful
spot in the
joint line
Open the
joint &
push in the
articular
cartilage
Hold the
cartilage in
and close
the joint
Dynamic
Support
Joint Play Motions – John Mennell
1. Anterior Glide
2. Posterior Glide
3. Internal Rotation
4. External Rotation
5. Right Tilt
6. Left Tilt
7. Extension
Reposition Articular Cartilage in
Metacarpal Phalangeal Joint
1. Find the tender spot in the joint line
2. ‘Open’ the joint
3. Push the displaced cartilage in
4. Hold it in and ‘Close’ the joint
Kaddy Wampus Pelvis
Serial Distortion Muscle Imbalance
Sacrum and Gluteal Nerves
Gluteal or sacral nerves
Treating the Sacrum & Gluteal Nerves
Patient is seated - Doctor seated behind
Lift up the gluteal
nerves with thumbs
Push in piriformis m.
& sciatic n
¼ Thumb twist under gluteal nerves
Treating the Sacrum & Gluteal Nerves
Lift Gluteal Nerves
¼ Twist Gluteal Nerves
Piriformis M & Sciatic N
Lower Back Spider™1. Apply the ‘base’ to clean dry hair-free skin
2. Patient bends forward “Stretch muscle not tape”
(neurosensory stimulation to decrease pain)
3. Apply the ‘paraspinal’ strips then apply the ‘wings’
4. Rub Tape to activate the glue
Bonesetting for the Hip
Adjust the Hip
Up 45º - Out 45º
Web contact under
Trochanter Push In
Dynamic
Support
Bonesetting for the KneeAdjust the Spine
Reset the
Menisci (synovial
resorption)
Create a
vacuum to
drain back of
the knee
Release
Tibial
Rotation
Fixations
Create a
vacuum to
drain back of
the knee
Release
Tibial
Rotation
Fixations
Reset the
Menisci (synovial
resorption)
Dynamic
Support
Break up
congestion
‘circular
drag’
Drain the Back of the Knee
Create a
vacuum to
drain the back
of the knee
Foot & Ankle Sprains
Reposition Substance (Articular Cartilage)
Reposition Articular Cartilage Under Lateral Malleolus
1. Find the tender spot in the joint line
2. ‘Open’ the joint (invert foot)
3. Push the displaced cartilage in
4. Hold it in & ‘Close’ the joint (evert ft)
Dynamic
Support
Joint Play Motions for the Toes
1. Anterior Glide
2. Posterior Glide
3. Internal Rotation
4. External Rotation
5. Right Tilt
6. Left Tilt
7. Extension