Isn't it nice to know that things can be incredibly easy, under certain conditions?
Like right now, knowing that on April 5 2009, you have this super-rare limited chance to absorb secret new devastating cutting-edge Physical Rehabilitation techniques?
It's easy to make a quick decision when you see just what you're looking for, isn't it? Remember your first time? Now? Yes, It's so easy to come and join us when you're looking at a a chance so painful to miss as this, isn't it? I mean, now that you know you have to, You've already signed up, haven't you? Oh, of course you have. Sometimes we do really smart things, and it's really nice when we do, isn't it?
It's easy to do something spontaneous and instantly gratifying when the conditions are perfect for it, isn't it? We're waiting. And we won't be waiting long. Come.
Lead the wave.
Now, other than the fact that you have to find out what happens on the 5th of April 2009, what else can you remember of the above paragraphs without peeping or trying to read the entire set of paragraphs again and again?
oh, you wanna see how this works?
okay...
record the entire set of entries above in your own voice with your cellphone and listen to it. Just listen to it. No cheating. Then, immediately after listening, try desperately to remember everything you just heard.
It's fun. Hehehe. Come on! Give it a shot. You know you want to, hmmm?
Tuesday, March 31, 2009
Monday, March 30, 2009
Manual Medicine Integration Workshop II, Day 2
What's in store for day two?
First off, I injured myself today, so this is me typing with two fingers.
Functional by standard Physical Rehabilitaion in 10-12 weeks.
So, hopefully i've fixed enough on myself so i'd be functional by next week.
I'm still ruling out a metacapal 3rd and 4th digit fracture.
Hoping it's not that. I'll know for sure after either the swelling dies down or my cat drags me for the X-ray.
That means we'll have more time with Dione, Harold, Rey, and Ge. Shhh. They don't know this yet. That means that newbies get to see for a fact that these skill-sets are downloadable, editable, applicable, and downright outshine "the Box" insofar as structural-functional gains go. Other therapists have picked this stuff up and made it their own. And are now delivering previously unheard-of results.
If we may be slightly unintentionally abrasive, may we say:
1. HVLA is NOT the Holy Grail. And we're not just "cussing at the darkness." I mean, we still can and do HVLA. Rarely, though, and only if absolutely necessary. Come to think of it, maybe SYNTHESIS is the Holy Grail. Wait. I just remembered. We already know what it might be. Two things: "I," and "L." Can't remember? Ask Harold.
You were with us last time? It's how we manage to have a pinkie finger hold more superficially than a fascial hold melt through muscular spasm. Okay, so this can kinda overlap with the Pain Neutralization Technique.
2. To paraphrase Dr. Jesse and his Advanced Biostructural Correction, "The Box is dead."
3. Whenever we disagree with absolutist and purist techniques, it is merely from a "show us how that works, please?" perspective. In fact, we'd LOVE to be proven wrong.
If you see something that works better, faster, more profoundly, and with more lasting effects for the patients, hey, please - show us! We aren't absolutes. The only way we've gotten this far is an understanding that there's still too much to learn.
4. The only reasons these protocols may not work include:
wRong diagnosis
wRong technique or application or approach
Re-injury of the patient, or Re-exposure to an injury cycle.
5. We don't like causing pain. In fact, the reason we get away with so much amazing s*** (stuff) is that we intentionally find some way around pain. Also, enter: RDTs. After all, the VA says we SHOULD now ALWAYS include pain as the FIFTH VITAL SIGN.
By request, we're likely to include (depends on how nice everyone is)
1. how to alter shoulder ROMs by working nonlocally (as in the foot?)
2. Variations in application of the Passive PRone Technique
3. still debating whether to demo the MPL thoracic anterior technique (this is proving to be a harder skill to pass on than expected. Perhaps it's that rare over-assumption that others would find this easy, too.) This is useful for another point, though: not everyone picks up everything the first time around, and that's okay. In fact, each and every time i go attend a mentor's training, i see something new. For exactly the same topic. Whether it's a new notion or a new application, or i figure out a new way to modify or adapt a technique, well, there's something new.
Perhaps my Cat is the smartest animal in our team: she knows that everything moving is interesting, that anything hidden is interesting, and that strings that move are particularly fun to play with. If you can figure out how that relates to Manual Medicine, then, by George, you've got it!
More techniques and protocols later.
See you all on the 5th of April 2009 (with your choice of potluck lunch) for more amazing but incredibly learnable skills.
