This week we have learnt assessment and treatment techniques for joint restrictions. A valuable assessment tool is to place the limb in a one plane position, Drive in another plane and tweak in another plane. By Tweaking in another plane, I can find which plane position is successful, drive the relative joint motion, and as motion is gained in the joint, slowly tweak out to the unsuccessful plane position. I can then convert the assessment to a treatment technique.
The learning opportunity highlighted the difference between driving the body to achieve a specific motion at a joint as opposed to driving for authenticity of gait. If the goal is to drive the body to get a specific joint to move, it is not necessary to drive in an authentic gait motion.
The learning opportunity also highlighted assessing the knee. If driving with bilateral hands, look at the effect on the knee in each plane to determine its compression with in the knee joint. Consider the gravity, centre of gravity and mass and momentum.
The hamstrings will be influenced by the motion of the tibia. If there is relative internal rotation of the knee, the lateral hamstrings are recruited. It is vice versa for external rotation of the tibia.
The course is creating a clinical reasoning process for assessment and treatment. Everything we have learnt is now coming together. We have looked at the role of proprioceptors. What types of proprioceptors exist in the body, and how we want to stimulate them in our treatment exercises.
It appears the Saggital, Frontal and Transverse tweaks must be understood to progress further in this course.