technique -...
TRANSCRIPT
![Page 1: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/1.jpg)
![Page 2: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/2.jpg)
! Technique: ! Pt prone w/ your thigh
creating DF at ankle within available range.
! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
![Page 3: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/3.jpg)
! Technique: ! Pt prone w/ toes DF
within available range ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
![Page 4: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/4.jpg)
! Technique: ! Pt side-lying w/ ankle
inverted within available range
! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
![Page 5: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/5.jpg)
! Technique: ! Pt supine w/ ankle PF
within available range ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Avoid STMT w/in 1 finger width of tibial crest.
![Page 6: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/6.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Move ankle into DF
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 7: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/7.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Move ankle into DF
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 8: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/8.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension @ popliteal area
" Move ankle into DF
" Put 0-15% tension on tape
" Anchor tape with NO tension
" Heat Up Tape
![Page 9: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/9.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Move toes into DF
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 10: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/10.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Move toes into DF
" Put 0-15% tension on tape
" Anchor tape with NO tension
" Heat Up Tape
![Page 11: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/11.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Move ankle into IVR/DF
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 12: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/12.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Move ankle into PF
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 13: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/13.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Move ankle into PF
" Put 0-15% tension on tape
" Anchor tape with NO tension
" Heat Up Tape
![Page 14: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/14.jpg)
! Technique: ! Pt sitting w/ knee flexed
within available range ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
![Page 15: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/15.jpg)
! Technique: ! Pt prone w/ knee
extended within available range
! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Be cautious of any sciatic nerve irritation!
![Page 16: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/16.jpg)
! Technique: ! Pt prone w/ hip flexed &
knee extended off table ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Be cautious of any sciatic nerve irritation!
![Page 17: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/17.jpg)
! Technique: ! Pt side-lying w/ pillow
under top leg ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Do NOT go over the greater trochanter!
![Page 18: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/18.jpg)
! Technique: ! Pt hook-lying w/ leg ER/
ABD ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Do NOT go over the femoral triangle!
![Page 19: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/19.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt seated in flexion
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 20: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/20.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt seated in flexion
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 21: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/21.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt seated in flexion
" Put 0-15% tension on tape
" Anchor tape with NO tension
" Heat Up Tape
![Page 22: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/22.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt supine in extension
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 23: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/23.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt supine in extension
" Put 0-15% tension on tape
" Anchor tape with NO tension
" Heat Up Tape
![Page 24: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/24.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt side-lying in hip add
" Put 0-15% tension on tape
" Anchor tape with NO tension
" Heat Up Tape
![Page 25: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/25.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt supine in hook-lying hip ABD
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 26: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/26.jpg)
! Technique: ! Pt in comfortable trunk
flexion ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Stay off ribs and spinous processes!
![Page 27: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/27.jpg)
! Technique: ! Pt in comfortable trunk
flexion & slight rotation ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Stay off spinous processes!
![Page 28: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/28.jpg)
! Technique: ! Pt seated w/ slight
cervical SB away & rot to you
! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Stay away from posterior cervical triangle!
![Page 29: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/29.jpg)
! Technique: ! Pt seated w/ slight
cervical rot away & flex ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Stay away from posterior cervical triangle!
![Page 30: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/30.jpg)
" Prep Surface
" Cut Tape " Apply adherent—if
available
" Start tape w/ NO tension
" Pt seated in trunk flexion
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 31: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/31.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt seated in cervical flexion & rot away
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 32: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/32.jpg)
" Prep Surface " Cut Tape " Apply adherent—if
available " Start tape w/ NO
tension " Pt seated in cervical SB
away and rot towards side being taped
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 33: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/33.jpg)
! Technique: ! Pt hugging pillow ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Stay off the spine & scapula!
