Techniques 1

Techniques 1

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

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