00:00
So we're gonna talk about a
facilitated positional release.
00:04
This is good for people
who need soft techniques
and you find a limitation in their motion.
00:10
Typically a person should be able to
rotate 90 degrees, rotate 90 degrees.
00:14
Side bend 45, side bend 45.
00:17
Flex down to 90 and extend 15 degrees.
00:20
If you have a limitation, if they
can't twist, then you figure out
which segment is contributing
to the inability to move.
00:31
Let's say it's third or
fourth thoracic vertebrae
and if it is a type 1 or type 2, type 1 being
flexing and rotating to opposite sides.
00:45
Type 2 is to the same side.
00:49
You'll then reproduce it and go in
the direction it allows you to go.
00:56
And then hold it for 3 to 5 seconds
and see if you can ease up the motion
and then you recheck the motion.
01:08
This differs from muscle energy
procedure where you're gonna do it
and have the person pull against you.
01:15
It's still isometric but let's say the
patient can't rotate to the right.
01:20
I'm gonna use a muscle energy
procedure, put this on your elbow
and let me have you pull
yourself to the left.
01:31
One, two, three, four, five
and relax.
01:34
Then you go a little bit further.
01:36
Pull to the left again,
one, two, three, four, five and relax.
01:41
Each time taking more
motion taking up the slack
engaging a barrier and moving him until
I restore full motion in the back.
01:50
And relax and see if we have full motion.
01:54
That's a muscle energy procedure
of the thoracic spine.