professional yoga therapy medical therapeutic yoga for the ...3.differentiate between the types of...

1

Modules 6 amp 7

Achieving Structural Balance Biomechanics Neurophysiology amp Joint Function in Yoga Posture

Module SixApplied Biomechanics in Asana for

Stabilization Motor Control and SupportGinger Garner PT MPT ATC PYT DPT-C

ObjectivesAfter completing Module 6 you should be able to1 Explain how joint stabilization requisites are used in the

biopsychosocial model of integrative medicine to evolve yoga for

clinical use and efficacy

2 List the evidence-based precepts for achieving integrative lumbopelvic stabilization in medical and wellness-based yoga

programs3 Differentiate between the types of yoga postures in the post-graduate

professional yoga therapy system that facilitate safe modification and allow for medical adaptation in both high and low functioning patient populations

4 Apply the latest research in lumbopelvic stabilization and

neurophysiology to allow yoga postures to be prescribed as rehabilitation

copy 2001-2013 Ginger Garner All rights reserved

2

Professional Yoga Therapy

Samkhya Philosophy (East) and Quantum Physics (West)


7 Physiological Concepts 1-3

1 Kinesthetic awareness and the

senses

bull NeurofeedbackModulation of Nociceptive Input

bull Reflexesbull Tactile sensebull Vestibular sense

bull Visual sense

2 Respiration

bull A-D Breathbull TATD Breath

3 Stabilization and Neural Patterning

(neuromuscular and musculoskeletal)

bull General jointbull Lumbopelvic

bull Scapulothoracic


3


4Mobilization

bull General joint

bull Neural

bull MyofascialRestriction and Release

5 Balance

bull Static

bull Dynamic

6 Support

bull Internal intrinsic

bull External extrinsic

7 Stress Management

bull Relaxation

bull Meditation


Structural BalanceGuidelines to Practice in Integrative Medicine

Optimal Kinematics

Efficient Motion

Enhanced ability to adapt to imposed stresses

Muscle Extensibility amp Sensory Adaptation

4

Precepts Safety amp Efficacyin Prenatal Practice

Precept 1 Use of the Biopsychosocial Model

Precept 2 Breath before the Pose

Teach A-D Breath before TATD Breath

Precept 3 TATD Breath for Stability

Precept 4 Stability before Mobility

Precept 7 Spine receives priority

Precept 12 No weight bearing inversions are taught

Precept 13 Practice joint preservation and protect small ampor vulnerable joints hands feet pelvis

5

Establishing Structural Balance

1 Joint Structure amp Function

2 Integrated Model of Joint Function

3 Requisites for Joint Stabilization

4 Psychoneuroendocrinology

Sports Illustrated - Robert Beck copy photo

Integrated Model of Joint Function

1 FORM CLOSURE(Snijders et al 1993 1995 Norkin and Levangie 2005)

2 FORCE CLOSURE(Snijders 1993 Richardson et al 1999

Carolan amp Catarelli 1992)

3 MOTOR CONTROL (neural patterning) (Damen et al 2002 Hides

1994 Hungerford 2004 Hodges and Richardson 1996 Kankaanpaa et al 1998

Lee 2004 Lee and Lee 2004 Leiononen et

al 2000)

4 AWARENESS AND RESPONSE TO EMOTIONAL FACTORS(Holstege et al 1996 Ewing and Ewing

2009 Neil et al 2010)

FOUR COMPONENTS OF LUMBOPELVIC STABILITY

6

General Joint Stabilization Requisites During Exercise

1 Facilitate co-contraction

2 Slow controlled closed kinetic chain activities

3 Pay attention to the biomechanics of joint position

4 Position joints

5 Accommodate unstable environments

6 Focus on precision and control

7 Use low-load force levels and multi-joint synergistic training

Willson JD Dougherty CP Ireland ML Davis IM Core stability and its relationship to lower extremity function and injury J Am Acad Orthop Surg 200513(5)316-325

Hodges PW Richardson CA Inefficient muscular stabilization of the lumbar spine associated with low back pain a motor control evaluation of transversus abdominus Spine 199621(22)2640-2650

The Future of Neurologic Rehabilitation Translating the Latest Research into

Clinical Application

Historical Support for LP Stability

bull Spinal Stability - Cylinder ndash Primary stabilizers amp syndergistshellip dynamic stabilization of the lumbar spine and sacro-iliac joint (Hides et al 1996 Hodges and Richardson 1996 Hodges et al 1997 Sapsford et al 2001)

bull Spinal Instability - lsquosignificant decrease in the capacity of the stabilizing system of the spine to maintain the intervertebral neutral zones within the physiological limits which results in pain and disability (Panjabi 1992)

bull On stabilizationhellipbull Panjabi (1992)

bull Lee (2005)

bull Lee (2005)

bull Lee (2005 Vleeming et al 1990 Lee amp Vleeming 1998 Lee 2001)

bull Hodges and Cholewicki (2007)

