MYOSKELETAL MANUAL Volume I

Table of Contents

Introduction:

  • Visually illustrates all the cardinal planes and postural positions.

  • Lists tight and weak muscle groups that cause stain patterns leading to pain.

  • Teaches how to palpate for muscle spasm, fibrosis, fascial contractures, etc.

Technique Tips:

  • Emphasizes correct body positioning when performing deep tissue techniques.

  • Learn to work with client’s ventilatory processes…resist tissue movement on inhalation…take up the slack on exhalation.

  • Learn to focus on alignment, balance, range of motion, and symmetry.

Chapter One: Myoskeletal Alignment of the Low Back

  • Introduces relevant anatomy and biomechanics of the pelvis.

  • Lists specific muscles and ligaments that stabilize the lumbo pelvis.

  • Details Myoskeletal theory for correcting painful low backs.

Chapter Two: Myoskeletal Assessment Manual

  • Explains how to use the assessment manual to save time and increase efficiency.

  • Teaches practical visual assessment of painful muscle imbalance patterns using Dr. Vladimir Janda’s Upper and Lower Crossed Syndrome.

Chapter Three: Assess and Stretch Section

  • Teaches a powerful 5-minute structural assessment for neck, scapula and back pain.

  • Assisted stretching routines help assess and treat muscle imbalance patterns.

  • Improve athletic performance with special muscle firing-order assessments.

Chapter Four: Gluteals, Erectors, Hamstrings, and the Lower Crossed Syndrome

  • Learn how exaggerated sway-back postures develop when hypertonic quads, psoas, and lumbar erectors overpower weak gluteals and overstretched hams.

Chapter Five: Perpetrators of Muscle Imbalance

  • Lists the seven top villains responsible for structural imbalance in the body.

  • Explains how neck and back pain manifests from overuse, under use and abuse.

Chapter Six: Thoracolumbar Junction

  • Reviews the function of muscles such as the latissimus dorsi and teres major.

  • Shows how the thoracolumbar fascia stabilizes the spine during forward bending by connecting multifidi to the lumbar vertebrae through the supraspinous ligament.

Chapter Seven: Sacral Base Decompression

  • Explains the importance of decompressing the sacrum from the 5th lumbar vertebrae to relieve sacral torsions and disc pathology.

Chapter Eight: Ligaments, Muscles and Back Pain

  • Describes “form and force closure” of the pelvis and how this self-locking mechanism causes back pain.

  • Lists five muscle groups that are key pelvic stabilizers.

Chapter Nine: Local Hypermobility

  • Differentiates local hyper mobility due to trauma from genetic hyper mobility.

  • Demonstrates how local SI joint hyper mobility can cause piriformis syndrome.

Chapter Ten: Sacrotuberus, Iliolumbar, and Sacroiliac Ligaments

  • Six steps to assess for dysfunction, instability and pelvic pain.

Chapter Eleven: The Iliopsoas

  • How hyper tonicity in the iliopsoas can cause facet dysfunction, disc displacement, disc compression and hyperlordosis.

Chapter Twelve: Lateral Sims Position

  • Learn this powerful position to release fibrotic erector spinae muscles and mobilize motion-restricted joints.

  • Teaches routines that myofascially reduce excessive lumbar lordosis and thoracic kyphosis.

Chapter Thirteen: Quadratus Lumborum…The “Hip-Hiker”

Chapter Fourteen: The Multifidus Triangle

  • This area holds the key to treating chronic low back pain.

  • Multifidus triangle includes facet joints, erector spinae muscles, lumbar fascia, quadratus lumborum, and the iliolumbar ligaments.

Chapter Fifteen: Piriformis Mania

  • Details the anatomy and biomechanical function of the piriformis and shows how it can cause sciatica.

  • Reveals other structures that may be responsible for piriformis-type pain.

Chapter Sixteen: Antigravity…The Art of Creating Space

  • Demonstrates how to restore the antigravity function of muscles and fascia.

  • Explains differences between the tensegrity system and the spinal column model.

  • Shows how discs “live for motion” and hate gravitational compression.

Chapter Seventeen: The Latissimus Dorsi

Chapter Eighteen: Rectus Femoris and the Anterior Ilium

Chapter Nineteen: The Eccentric Hamstrings

  • Eccentrically contracted hamstrings caused by tight/short hip flexors are a major cause of low back and hip pain.

  • Explains how a “flexion-addicted” society perpetuates this aberrant postural pattern of tight hip flexors and weak/inhibited hip extensors.

