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ACTIVATOR METHODS: Chiropractic method of treatment that uses a mechanical/electrical instrument to deliver a predetermined, measured low force as treatment.
ACTIVE REST: Continued movement and exercise is necessary for full resolution of an injury. Safe movement promotes optimal healing and minimal recovery time. Even during rehabilitation from an acute injury, continued use of uninjured muscles in surrounding areas will accelerate healing.
ACUTE INJURY: Injury, tearing, of muscles and fascia immediately causes inflammation, white-blood-cell increase, fibrogen secretion, and the beginning of tissue adhesion. If left untreated for any significant time, a cumulative injury cycle is initiated.
APPLIED KINESIOLOGY: Chiropractic technique that employs specific muscle function to restore physiologic joint performance. Used as both a diagnostic tool and a corrective therapy.
ART® TREATMENT PROTOCOLS (Active Release Techniques®: Soft tissue adjustments designed to restore normal movement, function, and interaction to soft-tissue structures of the body (muscles, fascia, nerves, tendons, and ligaments).
ART® CREDENTIALED PROVIDER: Anyone can say they practice Active Release Techniques, but the protocols are so precise that only a credentialed practitioner who is well educated in their application will consistently achieve the desired results.
BIOMECHANICS: Study of the musculoskeletal system's movement and function. Ranges of motion, stress forces, and other factors involved with human movement are studied and quantified.
BIOPHYSICS CHIROPRACTIC TREATMENT: Treatment based upon a "text book normal" model of proper spinal curvature and joint motion, using these standards as a guide.
CHRONIC INJURY: An injury that has not healed correctly or an injury that cannot recover due to decreased circulation and compromised cell recovery causing altered function to the joints and muscles. An injury that is usually greater than 3 days old.
CONSTANT PRESSURE/TENSION INJURY: These 2 factors decrease circulation and compromise cell recovery. This injury-type by definition does not require motion. An isometric contraction or the muscle tension of poor posture are examples of the mechanism of this type of injury.
CONTRAST THERAPY: A 20-minute cycle of treatment alternating the use of heat and ice. Heat for 15 minutes then alternate ice and heat at 1 minute intervals for remaining minutes. If inflamed at the end of treatment, end on ice. Wrap heat or ice in a towel- never apply directly to skin. Treatment is repeated every 2 hours.
CORRECTIVE CARE: Treatment that is targeted at restoring proper function to the region involved, thus removing the cause of the pain and discomfort.
CUMULATIVE INJURY CYCLE: A closed loop series of events that describes the stages of any trauma (See diagram). The cyclic nature of an injury – one factor triggering the next event in a circular series leading to a self perpetuating chronic injury.
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Primary components of a cumulative injury cycle are:
Weak & Tight Tissues: Repetitive motion tends to make muscles tighten, thus the cycle:
tight muscles tend to weaken, and weak muscles tend to tighten
Friction-Pressure-Tension: Internal friction, pressure, or tension tend to increase when muscles weaken and tighten. These increased internal forces lead to chronic inflammation.
Decreased Circulation-Edema: Increased force on tissue decreases circulation. When this force, pressure, is applied to the vulnerable area, edema (swelling) occurs.
Adhesions-Fibrosis: Restricted/decreased circulation prevents cellular hypoxia-cells from getting enough oxygen for proper function. Reduced oxygen causes fibrosis and adhesions occur in/between tissues.
Tear or Crush: Tissue that experiences physical trauma can tear microscopically or macroscopically. Such trauma can result from either an external an internal force.
Inflammation: Results from injury and starts the adhesion process.
Conditions: Cumulative-injury cycle is self-perpetuating. It exacerbates symptoms and casual elements of repetitive stress injuries and cumulative disorders, causing these conditions to constantly deteriorate. These include carpal-tunnel and cubital-tunnel syndrome, epicondylitis, tenosynovitis, myofascitis, bursitis, peripheral-nerve entrapment, thoracic-outlet syndrome, and De Quervain's disease.
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CUMULATIVE TRAUMA DISORDER (also known as Repetitive Stress Injury) is the effect that acute injury, repetitive trauma, and constant pressure or tension has on nerves, muscles, and bones. The effect is best understood in the terms of a cycle – the Cumulative Injury Cycle.