With the warmest regards,
Stay Blessed,
First off, I injured myself today, so this is me typing with two fingers.
Functional by standard Physical Rehabilitaion in 10-12 weeks.
So, hopefully i've fixed enough on myself so i'd be functional by next week.
I'm still ruling out a metacapal 3rd and 4th digit fracture.
Hoping it's not that. I'll know for sure after either the swelling dies down or my cat drags me for the X-ray.
That means we'll have more time with Dione, Harold, Rey, and Ge. Shhh. They don't know this yet. That means that newbies get to see for a fact that these skill-sets are downloadable, editable, applicable, and downright outshine "the Box" insofar as structural-functional gains go. Other therapists have picked this stuff up and made it their own. And are now delivering previously unheard-of results.
If we may be slightly unintentionally abrasive, may we say:
1. HVLA is NOT the Holy Grail. And we're not just "cussing at the darkness." I mean, we still can and do HVLA. Rarely, though, and only if absolutely necessary. Come to think of it, maybe SYNTHESIS is the Holy Grail. Wait. I just remembered. We already know what it might be. Two things: "I," and "L." Can't remember? Ask Harold.
You were with us last time? It's how we manage to have a pinkie finger hold more superficially than a fascial hold melt through muscular spasm. Okay, so this can kinda overlap with the Pain Neutralization Technique.
2. To paraphrase Dr. Jesse and his Advanced Biostructural Correction, "The Box is dead."
3. Whenever we disagree with absolutist and purist techniques, it is merely from a "show us how that works, please?" perspective. In fact, we'd LOVE to be proven wrong.
If you see something that works better, faster, more profoundly, and with more lasting effects for the patients, hey, please - show us! We aren't absolutes. The only way we've gotten this far is an understanding that there's still too much to learn.
4. The only reasons these protocols may not work include:
wRong diagnosis
wRong technique or application or approach
Re-injury of the patient, or Re-exposure to an injury cycle.
5. We don't like causing pain. In fact, the reason we get away with so much amazing s*** (stuff) is that we intentionally find some way around pain. Also, enter: RDTs. After all, the VA says we SHOULD now ALWAYS include pain as the FIFTH VITAL SIGN.
By request, we're likely to include (depends on how nice everyone is)
1. how to alter shoulder ROMs by working nonlocally (as in the foot?)
2. Variations in application of the Passive PRone Technique
3. still debating whether to demo the MPL thoracic anterior technique (this is proving to be a harder skill to pass on than expected. Perhaps it's that rare over-assumption that others would find this easy, too.) This is useful for another point, though: not everyone picks up everything the first time around, and that's okay. In fact, each and every time i go attend a mentor's training, i see something new. For exactly the same topic. Whether it's a new notion or a new application, or i figure out a new way to modify or adapt a technique, well, there's something new.
Perhaps my Cat is the smartest animal in our team: she knows that everything moving is interesting, that anything hidden is interesting, and that strings that move are particularly fun to play with. If you can figure out how that relates to Manual Medicine, then, by George, you've got it!
More techniques and protocols later.
See you all on the 5th of April 2009 (with your choice of potluck lunch) for more amazing but incredibly learnable skills.
With the warmest regards,
Stay Blessed,
Thursday, March 19, 2009
how does strain-counterstrain technique work?
from our osteopathy yahoo group today:
"We should all now look at the research and ask the question, what does it have to do with clinical practice?" Howard
I take your apology as sincere and agree to put this incident behind us.
What was copied to you by Hollis King DO was meant to inform you of that particular research, which was summarised at the Fascia congress October 2007. It was not meant to pressure you (as though anyone could!)
It does not prove anything - except that it offers evidence of a possible model for what may be happening on a cellular level when positional release methods are used. Together with much other evidence - for example Solomonow's ligamentous influence evidence (citation provided last week)- as well as the clinical studies cited in a posting by me on this thread last week - all add up to helping explain (to me) of the clinical results I have been achieving, using these methods for 20 years or so.
An altogether different question is whether or not positional release is 'osteopathic' - and I for one don't give a damn whether it is or is not.
It emerged from osteopathic groups/practitioner s, and has echoes in early osteopathic work I have see discussed, all the way back to Still.
So in that regard it is osteopathic for me, but may not be for you.
