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455559
Techniques 1
Beschreibung
Autumn term yr 4
Mindmap von
sheena.mclennan
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Zusammenfassung der Ressource
Techniques 1
FOOT
Medial border
Supine
HVT/Axx
Talo-navicular
navicular - medial cunieform
Medial cuneiform - 1st metatarsal
Prone
HVT/Axx
Talo-navicular
Navicular-medial cuneiform
Medial cuneiform - 1st metatarsal
Lateral border
Supine
patient supine -Facing away
Cuboid on 4th&5th MET
Cuboid on calcaneum
patient supine -Facing
Cuboid on 4th&5th MET
Cuboid on calcaneum
Cuboid HVT - pistol grip
Sidelying
Cuboid axx
Cuneiforms - supine
Axx
Figure of 8 - intermediate
HVT
knee flexed 90deg
Intermediate
Lateral
Cross handed tug
ANKLE
Talo-crural joint
3. HVT/Axx - Shearing with leg straight
4. HVT/Axx - Shearing with knee flexed and foot dorsiflexed
1. Axx talus in mortise
2. Txx of talus
straight leg can build into thrust
Can stabilise pt with knee on plinth and thigh against plantar aspect of other foot
Triangle
Subtalar
Sidelying
Axx (inversion/eversion/shear) lwr legs joint
X-handed medial aspect HVT - lwr leg joint
Motor bike - upper leg joint
KNEE
Improving flexion
Supine
hand behind knee and flex over it
Use forearm as fulcrum
Prone
hand over popliteal fossa and use leg to axx
improving extension
Supine
leg straight - use some traction, rotation, foot position and pillow under knee to alter forces
Harmonic
Sitting
can use some resistance
Aim is to aid proprioceptiv feedback to joint
Gapping
Add traction/int/ext rotation
Sidelying
medial joint line
superior tib/fib
HVT
sidelying
Supine
HIP
Harmonic - leg roll, supine, can use cranial hand to fix iliac crest
Axx - supine/sidelying
improving extension sidelying
cephalic hand can hold back at ASIS to work on RF
cephalic hand can reinforce at gluteals
cephalic hand can hold behind GT
Pt can hold lower leg
Add adb/add/int/ext rotation
Upper leg can have knee flexed or extended
Txx/Dxx
Sidelying - fulcrum, pillowed op thigh.
Supine
Hug and vomit
Pts knees bent and ops forearms used to txx
SIJ
Axx - gapping/shearing/ant/post rotation - long/short lever
Supine
Cosy
Sidelying
Shear/gap
Spanner
posterior to pt
Prone
Frog
Short lever
HVT
Sidelying
Anteriorise innominate - brace pts pelvis before roll
Posteriorise innominate
Supine
Chicago
Leg tug (also gaps LS)
Pubic symphysis
HVT/MET
Shotgun
ST
Adductor longus, gacilis, rectus abdominus
Coccyx
Examination
palpate for deviation
Use int/ext rotatin of hip to assess mvmt
ST
Local inhibition
Gluteus max
Levator ani
occygeus
Sacrotuberous lig
Sacrospinous lig
Axx
Create fulcrum with thumb on coccyx and use legs as levers
Place thumbs either side of coccyx and Axx/Txx
txx/axx into extension
Lumbar
HVT
Rotation thrust
T/L - flexion, rotation levers, with rotation thrust. Sidebeinding to lock up lumbars
Mid lumbars
LS
Sidebending thrust
upper and mid Lsp only
Axx/ST
Sidelying
Prone
Supine
Thorax
Examination
Sitting
Sidelying
Axx/ST
Sitting
Tsp and TES
Ribs
Upper
Lower
Supine
TSp
Ribs
Sternum
Use arm as lever for ScapThor
Sidelying
Ribs/Intercostals
Upper
Lower
TSp/TES
Scapulo-thoracic/ periscap
Prone
TSp - Short/long lever
Dorsal sprining
Rib walking
MET
Intercostals
Sternum
HVT
Sitting
Split stance perpendicular to pt
Split stance parallel to pt
Split stance at 45 deg to pt
Supine
CT
Axx - sitting
HVT
Sitting
Lift off
Sidebend thrust
Supine
Cradle/chin hold - rotation thrust
Cradle/chin hold - sidebend thrust
Prone
Sidebend thrust to SP T1
Rotation thrust to TP T1
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