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Advanced Sports Massage

Moulton College

Aims and objectives

Demonstrate a series of STR techniques Practice a variety of STR techniques

Active Passive Resisted Weight bearing

Dorsiflexors

Patient lies supine Place towel under knee for comfort Locate Tibialis Anterior Tendon Or site of lesion Lock with Thumb Apply technique Active / passive plantar flex foot Resisted - Client attempts to produce a stretch of the tissue but is resisted by therapist

Achilles tendon

Patient lies prone Bend knee and support Apply Lock using thumbs

Lock on both sides of tendon to stretch fascia during movement


Active / Passive Dorsiflex foot Resisted- Client attempts to produce a stretch
of the tissue but is resisted by therapist

Apply technique

Knee Extensors

Patient lies supine Support knee in semi-flex position Re-extend the knee to shorten the musculature Apply lock

Use thumbs to focus on VMO (specific lesion) Broad lock using hand / webbing over distal MT junction

Flex knee to lengthen tissue

Alternative approaches

In sitting leg over edge of couch Standing move from upright to squat position Specific thumb lock to patella tendon

Hamstrings

Many different approaches to applying STR on Hamstring group Important to adapt to size and condition of the muscle Technique 1 - Passive:

Patient lies prone Broad lock applies across distal Mt junction using palm of hand Passively extend the leg

Hamstring 2 - Active

Patient lies prone Reinforce lock using webbing of both hands of distal MT junction Patient actively extends knee Repeat start position Lock applied using webbing of one hand only Therapist resists patients knee extension

Hamstring 3 Resisted

Technique 4 - Passive

Patient lies supine Flex hip to approx 90+ Apply lock

Use thumbs / fist / elbow Depending on location / size of adhesion

Use other hand to support thigh / knee to prevent further hip flexion Patient actively extends knee

Technique 5 hamstring origin

Patient lies supine Patient supports thigh in flexed hip position

Hands behind knee

IT band

http://www.youtube.com/watch?v =FUq1Kq0HDT0&feature=related Patient lies side lying Support medial aspect of thigh

Knee / pillow / towels

Typically requires use of thumbs / elbow for application of lock Whilst applying pressure patient Flex / extends knee joint Can be V.uncomfortable!

Piriformis

Patient lie prone Apply elbow in a longitudinal direction to the piriformis muscle Maintaining lock position apply technique Active assisted patient internally rotates hip Passive therapist internally rotates hip Resisted - therapist resists external rotation

Shoulder Elevators
Patient lies prone Apply lock with thumb from one hand Use other hand on acromion and depress shoulder to lengthen tissue Technique could be applied with active assitance

Infraspinatus

Patient lies prone Treated arm lies over side of couch Palpate area of Infraspinatus muscle to be locked Lengthen muscle by moving into external / medial rotation Can be applied Actively / Passively / Resisted

Latissimus Dorsi

Patient lies side lying Place arm at 90 shoulder flexion Apply lock using hands

Just inferior and posteriorly to arm pit

Arm is then Flexed and abducted whilst lock is maintained

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