2018 massage and cause pain in myotherapy australia the ... · 7/06/2018 3 spine template when...

7/06/2018

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Stiff Ribs can

cause pain in

the LEGS!

Presenter: Kym Finch

2018 Massage and

Myotherapy Australia

Conference

Gold Coast

© Kym Finch - Finch Therapy 2018

Outcomes

Challenge

Challenge your thought process

Teach

Teach new skills in interpretation of orthopaedicassessment incorporating myofascial slings and spine hypomolility

Develop

Develop new skills that allow you to improve treatment results with minimal effort on your hands


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Linking stiff ribs to leg muscles

Myofascial Slings

Spine/rib Template


Myofascial Slings

Continuity of muscle

attachments from one

muscle to another


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Spine Template

When assessing spinal

joints for joint

play/mobility,

identification of

hypomobile joints

indicate which

myofascial sling is

involved and where to

start treatment.



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T© Kym Finch - Finch Therapy 2018

Pectineus


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Signs and

Symptoms

Tightness in lower back

Pain/tightness in trapezius region

Mid/upper thoracic stiffness

Rounded shoulders

Forward head position

Often tight masseter/TMJ problems

“shin splints”

Plantar fasciitis


How to assess for treatment

1. Thoracic

Rotation

2. Rib

hypomobility

assessment

3. Central

Thoracic spine

P/A joint play


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Thoracic Rotation


Why Assess for

thoracic

rotation?

It forms part of every

day movement patterns

Thoracic restriction can

overload other regions of

the body contributing to

pain and dysfunction

Particularly neck, lumbar

spine and shoulders


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Causes for decreased thoracic rotation

Structural –scoliosis

Functional (reversible)


Structural -

ScoliosisThe treatment aim for

structural scoliosis is to

maximise their available

rotational capability.


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Functional

impairment

The treatment aim for functionally impaired

decreased thoracic rotation is to identify where the

reactive and adaptive restrictions are


Thoracic Rotation


This test is performed with your client sitting with their feet resting

flat on the floor.

This keeps the pelvis stable enabling the thoracic rotation to

occur through thoracic region not pivoting

through pelvis.

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Thoracic rotation

Sitting Test

Feet flat on the floor

Spacer between knees

Arms crossed with forearms against chest

Turn body to left then right

Compare rotation


3 Common

“cheating”

methods

1. Thoracic rotation and

side bending at same

time

2. Retracting the scapula

3. Excessive rotation of

the neck with minimal

thoracic rotation

4. Pivoting through the

pelvis when seated


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Rib Hypomobility


Segmental

Spine Mobility

Joint Play

The amount of natural movement that occurs when direct pressure is applied:

p/a to the spinous process and facet joints

All joints have a neutral or mid position

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When the spine moves out of its neutral position:

uneven forces distributed through

spine results in abnormal loading on

spinal structures (ligaments, discs, facet joints etc)

Abnormal loading leads to altered mechanics which eventually can lead to pain.


Tension in and around a joint whether that

be from direct muscular tension or

caused from a distal chain reaction can

cause pain in:

Joint

associated muscles

Ligaments

periosteal insertions

skin or fascia

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Hypomobility

of the Spine

is an indication of dysfunction.

Assessing joint play in

conjunction with other

orthopaedic assessments can

give us much of the

information needed to

correct musculoskeletal

dysfunctions and pain.

Treatment

Disclosure

Advise your client that

you do not manipulate

joints (“cracking” neck

or back)

The purpose of assessing

the spine is to identify

any decrease of normal

movement that might be

contributing to their

overall symptoms

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Spine Assessment

The harder you press

the less you feel

Apply light

pressure

Spine

Assessment

The aim of assessing the mobility of the spine is to guage the natural (onset) movement of the joint.

Posterior to anterior movement should be minimal.

The joint should NOT be taken to its end range.

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Thoracic “T”

Assessment

Ribs 2-5

Central Thoracic P/A



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Hypomobile Joint Cycle

Myofascial sling

Underactive muscle

Hypomobile joint


Ribs

Assessment

Assessing Ribs 2-5

Place the thumb along

the line of the rib at the

costo-transverse joint

Apply light pressure

P/A with inclination

towards the feet


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Thoracic “T”

TreatmentNeuromuscular contraction

Pectineus


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Pectineus neuromuscular contraction

Legs straight with

patella pointing

towards ceiling

Cube between knees

Roll leg 1cm towards

block

Relax & repeat


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After Pectineus

treatment

To alleviate muscular

pain and reinforce

the altered muscular

pattern, gluteus

maximus stretch is

suggested.


Glute Stretch

Lie on back

Bend one knee

Place opposite hand on outside of

knee

Pull knee across body

DO NOT twist your back

Hold 30 seconds


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Contact:

Kym Finch

www.finchtherapy.com.au

[email protected]

(07) 3284 1363


http://www.finchtherapy.com.au/

2018 massage and cause pain in myotherapy australia the ... · 7/06/2018 3 spine template when...

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