HEMME APPROACH TO SOFT-TISSUE THERAPY

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viii Section Page MODALITIES ............................................................................................ 53 CONTRAST APPLICATIONS ........................................................................ 53 THERMOTHERAPY..................................................................................... 54 CRYOTHERAPY ........................................................................................ 56 HEAT VS. COLD ........................................................................................ 59 VIBRATION ............................................................................................... 60 CHAPTER SUMMARY................................................................................. 61 MANIPULATION ...................................................................................... 63 THE PRINCIPLES OF SOFT-TISSUE THERAPY ............................................... 63 HIGH-VELOCITY MANIPULATIONS............................................................. 65 DYNAMICS OF SOFT-TISSUE THERAPY....................................................... 68 METHODS OF SOFT-TISSUE THERAPY ........................................................ 74 TRIGGER POINT THERAPY............................................................................... 75 TRIGGER POINT VS. CROSS-FIBER FRICTION .............................................. 83 HEMME Approach to Soft-Tissue Therapy
ix Section Page NEUROMUSCULAR THERAPY........................................................................... 84 INHIBITORS .......................................................................................... 90 FACILITATORS...................................................................................... 97 SUMMARY.......................................................................................... 100 CONNECTIVE TISSUE THERAPY..................................................................... 101 SUPERFICIAL TORQUE............................................................................. 106 SKIN ROLLING ........................................................................................ 106 CROSS-FIBER FRICTION........................................................................... 107 PARALLEL OR PERPENDICULAR STRETCHING .......................................... 107 LYMPHATIC DRAINAGE........................................................................... 108 STRETCHING ................................................................................................ 109 MODALITIES AND STRETCHING ............................................................... 114 TRIGGER POINTS AND STRETCHING......................................................... 115 NEUROMUSCULAR AND STRETCHING...................................................... 116 CONNECTIVE TISSUE AND STRETCHING................................................... 116 BALLISTIC STRETCHING.......................................................................... 117 INDIRECT TECHNIQUES ........................................................................... 118 PROGRESSIVE MOVEMENT ...................................................................... 118 CHAPTER SUMMARY............................................................................... 119 HEMME Approach to Soft-Tissue Therapy
Page 1 and 2: HEMME APPROACH TO SOFT-TISSUE THERA
Page 3 and 4: iii HEMME APPROACH SOFT-TISSUE ANSW
Page 5 and 6: v HEMME Approach to Soft-Tissue The
Page 7: vii TABLE OF CONTENTS Section Page
Page 11 and 12: 1 INTRODUCTION Soft-tissue therapy
Page 13 and 14: These conditions point out three ch
Page 15 and 16: (D) Although pain cycles are seldom
Page 17 and 18: and protective muscle shortening ar
Page 19 and 20: Although "train, don't strain" is m
Page 21 and 22: The same trend applies to allopathi
Page 23 and 24: 13 CHAPTER SUMMARY THREE SIGNS OR S
Page 25 and 26: 15 HEMME APPROACH Soft-tissue thera
Page 27 and 28: whereas MODALITIES, MANIPULATION an
Page 29 and 30: 19 CHAPTER SUMMARY FIVE STEPS IN TH
Page 31 and 32: Since little can be done to change
Page 33 and 34: 23 MECHANISM OF INJURY F FORCE Dire
Page 35 and 36: 25 CHAPTER SUMMARY THREE WORDS THAT
Page 37 and 38: The sensitivity of the hand varies
Page 39 and 40: 29 MUSCLE TESTING Manual muscle tes
Page 41 and 42: 31 (1) Active Range-of-Motion Testi
Page 43 and 44: 33 (4) Resisted Range-of-Motion Tes
Page 45 and 46: pull of the muscle being tested, ot
Page 47 and 48: knows nothing of individual muscles
Page 49 and 50: 39 cardiac decompensation Failure o
Page 51 and 52: 41 PAIN Pain is often defined as th
Page 53 and 54: cases of soft-tissue pain and disab
Page 55 and 56: The distribution of pain within a s
Page 57 and 58: 47 CHAPTER SUMMARY FOUR CLASSICAL M
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49 ALTERNATIVES The HEMME APPROACH
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First, separate the problem into pa
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53 MODALITIES Modalities are used i
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changes in temperatures. This expla
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The term hunting reaction implies t
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Contraindications specifically for
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61 CHAPTER SUMMARY FOUR INDICATIONS
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63 MANIPULATION Soft-tissue therapy
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65 B. Reciprocal Inhibition: when t
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experience another cycle: (1) pain
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69 Table of Figures Figure 1: Belly
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HEMME Approach to Soft-Tissue Thera
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HEMME Approach to Soft-Tissue Thera
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75 TRIGGER POINT THERAPY Trigger po
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cause spontaneous contraction of th
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• Third, trigger point therapy re
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pressure that normally causes pain
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83 TRIGGER POINT THERAPY VS. CROSS-
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The immediate goal of neuromuscular
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Facilitation techniques can reverse
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89 FOUR WAYS TO INHIBIT A MUSCL
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In situations where muscles are sho
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antagonist, (2) relax the antagonis
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stretch. The technique of stretchin
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97 FACILITATORS Activation of Stre
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concentration of muscle spindle cel
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101 CONNECTIVE TISSUE THERAPY Of al
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103 substance that limits tissue mo
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105 Range-of-motion stretching and
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107 the skin away from the patient'
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109 STRETCHING Unlike the stretchin
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111 Although measurements can be ta
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113 The recommendations for regular
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115 Whenever heat is used to facili
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117 stretching be done slowly becau
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119 CHAPTER SUMMARY THREE HEMME LAW
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121 FOUR TYPES OF FORCE USED IN SOF
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123 FOUR GOALS OF CONNECTIVE TISSUE
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125 overstressed. Even though an ea
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127 great enough to overcome extern
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129 The most recent theories now su
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131 Complete positive transfer is n
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133 OBJECTIVES SATISFIED OR NOT SAT
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135 SELECTED BIBLIOGRAPHY Alter, Mi
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137 Clemente, Carmine D. 1981. Anat
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139 Fryette, Harrison H. 1954. Prin
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Kendall, Florence Peterson, Elizabe
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143 Licht, Sidney, ed. 1965. Therap
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145 Noback, Charles R., and Robert
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Shriber, William J. 1975. A manual
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149 GLOSSARY acute Short duration,
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151 cocontraction Mutual contractio
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153 exteroceptor A sense organ rece
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155 hypomobility Decreased mobility
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157 myofascial Involving muscles an
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159 rebound tenderness Pain or disc
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161 synergist A muscle functioning
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163 6. What does the first letter o
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165 16. Which structures are least
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167 26. What is another name for st
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169 36. Which concept explains why
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171 46. Which word defines loss of
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173 Hilton's law 43, 64, 74 Hooke's
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I QUICK REFERENCE GUIDE FOR NEUROMU
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III RECIPROCAL INHIBITION (RI) Prac
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HEMME APPROACH TO SOFT-TISSUE THERAPY

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