7

Form Closure Spine

Form and Force ClosurePelvic Floor Anatomy

8

Form ClosureSacroiliac Joint Anatomy

Sacroiliac Joint Physiology

Shock absorbency counteracting compressive forces during gait and

single leg stance and by integrated model of joint function

bull 3 axes of rotation (x y z)

bull Translation

bull NutationCounternutation

bull Triplanar movement = torsion

Goode A et al Three-Dimensional Movements of the Sacroiliac Joint A Systematic Review of the Literature and Assessment of Clinical Utility J Man amp Manip Ther 200816(1)25ndash38

9

copy 2013 Ginger Garner Living Well Inc excerpt from PYT Texts copy2001-2011 All rights reserved

Support for Yoga PosturesForm Closure

FORM CLOSURE

Internal Support

Lumbopelvic amp Scapulohumeral stabilization

Co-contraction

Proprioceptive awarenessSpinal neutral

External Support (in absence of internal

support)

Blocks bolsters wedges blankets

Straps ropes

Walls chairs

PartnerPrecept 11

In order for an asana to be internally supported there must be implementation of and initiation of co-

contraction at multiple joints

Force ClosureNomenclature TATD Breath

4 PART ldquoCYLINDERrdquo (RICHARDSON) OR ldquoCANISTERrdquo (LEE)

1 ANATOMICAL APPROXIMATIONBiomechanical - TvA PFM Multifidi Respiratory diaphragm (+ flexible fascia + strong synergists)

2 SCIENCE OF ACTION Physiological

3 SAFETYClinical Efficacy

Willson et al 2005 Richardson et al 1999 Hides et al 2006 Hodgest and Richardson 1997 Cholewicki amp McGill 1996 Cholewicki

amp Panjabi 1997 Cresswell and Thostensson 1994 Lee 2001 Hodges and Gandevia 2000 Hodges et al 2003 McCandless 1975

Morris et al 1961 Critchley 2002 Lee 2005 Sapsford 2001

10

0 6

3

Beginner Force Coupling amp Postural Awareness in a Small Neutral Zone

Postural Awareness ndash in all planes (seated SL standing etc)

bull ldquo0-6-3rdquo Methodbull 0 = Posterior Pelvic Tilt

bull 6 = Anterior Pelvic Tilt

bull 3 = Spinal Neutral

bull Pelvic Clock

Stability + Mobility = Controlled Flexibility

bull TATD Breath

bull Control in small neutral zone

bull Single plane to multi-plane

bull Increase degrees of freedom in direct proportion to the control available in the growing neutral zone

IntegrativeConventional

Functional Assessment amp Management of Low

Back Pain

15 MEASURES OF ASSESSMENT through MTY

1 CENTRALIZATION OF SYMPTOMS amp SPINAL MOBILITY

2 RADICULAR PAIN NEURAL TENSION amp FUNCTIONAL MOBILITY (2)

3 JOINT FUNCTION amp PROPRIOCEPTION

4 POSTURAL AWARENESS amp CONTROL

5 TVA ISOLATION AND ENDURANCE

6 MULTIFIDI FUNCTION

7 PELVIC FLOOR CONTROL

8 ENDURANCE ASSESSMENTS (5)

9 HIP MOBILITY amp JOINT INTEGRITY

11

Motor Control amp Neural Patterning in Yoga Postures

In order of importance for biomechanicalstructural

stabilization

1 Lumbopelvic Stabilization (PROXIMAL)

2 Scapulothoracic Stabilization (DISTAL)

Precepts 4 7 and 11

PYT holds lumbopelvic stabilization using the ldquotrunk cylinderrdquo approach as its foremost intention and most important precept (behind the breath) in

its definition of creating and maintaining a stable safe pose (asana)

TA Isolation and Palpation

bull TA Isolation inoutside of spinal neutral

bull Mountain

bull Seated

bull Supine hook lying

bull Sidelying

bull 4 point

bull Prone

bull Positive test ndash Clinician palpates for TA contraction and maintenance

bull Positive test is indicated if patient unable to maintain position (no pelvic translation) statically or dynamically (when armleg AROM introduced)