It is also very naturopathic, in that it offers an opportunity for tissues to resolve their own stress/strain/ restriction patterns - self-regulation in action - without imposition of a practitioner directed solution (i.e. as in when barriers are forced to retreat in HVLA or MET)
Leon
"We should all now look at the research and ask the question, what does it have to do with clinical practice?" Howard
I take your apology as sincere and agree to put this incident behind us.
What was copied to you by Hollis King DO was meant to inform you of that particular research, which was summarised at the Fascia congress October 2007. It was not meant to pressure you (as though anyone could!)
It does not prove anything - except that it offers evidence of a possible model for what may be happening on a cellular level when positional release methods are used. Together with much other evidence - for example Solomonow's ligamentous influence evidence (citation provided last week)- as well as the clinical studies cited in a posting by me on this thread last week - all add up to helping explain (to me) of the clinical results I have been achieving, using these methods for 20 years or so.
An altogether different question is whether or not positional release is 'osteopathic' - and I for one don't give a damn whether it is or is not.
It emerged from osteopathic groups/practitioner s, and has echoes in early osteopathic work I have see discussed, all the way back to Still.
So in that regard it is osteopathic for me, but may not be for you.
It is also very naturopathic, in that it offers an opportunity for tissues to resolve their own stress/strain/ restriction patterns - self-regulation in action - without imposition of a practitioner directed solution (i.e. as in when barriers are forced to retreat in HVLA or MET)
Leon
Monday, March 16, 2009
RE THE FEBRUARY 22 INTEGRATION WORKSHOP (next one's on March 29 and April 05 2009)
Hi doc!!! Sorry for the lack of punctuality in my reply. Based on your text message, I have an inkling that you would be repeating some techniques.
SOME TECHNIQUES ARE DEFINITELY WORTH REPEATING. AND IT'S BEEN OUR EXPERIENCE THAT MULTIPLE EXPOSURES EACH BRING SOME NEW FACET INTO LIGHT EACH TIME.
I'd try to bring more people over.... most of them would not be knowledgeable bout manual therapy. I thought I picked up fairly adequately because I have ample background.
YES, YOU SEEM TO HAVE DONE SO. EVERY TIME WE SEE SOMEONE ACTUALLY IMMEDIATELY TAKE THE TECHNIQUES, CONCEPTS, PROTOCOLS, NOTIONS, AND CLINICAL GEMS STRAIGHT FROM THE WORKSHOP OUT INTO THE FIELD OF PRACTICE, WE PAY VERY GOOD ATTENTION. WE LIKE POTENTIAL AND TRUE INTEREST. WE REALLY ARE HOPING FOR AN EVOLUTION IN MANUAL PRACTICE HERE. AND EACH ONE CONTRIBUTES.
I like the proposed flow of starting with key concepts, most of our dear colleagues would probably have better appreciation after hearing the rationale of what we are doing but we have to keep it short and simple.. we are after all clinicians primarily instead of academicians.
AGREED. WHILE WE CAN SHARE AND TEACH, WE'D ALSO RATHER TAKE CARE OF PATIENTS WHENEVER WE CAN.
Please put a bit more emphasis on palpation methodology and skills..I do believe this is a basic skill which has been neglected.
AGREED. WE HAVE ALSO DONE A LOT OF THIS IN THE PAST. WE HOWEVER KNOW THAT A LOT OF OUR THERAPEUTIC GAINS FLOW ONLY AFTER ONE PICKS UP PALPATORY SKILLS ON AT LEAST A FEEDBACK LEVEL. WHEN YOU CAN TELL HOW TISSUES ARE RESPONDING UNDER YOUR TOUCH WHILE YOU'RE DOING A TECHNIQUE, WELL, YOU'RE THERE. BEYOND THAT, TOUCH IS BOTH DIAGNOSTIC AND THERAPEUTIC. BY EXPERIENCE, TAKING UP VISCERAL MANIP IS AN EXCELLENT WAY TO RAPIDLY PICK UP EXQUISITE PALPATION SKILLS.
A lot of people usually press to hard thinking that would help them feel more and quite a few are actually apprehensive to use palpation as an assessment tool. Please also give a few key points in assessing px's prior to application of any technique.
