So we're gonna talk about a
facilitated positional release.
This is good for people
who need soft techniques
and you find a limitation in their motion.
Typically a person should be able to
rotate 90 degrees, rotate 90 degrees.
Side bend 45, side bend 45.
Flex down to 90 and extend 15 degrees.
If you have a limitation, if they
can't twist, then you figure out
which segment is contributing
to the inability to move.
Let's say it's third or
fourth thoracic vertebrae
and if it is a type 1 or type 2, type 1 being
flexing and rotating to opposite sides.
Type 2 is to the same side.
You'll then reproduce it and go in
the direction it allows you to go.
And then hold it for 3 to 5 seconds
and see if you can ease up the motion
and then you recheck the motion.
This differs from muscle energy
procedure where you're gonna do it
and have the person pull against you.
It's still isometric but let's say the
patient can't rotate to the right.
I'm gonna use a muscle energy
procedure, put this on your elbow
and let me have you pull
yourself to the left.
One, two, three, four, five
Then you go a little bit further.
Pull to the left again,
one, two, three, four, five and relax.
Each time taking more
motion taking up the slack
engaging a barrier and moving him until
I restore full motion in the back.
And relax and see if we have full motion.
That's a muscle energy procedure
of the thoracic spine.