Standard

Posted: 05/27/08

R State Standard         £ Institutionally Developed          College: N/A

NTT 109 – Adjunctive Modalities

Course Description

This course provides practical application of adjunctive therapies to accompany NMT treatment in student clinic. Topics include: advanced assessment techniques; muscle lengthening techniques; thermotherapy; passive and active engagement, positional release techniques

 

Competency Areas

Hours

Advanced Assessment Techniques

Class

1

Muscle Lengthening Techniques

D. Lab

4

Thermotherapy

P. Lab/O.B.I.

0

Passive and Active Engagement

Credit

3

Positional Release Techniques

 

 

 

Prerequisite:

NTT 101, NTT 102, NTT 103, NTT 104, NTT 105, NTT 106

Corequisite:

 

 

Course Guide

 

Competency

After completing this section, the student will be able to:

Hours

Class

D.Lab

P.Lab/

O.B.I.

ADVANCED ASSESSMENT TECHNIQUES

2

7

0

 

Explain the purpose of advanced assessment as it relates to discussions of:

a.     Scope of Practice;

b.    Formation of Treatment Plan; and

c.     Contraindications for Massage/Bodywork.

 

 

 

 

Properly demonstrate and explain the implications of positive results for the following advanced assessment techniques.

 

a.     FAST test to assess for a stroke;

b.    Passive and active ROM to determine joint pathology from soft tissue injury;

c.     Modified Thomas Test to discern among a hypertonic rectus femoris and/or iliopsoas and/or  the peroneals to inform treatment;

d.    Thompson’s Test to indicate a complete rupture of the Achilles tendon and the need for medical attention;

e.     Maigne’s Test for identifying vertebral artery insufficiencies in order to contraindicate extreme l neck rotation during massage treatment;

f.     Phalen’s Test to indicate carpal tunnel syndrome and the need for a doctor’s evaluation;

g.    Patrick’s Test to indicate sacroiliac and/or coxal joint pathologies and the need for a doctor’s evaluation;

h.     Ober’s Test to indicate specific treatment of a hypertonic iliotibial band;

i.      Valsalva maneuver to indicate lumbar disc dysfunction and the need for a doctor’s evaluation;

j.      Patellar Grind Test to indicate the specific treatment of a hypertonic rectis femoris and/or the need for a doctor’s evaluation due to joint dysfunction; and

k.     Cervical compression/distraction test to indicate cervical disc dysfunction and the need for a doctor’s evaluation.

 

 

 

MUSCLE LEGTHENING TECHNIQUES

2

10

0

 

Explain the following:

  1. Joint end feel as soft or hard; and
  2. Agonist, synergist, and antagonist

 

 

 

 

Explain the assessment for joint and/or muscle dysfunction using Passive, active, and active assisted ROM.

 

 

 

 

Differentiate among the following:

a.     Isotonic;

b.    Concentric;

c.     Eccentric; and

      d.   Isometric muscle contractions.

 

 

 

 

Differentiate among and explain the physiologic outcomes of the following muscle lengthening methods.

  1. Active Assisted Stretching verses Passive Stretching
  2. Post isometric Relaxation (PIR) vs. Reciprocal Inhibition (RI)
  3. Static stretching vs. ballistic stretching.

 

 

 

 

Associate the appropriate muscle lengthening techniques for given postural distortions and/or pain patterns.

 

 

 

 

Explain when muscle lengthening techniques would be indicated as an alternative to soft tissue manipulation.

 

 

 

 

Identify any contraindications or cautions for each of the listed muscle lengthening stretch methods.

 

 

 

 

Demonstrate independent muscle lengthening techniques.

 

 

 

THERMOTHERAPY

2

9

0

 

Define hydrotherapy.

 

 

 

 

Define thermotherapy.

 

 

 

 

Explain, physiologically, how the application of heat, cold, and contrast therapy affects the inflammation and edema response.

 

 

 

 

Define the safe use of thermotherapy in terms of temperature.

 

 

 

 

Explain the Application and physiologic benefits of the following:

  1. Dry Heat:  packs, stones;
  2. Hydrotherapy using heat: Sitz bath,  spa and hot tub, douche, whirlpool, sauna, shower, immersion bath, moist packs, poultice, foot bath, consumption of water, and wraps;
  3. Dry Cold: packs, wraps, stones;
  4. Hydrotherapy using cold: Ice Massage, Sitz bath, douche, whirlpool, poultice, shower, immersion bath, moist packs, foot bath, consumption of water, and wraps;
  5. Contrast Therapy; and
  6. Full body immersion therapies.

 

 

 

 

Demonstrate the Application of the following using indicated temperatures and mediums to include:

a.     Dry Heat:  packs, stones, manipulative friction;

b.    Hydrotherapy using heat: moist packs, poultice, foot bath, consumption of water, paraffin foot/hand baths, and wraps;

c.     Dry Cold: packs and stones;

d.    Hydrotherapy using cold: Ice Massage, moist packs, foot bath, poultice, consumption of water, and wraps; and

e.     Contrast Therapy:  Forearm immersion baths, packs, and foot bath.

 

 

 

 

Identify contraindications, cautions, and indications for thermotherapy application techniques.

 

 

 

PASSIVE AND ACTIVE ENGAGEMENT

2

7

0

 

Explain the application of Passive and Active engagement techniques in terms of physiologic outcome.

 

 

 

 

Demonstrate the proper execution of active and passive engagement methods on various regions.

 

 

 

 

Incorporate techniques as an adjunctive therapy to NMT, in order to enhance therapeutic outcomes of lengthening and/or broadening hypertonic muscles.

 

 

 

POSITIONAL RELEASE TECHNIQUES

2

7

0

 

Differentiate PRT techniques from among osteopathic, chiropractic, and Physical therapy.

 

 

 

 

Explain the application of PRT techniques in terms of physiologic outcome.

 

 

 

 

Demonstrate PRT techniques specific to a given condition

 

 

 

 

Incorporate PRT techniques as an adjunctive or alternate therapy as indicated.

 

 

 

 

Suggested Resources

 

Barron, Patrick. (2003). Hydrotherapy Theory Technique. (3rd ed.). Pine Isle Publishers, Inc.

 

Chaitow, Leon. (2003). Palpation and Assessment Skills. (2nd ed.). Elsevier Health Sciences.

 

Chaitow, Leon and Delaney, Judith Walker. (2002). Clinical Applications of Neuromuscular Techniques, Vol. 1-2. Elsevier Health Sciences.

 

Chaitow, Leon. (2001). Muscle Energy Techniques. (2nd ed.). Elsevier Health Sciences: Churchill.

 

Hoppenfield, Stanley. (1976). Physical Exam Of The Spine And Extremities. (1st ed.). Prentice Hall.

 

Lowe, Whitney. (1997). Functional Assessment in Massage Therapy. (3rd ed.). Oregon: OMERI

 

Lowe, Whitney. (2003). Orthopedic Massage Theory and Technique. (1st ed.). Elsevier: Mosby.

 

Mattes, Aaron L. (2000) Active Isolated Stretching: The Mattes Method (2nd ed.). Publisher: A. L. Mattes.

Posted: 05/27/08
Updated: 03/23/09