Contents

Preface . .................................................. xi

Introduction . ............................................... 1

How the Therapist Influences the Client ...........................

Sensory Issues .............................................
Therapist's Hands ..........................................
Synchronous Movement with Another Individual ..................
Speed of Movement ........................................

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Kinesiological Considerations ................................... 6

Range of Motion .......................................... 6

Alignment ............................................... 7

Base of Support ........................................... 7

Movement on All Three Planes ............................... 10

Summary ............................................... 13

-E

Use of Adaptive Equipment with Facilitation Techniques .............. 13

Comprehensive Goals of Facilitation ............................. 16

Bench and Floor Sitting . ............................. 17

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1.

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General Sequence of Facilitation ................................ 16

Neutral Alignment of Trunk, Pelvis, and Hips .................. 17

1.2

Pectoral Elongation ..................................... 21

1.3

Shoulder Dissociation with Thoracic Extension: "Shoulder Shimmy" .. 23

1.4

Forward Reaching in Sitting: Anterior Weight Shift at the Hip ...... 26

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1.1

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1.5 Lateral Weight Shifts .................................... 29

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1.6 Bilateral Upper Extremity Abduction: Traction for

Lateral Weight Shift ..................................... 32

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1.7 Bilateral Shoulder Flexion for Latissimus Dorsi Elongation ........ 34

Unilateral Shoulder Flexion with Lateral Weight Shifts ............ 36

1.9

Upper Extremity Protective Extension ........................ 40

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1.8

1.10 Long Sit: Rotate to Prone ................................. 46

1.11 Long Sit to Runner's Stretch ............................... 49

1.12 Long Sit to Five-Month Position ............................ 53

1.13 Long Sit to Quadruped with a Lateral Weight Shift .............. 56

1.14 Long Sit to Quadruped with Forward Vaulting ................. 59

1.15 Diagonal Weight Shifts for Equilibrium Reactions ............... 62

1.16 Sit to Stand: Anterior Weight Shift at the Hips .................. 67

2.

Bolster Sitting . ...................................... 73

2.1

Sitting on a Bolster: Anterior Weight Shifts .................... 73

2.2

Rotation with Extension .................................. 77

2.3

Rotation with Extension: Client on the Therapist's Lap ........... 79

2.4

Half Kneeling from a Bolster .............................. 82

2.5

Weight Shifts in Half Kneel over the Bolster ................... 86

2.6

Rotation to Step Stance: Face-Side Weight Shift ................. 91

2.7

Lateral Weight Shift to One-Leg Stance ....................... 96

2.8 Bench Sitting on a Bolster: Extension Rotation to the Floor ........ 99

3.

Sitting on Ball . ..................................... 103

3.1 Trunk-Pelvic-Hip Neutral Alignment with

Anterior-Posterior Weight Shifts ........................... 103

3.2 Lateral Weight Shift for Simultaneous Activation of

Flexors and Extensors................................... 108

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3.3 Diagonal Weight Shifts .................................. 110

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3.4 Rotation to One-Leg Stand ............................... 113

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3.5 Rotation to Half Kneel. ................................. 115

3.6 Weight Shifts in Half Kneel over the Ball ..................... 118

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3.7 Forward Weight Shift to Prone ............................ 120

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Prone on Floor . .................................... 129

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4.

3.8 Rotation to Prone...................................... 124

4.1 Shoulder Facilitation for Upper Extremity Weight Bearing ........ 129

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4.2 Shoulder Girdle Facilitation for Lateral Weight Shifts ............ 131

4.3 Prone to Runner's Stretch Position ......................... 136

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4.4 Weight Shifts and Transitions from Runner's Stretch Position ...... 138

Prone on the Bolster. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145

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4.5 Prone Straddle ........................................ 143

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5.1 Symmetrical Hip Extension ............................... 145

5.2 Upper Extremity Weight Bearing and Weight Shifting ........... 148

5.3 Prone to Sit on the Bolster ............................... 152

5.4 Prone to Side Lying with Lower Extremity Dissociation .......... 158

5.5 Prone to Side Lying with Weight Bearing on the Foot ............ 161

6.

Prone on Ball ...................................... 167

6.1

Prone Extension ....................................... 167

6.2

Lateral Righting Reactions and Sideward Protective Extension ..... 172

6.3

Prone to Runner's Stretch Position ......................... 174

6.4

Prone to Sit on the Ball .................................. 178

7.

Quadruped . ........................................ 181

7.1

Weight Shifting in Quadruped ............................. 182

7.2

Quadruped to Sit: Lateral Weight Shift ...................... 187

7.3
7.4

Quadruped to Sit: Posterior Weight Shift ..................... 189

Quadruped to Kneeling ................................. 192

7.5

Quadruped to Three-Point with Weight Shifts ................. 195

7.6

Three-Point to Weight Bearing on the Toes of the Extended Leg .... 198

7.7
7.8

Bear Standing to Step Stance .............................. 205

Climbing ............................................ 207

7.9

Calcaneus Facilitation ................................... 212

8.

Kneeling and Half Kneeling . ......................... 217

8.1 Kneeling Lateral Weight Shifts to Half Kneeling:

Proximal Control ...................................... 217

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8.2 Kneeling Lateral Weight Shifts: Distal Control ................. 220

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8.3 Kneeling to Side Sit .................................... 222

8.4 Kneeling to Side Sit Circle ................................ 225

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8.5 Kneeling to Half Kneeling: Facilitation from the Side ............ 230

8.6 Kneeling to Half Kneeling: Facilitation from the Arm ........... 234

Standing . .......................................... 245

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9.

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8.7 Kneeling to Half Kneeling: Facilitation from the Front ........... 236

8.8 Weight Shifts in Half Kneel. .............................. 239

9.1 Symmetrical Stance ..................................... 245

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9.2 Lateral Weight Shifts: Sideward Cruising ..................... 249

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9.3 Sideward Cruising: Crossing and Uncrossing the Legs ........... 252

9.4 Lateral Weight Shifts with Rotation ........................ 257

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9.5 Symmetrical Stance: Face-Side Rotation ...................... 261

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9.6 Symmetrical Stance: Pivot to Step Stance ..................... 263

10.1

Gait: Forward Walking .............................. 273

10.

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9.7 Standing to Sitting ..................................... 270

Facilitation from the Rib Cage and Pelvis .................... 275

10.2

"Hemi-Tango" ........................................ 284

10.3

Facilitation from the Pelvis and Femurs ...................... 287

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Facilitation from the Lower Extremities ..................... 291

10.5

Facilitation from the Upper Extremities ...................... 293

10.6

Reciprocal Arm Swing .................................. 301