Lumbar spine facilitated positional release

Lumbar spine facilitated positional release

Chronic Week 1

Chronic Week 1

Down syndrome (Trisomy 21)
Galactosemia
Tay-Sachs disease (NORD)
Mucopolysaccharide storage disease type 1 (Hurler syndrome) (NORD)
Phenylketonuria (NORD)
Phenylketonuria (NORD): Year of the Zebra
Classical homocystinuria (NORD)
Homocystinuria
Glycogen storage disease type II (NORD)
Hypertrophic cardiomyopathy
Abnormal heart sounds
Normal heart sounds
Development of the cardiovascular system
Fetal circulation
Aortic valve disease
Mitral valve disease
Pulmonary valve disease
Tricuspid valve disease
Valvular heart disease: Pathology review
Cyanotic congenital heart defects: Pathology review
Acyanotic congenital heart defects: Pathology review
Atrial septal defect
Ventricular septal defect
Patent ductus arteriosus
Coarctation of the aorta
Cardiomyopathies: Pathology review
Approach to cyanosis (newborn): Clinical sciences
Aortic dissections and aneurysms: Pathology review
Peripheral artery disease
Peripheral artery disease: Pathology review
Vasculitis
Vasculitis: Pathology review
Deep vein thrombosis and pulmonary embolism: Pathology review
Raynaud phenomenon
Fryette laws
Diagnosing cervical somatic dysfunction
Spurling test
Cervical spine counterstrain
Cervical spine facilitated positional release
Cervical spine HVLA
Cervical muscle energy treatment
Cervical spine myofascial release
Other cervical spine treatments
Diagnosing lower limb somatic dysfunction
Special tests for the lower limb
Lower limb counterstrain
Lower limb HVLA
Lower limb muscle energy treatment
Lower limb myofascial release
Other lower limb treatments
Diagnosing lumbar spine somatic dysfunction
Lumbar muscle energy treatment
Lumbar spine counterstrain
Lumbar spine facilitated positional release
Lumbar spine HVLA
Lumbar spine myofascial release
Other lumbar spine treatments
Cranial osteopathy: Cranial nerves
Primary respiratory mechanism
Diagnosing cranial somatic dysfunction
Cranial treatments
Diagnosing pelvis somatic dysfunction
Pelvis counterstrain
Pelvis muscle energy treatment
Other pelvis treatments
Diagnosing rib somatic dysfunction
Rib counterstrain
Rib HVLA
Muscle energy for rib somatic dysfunction
Other rib treatments
Diagnosing sacral somatic dysfunction
Sacrum counterstrain
Sacrum muscle energy treatment
Sacrum myofascial release
Diagnosing thoracic spine somatic dysfunction
Thoracic spine counterstrain
Thoracic spine facilitated positional release
Thoracic spine HVLA
Thoracic muscle energy treatment
Thoracic spine myofascial release
Other thoracic spine treatments
Diagnosing upper limb somatic dysfunction
Special tests for the upper limb
Upper limb counterstrain
Upper limb HVLA
Upper limb muscle energy treatment
Upper limb myofascial release
Other upper limb treatments
Angina pectoris
Stable angina
Coronary artery disease: Clinical sciences
Coronary artery disease: Pathology review
Heart failure
Heart failure: Pathology review
Congestive heart failure: Clinical sciences
Dilated cardiomyopathy
Restrictive cardiomyopathy
ACE inhibitors, ARBs and direct renin inhibitors
Adrenergic antagonists: Beta blockers
Calcium channel blockers
Thiazide and thiazide-like diuretics
Loop diuretics
Potassium sparing diuretics
cGMP mediated smooth muscle vasodilators
Lipid-lowering medications: Statins
Cardiac conduction velocity
Cardiac conduction system
ECG basics
ECG normal sinus rhythm
ECG intervals
ECG QRS transition
ECG axis
ECG rate and rhythm
ECG cardiac infarction and ischemia
ECG cardiac hypertrophy and enlargement

Notes

Lumbar spine

Lumbar spine facilitated positional release

LUMBAR “NEUTRAL / EXTENSION” DYSFUNCTIONS
Example: L3 N SLRR

Hypertonicity of the erector spinae muscles can be treated with FPR in the same manner as lumbar neutral or extension dysfunctions. Instead of monitoring a lumbar transverse process, the left hand should instead be placed on the point of most hypertonic musculature.

  1. With the patient lying prone, stand on their left side and rest your knee against their left ilium
  2. With your left hand, monitor the right transverse process of L3
  3. With your right hand, extend their right hip and cross their right ankle over the left
  4. Slide your right hand up to grasp the patient’s knee, then extend and externally rotate the right lower extremity until the L3 paravertebral muscles appear maximally relaxed
  5. With your left hand, push gently (activating force) over the right transverse process of L4 for 3–5 seconds or until a release is palpated
LUMBAR “FLEXION” DYSFUNCTIONS
Example: L4 F SRRR

The patient positioning to treat lumbar flexion dysfunctions with FPR is very similar to the positioning for lumbar roll HVLA.

  1. With the patient lying in the left lateral recumbent position, stand facing their front
  2. Place your right forearm and hand on the patient’s right anterolateral chest wall (under their axilla), and your left forearm and hand on the right posterior pelvis / lumbar region
  3. Monitor the transverse processes of L4 and L5 with both hands
  4. Gently flex the patient’s hips until flexion is palpated at L4
  5. Gently push the patient’s right shoulder posteriorly until L4 is engaged and rotated (to the right) on L5
  6. Gently push the patient’s pelvic and lumbar region anteriorly until L5 is engaged and rotated (to the left) under L4
  7. While the patient exhales, further side bend to the right (by approximating your forearms)
  8. Apply an activating force in the form of gentle axial compression (both hands pushing toward L4) for 3–5 seconds or until a release is palpated
Author: Arman Israelyan, OMS-III
Editor: Matt Lipinski, DO
Editor: Robyn Hughes, MScBMC

Key Takeaways

Lumbar spine facilitated positional release is a type of massage that uses gravity and pressure to help relieve tension and pain in the lower back. The therapist will position you in a way that increases the space between the vertebrae, then use their hands to apply pressure to the affected area. This relieves tension and helps improve blood flow and movement in the area.