Palpate with

the index and middle fingertips

just medial

to the ASIS

12

Lumbopelvic Integrity RCTrsquos support PFM

bull Cochrane reviews on

RCTrsquos (Level 1 Grade A) from 2008-2011 supports

that PFM training is

effective in tx of

bull SUI

bull POP

bull With proper

supervised instruction

ONLY

Sapsford Ruth amp Hodges Paul The effect of abdominal and pelvic floor muscle activation on urine flow in women International Urogynecology Journal Springer London 0937-3462 Medicine Boslash K and Braeligken IH Pelvic Floor Muscle Training in Prevention and Treatment of Pelvic Organ Prolapse Pelvic Floor Disorders 2010 Section VI Part 6 531-537 DOI 101007978-88-470-1542-5_73

bullPrecept 2 -

Postures unless restorative

should use TATD breath

bullPrecept 3 -

Emphasizes breath mastery

before postures


Scapulothoracic Stabilization amp Injury

Prevention

bull Force Coupling ndash 17 muscles of ST stabilization

bull Decreased RTC EMG amp cadaver dissectionremoval of RTC reveal deltoid contribution to humeral head superior translation during early abduction leading to impingement

Page P Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes Int J sports phys ther 2011 march 6(1) 51ndash58copy 2001-2013 Ginger Garner All rights reserved

13

Concomitant Force Coupling

PYT Posture Arm Spiral amp Downward Facing Dog Prep Pose

bull STSH amp LP RhythmStab

bull Postural alignment

bull Spinal Neutral

bull TATD breath

bull Serratus Anterior

bull Lower Trapezius

bull RTC Health

bull Myofascial release

bull Neural mobilization

Downward Dog Preparation

Left ndash starting position Right ndash final arm spiral


Modifications

Block supported thumb release ndashfrom four point or against wall or on chair

Modified arm spiral ndash from seated or supine


14

LP amp ST StabilityCatCow in Four Point

Note thumb positioning on blocks

Top ndash cat Bottom - cow


LP and ST StabilityldquoShoulder Openerrdquo

Shoulder Opener Sequence - SH Stabilization LP Stabilization

TATD breath Spinal Neutral Osteokinematic ROM requiring Arthrokinematic ROM MFR Neural Mobilization


15

Lab Application Biomechanical Analysis

Four Step Process

ldquoHelicopter Analysisrdquo ndash all planes

Conceptual Model Sheath Check

Utilize multiple methods of cuing

1 Centering

2 LP Stabilization amp Postural ControlAlignment -

3 ST Stabilization

4 Lower Quarter Alignment and Protection

Extended Side Angle


Lab Application 2Bridge amp Variations

bull Endurance Hip Extensors

bull Supine hook lying Pt raises pelvis from table into a ldquobridgerdquo position Position is held and timed until the position can no longer be maintained

bull Advanced clinical management

bull MTY Dissociation of gluts from hamstrings


16

Mobilization

Safe instruction requires knowledge of the open and closed packed position of each joint in the body (Module 7)

Arthrokinematics vs Osteokinematics (Module 10)

Neurovascular Mobility amp Neurophysiology (Module 7)

Affects of posture on joint in points of the Pentagon (Module 8)

Precept 9 Stability is given priority over mobility in order of

proximal to distal attention


Enhancing Biomedical Rehab PracticeSupportive Clinical Environment

Yoga Posture amp Breath Prescription (M8)

bull Autogenic

Trainingbiofeedback

bull Algorithm Application

bull Skill set ndash manual and

mobilization with movement (MWM) during

yoga

bull Kinesthetic Interventions

bull Lifestyle counseling

bull Relational

bull Self-reflection activitiescopy 2001-2013 Ginger Garner All rights reserved

17

Resources

bull Graduate Level Studies Pro bono work in educational curriculum development wwwprofessionalyogatherapyorg

bull US

bull Canada

bull Europe

bull Post-graduate studiesProfessional Yoga Therapist Certification wwwprofessionalyogatherapyorg

bull Next step Module 8 (on-site lab intensive)

bull wwwgingergarnercom - Videos downloads pubs on yoga Rx

bull The Integrated Model of Joint Function (Diane Lee)

bull Biomechanical Precepts Define 21st Century Yoga (Ginger Garner)


Module SevenAchieving Structural Balance

Neurophysiology Stability amp Joint Function in Practice

Ginger Garner PT MPT ATC PYT DPT-C

18

Objectives

After completing Module 7 you should be able to1 Review the latest research to apply the professional yoga therapy

diagnostic algorithm for evaluation and prescription in medical therapeutic yoga and how it impacts functional progression in objective goal setting

2 Explain the neurophysiology of safe medical therapeutic yoga practice as it relates to myofascial release and neural mobilization

3 List the guidelines precautions and contraindications for performing soft tissue mobilization andor manual therapy within the context of yoga postures

4 Identify how myofascial restriction and neural mobilization can be addressed through the practice and sequencing of yoga postures

5 Understand the ramifications of kinetic chain and joint positions in medical therapeutic yoga progression and prescription for affecting functional

neural patterning and balance across the lifespan

copy2001-2015 Ginger Garner



senses


bull Reflexes

bull Tactile sense

bull Vestibular sense

bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation


Neurophysiology of Yoga Addressing Movement in Asana

Behavioral organization

Sensori-motor connection

Mindbody interaction

Allostasis

Precept Review (4)

