AK Session 2. Session ONE Review

Transcription

1 AK Session 2 Session ONE Review Therapy Localization Challenge mechanism (spinal & extremity) Vertebral respiratory adjustment Passive leg turn in, DereField, passive ROM P.A.T. Ocular Lock PLUS Shearing (sprain/strain) Muscle Stretch weakness/ Muscle Contraction Weakness Hidden cervical disc (anterior c/s subluxation) Tongue out to left & right Lovett Reactor Vertebra Anterior Thoracic Subluxation Postural assessment Gait Analysis Upper Gait (SCM, Upper Trapezius) Piriformis Gait Inhibition 1

2 X X X X X X X X X X X X O X X X Lung - Deltoid LI- TFL SP/Pancreas - Lat Dorsi Stomach - Pectoralis clavicular CX/ Adrenals - Sartoirius/Gracilis TW- Teres Mi Heart- Subscap SI- Biceps Fem Liver - Pectoralis sternal GB- Popliteus Ki-Psoas Bladder - Tibialis anterior 2

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4 S1 Muscles: Latissmus dorsi Pectoralis Major Sternal Pectoralis Major Clavicular Sternocleidomastoid Scalenes (medial neck flexors) Quadriceps (as a group) Rectus femoris Psoas Iliacus Gluteus Medius/Minimus Tensor Fascia Lata Piriformis Hamstring Gluteus Maximus Abdominal muscles Sartorius / Gracilis Session 1 Techniques Therapy Localization Challenge mechanism (spinal & extremity) Vertebral respiratory adjustment Passive leg turn in, DereField, passive ROM P.A.T. Ocular Lock PLUS Shearing (sprain/strain) Muscle Stretch weakness/ Muscle Contraction Weakness Hidden cervical disc (anterior c/s subluxation) Tongue out to left & right Lovett Reactor Vertebra Anterior Thoracic Subluxation Postural assessment Gait Analysis NUTRITION Chemistry challenge Lingual/ Gustatory nerves Cerebellum input Swede study 5 factor Stubborn Meridian point Chemistry history Second adjustment 4

5 Oral Nutrient 5

6 Cranial faults Causes of: 1. Birth 2. Trauma 3. Dental 4. Structural imbalance 5. TMJ Breath In strengthens a weak muscle = inspiration assist Breath out strengthens a weak muscle = expiration assist 1/2 breath in strengthens weak muscle = temporal bulge 1/2 breath out strengthens weak muscle= parietal descent Faults Inspiration/ expiration Repiratory pelvis Parietal descent Temporal bulge 6

7 Muscles Upper trapezious Subclavious Supraspinatus Infraspinatus Teres minor Teres major Pectoralis minor Sub clavious, divisions Scalenes Exstensors Coraco brachialis Biceps and triceps Rhomboid Levator scapulae Ocular lock Toughest thing for the cerebellum to process For decades, Dr. Major DeJarnette discussed three types of pelvic problems. He named these conditions Category I, Category II and Category III. This is a locking of the sacral boot mechanism that is involved with the flow of cerebrospinal fluid. There is no osseous misalignment or subluxation of the sacroiliac articulations. Goodheart developed a diagnostic system to find this condition that can be used in different postural positions. 7

8 Category I 1. Test hamstrings (usually bilaterally weak) 2. Two hand TL the SI joint (right then left) This is the involved side 1. One side should cause a change 2. Find a strong indicator muscle 3. Challenge thumbs together: psis and asis towards each other 4. Block opposite the challenge never on the side of involvement 5. Test piriformis for weakness and rub NL Category II Pelvic subluxations Definition This refers to a sacroiliac misalignment or subluxation. The category system was first described by DeJarnette. Goodheart correlated muscle imbalances with the different possible misalignments of the pelvis. This correlates with the marking system developed by Gonstead. 1. Therapy localization with the patient either standing or in a supine position, the patient contacts first one sacroiliac joint and then the other and a strong muscle is tested for weakening (one hand to one joint). 2. If this causes weakening of a strong indicator muscle, respiration can be used to help determine if the innominate is rotated. The abdominals are inhibited on inspiration. This allows medial rotation of the posterior superior iliac spins (PSIS). On expiration, the abdominals contract and the PSIS is pulled laterally. Consequently, if the positive therapy localization is changed by either full inspiration or expiration, a rotation of the pelvis is present. If the strengthening occurs on inspiration, the PSIS has moved lateral and needs to be corrected medially. If the strengthening occurs on expiration, then the PSIS needs to be corrected in a lateral direction. Posterior Ilium - Short Leg / lateral pelvis sway Tenderness is found at the origin and insertion of the sartorius and the gracilis as well as at the first rib head at the sternum and at the attachment of the first rib and the first thoracic vertebra. Weakness will be found of the sartorius and/or the gracilis. All associated reflexes should be challenged and corrected including nutritional support. The pelvic misalignment can be corrected by either placing a block at the level of the crest of the ilium on the short leg side and one on the opposite side below the buttocks to raise the ischial tuberosity, and have the patient lie supine until the pelvis no longer therapy localizes or challenges with the blocks removed; or place the patient in a side lying position and adjust the ilium in the challenge direction. Nutrition: calcium or manganese 8

