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Soft Tissue and Trigger Point Release 2nd Edition PDF

Soft Tissue and Trigger Point Release 2nd Edition PDF

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    Ebook

    Soft Tissue and Trigger Point Release, Second Edition, is a practical guide to understanding and applying soft tissue release (STR), including how it can be used to deactivate trigger points and maximize patient outcomes of treatment and rehabilitation. Whether you are a student or a professional, the detailed instruction and numerous photos will help you gain proficiency and confidence in applying these techniques.

    Soft Tissue and Trigger Point Release thoroughly explains the differences between the three types of STR—passive (clients do not help), active-assisted (clients and therapists work together), and active (clients do it on their own)—and provides step-by-step descriptions for performing each type. This edition incorporates new content on how soft tissue release may be used to deactivate trigger points, aiding in the treatment of musculoskeletal pain. Additional updates include the following:
    • More than 150 new photographs and 21 new anatomical illustrations
    • Guiding arrows overlaid on photos to show the direction in which to apply pressure
    • Illustrations of trigger points found in 21 muscles
    • New descriptions of the use of active-assisted STR on the iliotibial band (ITB), infraspinatus, biceps brachii, and triceps
    • New sections describing how to apply active STR to gluteals, trapezius, scalenes, rhomboid, and pectoral muscles
    • Instruction for applying passive STR to shoulder adductors
    • Case studies providing examples of how STR was used with four clients with differing problems
    Complementing each technique are information on the key holds, moves, and stances for various muscles and handy reference charts indicating the types of clients and situations for which each technique is particularly useful. The full-color photos depict the locks and stretches, while some of the more difficult techniques are accompanied by photos showing the position of the therapist and a skeletal overlay on the client so you can pinpoint the specific muscle being targeted. The book also explains how to use alternative options—such as massage tools and forearms, fists, and elbows—to protect your hands and thumbs from overuse. Tip boxes offer practical comments on applying the techniques, while Client Talkboxes provide insight into real-world situations.

    Soft Tissue and Trigger Point Release also shows you how to incorporate the proper techniques into a treatment program. It guides you through the consultation process and provides examples of initial questions to ask clients and various assessment forms to use in identifying clients’ needs. Using case studies and comparisons, you will learn how the data gleaned from clients can guide the design of an effective treatment program.

    Soft Tissue and Trigger Point Release, Second Edition, is part of the Hands-On Guides for Therapistsseries, developed to provide the best clinical and educational resources available for those in bodywork professions.

    Audience

    Reference for students and practitioners of massage therapy, physical therapy and physiotherapy, athletic training and athletic therapy, osteopathy, and chiropractic.

    Table of Contents

    Series Preface
    Preface
    Part I. Getting Started With Soft Tissue Release
    Chapter 1. Introduction to Soft Tissue Release
    Who Should Have Soft Tissue Release
    How Soft Tissue Release Works
    Where to Perform Soft Tissue Release
    When to Perform Soft Tissue Release
    Benefits of Soft Tissue Release
    Soft Tissue Release and Trigger Points
    Why You Should Treat Trigger Points
    How to Identify a Trigger Point
    How You Should Treat Trigger Points
    Closing Remarks
    Quick Questions
    Chapter 2. Preparing for Soft Tissue Release
    Using Your Body to Apply STR
    Forearm
    Elbow
    Single Fist
    Double Fist
    Palm
    Gripping and Squeezing
    Reinforced Thumbs
    Single Thumb
    Fingers
    Knuckles
    Using Tools to Apply STR
    Consultation With the Client
    Caution and Safety Issues
    Three Methods of STR
    Measuring the Effectiveness of STR
    Frequently Asked Questions and Troubleshooting Tips
    Closing Remarks
    Quick Questions