After static and dynamic functional stability have been established static

and dynamic mobility can be addressed


20

Behavioral Organization


Horizontal Diaphragms


21

ldquoDense irregular connective tissue sheets

IE (Schleip et al 2005)

Aponeuroses

Joint capsules

Muscular envelopes like the

endo- peri- and epimysium

Fascia traditionally seen as passive (transmitter)

Evidence base supports active role

Fascia


Thoracic Diaphragm


22

Respiratory Diaphragm


Pelvic Diaphragm


23

Muscles are Important but how about Fascia

Superficial fascia lying beside the body from which it came Gil

Hedley 2005 httpwwwgilhedleycom

copy2001-2015 Ginger Garner All rights reserved


Embryology

Fascia of the diaphragm

bull Endothoracic (pharyngeal retrovisceral prevertebral esophageal sphincters)

bull TransversalisVisceralPeritoneal

bull Endopelvic


24

EndothoracicFascia

Endothoracic fascia by Egmason - Own work Licensed under CC BY-SA 40 via Wikimedia Commons -

httpscommonswikimediaorgwikiFileEndothoracic_fasciasvgmediaFileEndothoracic_fasciasvg



Transversalis Fascia


25

Peritoneum


Schleip 2003 Schleip 2005 van den Berg and Cabri1999 Manuel et al 2008 Kruger 1997 Rolf 1977

WillardFH VleemingA SchuenkeMD DanneelsL SchleipR The

thoracolumbar fascia anatomy function and clinical considerations JAnat 2012

221 6 507-536 Blackwell Publishing Ltd

Living Fascia

26

Figure 1 Normal urethral support

Fatton B et al (2014) Stress urinary incontinence and LUTS in womenmdasheffects on sexual function

Nat Rev Urol doi101038nrurol2014205

Support

Provision of skin integrity (Stecco et al 2012

Contribution of muscular contraction via smooth muscle fiber instrusion in fascia (Staubesand and Li 1996)

Spontaneous ligament contraction in lumbodorsal fascia (Yahia et al 1993)

Force generation and transmission in TL fascia (Willard et al 2012 Barker et al 2010)

Fascial limit of lumbar spinal mobility (Schleip et al 2005 Barker et al 2004)

Venous return (Bordoni and Zanier 2013)

Contribution to nociception (Moseley 2008)

Tension transmission between the epimysium = contribution to force generation (Willard et al 2012 Barker et al 2010)


27

The Thoracolumbar Fascia Anatomy Function and Clinical Considerations

copyJournal of AnatomyVolume 221 Issue 6 pages 507-536 27 MAY 2012 DOI 101111j1469-7580201201511xhttponlinelibrarywileycomdoi101111j1469-7580201201511xfullf13

Mechanoreception

Drake 2009 Willard et al 2012

Golgi tendon organs amp Ruffini endings

slow adapting respond to tension

Pacinian corpuscles amp Meissnerrsquos corpuscles

rapidly adapting respond to vibration


28

Skin Interruptions and AdhesionsPain resulting from surgical incisions or hernias (Moore 2009 Theodoros et al

2001 Cimen et al 2004)

Potential for long term impact

Adhesions in gt 90 of postoperative patients following major abdominal surgery

55-100 of the women undergoing pelvic surgery

(Parker et al 2001) High relative risk of adhesion related problems after open lower abdominal surgery ldquoImproved adhesion prevention strategies must be consideredrdquo

Postoperative peritoneal adhesions Complication following gynecological and general abdominal surgery

Myofascial restriction resultant Most common consequences (4)


ConclusionsBehavioral Organization

bull IFhellipTHEN THEORY

(Schleip 2003 Rolf 1977 Barnes 1997 Pichinger 1991)

Loukas et al 2008 Stecoo et al 2011 Willard et al 2012)

bull Problems in

diaphragmatic fasica could implicatehellip


29

Central Diaphragm Effect


Sensori-Motor Connection

Since fascia has both nociceptive and proprioceptive

innervation what are the

potential sensori-motor implications


30

Affects local

blood supply and tissue

viscosity

Tissue response

Palpable response felt by therapist

Myofascial or

soft tissue

manipulation within an

asana

Interfascial Circulation Loop

Mitchell amp Schmidt 1977 Rolf 1977 Barnes 1997 Pichinger 1991 Scleip 2003 Schleip 2005


Fascial Reception

copyGinger Garner Living Well Inc

TYPE LOCATION RESPONSE

I Myotendinous junctions

Muscular contraction and strong stretch Effectmechanoreception ldquotonus decrease in related striated motor fibersrdquo

II Pacini receptors and Ruffini receptors

Pacini Rapid pressure changes and vibrations proprioceptive feedback for affecting movement strategies

