Fall 2012: Austin Notes
- 1. Integrative Evaluation, Treatment & Rehabilitation for Neuromusculoskeletal Conditions (Dr Kevin Jardine) William M Austin DC CCSP, ACRB-1
- 2. Integrative Evaluation, Treatment & Rehabilitation for Neuromusculoskeletal Conditions Integrate: to make into a whole by bringing all parts or components together
- 3. Neuromusculoskeletal Conditions might include: Interference with neurological communication (sensory and/or motor) Muscle strains Ligamentous sprains Joint misalignment & faulty biomechanics Impaired circulation (blood & lymph) Faulty tissue temperature regulation
- 4. Integrative Evaluation, Treatment & Rehabilitation for NMS Conditions Seminar Goals: Remind you of what you already know Teach a few adjustments with a new ātwistā Demonstrate a functional ancillary technique that aids you patients between adjustments
- 5. Secrets of an English Bonesetter Joseph Stephenson 1874 - 1960
- 6. 4 Key Principles 1) Reposition substance: bones, nerves, muscles, ligaments 2) Break up congestion: blood, lymph, mucus, wastes 3) Restore flow (circulation): blood, lymph, mucus, air 4) Restore tissue temperature: increase or decrease heat
- 7. Principle #1: Reposition Structure (Adjustment) Rotate Cervicals Ā¼ Twist Lumbars Ā¼ Twist Thoracics Lift Gluteal Nerves Ā¼ Twist Gluteal Nerves Piriformis M & Sciatic N 7
- 9. Breakup Congestion (#2) ā Restore Circulation (#3) Blood and Lymph Circulation
- 10. #2 Breakup Congestion #3 Restore Circulation Areas of congestion A light, gentle, gliding (stagnated blood or or drawing, motion to lymph), are dispersed create āa vacuumā over using a light circular the affected area to motion with the finger stimulate the normal pads that gently drags circulation the congested tissues 10
- 11. Therapeutic Taping ā¢ Acute strains and sprains ā¢ Athletic injuries ā¢ Swelling & inflammation ā¢ Chronic pain syndromes ā¢ Arthritis ā¢ Musculoskeletal rehab 1970ās ā¢ Muscle imbalances ā¢ Post-operative care Dynamic Support, neuromuscular stimulation, increased micro-circulation &
- 12. Therapeutic Taping All Patients Dr. Kevin Jardine Created SpiderTech Athletes Pre-cut kinesio tape Dynamic Support, neuromuscular stimulation, increased micro-circulation &
- 13. Vibration Exercises for Strength, Coordination, and Balance
- 14. Gentle English Bonesetting for the Cervical Spine With light pressure, stabilize the facets with your thumb Gently tilt the head forward and roll the head Ā¼ turn towards the thumb side up to the neutral position (T4 - Occiput)
- 15. SpiderTechā¢ provides functional ancillary care 24-7 Neuromuscular facilitation Blood capillary stimulation Lymphatic drainage Neck Spiderā¢
- 16. Keys to Effective Application of Elastic Therapeutic Taping Apply to clean, dry, hairless skin DO NOT TOUCH the ADHESIVE DO NOT STRETCH the base or ends RUB THE TAPE to activate the glue Do not completely remove the backing of the tape until 90% of the section is applied
- 17. Bonesetting for High Blood Pressure Venous and lymphatic congestion
- 18. High Blood Pressure Treatment 1. Adjust the Spine (T4-Occ) 2. Decongest clavicular-trap triangle Venous and lymphatic 3. Create a vacuum to drain the jugulars congestion in the internal jugular veins, right and left subclavian veins, right lymphatic duct and the thoracic duct Overall treatment time 5-10-15 minutes 18
- 19. Bonesetting for the Shoulder Adjust the Spine & Ribs as necessary Ā¼ Twist Mobilize* AC Inferior glide Decongest under SCJ & Scapular of humerus ā¢Front hand stabilizes. Back hand cups scapular & pushes forward
- 20. Exercise the Shoulder Stabilizers Supraspinatus m Infraspinatus m Dynamic Support Teres Minor m Mid-traps / Rhomboids
- 21. Adjust-Rehab-Support Dynamic Support, neuromusc ular facilitation, stimulate micro-circulation and lymphatic drainage
- 22. Elbow Anatomy Right A-P Median nerve Ulnar nerve (in (anterior side) groove on posterior side)
- 23. Move Median N Move back Ulnar N towards back into midline groove
- 24. Forearm Pain Dynamic Support Push in articular cartilage Vacuum Down
- 25. Bonesetting for Extremity Joints Reset the Articular Cartilage 2. Pressure on the articular cartilage 1. Open the joint (flexion) 3. Close the joint (extension)
- 26. Bonesetting for the Wrist & Hand Reposition Substance Find tender spots between the bones of wrist or fingers 1. Open the joint Articular Cartilage 2. Hold pressure on cartilage 3. Close the joint
- 27. Reset the Articular Cartilage Find the Open the Hold the Dynamic painful joint & cartilage in Support spot in the push in the and close joint line articular the joint cartilage
- 28. Joint Play Motions ā John Mennell 1. Anterior Glide 2. Posterior Glide 3. Internal Rotation 4. External Rotation 5. Right Tilt 6. Left Tilt 7. Extension
- 29. Reposition Articular Cartilage in Metacarpal Phalangeal Joint 1. Find the tender spot in the joint line 2. āOpenā the joint 3. Push the displaced cartilage in 4. Hold it in and āCloseā the joint
- 30. Kaddy Wampus Pelvis Serial Distortion Muscle Imbalance
- 31. Sacrum and Gluteal Nerves Gluteal or sacral nerves
- 32. Treating the Sacrum & Gluteal Nerves Patient is seated - Doctor seated behind Lift up the gluteal nerves with thumbs Ā¼ Thumb twist under gluteal nerves Push in piriformis m. & sciatic n
- 33. Treating the Sacrum & Lift Gluteal Nerves Gluteal Nerves Ā¼ Twist Gluteal Nerves Piriformis M & Sciatic N
- 34. Lower Back Spiderā¢ 1. Apply the ābaseā to clean dry hair-free skin 2. Patient bends forward āStretch muscle not tapeā (neurosensory stimulation to decrease pain) 3. Apply the āparaspinalā strips then apply the āwingsā 4. Rub Tape to activate the glue
- 35. Bonesetting for the Hip Adjust the Hip Up 45Āŗ - Out 45Āŗ Web contact under Trochanter Push In Dynamic Support
- 36. Bonesetting for the Knee Release Adjust the Spine Tibial Rotation Fixations Reset the Menisci (synovial resorption) Create a vacuum to drain back of the knee
- 37. Release Tibial Rotation Fixations Reset the Menisci (synovial resorption) Create a Dynamic vacuum to Support drain back of the knee
- 38. Drain the Back of the Knee Break up congestion ācircular dragā Create a vacuum to drain the back of the knee
- 39. Foot & Ankle Sprains Reposition Substance (Articular Cartilage)
- 40. Reposition Articular Cartilage Under Lateral Malleolus 1. Find the tender spot in the joint line Dynamic 2. āOpenā the joint (invert foot) Support 3. Push the displaced cartilage in 4. Hold it in & āCloseā the joint (evert ft)
- 41. Joint Play Motions for the Toes 1. Anterior Glide 2. Posterior Glide 3. Internal Rotation 4. External Rotation 5. Right Tilt 6. Left Tilt 7. Extension