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connective tissue, allowing it to reorganize in such a way that will improve range
of motion and neurovascular/lymph flow."
Soft Tissue: "In this dysfunction, the soft tissue in the thoracic
region is hindered in such a way that there is restriction in the normal mobility of
the tissues. This can not only cause muscular dysfunction, but it can also
compromise neurovascular and lymph flow in these tissues. We will use soft
tissue release to treat this. Soft tissue release is a passive technique, which means
Im going to do all the work for the treatment while you relax. It is also a direct
technique, which means we're going to be taking your dysfunction directly into its
restrictive barrier. The biomechanics of this particular soft
tissue treatment involves applying a deep but gentle pressure on the thoracic
musculature [parallel/perpendicular/etc] to the spine. I can then hold that position
for 30-60 seconds or until a release is appreciated. In this situation I will hold it for
30 seconds. The treatment model for this treatment involves creating heat in
the soft tissue. This heat causes a plastic change in the connective tissue,
allowing it to reorganize in such a way that will improve range of motion
and neurovascular/lymph flow."
HVLA: (ex: supine thoracic HVLA) "In a T6 E SLRL dysfunction, the T6 vertebra is
sidebent left and rotated left on top of T7 in an extended position. This is considered
a Type 2 thoracic dysfunction, and it can potentially be caused by periarticular
adhesions and synovial folds that develop in the joints and restrict movement. We
will use HVLA to treat this. High-velocity low-amplitude, or HVLA, is a direct
technique, which means we're going to be taking your dysfunction directly into its
restrictive barrier. It's also a passive technique, which means Im going to do all the
work for the treatment while you relax. The biomechanics of this particular HVLA
treatment involves me first bringing the dysfunctional segment to its barrier. To do
this, Im going to make contact with the left transverse process of T6 [T7 if it was a
flexion dysfunction] using my thenar eminens. Then Ill bring you into flexion to the
level of the dysfunction and add sidebending to the restricted side. Ill ask you to
take a deep breath and bring you to the edge of your barrier, and as you reach the
end of exhalation, I will deliver a thrust posteriorly, which in this case is down into
the table towards my thenar eminens. The treatment model of HVLA involves
breaking the periarticular adhesions and synovial folds that often build up
in the joint space using a quick, short thrust. Ultimately, breaking those adhesions
serves to increase the range of motion of the vertebral segment and
therefore relieves the dysfunction."
Counterstrain: [best recited during the hold phase of the technique] In this
dysfunction, there is a tenderpoint located in the right paraspinal musculature of
the cervical spine. Tenderpoints are often a manifestation of spasm in the muscles.
We treat tenderpoints with counterstrain. Counterstrain is a passive technique,
which means Im doing all the work for the treatment while you relax. It is also an
indirect technique, which means were taking the dysfunction into its position of
ease. The biomechanics of this particular treatment involve us bringing this cervical
segment into extension, left sidebending, and left rotation, which in this case is
away from the side of dysfunction. This serves to shorten the muscles in
question. Once weve found the best position that alleviates the tenderness, we
then hold the muscles in this position for 90 seconds to allow the treatment to