My Favorite "Resets" | Modern Manual Therapy Blog

My Favorite "Resets"


Call them "resets," "party tricks," or "repeated motions to reduce derangements" these are some of my favorite self resets you can easily teach to a patient for self treatment.
I can give credit to some of these techniques to the MDT Diplomats who I have trained in fellowship. Others, from David Butler (forearms), hip, from a fellow who took a PRI course, and the spine, general MDT. These are easy techniques for HEP and for yourself! I find myself self treating using many of these techniques prior to working out. Hope you find some useful!

Some keys to these techniques

  • end range, end range, end range
  • they work best after STM, FR, or joint work, then use these to maintain motion quality/quantity
  • they work after a rapid loss of ROM, or pain with full ROM, that happens insidiously
  • teach your patients a self screening movement, find a loss, then perform the self reset before working out or sport



4 comments:

  1. Nice tips. All SIMPLE which reflects your mastery of the body and expertise in our field

    ReplyDelete
  2. Thanks Chris! Trial and error, and learning from others. I was skeptical of many of them until I tried, and what do you know.... they work well on the rapid responders.

    ReplyDelete
  3. Dr E,
    Can you explain the logic of stretching the anterior capsule for limitations in IR for the shoulder as opposed to a posterior capsule reset

    ReplyDelete
  4. Many of these do not follow standard arthrokinematics. The thought is similar to the neurophysiologic effects of manipulation. Getting to end range, and these directions facilitate end range in a direction not normally limited. End range fires mechanoreceptors which bombard the CNS, thus decreasing perceived threat and increasing movement/stretch tolerance. So most likely it's centrally mediated, and less mechanical. They work too well and fast to be only mechanical. True joint and soft tissue dysfunction will not respond rapidly to these techniques.

    ReplyDelete