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4. Correctional-technikMechanical Correctional Typ 1
• Apply the base and fix it with you
finger or your hand
• Stretch the tales and apply it on the
skin
• Apply the ends with no tension
• Power of the stretch goes in direction
of the base
3. Fascia-technik• Apply the base in a neutral
position
of the fascia• Pull the base and bring the skin
in
a wished position• The „free“ base follows the
tales
2. Ligament-technik • Open the release papier • Take the tape aat the two
outside
bases and stretch the tape• Stretch the middle part as much
as
you wish and apply at the skin • Apply both ends with no tension
1. Muscle-technik • Messurment in a stretched
position• Apply the base in a neutral
postion• Stretch the muscle and the
tissues• Apply the tape with no stretch
1. Overview four basic techniques
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1.1. Muscle-technique„Sacrospinale system“
1 2
Picture 1: The lenght of the tape you measure in the stretched position of the are.Picture 2: Apply the base in neutral postition in the area of the sacrum.Picture 3: Stretch the skin and the soft tissues as much as possible (accept pain).
Effects:• To strength a weak or a not correct reacticve muscle• Plus the effects of the convulutions• The power of the strips will go soft back to the base.
3
4 5 6
Picture 4: The tails and the ends apply with no stretch in the area of the muscle.Pictures 5/6: Back in neutral position you have to see the Convolutions.
Notice
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„Lower back“
1 2 3
Picture 1: The lenght of the tape will be around two crossfinger over the muscle application. (Variation possible). Picture 2: So far before there was a muscle application the patient has to stretcht the area till the convolutions disapear. The middle part stretch as the much as the target is and apply then the tapePicture 3: The both ends apply with no tension.
4
5Pictures 4/5: Finished application.Effects:• By stretching the tape, energy will storage in the tape. After the
application this energy will bring the tape and the tissues a little in direction of the middle.
• Depending on the stretch you will get stabilation or space.
1.2. Ligament- or Space-technique
Notice
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Apply 3-4 small Ligament-techniquesCrossed in the area of the trigger point.
Picture 3:Ligament-Technique apply horizontal
Picture 2: The next two techniques do cross in the area of the pain
Picture 1: Ligament-techniqueapply vertical
1.3. Ligament- or Paincross
1.4. Triggerpoint
Notice
1 2 3
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1.5. Fascia-technique
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Picture 1: Apply the base with no stretch.Picture 2: Pull soft with soft vibrations on the tales to change slightly the base. Apply always during the pulling small parts of the tails..
3 4
Pictures 3/4: Apply the ends with no stretch.Effects:By pulling the tales the base will following this direction and the skin and the fascia could changed in a „wished“ postion. With this application you will get change of the positioning and tension of the skin, fascia and other tissues.
The Y-shape you especially can use for pain points. You can put it in the middles of the Y.
Notice
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1 2 3
Picture 1: Apply the base with no stretch.Picture 2: Fix the base. Now you can stretch the tails from moderate till maximum.Picture 3: Apply the ends with no stretch.
Picture 4: Finishes application.
4
Effects:By fixing the base, the power of the tales will come back to the base.(rubber effect). With this application you can change positioning and tension of skin, fascia, soft tissures, but also bones like the patella.
With this application you can get more structural and sensitive input for as with the fascia-technique.
1.6. Correctional-technique
Notice
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Generell tests for the dorsal myofascial system/ chain:
1. Upper Spine Test2. Lower Spine Test3. SLR or Laseque Test
Screening of the dorsal myofascial chain
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Generell tests for the dorsal myofascial
system/ chain:
1. Cervical Extension Test2. Thorax Test3. Abdominal Pressure Test4. Globaltest: Hyperextension of the body
Screening of the ventral myofascial chain
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Generell tests for the dorsal myofaszcale
system/ chain:
1. Upper Extremity Test2. Thorax Test3. Abdominal Pressure Test4. Patrick Test
Screening of the diagonal myofascial chain
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2. Lower Spine Test
Possible muscles to be tested:
M. sacrospinalis
M. quadratus lumborum
M. iliocostalis lumborum
M. psoas major
M. illiacus
Patient lies supine and performs an assistive flexion of the entire spine. The therapist should assess the following especially in the lower back: 1. Pain at the starting point, during and/or at the end of the movement2. Can the patient perform the movement themselves - only partially or full range of motion possible? 3. Are there sensitive zones on the skin (soft tissue zones, headache zones, etc)4. Flexibility of the skin on the dorsal side5. Folding/wrinkles of the tissue on the ventral side6. Fascial mobility (in relaxed position) 7. Check the temperature of the tissue and the energetic radiation This test is positive, if one or more factors are abnormal.
