2-20-12 Monday

ASSESSMENT

AROM test contractibility of afflicted mm; person is active in motion; this is why we test in Single Planes: isolate mms

PROM assesses inert tissue: lig, jt. capsule, bursa
what you feel for is End Feel: bony, soft tissue approximation, tissue stretch (sloppy), spasm, springy block, empty (p.27)

test good side first
any acute injury is 6 wks heal time (generally speaking)

H-history
O-observation
P-palpation
R-resistive testing
S-special tests

habitual posture- upper cross syndrome is most common (I don't remember what this is about)
creates excessive nerve compression C5 and C6 (known as apex of cervical spine)

**Brachial plexus- C5-C8 (8?): radial/ulnar/media nerve

posture influenced by 3 things (for us): heredity, injury (acute/chronic), habit

FHP: foward head posture
c-spine into extension

Dermatome: area of skin that is supplied by sensory nerve
myoto: mm by motor nerve

sensory vs. motor nerves

Thoracic Outlet Syndrome TOS
possible areas for impingement/ nerve entrapment (not all for TOS)
1 level of spine- arthritis or disc structural
2 scalenes
3 clavical, 1 and 2 ribs
4 pec minor
5 deltoids
6 elbow: supinators/pronators, anconious, distal triceps
7 carpal tunnel

Adson test: anterior scalene
Allen test: middle scalene
Military test: 1st rib and clavicle
Wright abduction: pec minor (white hand sign)

pulse can be said to diminish

Empty can
Hawking-Kennedy (multi-plane passive test)
Flexion
Abduction 45 and 90 degree
cross over test: A/C jt.

CHAIR MASSAGE

address main complaint of client
show client how to get in and out of chair
**1st thing you do is adjust height of the seat

Finishing strokes: nerve strokes are up for energy
tie body in with arm

5 topics
main c/o (focus)
tender
trigger
when does it feel better
pressure

areas to try chair massages:
school functions
mall
airports
farmers' market
sports events
main st. functions
banks, etc.

contact person gets freebie