![Page 34: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/34.jpg)
! Technique: ! Pt supine in UE ext/
ABD/ER ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Use care and empathy around female’s breast tissue
![Page 35: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/35.jpg)
! Technique: ! Pt seated with UE in Horz
Add ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
![Page 36: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/36.jpg)
! Technique: ! Pt seated or side-lying w/
UE horz ADD ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
![Page 37: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/37.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt’s UE in horz add
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 38: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/38.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt’s UE in horz abd & ER
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 39: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/39.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt’s UE in horz ADD & IR
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 40: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/40.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt’s UE in ADD
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 41: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/41.jpg)
! Technique: ! Pt seated or supine w/
wrist in flexion ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
! Stop if any radial nerve symptoms!
![Page 42: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/42.jpg)
! Technique: ! Pt in elbow extension ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
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! Technique: ! Pt in elbow flexion ! Add lubricant ! Move tool to find
myofascia restrictions: ! Origin-Insertion ! Insertion-Origin ! Diagonally
! Focus on most restricted myofascia areas for ~3’ min
! Inform pt to expect bruising & swelling
![Page 44: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/44.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Pt seated in wrist flexion & elbow extension
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 45: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/45.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Shldr & elbow extension
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 46: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/46.jpg)
" Prep Surface
" Cut Tape
" Apply adherent—if available
" Start tape w/ NO tension
" Shldr & elbow in flexion
" Put tension on tape for desired goal
" Anchor tape with NO tension
" Heat Up Tape
![Page 47: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/47.jpg)
1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill Livingstone, Philadelphia, PA. 2003.
2. Yeatman G, Viet VD. Cao Gio (coin rubbing). Vietnamese attitude toward health care. J Am Med Assoc. 1980;244(24):2748-9.
3. Gehlsen GM, Ganion LR, Helfst R. Fibroblast responses to variations in soft tissue mobilization pressure. Med Sci Sports Exerc. 1999;28(5):375-80.
4. Loghmani MT, Warden SJ. Instrument-assisted cross-fiber massage accelerates knee ligament healing. J Orthop Sports Phys Ther. 2009;39(7):506-14.
5. Kahn KM, Scott A. Mechanotherapy: how physical therapists' prescription of exercise promotes tissue repair. Br J Sports Med. 2009;43(4):247-52.
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6. Schaefer JL, Sandrey MA. Effects of a 4-week dynamic-balance-training program supplemented with Graston instrument-assisted soft-tissue mobilization for chronic ankle instability. J Sport Rehabil. 2012;21(4):313-26.
7. Davidson CJ, Gannion LR, Ghlsen GM, et al. Rat tendon morphologic and functional changes resulting from soft tissue mobilization. Med Sci Sports Exerc. 1997;29(3):313-19.
8. Fong G, Backman LJ, Danielson P, et al. Substance P enhances collagen remodeling and MMP-3 expression by human tenocytes. J Orthop Res. 2013;(1):91-8.
9. Bachman LJ, Fong G, Andersson G, et al. Substance P is a mechanoresponsive, autocrine regulator of human tenocyte proliferation. PLoS One. 2011;6(11)e27209.
10. Scott A, Docking S, Vicenzino B, et al. Sports and exercise-related tendinopathies: a review of selected topics by participants of the second international Scientific Tendinopathy Symposium (ISTS) Vancouver 2012. Br J Sports Med. 2013;47:536-44.
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11. Malliaras P,Cook J. Patellar tendons with normal imaging and pain: Change in imaging and pain status over a volleyball season. Clin J Sports Med. 2006;16:388-91.
12. Cook JL, Kahn KL, Harcourt PR, et al. Patellar tendon ultrasonography in asymptomatic active athletes revels hypoechoic regions: a study of 320 tendons. Clin J Sports Med. 1998;8:73-77.
13. Frost P, Andersen JH, Lundorf E. Is supraspinatus pathology as defined by magnetic resonance imaging associated with clinical sign of shoulder impingement? J Shoulder Elbow Surg. 1999;8(6):565-8.
14. Howitt S, Wong J, Zabukovec S. The conservative treatment of trigger thumb using Graston techniques and active release techniques. J Can Chiropr Assoc. 2006;50(4):249- 254.
15. Wilson JK, Sevier TL, Helfst R, Honing EW, Thomann A. Comparison of rehabilitation methods in the treatment of patellar tendinitis. J Sport Rehabil. 2000;9:304-314.
