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16 views2 pages

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kieumyquynhon77
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are in line with the radius of the forearms.

This ensures that forces are distributed throughout the arm and are not localized in the interphalangeal
(IP), (MCP), or carpo
metacarpal joints. the thumbs in
any other position will quickly produce fatigue.
The index are placed over the The
medial border of the erector
an oscillatory manner a medial-lateral di
rection of force. Initially, the force is
the palms, allowing the patient's body
to oscillate primarily in a medial
to lateral direction. This rhythm will vary from
patient to patient and will also on the too
patient's state of relaxation.
quickly or slowly will result in either a logrolling type of
motion or a motion that is out of reso
nance. Once and excursion
are attained, the thumbs, which are
the lateral border of the erector spinae, begin to
create the force in synchrony with the
ohhe rest of the The primary force
is now at the thumbs, with the retaining a
of force to maintain the oscillation. The
"power" of the stroke is lateral to medial
with the thumbs; the index fingers are merely
the position of the hand on the erec
To ensure that a movement a medial
executed (as
the elbows must move from
a position away from the to a pOSItiOn
toward the body the power of
of the hands are lightly over the lateral
of the body (Figure 8-1 B).
Execution: This is performed in
the stroke. In other words, the elbows are held away from the body at the initiation of the stroke (shoulder abduction) and are moved toward the
during the stroke
If a restriction is identified in a medial to
lateral direction, the hand is changed the The thera
or so the thumbs are
medial border of the erector
pist must, move to the other side of
the table to perform the technique. The portion of the stroke is still delivered through
Atlas Techniques 171
the but now in a medial to lateral direc
tion. Different levels of the erector spinae may be treated by
simply moving the hands cephalic
or sure that the thumbs contact the
lateraI borders of the erector
"Ironing" of Erector (Figure 8-
Muscle
17)
Purpose: The purpose of this technique is to tonal inhibition of the erector
muscle group while applying unilateral
traction to the lumbar Since longitudinal
is usually less noxioLls and more sedative than cross fiber
manipulation, this is
an excellent deep pressure when the discomfort or pain. for applying moderately
is in considerable
Patient position: Prone.
Therapist position: The therapist stands di
the patient at the level
of the lumbosacral area.
Hands: The top hand is placed over the iliac crest to "anchor" the pelvis. The bottom hand is crossed over the top hand and placed over the
erector muscle mass as close to the lum
bosacral junction as The table should
be low to allow for the LIse of the therapist's body
Execution: A small amount of lubrication
is used. The into the of the bottom hand muscle group and
erector slides
and f irmly in a cephalic direction. This is deep, but utilizes the entire heel of the hand to create a strong but diffuse technique. the technique, the top hand remains
anchored onto the iliac crest, for a moderate traction/distraction of the lumbar area.
Bony of the Iliac Crest (Figures 8--18 and 8-]9)
Purpose: This is to first
evaluate the fascial attachments at the iliac crest,
then soften the fascia of the at the insertion
and quadratus lumboalso serves to prepare the
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