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DAY
FOUR
Module
12: REVIEW
OF DAY THREE MATERIAL
Any
questions or concerns regarding Two-Pointing
Introduce material later in class on the ‘fulcrums’ as a choice &
modification to the ‘two-point’
Any
questions or concerns regarding Static Compressions
Any questions or concerns regarding Leverage Compressions
Review
Bilateral Midline Release
Review Humeral Long & Short Levers from Supine & Sidelying Positions
Midline Releases
Bilateral
Releases from Side Lying Position
Bilateral concepts
Bilaterals applied from Side Lying Position
Rolling
Motion Releases
Shoulder/Greater Trochanter Combination
Unilaterally serratus anterior/gluteal fascia
Side-lying Long lever
If
doesn’t work you need to re-organize Spiral Line &/or re-check SBL/SFL
Module
13: 3 D Planar Fulcrum Technique
(Giammatteo
& Kain)
Indirect technique will always move into a barrier or direction that is
considered ‘ease’
Thus the direction of fascial release is always indirect instead of direct
Release can be organized in two ways:
Either increasing fascial glide or
Utilizing a fulcrum
Engage superficial fascia with Two Point
Initiate parasympathetic effect
Assess direction of ease or bind
Fulcrum
4 directions of compressive force are now occurring
-
Engagement
of superficial fascia
-
Superior/inferior
sagittal plane
-
Coronal
plane clockwise/counterclockwise
-
Transverse
plane medial or lateral directions
-
Do
not release ‘fulcrum’, resist the urge to follow tissue.
-
Maintain
fulcrum
-
Apply
fulcrum to the sacrum
-
Application
examples to the rest of the body
Module
14 Fourteen:
Upper
Extremity Arm Line High Leverage Points
Applied
Static Compressions
Palpation of High Leverage Points in these lines
Applied
technique to high leverage points:
SFAL=SBL
DFAL=SFL
Module
15 Fifteen: REVIEW AND EXPAND: Advanced Application of Technique for the Upper
Extremity
Rotational
Sleeve Releases
• Static compression combined with rotational bind
REVIEW Protocol: Supine with Humeral Long Levers
• Bilateral Levers
• Supine Bilateral Short Lever Assessment
• Supine Bilateral Humeral Short Lever Compression
• Supine Bilateral Humeral Long Lever Compression
• Supine Unilateral Long Lever Sleeve Assessment
• Supine Unilateral Long Lever Humeral Compression
• Into GH Joint
• Into Scapula into Thorax
• Intent & target to:
o Spina Scapula
o AC Joint
o SC Joint
REVIEW Protocol: Side Lying with Humeral Short & Long Levers
• Humeral Short Lever
o Olecranon crowd into GH Joint
o “Corkscrew”
o Add rotational ease position
o Add rotational bind position
• Humeral Long Lever
o Elbow must in extended relaxed lock position
o No flexion whatsoever
o Use your forearm to lock elbow into extension
ADVANCED Sc Joint/Medial Clavicle /Sternal Lever Release
• Side Lying position-therapist facing clients posterior
back
o Roll client slightly forward
o Protract clavicle-abducting scapula
o Short lever clavicle into SC joint
Humeral Intermuscular Septums (Refined palpation required)
o Medial & Lateral Septums along Brachialis/Biceps &
Triceps Lateral/Long head
o Slight flick &/or movement of the arteries, nerves &
veins adhered to the humeral septums
Prone Scapular Compressions
• Scapular ‘Bounce’
o Quick palmar application to scapular fossa with intent to
break adhesion
ADVANCED Prone Position Humeral Levers
• Sit next to client with humerus abducted in long
lever position from 30°-45°
• Engage long lever humeral into scapular glenoid fossa
• Change vector and angle
• Check sleeve rotational restriction
• Engage ease or bind
• Lift slightly in an upward toward sky direction engaging
bind
• Strum GH ligaments
DAY
FIVE
Module
16: REVIEW DAY FOUR MATERIAL
Module
17: Position, Motion and the Barrier: Applied Bilateral Static Compressions with
Motion Releases for the Pelvis
Using
Motion as a Releasing Tool
Exercise: Rolling Releases
Two-Legged Curl-Up Positional Release
Roll from side-lying into supine position with flexed knees & hip
Engage barrier whilst holding both legs
Do not log legs together
Check for ease & bind
Engage ‘swivel’
Engage ‘rotation’
Module
18: Spiral Line Releases
-
Palpation
of the Spiral Line High Leverage Points
-
Tracing
the Spiral Line
-
Organize
applied technique to restrictions of this line
-
Splenius
capitis/Serratus anterior compression for Rhombo/Serratus Post release
-
Spiral
Line Scapular X
-
Fascial
grasp to Trigonum Lumbale
-
Short
head Biceps Femoris Direct MFR Friction
-
Fibular
head
Module
19: Joint Play Application for the Upper Extremity
Address
Ligamentous Restrictions as related to capsular/fascial restrictions
Effective application to effect capsular adhesion
Applied to GH joint capsule
Collateral
ligament movement known as Varus & Valgus for Medial (Radial
Collateral) & Lateral
Collaterals (Ulnar Collateral)
• Elbow joint Levers
-
Compression
to humeral/ulnar
-
Compression
to humeral/radius
-
Closed
position compression
-
Various
opened positions
Proximal
Radial-Ulnar joint
Radialcarpal
joint play
-
A/P
-
Lateral
translation
-
Compression/Distraction
Employ
‘fulcrum’ in ease-include a rotation
Combination of all joints with rotational sleeve releases
Carpals
Metacarpal-phlangeals
Pairing of the bones
Module
20: Integrate Joint Play of Upper Extremity with Superficial and Deep Front and
Back Arm Lines
Problem-solve
why restrictions at the Arm Line joints are present?
Teacher: Steven Goldstein
Date: 2-4
April 2011; 9am to 5pm all 3 days
Venue: British College
of Osteopathic Medicine, London NW3 5HR
Cost: £275 (deposit
£75)
Early reg £250 paid in full by 31/12/10
To book: +44 (0)7526
925734 or info@bodyworkcpd.co.uk
"This course is
not run or managed by BCOM, and BCOM does not in anyway endorse the course
content of any external provider"
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