THANK YOU FOR THIS SUGGESTION AS WELL. MODULE ONE INTEGRATION WAS MEANT TO BE AN EYE-OPENER FOR WHAT WE UNDERSTOOD TO BE A MIXED GROUP - NEWBIES, MAVERICKS, AND SEASONED THERAPISTS. YOU'RE STILL RIGHT. WE'D BEST REINFORCE PALPATIONS SKILLS EVEN THOUGH WE'VE SHARED THEM BEFORE. I SUPPOSE WE'D BEST INCLUDE PALPATION SKILLS AT EVERY SHARING SESSION, REGARDLESS OF WHAT EVERYONE KNOWS. EVEN AMONG SEASONED OSTEOPATH AND THERAPIST COLLEAGUES, I'VE SEEN HOW EMPOWERING IT IS TO HAVE YOUR SUBTLE PALPATORY CONCLUSIONS CONFIRMED BY PEOPLE YOU TRUST.
We have to point out that manual therapy is not just a plethora of techniques but also a shift of paradigms. ABSOLUTELY.
I treated a px with bicipital tendinitis by doing stm of pec minor and bowen of latissimus because I thought differently. Never did anything with the biceps, the tendon of its long head or the deltoids (the muscles which would usually recieve attention).. BINGO! AND BRAVO. THEY'RE PART OF THE SAME CHAIN. PLEASE REMIND ME TO SHOW YOU HOW WORKING ON THE FEET CAN IMPROVE SHOULDER ROMs. IT'S ON THE SAME NOTION YOU WORKED ON.
I am not claiming to know more, just have been enlightened sufficiently. In contrast to my previous instructors, you combined the application of techniques instead of doing them separately. THOSE ARE VERY KIND WORDS. AND THAT'S OUR PARTICULAR FLAW. WE ACTUALLY HAVE TO WORK OUR WAY BACKWARDS WHEN SHARING BECUASE WE'VE GOTTEN RATHER USED TO COMBINING THINGS. HENCE, PRINCIPLE TWO: "DO WHATEVER WORKS OR WORKS BEST." THE MMG KIDS CAN GIVE YOU THE ENTIRE "SERMON," FOR WHICH WE HOPE YOU'LL PARDON US.
You can point that out to get better appreciation and understanding from the participants. CAN YOU HELP US POINT THAT OUT IN CASE WE FORGET?
Like when you checked for the volunteer girl's ribcage mobility, then you did a combination of met, prt and soft tissue release...I really liked that coz I understood what you were doing and you put them all together. Beautiful. AGAIN, VERY KIND WORDS. IT'S A REAL BUNCH OF FUN AT THE CLINICS. AND A NECESSITY. SOMEITMES "LESS IS BEST," BUT THAT SOMETIMES ENTAILS A MIXTURE OF "WHATEVER WORKS."
I feel like we are gonna have the same frantic pace as the previous module.. HMM. BY EXPERIENCE, LIKELY. THAT'S WHY HAROLD, REY, GE, AND VIDA (AND ANYONE ELSE EAGER TO SHARE) WILL BE PLAYING A KEY PART THIS TIME AROUND. THIS AFFORDS US A NEW PERSPECTIVE FOR PARTICIPANTS: FIELD REPORTS FROM THERAPISTS WHO HAVE ACTUALLY PICKED UP THESE PARADIGMS.
a brief and concise list of the techniques would help in recall tremendously..if that would be possible. YEAH. MY FAULT FOR NOT PREPPING THAT. AND THE SENIORS HAVE AKED ME TO TRY AND CUT DOWN MY 1,00 SLIDES TO SOMETHING LIKE TEN. I THINK WE'LL BRING A CHECKLIST THIS TIME FOR THE TECH AND PROTOCOLS. Though I don't think we really had a flow.. WE DID: THE KIDS TELL ME IT WAS "OVER"FLOW. HEHE.
thought you just went on and on (which was great! I loved it.). YEAH. MY FAULT. HAROLD USUALLY STOPS ME IN MY TRACKS WHEN BRAINS FRY OVER. IT'S THE INTERNAL NOTION THAT THERE ARE STILL TECHNIQUES AND PROTOCOLS THAT MY SENIORS HAVEN'T EVEN SEENB FROM ME OR ANYWHERE ELSE YET. THERE'S JUST ONE AMAZING LOT. AND I'VE ALREADY DROPPED A LOT OF TECH THAT I COULDN'T FIND AT LEAST GRADE B EVIDENCE FOR.