Ruffini lateral stretch sustained pressure Effect autonomic inhibit SNS

III amp IV Intersitial Rapid and sustained pressure

Effect Vasodilation and plasma

extraversion mechanoreception

thermoception nociception chemoception

Adapted from Schleip 2003copy2001-2015 Ginger Garner

31

Mind-Body Interaction

bull What is the role of MTY in MFR

Conventional Treatment often addresses Scar mobilization

Myofascial release and trigger point therapy

Gradual release of the overlying fascia with manual techniques


Allostasis


32

Cognitive Activation Theory

Stress amp stimuli Somatic Nervous System affected by

Poor breathing habits Damaged anatomy affected by

Environmental toxins Poor lifestyle choices Illness

Stress experience Anxiety states General stress response alarm in

a homeostatic system producing neurophysiological activation to increase arousal

Fight flight or freeze ndashnecessary

Sustained states ndashunnecessary leading to O2 amp CO2 imbalance ndash altered ventilation states (hypo amp hyper

Experience of the stress responsebull Multi-system pathophysiological

processesbull Conceptual model

derangementbull GIbull MSbull NMbull Mindbody -

Psychoneuroimmunologicaland endocrine function emotional social intellectual

Resulting in Psychological defense ndash distortion of stimulus expectancies which sets up coping abilities

Ursin H The development of a Cognitive Activation Theory of Stress From limbic structures to behavioral medicine Scandinavian Journal of Psychology Vol 50 Issue 6 pages 639-644 December 2009


Allostatic Load Flight Fight (or Freeze)


33

What Happens In Vagus Stays in Vagus

Dhanunjaya Lakkireddy MD Donita Atkins RN Jayasree Pillarisetti MD Kay Ryschon MS Sudharani Bommana MPHIL Jeanne Drisko MD

Subbareddy Vanga MBBS MS Buddhadeb Dawn Effect of Yoga on Arrhythmia Burden Anxiety Depression and Quality of Life in Paroxysmal Atrial FibrillationThe YOGA My Heart Study J Am Coll Cardiol 201361(11)1177-1182


Phylogenetic Origins

Porges_The Science of Compassion_Lecture_Origins Measures amp Interventions_ccarestandfordedu_Telluride 2012_ copy2001-2015 Ginger Garner All rights reserved

34

From Theory to Practice MTY Intervention

Address affected tissues that are short andor tight within a pose or breath

Note the primary shortened myofascia

Note both the agonist and the antagonists of the related joint

Note tissues that have higher density mechano-receptors (Schleip)

Slow progression through postures

Breaking down postures and breath techniques into multiple complex components for MFR

copyGinger Garner Living Well Inccopy2001-2015 Ginger Garner

Practical Guidelines

1 Provide skin on skin intervention

2 Facilitate tonus decrease and reduce sympathetic tone

3 Attend to mask of face vitals skin temp and any histamine response and response to tx

4 Hold or apply treatment 120-300 seconds (Ajimsha et al 2014)

5 Consider high grade joint mobilizations and home programs in certain conditions (Jacobs amp Sciascia 2011)

6 Consider therapist and self-release (IHP)

Photo rutgersedu


35

Determine level of touch by patient response

Get constant feedback and refine touch and pressure PRN (Schleiprsquos ldquoMicromovement treatmentrdquo)

Ask and allow for deepening of feeling

or proprioception in a pose

Increased sensitivity = Slow pace of yoga practice

Facilitate donrsquot manipulate Functional carry over ndash ask the

patient to relate their movements to

everyday activities and their physical and social meanings

Restorative Cobblerrsquos Pose

Progression


Lateral Raphe


36

Diaphragmatic Release



37

Neurophysiological amp Psychoneurological Rehabilitation

Neural Mobilization (NM) ndash Butlerrsquos (1991) new frontier Born from manual therapy physiotherapists

Derived from

Reexamination of nervous system

Clinical neurobiomechanics working definition

NM has immense therapeutic application in the field of medical

therapeutic yoga within the context of asana

Subtle science

Neuralnervous system is both fragile and mobile

Multi-faceted holistic approach

Neurophysiological effects in restoring homeostasis

Psychoneurological affects (module 2 from science of medical yoga)


Two Precepts for adaption of neural tissue in response to treatment

1 The nervous system is susceptible to mobilization secondary to the development of tension or increased pressure within the tissue (for example intracranial pressure or intradural pressure) The pressure develops as a consequence of elongation and occurs in all tissues and fluids enclosed by and including the epinurium and the dura mater

1 Movement On closer analysis movement may be considered as gross movement or movement occurring intraneurally between the connective tissues and the neural tissues

gross movement

intraneural movement

Neurophysiological RehabilitationNeural Mobilization


38

LLNM

Subjective Neurological Symptoms ndash A Safety Net for practice

New experience for patient

Recognize warning signs and know when to refer a patient for further neurological consult

