肌肉不平衡的评估与治疗：Janda.ppt

* Bands, Balls Balance ITNL * * Straight back and winging of the scapula Hands internally rotated may cause decrease in the use of Biceps as reverse action and increase signs of problem Winging may cause other things Look for ipsi and contralateral side problems * Supraspinatus sets the humerus within the glenoid fossa Tones resistance to lengthening Contractile and noncontractile Thinik about lengthening and origin and insertion relationship Effects of the posture. Measure the amount of the hip flexion before the ASIS begins to move Make sure knee stays cradled in the hand and arm Use body to support the head, some compression can relax the muscles, End feel soft and springy Cervical flexion, side bend away and feel for end feel Flexion, side bend away, and rotate away Feel for banding and Trigger point Depression of the shoulder blade quantifies the levator scapulae Full rotation to the opposite side Three parts of the test Scapula resting on the table Don’t allow for rotation of the chest, cover the chest if female then cover the area, counter force to keep the pec down Over pressure to test the end feel. Modify position for pain and patient ability Palpate the fibers on the person you are testing Keep elbow flexed to eliminate possible neural tension * Must treat the whole system at once, as well as look above and below C-spine has high number of mechanoreceptors (ATNR, reflexes within the head and neck) SI joint has another high level of input Base of foot, read freeman’s article C-spine has high number of mechanoreceptors (ATNR, reflexes within the head and neck) SI joint has another high level of input Base of foot, read freeman’s article Leg length is a problem once an injury occurs, the body needs to be in alignment for proper positioning Orthotics are important for proper foot position Left picture promotes the tonic chain Right picture promotes the phasic chain Foot position, lumbar position, cervical positon all inter related Bruegger relief posit