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16. Melham TJ, Sevier TL, Malnofski MJ, Wilson JK, Robert HJ. Chronic ankle pain and fibrosis successfully treated with a new noninvasive augmented soft tissue mobilization technique (ASTM): a case report. Med Sci Sports Exerc. 1998;30(6):801-804.
17. Hammer WI. The effect of mechanical load on degenerated soft tissue. J Bodywork Movement Therapies. 2008;12:246-256.
18. Daniels CJ, Morrell AP. Chiropractic management of pediatric plantar fasciitis: a case report. J Chiropr Med. 2012;11:58-63.
19. Slaven EJ, Mathers J. Management of chronic ankle pain using mobilization and ASTYM treatment: a case report. J Manual Manipulative Ther. 2011;19(2):108-12.
20. McCormack JR. The management of mid-portion Achilles tendinopathy with ASTYM and eccentric exercise: a case report. Int J Sports Phys Ther. 2012;7(6):672-7.
![Page 51: Technique - files.ctctcdn.comfiles.ctctcdn.com/603d5cb7001/8bb3d22b-f151-49fa-b678-a0c212eb5226.pdf · 1. Nelson A. Gua Sha - A Traditional Technique for Modern Practice. Churchill](https://reader030.vdocuments.mx/reader030/viewer/2022040422/5e115136d098af7d4d270c38/html5/thumbnails/51.jpg)
21. Hammer WI, Pfefer MT. Treatment of subacute lumbar compartment syndrome using the Graston Technique. J Manipulative Physiol Ther. 2005;28:199-204.
22. Aspegren D, Hyde T, Miller M. Conservative treatment of a female collegiate volleyball player with costochondritis. J Manipulative Physiol Ther. 2007;30:321-5.
23. Bayliss AJ, Klene FJ, Gundeck EL, Loghmani MT. Treatment of a patient with post-natal chronic calf pain utilizing instrument-assisted soft tissue mobilization: a case study. J Manual Manipulative Ther. 2011;19(3):127-34.
24. Burke J, Buchberger DJ, Carey-Loghmani T, et al. A pilot study comparing two manual therapy interventions for carpal tunnel syndrome. J Manual Manipulative Physiol Ther. 2007;30:50-61.
25. http://www.cebm.net. Retrieved 7-31-13.
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26. http://europepmc.org/abstract/MED/10211847/reload=0;jsessionid=S3xvjBGO3gGCfdXTd2wr.2. Retrieved 12/20/13.
27. http://blog.astym.com/blog/astym-3/graston-sastm-and-astym-what-is-the-history-v2. Retrieved 1-12-14.
28. http://en.wikipedia.org/wiki/Fibroblast. Reviewed 1/21/14.
29. Parish, Dr. David, and Dr. Vince DeBono, 2007. “Kinesio Taping Certification Courses #1-3.” National University of Health Sciences, Lombard, IL.
30. Kase, Kenz , Jim Wallis, and Tsuyoshi Kase. Clinical Therapeutic Applications of the Kinesio Taping Method. S.l.: Kinesio Taping Assoc., 2008. Print.
31. Butler, Mark, PT. "Deep Impact: Targeting Restrictions with Instrument-assisted Soft-tissue Mobilization." Advance for Physical Therapy & Rehab Medicine 28 Oct. 2013: 16-19. Print.
32. Melham, Thomas, Thomas Sevier, Michael Malnofski, Julie Wilson, and Robert Helfst. "Chronic Ankle Pain and Fibrosis Successfully Treated with a New Noninvasive Augmented Soft Tissue Mobilization Technique (STMT): A Case Report." Medicine & Science in Sports & Exercise 30(6) (1998): 801-04. Print..
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! Dr Erson Religioso III, DPT, FAAOMPT—co-founder of Edge Mobility STMT tool and mobility bands
! http://www.edgemobilitysystem.com
! Laura Kavinsky & Dr. Steven Capobianco at RockTape!
! http://rocktape.com/products/tape/