Anyway, these inputs would help those who are starting out in manual medicine (most of us are, especially me). I think you'd shock quite a number of people with what we have..hehe..coz the more we learn, the more we realize the little that we know. THAT'S HOW I STILL FEEL WHEN AROUND NEW TEACHERS EACH TIME I SIT WITH THEM TO ATTEMPT TO IMBIBE THEIR WISDOM. I NEVER THOUGHT I'D GET AROUND TO FEELING LYMPH FLOW, BUT HERE IT IS. THERE ARE AMAZING TEACHERS OUT THERE. AND IT'S THE ONLY WAY WE'RE ABLE TO GET AWAY WITH SUCH AMAZING RESULTS. WE STAND ON THE SHOULDERS OF GIANTS. FOR THAT, WE ARE OVERFLOWINGLY GRATEFUL.
Im looking forward to learning more from you. What's with the ninja dragonball stuff doc? HAHA THAT'S WHAT THE KIDS CALL THIS THING I DO WHEN I COMBINE MULLIGAN+OMT ARTICULATORY+FOCAL INHIBITION SCS+MET+POST-TX STRETCH ON THE SHOULDERS. IN TWO MOVES. YEAH, IT'S STRANGE. THE KIDS TELL ME IT WORKS. MY CHARTS SAY SO, TOO. LIKE I SAID. OUT OF THE KINDNESS OF GIANTS HAVE THESE TOYS EVOLVED.
Oh you can point out like websites they could check so participants can do further theoretical study at their own time. HMM. WILL SEEK THOSE OUT AND POINT THEM OUT.
That helped me. Beginners like me also usually apply the techniques first, then we improve our assesssment skills based on our px's responses and the things we notice afterwards. GOOD WAY TO PICK THINGS UP FAST. AFTER ALL, IT -IS- CALLED MANUAL MEDICINE "PRACTICE."
Have a pleasant one.
SALAMAT PO. WE WOULD GREATLY APPRECIATE EVEN MORE FEEDBACK NEXT TIME AROUND.
YOURS IN THE EVOLUTION OF MANUAL MEDICINE,
SOME TECHNIQUES ARE DEFINITELY WORTH REPEATING. AND IT'S BEEN OUR EXPERIENCE THAT MULTIPLE EXPOSURES EACH BRING SOME NEW FACET INTO LIGHT EACH TIME.
I'd try to bring more people over.... most of them would not be knowledgeable bout manual therapy. I thought I picked up fairly adequately because I have ample background.
YES, YOU SEEM TO HAVE DONE SO. EVERY TIME WE SEE SOMEONE ACTUALLY IMMEDIATELY TAKE THE TECHNIQUES, CONCEPTS, PROTOCOLS, NOTIONS, AND CLINICAL GEMS STRAIGHT FROM THE WORKSHOP OUT INTO THE FIELD OF PRACTICE, WE PAY VERY GOOD ATTENTION. WE LIKE POTENTIAL AND TRUE INTEREST. WE REALLY ARE HOPING FOR AN EVOLUTION IN MANUAL PRACTICE HERE. AND EACH ONE CONTRIBUTES.
I like the proposed flow of starting with key concepts, most of our dear colleagues would probably have better appreciation after hearing the rationale of what we are doing but we have to keep it short and simple.. we are after all clinicians primarily instead of academicians.
AGREED. WHILE WE CAN SHARE AND TEACH, WE'D ALSO RATHER TAKE CARE OF PATIENTS WHENEVER WE CAN.
Please put a bit more emphasis on palpation methodology and skills..I do believe this is a basic skill which has been neglected.
AGREED. WE HAVE ALSO DONE A LOT OF THIS IN THE PAST. WE HOWEVER KNOW THAT A LOT OF OUR THERAPEUTIC GAINS FLOW ONLY AFTER ONE PICKS UP PALPATORY SKILLS ON AT LEAST A FEEDBACK LEVEL. WHEN YOU CAN TELL HOW TISSUES ARE RESPONDING UNDER YOUR TOUCH WHILE YOU'RE DOING A TECHNIQUE, WELL, YOU'RE THERE. BEYOND THAT, TOUCH IS BOTH DIAGNOSTIC AND THERAPEUTIC. BY EXPERIENCE, TAKING UP VISCERAL MANIP IS AN EXCELLENT WAY TO RAPIDLY PICK UP EXQUISITE PALPATION SKILLS.
A lot of people usually press to hard thinking that would help them feel more and quite a few are actually apprehensive to use palpation as an assessment tool. Please also give a few key points in assessing px's prior to application of any technique.
