Long Axis Laminar Release (Figures 8-13 and 8-14)
Long Axis Laminar Release (Figures 8-13 and 8-14)
will be quite restricted in all planes; this may be a general function of body type, or may represent generalized restrictions. The clinician must not only base the
clinical judgment on the superficial fascial assessment, but must also correlate the findings with other components of the evaluation.
Therapeutic application: The skin and superficial subcutaneous connective tissue are gently lifted in a posterior direction with both hands. Using each hand alternately,
the clinician rolls the skin, never releasing the hold on the skin and subcutaneous tissue. Generally, the skin is rolled from caudal to cephalic, but other directions such
as medial to lateral or diagonals can be pursued. One can imagine balancing a drop of water on the Iifted portion of the skin as the roll is applied. When a restriction is
encountered, the rolling can be stopped, and a gentle posterior stretch or oscillation can be applied.
Long Axis Laminar Release (Figures 8-13 and 8-14)
Purpose: The first purpose of this technique is elongation and decompression of the spine. The second purpose is the identification of localized lesions in the medial
border of the erector spinae. As these lesions are identified, the motion may be stopped and a sustained pressure may be applied.
Patient position: The patient is positioned prone with the lumbar spine in a neutral position. The neck also should preferably be in a neutral position and not rotated.
The patient's head should be as close as possible to the head of the table to allow the therapist to complete the technique through the iliac area.
Therapist position: The therapist is positioned at the head of the table with one foot in front of the other.