9 Anterior Ilium (Posterior Ischium) - Long Leg Tenderness is found on the lateral thigh, the obturator foramina and the first rib attachments anteriorly and posteriorly with the anterior ilium (posterior ischium. Weakness of the biceps femoris and the vastus lateralis will be found and all associated reflexes should be challenged and corrected. Occasionally, abdominal weakness is a contributing factor. The pelvic subluxation can be corrected by placing the patient in a side lying position and adjusting the ischium or through the use of the blocks as described above. An alternate blocking procedure is to have the patient stabilize the blocks and first flex the short leg to ninety degrees and then rotate the leg away from the body and then straighten the leg. The long leg is then flexed and rotated across the body and then returned to its normal position. Internal - External Iliac Rotation Positive therapy localization of the sacroiliac joint may indicate either internal or external rotation of the ilium. with weakness of the transverse and oblique abdominals. An external rotation of the ilium is found associated with a weakness of the gluteus medius/minimus on the same side. And a breath IN Tenderness along the insertion of the oblique abdominals at the crest of the ilium in the internal rotation A breath out SOT adaptation UMS For a PI Block upper LLL For an AS Block lower In Both cases observe for leg evening 9

10 Tenderness patterns First rib At both its anterior and posterior ends Abdominal Oblique Internal rotation (out) Gluteus medius External rotation (in) Iliotibial band Anterior ilium Glut Max Posterior ilium Sartorius/Gracilis Manual or Block In general, if ligament laxity is questioned or other manipulations sting or do not make audibles blocking is preferred. Diversified side posture is the most common manual, although drop, or other techniques are all valid Normal listings: ASIN, PIEX 10

11 Category III» The Category III problem was described by DeJarnette to be a pelvic imbalance that had an accompanying sciatic neuralgia.» For years, Goodheart had difficulty integrating this problem into the pattern of correction used in Applied Kinesiology. In 1991», he developed a procedure to correct this problem.» Leaning to one side (usually away from disc) Sacral Wobble There is a torque pattern of motion that occurs at the sacrum during normal walking. This resembles a figure 8. This pattern was originally described by Goodheart in the early 70 s, and specific manual corrections developed to normalize this motion. Later in the 80 s, the importance of the function of the piriformis in controlling and supporting the sacrum and the sacroiliac joint added to the understanding of this Disc Cervical disc: Challenge w/ respiration Anterior traction Lumbar disc Challenge w/ respiration Anterior pull Imbrication Nutrition Braces/ supports 11

12 Dural torque and pelvic Muscles: Cocygious Pubo coccygious Illio coccygious Logan basic PLUS Piriformis Lattissimus (L) Upper trapezious (L) SCM Iliacus 30 flex 15 extend Piriformis gait Test Iliacus and piriformis for strength In the clear Have the patient put opposite shoulder and arm forward simulating gait. Fred ILLy proved how L5 counter rotates allowing inhibition of the forward leg piriformis 12

13 Gait Upper Trapezious and SCM strong in a neutral position Gait position forward leg should have an inhibited (weak) upper trapezious and contralatteral SCM Cervical compaction Measure lateral and rotation in flexion and extension passively and actively. Correct in the opposite of the decreased position. 3-4 lbs pressure applied through the skull from one side to other in positions of ease Practice makes Perfect Perfect practice makes perfect 13