THANK YOU FOR THIS SUGGESTION AS WELL. MODULE ONE INTEGRATION WAS MEANT TO BE AN EYE-OPENER FOR WHAT WE UNDERSTOOD TO BE A MIXED GROUP - NEWBIES, MAVERICKS, AND SEASONED THERAPISTS. YOU'RE STILL RIGHT. WE'D BEST REINFORCE PALPATIONS SKILLS EVEN THOUGH WE'VE SHARED THEM BEFORE. I SUPPOSE WE'D BEST INCLUDE PALPATION SKILLS AT EVERY SHARING SESSION, REGARDLESS OF WHAT EVERYONE KNOWS. EVEN AMONG SEASONED OSTEOPATH AND THERAPIST COLLEAGUES, I'VE SEEN HOW EMPOWERING IT IS TO HAVE YOUR SUBTLE PALPATORY CONCLUSIONS CONFIRMED BY PEOPLE YOU TRUST.
We have to point out that manual therapy is not just a plethora of techniques but also a shift of paradigms. ABSOLUTELY.
I treated a px with bicipital tendinitis by doing stm of pec minor and bowen of latissimus because I thought differently. Never did anything with the biceps, the tendon of its long head or the deltoids (the muscles which would usually recieve attention).. BINGO! AND BRAVO. THEY'RE PART OF THE SAME CHAIN. PLEASE REMIND ME TO SHOW YOU HOW WORKING ON THE FEET CAN IMPROVE SHOULDER ROMs. IT'S ON THE SAME NOTION YOU WORKED ON.
I am not claiming to know more, just have been enlightened sufficiently. In contrast to my previous instructors, you combined the application of techniques instead of doing them separately. THOSE ARE VERY KIND WORDS. AND THAT'S OUR PARTICULAR FLAW. WE ACTUALLY HAVE TO WORK OUR WAY BACKWARDS WHEN SHARING BECUASE WE'VE GOTTEN RATHER USED TO COMBINING THINGS. HENCE, PRINCIPLE TWO: "DO WHATEVER WORKS OR WORKS BEST." THE MMG KIDS CAN GIVE YOU THE ENTIRE "SERMON," FOR WHICH WE HOPE YOU'LL PARDON US.
You can point that out to get better appreciation and understanding from the participants. CAN YOU HELP US POINT THAT OUT IN CASE WE FORGET?
Like when you checked for the volunteer girl's ribcage mobility, then you did a combination of met, prt and soft tissue release...I really liked that coz I understood what you were doing and you put them all together. Beautiful. AGAIN, VERY KIND WORDS. IT'S A REAL BUNCH OF FUN AT THE CLINICS. AND A NECESSITY. SOMEITMES "LESS IS BEST," BUT THAT SOMETIMES ENTAILS A MIXTURE OF "WHATEVER WORKS."
I feel like we are gonna have the same frantic pace as the previous module.. HMM. BY EXPERIENCE, LIKELY. THAT'S WHY HAROLD, REY, GE, AND VIDA (AND ANYONE ELSE EAGER TO SHARE) WILL BE PLAYING A KEY PART THIS TIME AROUND. THIS AFFORDS US A NEW PERSPECTIVE FOR PARTICIPANTS: FIELD REPORTS FROM THERAPISTS WHO HAVE ACTUALLY PICKED UP THESE PARADIGMS.
a brief and concise list of the techniques would help in recall tremendously..if that would be possible. YEAH. MY FAULT FOR NOT PREPPING THAT. AND THE SENIORS HAVE AKED ME TO TRY AND CUT DOWN MY 1,00 SLIDES TO SOMETHING LIKE TEN. I THINK WE'LL BRING A CHECKLIST THIS TIME FOR THE TECH AND PROTOCOLS. Though I don't think we really had a flow.. WE DID: THE KIDS TELL ME IT WAS "OVER"FLOW. HEHE.
thought you just went on and on (which was great! I loved it.). YEAH. MY FAULT. HAROLD USUALLY STOPS ME IN MY TRACKS WHEN BRAINS FRY OVER. IT'S THE INTERNAL NOTION THAT THERE ARE STILL TECHNIQUES AND PROTOCOLS THAT MY SENIORS HAVEN'T EVEN SEENB FROM ME OR ANYWHERE ELSE YET. THERE'S JUST ONE AMAZING LOT. AND I'VE ALREADY DROPPED A LOT OF TECH THAT I COULDN'T FIND AT LEAST GRADE B EVIDENCE FOR.
