By S. Giammatteo, et al.,
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Additional resources for Integrative Manual Therapy for the Upper and Lower Extremeties
Sample text
5. For flexed dysfunctions, move into exten sion. For extended dysfunctions, move into flexion. The position of treatment is the same 6. Resist knee extension of knee flexion. as the movement barrier: FABER: Flex, 7. Resistance: isometric, 5 grams resistance, Abduct (put in lateral glide) and unidirectionalluniplanar resistance, 6 sec Externally Rotate the knee ro the onds resistance. Relaxation: Progress ro interbarrier zones. 23 next 3-planar interbarrier zone. 8. 3 repetitions. 9. Re-assess.
The central nervous system can elicit and precisely cOlltrol gamma bias. There is always some activity around this myotatic reflex arc. There is a certain gamma bias: a certain level of activity along the gamma neuroll which results in a resting threshold to stretch of the muscle spindle, controlled by the central nervous system. Evidently the gamma neuron is inhibited by supraspinal structures. When there is a cortical lesion, the suppressor areas of the brain which inhibit the gamma neu ron are damaged.
28 UPPER AND lOWER EXTREMITIES 29 6. If the humeral head approximates, palpated at the greater tuberosity as a medial pull, the shoulder is stuck adducted and inter nally rotated. 7. If the humeral head laterally distracts, pal pated at the greater tuberosity as a lateral distraction, the shoulder is stuck abducted and external rotated. 8. If the movement dysfunction is palpated at the greater tuberosity during flexion: the shoulder cannot flex, therefore the shoulder is stuck extended. 9. If the movement dysfunction is palpated at the greater tuberosity during extension: the houlder cannot extend, therefore the shoulder is stuck flexed.
