April 8, 2010
Dysfunctions:
- Stress fractures in right and left tibia bones . Client has tenderness and pain (usually in the lower 1/3 quadrant of the tibia) if pressure is applied. The stress fracture is probably caused by long, tough workouts, without much rest,(soccer) causing the muscles ( Tibialis Anterior)to fatigue. My goal of this session is to increase blood flow, circulation, tissue/muscle regeneration and decrease muscle tension, fatigue and pain in that area.
Muscle/Bones Involved: Tibia bone and Tibialis Anterior Muscles.
- Patellar Tendonitis in the knees. Client has pain, loss of motion and slight inflammation inferior to the knees around the tibial tuberosity. His workouts involve jumping a running a lot. The quadriceps tendon attach to the patellar tendon, so any stress or activity on the quads will result in pain at the patellar tendon. My goal is to reduce inflammation ,increase range of motion, and decrease pain and muscle tension.
Muscle/Bones Involved: Patellar-around the joint, Quadriceps tendon, patellar tendon.
Effleurage | Wringing | Petrissage | Friction | Vibration | Percussion | 2.5 sec./stroke24-25 mpm | 3 sec./stroke20-24mpm | 1 sec./stroke48-60 mpm | 2-3 sec./stroke120-180 mpm | 4-5 sec./stroke200-300 mpm | 4-5 sec./stroke200-300 mpm |
Prone:
Right and Left upper quadrants of the back:
Effleurage: To relax and sedate muscles.
Time: (2.5 sec. x 5 stokes) x 2 = Total 25 seconds -Rectilinear - Alternating Rectilinear
Wringing: To move fluids, broaden and lengthen tissues.
Time: total 90 seconds - Supported Palmar ( 3 sec. x 5) x 2 = Total 30 Seconds - Supported Thumb (around Rhomboid Major and Minor muscles). (3secs. x 10) x 2 = Total 1min.
Petrissage: decrease tension, improve muscle tone and blood circulation.
Time: 290 Seconds - Pressing supported 4-finger tip: around the scapula [1sec.x10)x7]x2 = Total 140 Seconds. Depending on the scapular size, time may