multimodal chiropractic approach to musculoskeletal injury · multimodal chiropractic approach to...
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![Page 1: Multimodal Chiropractic Approach to Musculoskeletal Injury · Multimodal Chiropractic Approach to Musculoskeletal Injury Dr. Scott F. Gillman Diplomate: American Chiropractic Board](https://reader033.vdocuments.us/reader033/viewer/2022050106/5f449878da0ec6689564e3ca/html5/thumbnails/1.jpg)
Multimodal Chiropractic Approachto
Musculoskeletal Injury
Dr. Scott F. GillmanDiplomate: American Chiropractic Board
Of Sports Physicians
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Chiropractic – Profession• Back and Neck Pain• Headaches• Radicular or Referred Pain-Paresthesias• Extremity Joint Problems• Tunnel-Entrapment Syndromes• Sports Injury• Work Injury• Functional Disorders
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MultimodalMobilization
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MultimodalMobilizationManipulation
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MultimodalMobilizationManipulationHands-on Soft Tissue Work
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MultimodalMobilizationManipulationHands-on Soft Tissue WorkMechanically-Assisted Soft Tissue Work
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MultimodalMobilizationManipulationHands-on Soft Tissue WorkMechanically-Assisted Soft Tissue WorkAdjunctive Procedures: Ultrasound, Low Level Laser
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MultimodalMobilizationManipulationHands-on Soft Tissue WorkMechanically-Assisted Soft Tissue WorkAdjunctive Procedures: Ultrasound, Low Level LaserTherapeutic Exercise
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MultimodalMobilizationManipulationHands-on Soft Tissue WorkMechanically-Assisted Soft Tissue WorkAdjunctive Procedures: Ultrasound, Low Level LaserTherapeutic Exercise Tape and Bracing
![Page 10: Multimodal Chiropractic Approach to Musculoskeletal Injury · Multimodal Chiropractic Approach to Musculoskeletal Injury Dr. Scott F. Gillman Diplomate: American Chiropractic Board](https://reader033.vdocuments.us/reader033/viewer/2022050106/5f449878da0ec6689564e3ca/html5/thumbnails/10.jpg)
MultimodalMobilizationManipulationHands-on Soft Tissue WorkMechanically-Assisted Soft Tissue WorkAdjunctive Procedures: Ultrasound, Low Level LaserTherapeutic Exercise Tape and Bracing Nutritional Guidance
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MultimodalMobilizationManipulationHands-on Soft Tissue WorkMechanically-Assisted Soft Tissue WorkAdjunctive Procedures: Ultrasound, Low Level LaserTherapeutic Exercise Tape and Bracing Nutritional Guidance Ergonomic Advice
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Expanding How We ThinkAbout Treating Patients
• Match the Right Model of Careto the Patient
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Patho-Anatomic Model
Dysfunction,Disc Lesion,
Boo-Boo,etc, etc…
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Pain-Sensitive Structures:
• Muscles
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Pain-Sensitive Structures:
• Muscles• Tendons
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Pain-Sensitive Structures:
•Muscles• Tendons
• Ligaments
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Pain-Sensitive Structures:
•Muscles• Tendons
• Ligaments• Discs
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Pain-Sensitive Structures:
•Muscles• Tendons
• Ligaments• Discs
• Periosteum
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Pain-Sensitive Structures:
•Muscles• Tendons
• Ligaments• Discs
• Periosteum
• Fascia
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Functional-Kinetic Model• Kinetic Chain Dysfunction• Faulty Muscle Patterns• Weakness• Instability
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BioPsychoSocial
• Self Care
• Coping
• Realistic Expectations
• Mental Health
• Social Environment
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TreatmentOptions
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cartoon
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High Velocity Manipulation
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High Velocity Manipulation
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High Velocity Manipulation
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High Velocity Manipulation
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Flexion-Distraction (decompression)
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Flexion-Distraction (decompression)
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Flexion-Distraction
(decompression)
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Exercise and Neuromuscular Techniques
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Exercise and Neuromuscular Techniques
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Low Force Procedures
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Pregnant Patients
9-months pregnant
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Kinesiologic Tape
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Soft Tissue Facilitated
StretchingTechniques
Donald R. Murphy, DC, DACANClinical Assistant ProfessorBrown University Medical SchoolProvidence, RI USAwww.rispinecenter.com
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Soft Tissue Procedures Graston Technique
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Soft Tissue Procedures Manual Myofascial Release Techniques
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Active Myofascial Release
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Graston Technique™ for Soft Tissue
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FAKTR™ Technique for Soft Tissue
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FAKTR™ Technique for Soft Tissue
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Physiotherapy Modalities
Ultrasound Electric Stimulation Ice/Heat
• Outdated?• Evidence ?• Validity?• Effective?
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• Safety
Knowing what to expect…
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• Safety• Musculoskeletal Conditions
Knowing what to expect…
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• Safety• Musculoskeletal Conditions• “Back Pain Specialists”
Knowing what to expect…
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• Safety• Musculoskeletal Conditions• “Back Pain Specialists”• Evidence-Based/Outcomes-Based
Knowing what to expect…
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• Safety• Musculoskeletal Conditions• “Back Pain Specialists”• Evidence-Based/Outcomes-Based• Find a DC Whose Skills You Trust
Knowing what to expect…