  • Shows how recurring hamstring injuries result from weak inhibited gluteals on the ipsilateral side.

Chapter Twenty: Bringing Balance to Bones

  • Wouldn’t it be wonderful if lengthening and balancing myofascial structures would cause the bones to magically fall into place… but that isn’t always the case.

Chapter Twenty-One: Pubic Symphysis “Can’t Get No Respect”

  • The three bones and three joints of the pelvis work in unison; dysfunction of one joint always leads to instability in the entire structure.

  • “Up-slips and Down-slips” are also discussed in this chapter.

Chapter Twenty-Two: Adductors and Pelvic Tilt

  • Learn which hypertonic adductors assist the rectus femoris in anterior rotation of the ilia.

Section One: Low Back Techniques

  • Nine Myoskeletal Techniques follow the videos through therapeutic treatment procedures for low back pain.

Section Two: Spinal Biomechanics “Mobilizing Joints Through Muscle Manipulation”

  • Ten Rules of Spinal Biomechanics and Laws of Spinal Motion are introduced.

  • How joint locks cause protective muscle spasm and vice-versa.

  • Prone myofascial techniques show how to correct facets stuck open.

Section Three: Lateral Recumbent Position

  • This section introduces four side lying techniques for low back and hip pain.

Section Four: Client Supine

  • Seven supine pelvic balancing routines highlight this section.


WO: NECK / SHOULDER ROUTINES

Chapter One: Bones as Soft Tissue

  • Muscles, ligaments, joint capsules, intervertebral discs, and bones form from the mesoderm and are all soft tissues in the body.

  • This chapter shows how to assess for ART: Asymmetry, Restriction of Motion and Tissue Texture Abnormality in myofascial and bony structures.

Chapter Two: Neck/Shoulder Pain

  • Shows how tension, trauma, and poor posture caused by overuse, under use and abuse, perpetuate common strain patterns in the neck and upper scapular region.

Chapter Three: Common Cervical Strain Patterns

  • Presents a review of upper crossed syndrome and a therapeutic model to correct it.

Chapter Four: Shotgun Techniques for Cervical Extensors

  • Demos routines for forward head postures, Dowager’s Humps, & whiplash.

Chapter Five: Structural Facet Dysfunction Revisited

  • Highlights theory and treatment for motion-restricted cervical joints.

Chapter Six: Creating “Joint-play” in Vertebrae and Ribs

  • Teaches simple ways to myofascially correct dysfunction in facet joints and ribs.

  • Functional and structural scoliosis conditions are also treated.

Chapter Seven: Facet Opening and Closing Techniques

  • Shows how to clear out fibrosis in 4th layer spinal muscles to help mobilize joints.

Chapter Eight: Facet Joints that Won’t Close

  • How to set up referral bases to chiropractors and manipulative osteopaths for clients suffering painful subluxated joints.

Chapter Nine: Those Ornery Little Suboccipitals


Chapter Ten: Posture and Headache Pain

Chapter Eleven: Splenius Capitis and Cervicis

Chapter Twelve: SCM, Anterior Scalenes and Forward Head Postures

Chapter Thirteen: The Scapulocostal Syndrome

  • Explores ways the scapulae become winged from weak serratus anterior, rhomboid major and lower trapezius muscles.

Chapter Fourteen: Structural Rib Dysfunction

  • New treatment modalities for thoracic outlet syndrome, shoulder and rib pain.

Chapter Fifteen: Pectoralis Minor

Chapter Sixteen: Muscle Energy Techniques for Atlas/Axis Pain

Section One: Neck/Shoulder Alignment Techniques (Client Side lying)

  • This chapter begins the treatment section beginning with eleven unique neck/ shoulder routines for pain and posture problems.

Section Two: Client Prone

  • Special deep tissue, myofascial release, and muscle energy techniques help balance cervical and thoracic structures in this very therapeutic section.

Section Three: Client Supine

  • Anterior neck work and thoracic outlet routines highlight this section.

Section Four: The Finishing Touches

  • These eight assisted stretching routines are a beautiful closing to the Myoskeletal session.

SUGGESTED READING LIST

  • Erik Dalton has compiled a very informative reading list for those interested in further researching muscle and spinal biomechanics.

GLOSSARY OF MYOSKELETAL TERMINOLOGY

  • A must for all serious bodyworkers interested in learning somatic therapy language.

SUPPLEMENTAL READING

This is a conglomeration of exciting articles by some of the worlds leading manual therapy authorities. Home retraining exercises are included in final chapter of the Myoskeletal Manual.



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