January 24 2010 Manual Medicine Sharing Session RESOUNDING SUCCESS

Thank you for coming!
See you on February 21 2010,
When we refine your skills and "Go beyond" Cervical treatments.

Completed Workshop / Seminar / Sharing Session:
Manual Medicine: An Introduction to Scope, Synthesis
and Clinical Bases of Rapid Reflexive De-afferentation Techniques
(An Overview of Manual Medicine Techniques)
January 24, 2010
Time: 10 a.m. to 4 p.m. (ask Rheysonn how long that actually is)
Call time and late registration: 9 am.
Venue: DLSU Dasmarinas Cavite (with many thanks to the faculty offer to host this session)

Contact: DIONNE at +639054269496

Content: A view of the forest, with a fair look at the trees. For the inquisitive, you may actually see the leaves, too.

Or, for the suddenly enlightened, the ecosystem might begin to make sense.

Course Hours: Six.

Pre-requisites:
Anatomy and Physiology Courses and continued Familiarity
License to Practice
Vertebral Artery Screening
Vestibular Screening
Maintained blood pressure
Open Mind [While most material presented will be mainstream, new technology will always look like magic do anyone who's never seen it.]
(For everyone else, you won't get left out! No judgments here. We all have something which can benefit our fellow living beings. It's all cool. Everyone is exactly where they have to be at the moment. In fact, Friends of mine are starting support groups:
(1) Critics for the Sake of Criticism
(2) Debate Club - also open to pre-teens onwards
(3) Understanding Evidence-Based Clinical Practice


Session I-a:
Technique Set: Neuromyofascial
System Focus: Head and Neck
Additional Techniques, Introduction: Articulatory, Thrust, RRDTs.

Techniques / Coverage / Flow:

intro / backgrounder
intent / vision / goals
Why NMFR / NiMFA ?
the path of ease
the importance of breath
the therapeutic pulse

Session Proper:
Evaluative Phase:
1. Postural Cues (landmarks, bearing, loading; seated / standing)
2. Zink Assessment for Junctional Freedoms (what is physiologic / compensated / uncompensated?)
Degrees of freedom demonstrated for the H&N (how many degrees of freedom are there?)
3. NOD testing for AO (how freely is the cranium suspended?)
4. VOR - Vestibular-Orienting Release (allow for gravity drop) (also proprioceptive)

Neuromyofascial Realeases:
(1.) Cat grabs for upper traps (traps drain / MFR)
(2.) Neck-Shoulder Differential Release, Superficial, in neck rotation and FB
(bind outer layers at restrictions, mobilize inner layers, shoulders, chest) (compare to Lederman's Cervical Harmonics) (broad versus specific releases)
(3.) Platysma (rotation bind at superficial pectoral fascia + active facial recruitment)
upper rib releases
(4.) SCM attachment release
active head movement; minimize SCM movement
(5.) anterior scalene release
supine; broad contact at scalenius anterior
posterior palpatory feedback: cervical segment tabledrop
indications: thoracic outlet syndrome, Anterior Neck Syndrome

(6.)Sleeve-Core Differentiation in Cervical Rotation:
Sleeve Bind, Core Roll
(a.)Bind with back of phalanges "Mano Po"
(b.)Overweight Turtle: Occipital hold against Neck-bind Caudal Drift
"Help that head out."

(7.)The 69 (Ulnar Traction Bind, Active Creep) (Cervical Rotation, FB, BB)
prone head-drape over plinth edge; Broad ulnar contact
(8.)Sidelain rotation releases
(a.) Downfist hold at neck; ceiling roll
(b.) Open Backhand hold at shoulder; ceiling roll


NMFAR = ARTICULATORY-NEUROMYOFASCIAL TECHNIQUES:

(1.) First RIB positional release, PA gravity-drop (slow Articular)
*** If time permits, we'll have a very superficial description of alternative 1st rib manipulations, when they may be useful, and why we usually DO NOT use them (other Doctor's techniques).
(2.) Cervical Stack Release:
"Casino Chips"
(3.) Cervical Circumduction with C7-T1 Lock
Pistol-cup handhold
(4.) CT Hold Augmented Side-bending:
feel extension of technique into neck and torso
knee-hand fulcrum hold
(5.) cervical vertebra translation|side-bending
note inverse relation of translation and SB


JUNCTIONAL Articulatory TECHNIQUES:

Cervico-thoracic Techniques:

(1.) Articulatory-thrust / Flexion-Distraction
(Low-velocity Low Amplitude) (LVLA/MVLA-Art)
FB-distraction Articulatory thoracic Anterior Techniques:
(C7 upon T1; T1-T3)

(2.)Cervico-thoracic Junctional collar release
cylindrical rotatory handle (Crankshaft)

Atlanto-Occipital Techniques:

(1.)Cervical Vertebral Mobility, Prone
Check rotation
Stabilizer / Contact hand versus Mobilizer hand

(2.)Dial Release for Atlanto-Axial C1-C2
45 degree forward-bending lock
local atlas-transverse process release
notion of TP posteriority with rotation SD
direct transverse process derotation
one-handed versus two-handed techniques
indirect technique, positional release (PRT)

(3.)AO lift glide: "Deep throat"
anterior translation - backward-bending
posterior translation - forward-bending
Hand-hold variations: Vertex-AO versus Two-handed collar

(4.)AO Wedge Release
AO freedom
Inhibition notion
Description of RRDT variation
AO-dural release: occipital traction through Dura, Posterior longitudinal ligament..
N.L.P. language / semantics

(5.)Towel and T-band releases:
infra-occipital hook
traction in backward-bending
"curved-angular" traction for brachial plexus, nerve sheath releases, levator scapulae
pre-harmonic swing-rock
rotational rolls - gentle
thoracic hold swing rock harmonic
dural cord


proprioceptive conditioning techniques:

(1.)ghost on the shell

(2.)Xiphoid-Halux Hookup:
middle finger, left hand
big toes, both feet, right hand
kinesthetic-proprioceptive connection

(3.)Head floater
Comparison to Dorn Method floater
N.L.P language re frontal headfall into palm, occipital cradling
NM Re-education


Nuchal Releases:
(1) Longitudinal
lengthening
occipital FB traction
spidermouth mounting hold, static
(2) Horizontal uncrowding

Nonlocal Integration / Completion:
(1.) antero-lateral sacral wedging
medial to PSIS
(2.) Dural-sacral release, prone


With Gratitude,

Yours in the Evolution of Manual Medicine,