Synopsis of the Foundations Seminar Approach to Manual Care
What if the effects of manual therapy/myofascial release were less about the things we think we are doing with the tissues and more about the engagement we are having with the patient?
I just finished putting the finishing touches on another full syllabus revision for my Foundations in Myofascial Release Seminar for Neck, Voice, and Swallowing Disorders workshop, with the Introduction significantly shortened/condensed (Yeah for bullet points!) as well as a condensing of the Hands-On syllabus. The sequences below apply to all aspects of my work and seminars, and quite possibly to other work. My hope is to create a new way of viewing ourselves and our patients, allowing the roles to become equalized. Here is the list of the evaluation process, which easily leads logically into treatment:
The Foundations Approach Evaluation Method
• Fully explain the purpose of the session and hand placement, followed by obtaining permission.
• Begin in the area of complaint.
• Lightly place a hand/hands on the area, but initially, do nothing.
• Using graded touch, pressures, and stretch, seek out areas of tightness.
• If tightness or similar is found, lightly “snag” the area to bring awareness.
• Ask patient, “Is that sensation familiar (or similar)?”
• If no, linger a bit unless sensation is too negative for them, allowing them to process the feeling.
• If not familiar, move on.
• If familiar, assure safety by asking 0-10 pressure/pain question, followed by 0-10, “At what number would you stop me?”
• Adjust pressures accordingly.
• Ask, “Does this stretch feel like it might be helpful or useful?”
• If yes, stick around and treat, allowing processing to alter sensations.
• If no, ask, “Is there anything about this stretch that feels like it might be harmful?” If so, immediately stop.
• Treat until symptoms subside, until you fatigue, etc. Follow with functional activities and home engagement, as appropriate.
Comments? Questions?
Regards,
Walt Fritz, PT
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