    Part II. Soft Tissue Release Techniques
    Chapter 3. Passive Soft Tissue Release
    Introduction to Passive Soft Tissue Release
    How to Perform Passive STR
    The Direction of Locks
    How to Focus the Stretch to One Area
    The Direction of Pressure
    Taking Up Slack in the Skin
    Incorporating STR With Oil Massage
    Key Holds, Moves and Stances for Passive STR
    Calf
    Hamstrings
    Gluteals
    Rhomboids
    Triceps
    Shoulder Adductors
    Biceps Brachii
    Wrist and Finger Extensors
    Wrist and Finger Flexors
    Pectorals
    Safety Guidelines for Passive STR
    When Is Passive STR Indicated?
    Using Passive STR to Treat Trigger Points
    How to Become Proficient in the Use of Passive STR
    Quick Questions
    Chapter 4. Active-Assisted Soft Tissue Release
    Introduction to Active-Assisted Soft Tissue Release
    How to Perform Active-Assisted STR
    Selecting Passive or Active-Assisted STR
    The Direction of Locks
    How to Focus the Stretch to One Area
    The Direction of Pressure
    Taking Up Slack in the Skin
    Incorporating Active-Assisted STR With Oil Massage
    Key Holds, Moves and Stances for Active-Assisted STR
    Calf
    Foot
    Hamstrings
    Iliacus
    Tibialis Anterior
    Fibularis (Peroneals)
    Gluteals
    Quadriceps
    Iliotibial Band (ITB)
    Upper Trapezius
    Scalenes
    Levator Scapulae
    Erector Spinae (Spinalis)
    Pectorals
    Wrist and Finger Extensors
    Wrist and Finger Flexors
    Infraspinatus
    Biceps Brachii
    Triceps
    Safety Guidelines for Active-Assisted STR
    When Is Active-Assisted STR Indicated?
    Using Active-Assisted STR to Treat Trigger Points
    How to Become Proficient in the Use of Active-Assisted STR
    Quick Questions
    Chapter 5. Active Soft Tissue Release
    Introduction to Active Soft Tissue Release
    How to Perform Active STR
    The Direction of Locks
    How to Focus the Stretch to One Area
    The Direction of Pressure
    Taking Up Slack in the Skin
    Incorporating Active-Assisted STR With Oil Massage
    Active STR as Part of a Home Care Programme
    Key Holds, Moves and Stances for Active STR
    Foot
    Hamstrings
    Quadriceps
    Calf
    Gluteals
    Wrist and Finger Extensors
    Wrist and Finger Flexors
    Biceps Brachii
    Triceps
    Trapezius
    Scalenes
    Rhomboids
    Pectorals
    Safety Guidelines for Active STR
    When Is Active STR Indicated?
    Using Active STR to Treat Trigger Points
    How to Become Proficient in the Use of Active STR
    Quick Questions