Always follow the guidelines precautions and contraindications


Precautions amp Contraindications

Precautions Use caution with the Lower Limb Neural Mobilization if your patient has

PMH or general health problems

Symptoms which increaseDizziness (vertebrobasilar insufficiency or cord tethering) during neck

mm or full spinal flex

Circulatory interruptions Frank cord injury

Loss of bowel or bladder control or paralysis is a medical emergency Call 911

Contraindications Do not use Lower Limb Neural Mobilization if the patient has

Recent onset or worsening of any neurological signs or symptoms

Cauda equina (bowel and bladder function) lesionsSpinal cord injury


39

Staff Pose +- Forward Seated Bend

STAFF POSE + FORWARD SEATED BEND (dandasana paschimottanasana)

Slump Test for radicular pain joint mobility meninges mobility peripheral nerves and adjacent tissues

Positive test ndash cervical flexion knee extension and ankle dorsiflexion create LE symptoms and pain or nerve tension is relieved with elimination of 1 or more of lower limb components

Staff (top)

Full staff (middle)

Slump (bottom)copy2001-2015 Ginger Garner

Hand to Big Toe amp Variations

HAND TO BIG TOE (supta padangusthasana)

SLR Test for

Radicular painneural tension

Dura mater tension (ankle dorsiflexion + chin nod)

Sciatic (flexion)

Peroneal (Flexionabd -lateral variation)

HS flexibility amp Contralateral hip flexor flexibility

Spinal integrity

NM awarenessproprioception

Gross stability (contralateral oblique and TvA

control)

Positive test

Reproduction of LE radiatingradicular pain with

passive LE hip flexion and knee extension

Inability to reach 90 degrees for hip flexionknee

extension without SampS


40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR

Ankle Plantarflexion

Inversion

Hip Adduction and Hip Medial Rotation

Diagnostics amp Evaluation


BalanceFactors which impact balance include decreases in Proprioception Visual acuity

Vestibular sense

Sensory deficits

Motor or proprioceptive deficits Joint mobility

Orthostatic hypotension

Pathophysiologies ndash diabetic neuropathy CVA cognitive deficits etc

Age related gait changes include Wider stance Smaller steps

Slower gait Decreased arm counterbalance or reciprocal gait


41

Practical Application Balance

On teaching balance postures

Introduce one DEGREE OF FREEDOM at a time

Employ Experiential and Academic Learning

Address Static and Dynamic Balance

Address Vestibular Training Tree Pose


Biomechanics amp Structural

Alignment 4 Principles

Joint function

Properties of connective tissue

Loaddeformation and stressstrain

Lengthtension relationship of muscle

Precept 9

PYT integrates structural alignment the four principles of

evidence-based biomechanics the seven physiological

foundations functional outcomes research complementary

and alternative medicine methods western rehabilitation and psychology with yoga and Ayurveda


42

Joint Function

Must first define

Closed kinematic chain ndash WB earth bound

Open kinematic chain ndash NWB airether bound

Open packed joint position

Closed packed joint position


Open Packed Joint Position

Facet (spine) midway between flexion and extension

Sacroiliac counternutation (not locked not able to withstand shear forces in this position only restraint is the long dorsal sacroiliac ligament)

TMJ mouth slightly open

Glenohumeral 55 degrees abduction 30 degrees horizontal adduction

Acromioclavicular physiological position resting

Sternoclavicular physiological position resting

Ulnohumeral (elbow) 70 degrees flexion 10 degrees supination

Radiocarpal (wrist) neutral with slight ulnar deviation

Metacarpophalangeal slight flexion

Hip 30 degrees flexion 30 degrees abduction slight lateral rotation

Knee 25 degrees flexion

Talocrural (ankle) 10 degrees plantar flexion

Metatarsophalangeal neutral

Magee 1992 Lee 2004 2005 copy2005-2013 Ginger Garner

43

Closed Packed Joint Position Facet (spine) extension

Sacroiliac nutation (sacrotuberous interosseous and sacrospinous ligaments tighten)

TMJ clenched teeth

Glenohumeral abduction lateral rotation

Acromioclavicular 90 degrees abduction of arm

Sternoclavicular maximum shoulder elevation

Ulnohumeral extension

Radiocarpal extension with radial deviation

Metacarpophalangeal full flexion

Hip full extension medial rotation

Knee full extension lateral tibial rotation

Talocrural maximum dorsiflexion

Metatarsophalangeal full extension


Clinical Implications for Joint Positioning

Beginner vs Advanced

Closed vs Open Packed

Expansion amp Growth

Breath Integration Restraint or expansion of breath

Prevention amp Protection

Biomechanical safety

Postural Education

Biomechanical Safety Net

Dissociation ampor Down-training of Muscle Groups


44

Muscle Length Dimensions amp Biomechanical Properties

Weppler C H and Magnusson S P PHYS THER 201090438-449copy2010 by American Physical Therapy Association