Anyway, these inputs would help those who are starting out in manual medicine (most of us are, especially me). I think you'd shock quite a number of people with what we have..hehe..coz the more we learn, the more we realize the little that we know. THAT'S HOW I STILL FEEL WHEN AROUND NEW TEACHERS EACH TIME I SIT WITH THEM TO ATTEMPT TO IMBIBE THEIR WISDOM. I NEVER THOUGHT I'D GET AROUND TO FEELING LYMPH FLOW, BUT HERE IT IS. THERE ARE AMAZING TEACHERS OUT THERE. AND IT'S THE ONLY WAY WE'RE ABLE TO GET AWAY WITH SUCH AMAZING RESULTS. WE STAND ON THE SHOULDERS OF GIANTS. FOR THAT, WE ARE OVERFLOWINGLY GRATEFUL.
Im looking forward to learning more from you. What's with the ninja dragonball stuff doc? HAHA THAT'S WHAT THE KIDS CALL THIS THING I DO WHEN I COMBINE MULLIGAN+OMT ARTICULATORY+FOCAL INHIBITION SCS+MET+POST-TX STRETCH ON THE SHOULDERS. IN TWO MOVES. YEAH, IT'S STRANGE. THE KIDS TELL ME IT WORKS. MY CHARTS SAY SO, TOO. LIKE I SAID. OUT OF THE KINDNESS OF GIANTS HAVE THESE TOYS EVOLVED.
Oh you can point out like websites they could check so participants can do further theoretical study at their own time. HMM. WILL SEEK THOSE OUT AND POINT THEM OUT.
That helped me. Beginners like me also usually apply the techniques first, then we improve our assesssment skills based on our px's responses and the things we notice afterwards. GOOD WAY TO PICK THINGS UP FAST. AFTER ALL, IT -IS- CALLED MANUAL MEDICINE "PRACTICE."
Have a pleasant one.
SALAMAT PO. WE WOULD GREATLY APPRECIATE EVEN MORE FEEDBACK NEXT TIME AROUND.
YOURS IN THE EVOLUTION OF MANUAL MEDICINE,
manual medicine workshop: integration - module 2
next sharing session "workshop" on manual medicine integration will be on 29 march and 5 april 2009 (module two - day one and two)
feed-forward motor control and injury cycles
from our osteopathy for all yahoo group:
CONCLUSION: The altered kinematics observed in this study could explain the reason subjects with functional instability experience repeated episodes of ankle inversion injury in situations with only slight or no external provocation. It is hypothesized that the observed increase in peroneus longus activity may be the result of a change in preprogrammed feed-forward motor control.
Hi Andy
Following your proposition that a feed-forward mechanism plays a significant part in the cause of Lesions, I duly add this article in support of your statement.
Kevin
Delahunt E, Monaghan K, Caulfield B.
School of Physiotherapy and Performance Science, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Republic of Ireland. eamonn.delahunt@ ucd.ie
BACKGROUND: The ankle joint requires very precise neuromuscular control during the transition from terminal swing to the early stance phase of the gait cycle. Altered ankle joint arthrokinematics and muscular activity have been cited as potential factors that may lead to an inversion sprain during the aforementioned time periods. However, to date, no study has investigated patterns of muscle activity and 3D joint kinematics simultaneously in a group of subjects with functional instability compared with a noninjured control group during these phases of the gait cycle.
PURPOSE: To compare the patterns of lower limb 3D joint kinematics and electromyographic activity during treadmill walking in a group of subjects with functional instability with those observed in a control group.
STUDY DESIGN: Controlled laboratory study.
METHODS: Three-dimensional angular velocities and displacements of the hip, knee, and ankle joints, as well as surface electromyography of the rectus femoris, peroneus longus, tibialis anterior, and soleus muscles, were recorded simultaneously while subjects walked on a treadmill at a velocity of 4 km/h.
RESULTS: Before heel strike, subjects with functional instability exhibited a decrease in vertical foot-floor clearance (12.62 vs 22.84 mm; P < .05), as well as exhibiting a more inverted position of the ankle joint before, at, and immediately after heel strike (1.69 degrees , 2.10 degrees , and -0.09 degrees vs -1.43 degrees , -1.43 degrees , and -2.78 degrees , respectively [minus value = eversion]; P < .05) compared with controls. Subjects with functional instability were also observed to have an increase in peroneus longus integral electromyography during the post-heel strike time period (107.91%.millisecon d vs 64.53%.millisecond; P < .01).