    Part III. Applying Soft Tissue Release
    Chapter 6. Soft Tissue Release for the Trunk
    Rhomboids
    Trigger Points in Rhomboids
    Passive STR for Rhomboids: Prone
    Passive STR for Rhomboids: Seated
    Active STR for Rhomboids: Standing
    Pectoralis Major and Minor
    Trigger Points in Pectorals
    Passive STR for Pectoralis Major: Supine
    Active-Assisted STR for Pectoralis Major: Supine
    Active STR for Pectorals: Seated or Standing
    Levator Scapulae
    Trigger Points in Levator Scapulae
    Active-Assisted STR for Levator Scapulae: Seated
    Upper Trapezius
    Trigger Points in Upper Trapezius
    Active-Assisted STR for Upper Trapezius: Seated
    Active-Assisted STR for Upper Trapezius: Supine
    Active STR for Upper Trapezius: Seated or Standing
    Active STR for Upper Trapezius: Supine
    Erector Spinae (Upper)
    Trigger Points in Semispinalis Capitis
    Active-Assisted STR for Erector Spinae: Seated
    Scalenes
    Trigger Points in Scalenes
    Active-Assisted STR for Scalenes: Seated
    Active-Assisted STR for Scalenes: Supine
    Active STR for Scalenes: Seated
    Quick Questions
    Chapter 7. Soft Tissue Release for the Lower Limbs
    Hamstrings
    Trigger Points in Hamstrings
    Passive STR for Hamstrings: Prone
    Active-Assisted STR for Hamstrings: Prone
    Active STR for Hamstrings: Supine
    Active STR for Hamstrings: Seated
    Calf
    Trigger Points in the Calf
    Passive STR for the Calf Using Thumbs: Prone
    Passive STR for the Calf Using Fists: Prone
    Passive STR for the Calf Using Fists to Glide: Prone With Knee Extension
    Passive STR for the Calf Using Forearms to Glide: Prone With Knee Flexion
    Active-Assisted STR for the Calf Using the Elbow: Prone
    Active-Assisted STR for the Calf Using Grip Lock: Prone
    Active STR for the Calf: Supine
    Foot
    Trigger Points in the Foot
    Active-Assisted STR for the Foot Using a Tool: Prone and Supine
    Active STR for the Foot: Seated
    Quadriceps
    Trigger Points in Quadriceps
    Active-Assisted STR for Quadriceps: Seated
    Active STR for Quadriceps With a Tennis Ball
    Tibialis Anterior
    Trigger Points in Tibialis Anterior
    Active-Assisted STR for Tibialis Anterior: Side Lying
    Active-Assisted STR for Tibialis Anterior: Gliding in Prone
    Peroneals (Fibulari)
    Trigger Points in Peroneals (Fibulari)
    Active-Assisted STR for Peroneals (Fibulari): Side Lying
    Gluteals
    Trigger Points in Gluteals
    Passive STR for Gluteals: Prone
    Active-Assisted STR for Gluteals: Side Lying
    Active STR for Gluteals: Standing
    Iliotibial Band (ITB)/Vastus Lateralis
    Trigger Points in Vastus Lateralis
    Active-Assisted STR for Vastus Lateralis: Side Lying
    Iliacus
    Trigger Points in Iliacus
    Active-Assisted STR for Iliacus: Side Lying
    Quick Questions
    Chapter 8. Soft Tissue Release for the Upper Limbs
    Triceps
    Trigger Points in Triceps
    Passive STR for Triceps: Prone, Grip Lock
    Active-Assisted STR for Triceps: Prone, Thumb Lock
    Active STR for Triceps: Seated or Standing
    Biceps Brachii
    Trigger Points in Biceps Brachii
    Passive STR for Biceps Brachii: Supine
    Passive STR for Biceps Brachii: Supine, Gliding
    Active-Assisted STR for Biceps Brachii: Supine
    Active STR for Biceps Brachii: Seated or Standing
    Shoulder Adductors
    Trigger Points in Shoulder Adductors
    Passive STR for Shoulder Adductors: Prone
    Passive STR for Shoulder Adductors: Side Lying
    Infraspinatus
    Trigger Points in Infraspinatus
    Active-Assisted STR for Infraspinatus: Prone
    Wrist and Finger Extensors
    Trigger Points in Wrist and Finger Extensors
    Passive STR for Wrist and Finger Extensors: Supine
    Passive STR for Wrist and Finger Extensors: Prone, Gliding
    Active-Assisted STR for Wrist and Finger Extensors: Supine
    Active-Assisted STR for Wrist and Finger Extensors: Seated
    Active-Assisted STR for Wrist and Finger Extensors: Gliding
    Active STR for Wrist and Finger Extensors: Seated or Standing
    Active STR for Wrist and Finger Extensors: Gliding, Using a Roller
    Wrist and Finger Flexors
    Trigger Points in Wrist and Finger Flexors
    Passive STR for Wrist and Finger Flexors: Supine
    Active-Assisted STR for Wrist and Finger Flexors: Supine
    Active STR for Wrist and Finger Flexors: Seated or Standing
    Quick Questions

    Part IV. Soft Tissue Release Programmes
    Chapter 9. Creating a Soft Tissue Release Programme
    Initial Questions
    Client’s Medical History
    Using a Body Map
    Measuring Subjective Sensations
    Postural Assessment
    Range of Motion and Other Special Tests
    Programme for Treatment
    Case Studies
    Client A: Pain and Stiffness in Knee Following Total Knee Replacement
    Client B: Tight Calves and Hamstrings
    Client C: Neck and Bilateral Posterior Shoulder Pain
    Client D: Pain in Left Upper Limb
    Closing Remarks
    Quick Questions
    Answers to Quick Questions
    References
    About the Author

    About the Author

    Jane Johnson, MSc, is a chartered physiotherapist and sport massage therapist specializing in musculoskeletal occupational health. She has been using and teaching soft tissue release (STR) for many years and has a thorough grounding in anatomy, which she uses to explain STR in straightforward terms. She has worked with numerous client groups, including athletes, recreational exercisers, office workers, and older adults; this experience has enabled her to adapt STR for various types of clients and provide practical tips for readers.

    Johnson has taught continuing professional development workshops for many organizations in the United Kingdom and in other countries. This experience has brought her into contact with thousands of therapists of all disciplines and informed her own practice. She is passionate about supporting and inspiring newly qualified or less confident therapists so they feel more self-assured in their work. She frequently presents STR at conferences and exhibitions for therapists.

    Johnson is a member of the Chartered Society of Physiotherapy and is registered with the Health and Care Professions Council. A member of the Medico Legal Association of Chartered Physiotherapists, she provides expert witness reports on cases involving soft tissue therapies.