What is Viscoelastic DeformationTransient

Magnitude

Duration

Dependent on

Duration

Type of stretch applied

10 studies cited plastic deformation change but none used evidence supported by classic model (at right) instead they supported short term elastic or ldquoviscous flowrdquo within connective tissue (or viscoelastic deformation)

Creep - F + T = PD

Equilibrium

Youngrsquos Modulus of Elasticity


45

What is sarcomere length


What are passive and active insufficiency


46

What Is So Important about Muscle LengthMuscle Length Biomechanics

If muscle length is not 1-dimensional

4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time

Then we can determine the biomechanical

properties of

Stiffness Compliance

Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep

Ozkaya and Norden 1999 Ozkaya and Norden 1999 Taylor et al 1990 Enoka 2002 Magnusson 1998 Magnusson et al 1995 Magnusson et al

1996 Weppler amp Magnusson 2010 Gaoa et al 2013)copy2001-2015 Ginger Garner

A Brief History of Stretch

Static

Constant joint angle stretch

Constant Load

ContractRelax

Repeated cyclic stretches

Visoelastic stretch relaxation (Magnusson amp et al 1998 1995 1996)

Ankle joint predmoninantly tested ndash CPM (McNair et al 2001 Duong et al 2001 Taylor et al 1990)

Passive stretching to evaluate creep (Ryan et al 2008)

PNF withwithout pre-isometric contraction (Magnusson et al 1996)

Diminished hysteresis (see graph) amp Increased flexibility through sustained active stretch (Magnusson et al 1998 Gaoa et al 2013)


47

Structural Balance

Yoga Yields Stability Relationship

1 Psychoemotional

ResilienceSports Psychology

Control + Flexibility =Breath + Postures

2 Neuroendocrine Regulation

Control + Flexibility =Breath + Meditation

3 Strength +

Endurance (Power) +

Flexibility Gains = NM Control amp

Neurophysiological Plasticity

Control + Flexibility =

Biomechanical

alignment with Regional Interdependence focus



Optimal Kinematics

Efficient Motion




48

Integrative Medicine Documentation DO

bull Follow SOAP note format

bull Generate List of problems

bull Create list of therapy intentions encased in a specific time frame

bull Short range plan

bull Long range plan

bull Include in final notes

bull For the treatment on day of evaluation (PRN)

bull To the referring practitioner

bull Document clinical rationale for posturalmovement sequence rather than focusing on documenting a list of yoga postures

DO NOT

bull Document Sanskrit postures

bull Document English yoga

postures without including the rationale

bull Identify what you do as only ldquoyogardquo or ldquoyoga therapyrdquo


Resourcesbull Next Step - On-Site Intensive ndash Module 8

Yoga as Medicine I wwwprofessionalyogatherapyorg

bull Legal Form(s) DownloadIntake Forms for Patients ndash Release of Liability Medical Questionnaire etc at wwwgingergarnercom under Patient Registration

The Tinetti Gait and Balance Test (numerical scoring) can be found at

httpwwwsgimorgworkshop01pdfhandout16TinettiAssessmentTool1pdf

The Timed Up and Go Test (time based scoring) can be found at

httpwwwvagovncpsSafetyTopicsfallstoolkitmediatimed_up_and_go_test-07-15-04pdf


49

Thank you

Empower the Individual

Manage stressPrevent

burnout

Improve patient

compliance and

satisfaction

Overcome adversity Pain


2

Professional Yoga Therapy

Samkhya Philosophy (East) and Quantum Physics (West)




senses


bull Reflexesbull Tactile sensebull Vestibular sense

bull Visual sense

2 Respiration







3


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation



Optimal Kinematics

Efficient Motion



4










5














al 2000)


2009 Neil et al 2010)


6





4 Position joints












bull Lee (2005)

bull Lee (2005)



7

Form Closure Spine


8






bull Translation




9



FORM CLOSURE

Internal Support


Co-contraction



support)


Straps ropes

Walls chairs

PartnerPrecept 11











10

0 6

3






bull Pelvic Clock


bull TATD Breath






Back Pain











11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



3


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation



Optimal Kinematics

Efficient Motion



4










5














al 2000)


2009 Neil et al 2010)


6





4 Position joints












bull Lee (2005)

bull Lee (2005)



7

Form Closure Spine


8






bull Translation




9



FORM CLOSURE

Internal Support


Co-contraction



support)


Straps ropes

Walls chairs

PartnerPrecept 11











10

0 6

3






bull Pelvic Clock


bull TATD Breath






Back Pain











11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



4










5














al 2000)


2009 Neil et al 2010)


6





4 Position joints












bull Lee (2005)

bull Lee (2005)