Test in the standing position
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2.1. Sacrospinal muscle system
1 2
Picture 1: The lenght of the tape you measure in the stretched position of the are.Picture 2: Apply the base in neutral postition in the area of the sacrum.Picture 3: Stretch the skin and the soft tissues as much as possible (accept pain).
Effects:• To strength a weak or a not correct reacticve muscle• Plus the effects of the convulutions• The power/direction of the strips will go soft back to the base
3
4 5 6
Picture 4: The tails and the ends apply with no stretch in the area of the muscle.Pictures 5/6: Back in neutral position you have to see the convolutions.
Notice
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Remodeling techniques
Pic. 1: Expansion below the belly bottomPic. 2: Stretch the Tape gentle ( 25 %) and then apply it with „pressure“ in the tissue.Pic. 3: Complete appication: now the tissue is a little more inside
Effects:Balancing of body shapes to get better body functions
4 5 6
Pic. 4: Tissue is more inside Pic. 5: Stretch the tissue as much as possible e.g extension, lift the arms breath in …
and then the tape will be applied with no tensionPic. 6: Complete application: now the tissue is a little more outside.
ExpansionsZones, scars, operation, burning wounds, ...
1 2 3
ShrinkingsZones, scars, operation, burning wounds, ...
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3. Upper Spine Test
Possible muscles to be tested:
M. trapezius
M. latissimus dorsi
M. levator scapulae
M. erector trunci
Patient lies supine and through an assistive movement goes into spinal flexion up to TH12.
The therapist assesses the following: 1. Pain at the starting point, during and/or at the end of the movement2. Can the patient perform the movement themselves - only partially or full range of motion possible? 3. Are there sensitive zones on the skin (soft tissue zones, Head zones etc)4. Flexibility of the skin on the dorsal side5. Folding/ wrinkles of the tissue on the ventral side6. Fascial mobility (in stretched and relaxed position) 7. Check the temperature of the tissue and the energetic radiation This test is positive, if one or more factors are abnormal.
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Test in the standing position
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3.1. M. trapezius (pars descendens)
Picture 3:Apply the tape along the body of the muscle ending at the base of the hair line.
Picture 2:Bring the muscle into maximum stretch:
Originally application: lateral flexion and rotation to the opposite side, cervical flexion.Anatomically: Lateral flexion to the opposite side and rotation to the same sid with cervical flexion.
Picture 1:Possible version:Base is applied in neutral over the inferior tip of the acromium.
1
2
3
Notice
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Possible Muscle to be tested:
• M. rhomboideus major• M. rhomboideus minor• M. sternocleidomastoideus• M. pectoralis minor• M. diaphragma • Mm. intercostales
4. Thorax Test
Notice
The patient lies supine, the therapist assesses the thorax. Observation: asymmetries, scars, zones, problems with the fascia.Palpation: flexibility of fascia and complications (zones) in this regionPressure test of the ribs and underlying tissue and organs. The test is positive if you find pain, changes to the fascia or skin or other abnormalities.
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4.1. M. rhomboideus major
Pictures 4 /5: Apply the lateral strips of tape in the same manner and angle as above.
Picture 2: Roll both shoulders forward / down and then flex the neck to fully stretch the tissues. Apply the superior strip towards TH2 and the inferior strip to TH5.
Picture 1: Centre of tape is applied medial of the medial border of the scapula (X-shape).
Picture 5: Final application.
2
3 4
5
1
Notice
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5. Upper Extremity Test
Notice
The patient is seated on a chair. The therapists grips into the palm of the patients hand and passively/assistiv brings the arm into outward rotation (behind vertical line), horizontal abduction. The norm is 0° horizontal abduction and ability to bring shoulder/arm by rotation behind the vertical. The test is positive, if range of movement is not 100%, there is pain or other restrictive factors are noted.