CONCLUSION: The altered kinematics observed in this study could explain the reason subjects with functional instability experience repeated episodes of ankle inversion injury in situations with only slight or no external provocation. It is hypothesized that the observed increase in peroneus longus activity may be the result of a change in preprogrammed feed-forward motor control.
Hi Andy
Following your proposition that a feed-forward mechanism plays a significant part in the cause of Lesions, I duly add this article in support of your statement.
Kevin
Delahunt E, Monaghan K, Caulfield B.
School of Physiotherapy and Performance Science, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Republic of Ireland. eamonn.delahunt@ ucd.ie
BACKGROUND: The ankle joint requires very precise neuromuscular control during the transition from terminal swing to the early stance phase of the gait cycle. Altered ankle joint arthrokinematics and muscular activity have been cited as potential factors that may lead to an inversion sprain during the aforementioned time periods. However, to date, no study has investigated patterns of muscle activity and 3D joint kinematics simultaneously in a group of subjects with functional instability compared with a noninjured control group during these phases of the gait cycle.
PURPOSE: To compare the patterns of lower limb 3D joint kinematics and electromyographic activity during treadmill walking in a group of subjects with functional instability with those observed in a control group.
STUDY DESIGN: Controlled laboratory study.
METHODS: Three-dimensional angular velocities and displacements of the hip, knee, and ankle joints, as well as surface electromyography of the rectus femoris, peroneus longus, tibialis anterior, and soleus muscles, were recorded simultaneously while subjects walked on a treadmill at a velocity of 4 km/h.
RESULTS: Before heel strike, subjects with functional instability exhibited a decrease in vertical foot-floor clearance (12.62 vs 22.84 mm; P < .05), as well as exhibiting a more inverted position of the ankle joint before, at, and immediately after heel strike (1.69 degrees , 2.10 degrees , and -0.09 degrees vs -1.43 degrees , -1.43 degrees , and -2.78 degrees , respectively [minus value = eversion]; P < .05) compared with controls. Subjects with functional instability were also observed to have an increase in peroneus longus integral electromyography during the post-heel strike time period (107.91%.millisecon d vs 64.53%.millisecond; P < .01).
Monday, March 2, 2009
Doctor Zink's Compensatory Patterns
From Leon Chaitow, via a shared osteopathy yahoo group:
I use the Zink test to guide me towards, or away from, specific interventions.
I will give as an example someone with widespread pain - perhaps with a diagnosis of fibromyalgia (FMS) or myofascial pain syndrome (MPS) (or a combination of both).
Inevitably I would attempt to deal with constitutional/ whole-person focus on lifestyle modification, exercise issues, nutrition, breathing patterns, postural advice etc.
And - if the Zink test proved negative (i.e. normal alternating rotational preferences at the spinal transition regions) - I would also consider specific interventions such as trigger point deactivation, or key spinal or pelvic manipulation - if indicated.
If, however, the Zink test proved positive, with a strong indication of a likelihood that specific interventions would be poorly coped with, I would avoid specific interventions, and would utilise constitutional approaches alone - selectively, and in slower motion (so to speak) than if Zink were negative.
Simplistically - all treatment involves adding additional stressor input to an already compromised system (taking pain and disease as representing failed adaptation) - which means that treatment needs to be carefully tailored to the individual's ability to respond to it.....and Zink allows me to judge this objectively (relatively)
I hope this makes sense?
Leon
I use the Zink test to guide me towards, or away from, specific interventions.
I will give as an example someone with widespread pain - perhaps with a diagnosis of fibromyalgia (FMS) or myofascial pain syndrome (MPS) (or a combination of both).
Inevitably I would attempt to deal with constitutional/ whole-person focus on lifestyle modification, exercise issues, nutrition, breathing patterns, postural advice etc.
And - if the Zink test proved negative (i.e. normal alternating rotational preferences at the spinal transition regions) - I would also consider specific interventions such as trigger point deactivation, or key spinal or pelvic manipulation - if indicated.
If, however, the Zink test proved positive, with a strong indication of a likelihood that specific interventions would be poorly coped with, I would avoid specific interventions, and would utilise constitutional approaches alone - selectively, and in slower motion (so to speak) than if Zink were negative.
Simplistically - all treatment involves adding additional stressor input to an already compromised system (taking pain and disease as representing failed adaptation) - which means that treatment needs to be carefully tailored to the individual's ability to respond to it.....and Zink allows me to judge this objectively (relatively)
I hope this makes sense?
Leon
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