7

Form Closure Spine


8






bull Translation




9



FORM CLOSURE

Internal Support


Co-contraction



support)


Straps ropes

Walls chairs

PartnerPrecept 11











10

0 6

3






bull Pelvic Clock


bull TATD Breath






Back Pain











11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



5














al 2000)


2009 Neil et al 2010)


6





4 Position joints












bull Lee (2005)

bull Lee (2005)



7

Form Closure Spine


8






bull Translation




9



FORM CLOSURE

Internal Support


Co-contraction



support)


Straps ropes

Walls chairs

PartnerPrecept 11











10

0 6

3






bull Pelvic Clock


bull TATD Breath






Back Pain











11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



6





4 Position joints












bull Lee (2005)

bull Lee (2005)



7

Form Closure Spine


8






bull Translation




9



FORM CLOSURE

Internal Support


Co-contraction



support)


Straps ropes

Walls chairs

PartnerPrecept 11











10

0 6

3






bull Pelvic Clock


bull TATD Breath






Back Pain











11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



7

Form Closure Spine


8






bull Translation




9



FORM CLOSURE

Internal Support


Co-contraction



support)


Straps ropes

Walls chairs

PartnerPrecept 11











10

0 6

3






bull Pelvic Clock


bull TATD Breath






Back Pain











11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



8






bull Translation




9



FORM CLOSURE

Internal Support


Co-contraction



support)


Straps ropes

Walls chairs

PartnerPrecept 11











10

0 6

3






bull Pelvic Clock


bull TATD Breath






Back Pain











11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



9



FORM CLOSURE

Internal Support


Co-contraction



support)


Straps ropes

Walls chairs

PartnerPrecept 11











10

0 6

3






bull Pelvic Clock


bull TATD Breath






Back Pain











11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



10

0 6

3






bull Pelvic Clock


bull TATD Breath






Back Pain











11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



11



stabilization



Precepts 4 7 and 11





bull Mountain

bull Seated


bull Sidelying

bull 4 point

bull Prone



Palpate with


just medial

to the ASIS

12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



12





effective in tx of

bull SUI

bull POP

bull With proper


ONLY


bullPrecept 2 -



bullPrecept 3 -


before postures



Prevention




13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



13





bull Spinal Neutral

bull TATD breath



bull RTC Health






Modifications




14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



14









15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



15


Four Step Process




1 Centering


3 ST Stabilization


Extended Side Angle








16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



16

Mobilization










bull Autogenic

Trainingbiofeedback




yoga



bull Relational


17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



17

Resources


bull US

bull Canada

bull Europe










18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



18

Objectives











senses


bull Reflexes

bull Tactile sense


bull Visual sense

2 Respiration







19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



19


4Mobilization

bull General joint

bull Neural


5 Balance

bull Static

bull Dynamic

6 Support



7 Stress Management

bull Relaxation

bull Meditation






Allostasis

Precept Review (4)




20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



20





21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



21



Aponeuroses

Joint capsules





Fascia


Thoracic Diaphragm


22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



22



Pelvic Diaphragm


23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



23






Embryology




bull Endopelvic


24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



24

EndothoracicFascia







25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



25

Peritoneum






Living Fascia

26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



26




Support










27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



27



Mechanoreception







28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



28














bull Problems in



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



29








30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



30

Affects local


viscosity

Tissue response


Myofascial or

soft tissue


asana




Fascial Reception













31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



31







Allostasis


32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



32


















33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



33







34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



34
















Photo rutgersedu


35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



35










Progression


Lateral Raphe


36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



36




37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



37



Derived from





Subtle science









gross movement




38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



38

LLNM

















39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



39





Staff (top)

Full staff (middle)




SLR Test for



Sciatic (flexion)



Spinal integrity



control)

Positive test






40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



40

Neck Flexion

Slump SLR

Isolation of SLR

Var of Slump Test

Adv Slump Test

More Isolation of

SLR


Inversion





Vestibular sense

Sensory deficits







41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



41










Joint function




Precept 9






42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



42

Joint Function

Must first define





















43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



43



TMJ clenched teeth



















Postural Education




44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



44




Magnitude

Duration

Dependent on

Duration



Creep - F + T = PD

Equilibrium



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



45





46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



46



4-dimensional

Theory

Length Measure

TensionCross-

sectional area

Time


properties of


Energy Hysteresis

StressViscoelastic

Stress Relaxation

Creep




Static


Constant Load

ContractRelax








47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



47

Structural Balance


1 Psychoemotional





3 Strength +

Endurance (Power) +




Biomechanical




Optimal Kinematics

Efficient Motion




48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



48











DO NOT














49

Thank you



burnout

Improve patient

compliance and

satisfaction



49

Thank you



burnout

Improve patient

compliance and

satisfaction



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