Additionally therapist should assess the following:presence and flexibility of scars and fascia anteriorly and posteriorly. Folding of the skin over posterior thoracic area as well as into the posterior arm.
Possible muscles to be tested: • Chest – M. pectoralis major • Shoulder and arm muscles• Muscles of the hand due to large representation area in our cortex!
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5.1. M. deltoideus
Picture 1: Base: apply in neutral position below the deltoid tuberosity.
Picture 2: Bring ventral section of deltoid muscle into full stretch and apply tape on anterior border of muscle.
Picture 3: Bring dorsal section of the muscle into full stretch and apply the tape on posterior border of muscle. Picture 4: Final Application.
1 2
3 4
Notice
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5.2. M. supraspinatus
Picture 1: Base is applied in neutral postion in the area of the insertion. Will be there a painpoint, then the tape will applied in a little distant of the point.
Stretch the muscle and the fascia. Apply tape along fossa supraspinatus surrounding of the body of the muscle.
5.3. Impingement-Syndrom
Picture 3: Finished Appilcation:
• M. deltoideus Muscle technique
• M. supraspinatus Muscle tchnique
• Fascia technique
Picture 3: Fascia-technique.Base: anterior of shoulderWith jiggling of tape, pull fascia postriorly and apply (one possibility).The pain point is in the middle of the Y
3
2
1
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Possible muscle to be tested:
• Mm. scalenii• M. splenius capitis• M. splenius cervicis• M. sternocleidomastoideus
6. Cervical Extension Test
Otizen
Notice
The patient is seated and actively extends the cervical spine. The therapist assesses the following: 1. Pain at the starting point, during and/or at the end of the movement2. Can the patient perform movement themselves – only partially or full range of motion possible? 3. Are there sensitive zones on the skin (soft tissue zones, Head zones, etc)4. Folding of the skin on the dorsal side5. Flexibility of the tissue on the ventral side6. Fascial movement (in relaxed position) 7. Check the temperature of the tissue and the energetic radiation This test is positive, if one or more factors are abnormal.
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1
6.1. Whipplash
Picture 1: Base over scapula. Application of tape with 10-15% stretch. Base is fixed and cervical spine in flexion or the positon of pain free.
Picture 2: Finished application of first fan
Pictrue 3: Finished application
2
3
Notice
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Picture 2:• Ligament technique over C7 depending on the testing.
Picture 1:• Muscle-technique base depending on the testing e.g. base under the hairline.
6.2. Cervial spine and headache
1 2
Notice
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Picture 2 - 3: Muscle technique (asses direction!)
Picture 1 - 2: Fascia technique (asses direction!)
6.3. Epicondylitis rad./uln. hum.
Picture 5: Possible combination
Cave: Normally the pain point will not cover by tape.
1 2
5
Notice
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3 4
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7. SLR / Laségue Test
Possibel muscles to be tested:
• all muscles of the leg and the feed
• additional the muscles of the lumbar rigion
• at the end point of the movement, also the
other parts of the myofascial backline
Notice
The patient lays supine with legs in neutral. The therapist performs a SLR gripping from the heel. Observation: pain? when? at what point does the tension in the muscles change, how is the tension in the fascia, especially dorsally (including the lower back)? Are the ventral fascia able to relax / fold during hip flexion? The test is positive, if there is pain, abnormal movement or no normal folding ventrally.
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7.1. Lymphatic fan - Knee
Picture 1: Lateral Lymphatic fan• Base proximal to the area of the problem• Apply the tape with different angels of
the knee flex with around 10 % stretch of the tape
Picture 2: Medial Lymphatic fan• Base proximal to the area of the problem
• Apply the tape with different angels of the knee flex with around 10 % stretch of the tape
Notice
Additional there could be apply a tape for the scars and the muscle
Lymphatic applications always apply accordant to the problems of the patient
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Picture 3: Final application.
Picture 2: Bring leg into hip and knee flexion standing leg on the bed. Apply the tape on the ramaining muscle body allowing the strips of tape to tail off around the patella.
Picture 1: The leg lies extended on the table. Base: below the SIAI in neutral
hip / knee position (Full version). Place hip into extention of the side
of the bed with knee in flexion. Apply the tape over the first 1/3 of
the muscle.
7.2. M. quadriceps (general application)
1
2
3
Notice
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Picture 2: Mech. Correction type 1. Base over Tub. Tibiae, fix base, Knee in max. Flx. Apply tape with 100% stretch towards apex patella. Lay on ends without stretch in direction of the Mm. vastus medialis and lateralis.
Picture 4 /5: Muscle technique hamstrings out of the standing or lying position.
Picture 1: Muscle technique M. quadriceps.
7.3. Indication application: Knee
Picture 3: Final application.
1 2
3
4 5
Notice
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Picture 1: Tendon-TechniqueFoot in Dorsal extension: Base over the calcaneusDistal tape is applied with sub-maximum stretch over the base of
the foot towards the toes. Lay the end on with no stretch. Proximal tape is applied with max. stretch over the length of the
achilles tendon (first 1/3rd), 50 % stretch over muscle-tendon section (scond 1/3rd) and no stretch over soleus muscle (last 1/3rd).
7.4. Application AchilloTendon
Picture 2: Muscle-techniqueBase over calcaneus or in the area of the lower calft; Foot in dorsal
extension; 2 straps surround the calf muscles.
Picture 3: „Stirrup“Ankle at 90°;Base over calcaneus with no stretch; 2 straps pulled
proximal over the ankle joint to support plantar flexion – apply tape behind the joint line.
Picture 4: Complete Achilles Tendon tape1. Base on Calcaneus 2 “Tendon-technique“ for achilles tendon and
plantar fascia2. Muscle-technique for calf muscles3. Stirrup over plantar ankle joint
1 2
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8. Patrick Test
This test is used when the patient has problems around the pelvis and / or hip. The patient lies supine, the knee on the side to be tested is flexion, the hip in external rotation and is placed on the opposite knee. The therapists performs a passive movement into the end range of motion (OR). The test is positive, if the range is limited by pain, contraction of fascia, scars or muscles. (Always compare both sides!)
Possible muscles to be tested:
• M. glutaeus maximus/ medius / minimus• Mm. adductores• M. iliopsoas• M. tensor fascia latae• M. sartorius• M. piriformis
Notice
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8.1. M. glutaeus maximus
Picture 3: Final application.
Picture 1:Base: over greater trochanter
For the proximal tape: hip in full extension. Tape is applied along the crista iliaca towards the SIPS.
Picture 2:For the distal tape: Hip in full flex. Tape applied around muscle belly towards the apex of the sacrum.
1
2
3
Notice
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The patient lies supine, the therapist examines the abdominal region. Observation: asymmetries, scars, zones, problems with the fascia.Palpation: fascial mobility and complications (zones) in this region.Perform pressure test of the tissue and the organs – first superficially then with deeper pressure. The abdomen can be divided into 9 zones. This test is positive, if you find pain or changes in the fascia or skin.
Possible muscles to be tested:
• M. rectus abdominis
• M. obliquus externus abdominis
• M. obliquus internus abdominis
• M. transversus abdominis
• M. diaphragma
9. Abdominal Pressure Test
Notice
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Picture 3:Both knees in Flexion. Rotate both knees to the side of application. Arms elevated. Keep lower back in lordosis.
Base: Medial of SIAS.
9.2. M. obliquus internus
Picture 2:During application patent breaths in. Tape is applied towards the 10th rib.
Picture 1:Knee in Flexion, hip in 45° Flexion, adduction and internal rotation. The lower back is straight, arms elevated.
Base: Superior of os pubis, just above hairline.
9.1. M.obliquus externus
Picture 4:Final application.
Tape is applied towards the Proc. Xiphoid.
1 2
3 4
Notice
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9.3. Sacro-iliac joint(SI-Joint)Picture 1: 2 tapes are applied, which cross over on effected SI-joint. Application of base depends on what SI-Joint position needs correction - anterior or posterior tiltdifferent applications are possible.
9.4. Scars and fibrosis
Picture 1: Using two base. Picture 2: without a base.
Applying crossed pattern over the scars and fibrosis – normally with soft stretch.
1
1 2
Picture 1:Ligament technique over the fractured rib. Ligament technique anterior and posterior of fractured area.
Picture 2:Variation: Webcut over the fractured rib. Ligament techniques anterior and posteriorof the fractured area.
Alternative: Cross two lympathic fans, base under the fracture position
9.5. Rib fracture
1 2
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