DIVERSIFIED CHIROPRACTIC TECHNIQUES: Adjusting procedures based on a combination of other models utilizing the idea that while there is an ideal position for the spine, each person has their own "normal" spine.
ERGONOMICS: Utilizing the concept of efficient and effective human motion during activities to increase performance and decrease the potential for injury.
FASCIA: The continuous network of connective tissue covering and connecting the structures of the body.
GONSTEAD TECHNIQUE: A method of treating spinal subluxations which utilizes x-rays as the determining factor in deciding where to make spinal adjustments.
HEADACHE: Many times the underlying cause of headaches is the inordinate amount of structural stress caused by postural distortion and the subsequent implications. Active Release Techniques® and chiropractic care are very effective treatments.
HEAT/ICE CONTRAST: See Contrast Therapy
HEAT: Apply heat to tight/affected area 20 minutes per 2-hour period. Repeat if necessary. Never apply heat directly to skin. Wrap heat in thin towel. Usually for chronic injuries.
ICE: Apply ice to inflamed area 20 minutes per 2-hour period. Repeat if necessary. Never apply ice directly to skin. Wrap ice in thin towel. Usually for acute injuries: up to day 3.
INJURY TYPES
1. Acute Injury
2. Repetitive Motion Injury
3. Constant Pressure/Tension Injury
LAW OF REPETITIVE MOTION: A equation to explain how repetitive
injuries occur: I = NF/AR
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I = Insult to the tissues.
N = Number of repetitions.
F = Force or tension of each repetition as a percent of maximum muscle strength.
A = Amplitude of each repetition.
R = Relaxation time between repetitions (lack of pressure or tension on the tissue).
Ex 1: Vibration has a high # of Reps with low Amplitude and low Relaxation time, causing high Insult.
Ex 2: Poor Posture produces high Force, almost 0 Amplitude and Relaxation time, causing high Insult.
Ex 3: Someone who is weak will use a high percentage of their maximum strength to accomplish tasks, causing high Force and high Insult.
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LOGAN BASIC TECHNIQUE: In part, this system takes into account the effects of gravity on the spine and its related structure. Based on the idea that the sacrum is the biomechanical keystone of the body because it supports the body and allows for locomotion.
MOTION PALPATATION TECHNIQUE: A manner of chiropractic treatment in which adjustments are delivered to restore normal range of motion at a joint that it is not fully expressed.
POSTURE: The disposition of the body where the natural curves are maintained in the spine and the use of the limbs is well integrated at rest and during motion.
PHYSICAL THERAPY: Weight training, exercise, and stretching/strengthening techniques.
PROACTIVE THERAPY: Rather than relying solely on therapy that takes place in the office, patients are encouraged to take part in their own healing. We find that it is the activities which a person does or does not do outside the office that are the determining factors when it comes to predicting the outcome of treatment.
REPETITIVE MOTION INJURY: An injury resulting from high repetition and activity with little rest for tissue recovery. The result is weak and tense muscles leading to the formation of adhesions and scar tissue. This, in turn, causes altered function to the region.
SACRO-OCCIPITAL TECHNIQUE: A treatment technique that is based on restoring normal function to the nervous system through the mechanical relationship between the cranium and pelvis.
SOFT TISSUE INJURY: Trauma to the tissues of the body which includes ligaments, muscles, tendons, fascia, nerves and blood vessels. This causes adhesions to form in/between these structures, which diminishes healthy movement and function. They are best treated with Active Release Techniques® soft tissue management protocols.
SPRAIN: Refers to any injury that occurs to muscles and their tendons.
STRAIN: Refers to any injury that occurs to muscles and their tendons.
SWISS BALL EXERCISES: Use of a fully inflated exercise ball is an extremely valuable tool in rehabilitating and maintaining optimal strength of stabilizing and neutralizing musculature.
TRAUMA: Identified by the body as an acute injury, a repetitive motion or a constant pressure and tension type injury. Whether the causing factor is by accident, surgery or some other form of physical compromise, the results are the same; scar tissue will form and decrease function in the region.
VERTEBRAL SUBLUXATION COMPLEX: The series of events and systemic changes that occur with joint dysfunction. The altered motion at the joint level has muscular, neurological, vascular and connective tissue implications that must be addressed. The inflammatory response involved has anatomic, physiologic and biochemical components as well.
YOGA: Extremely beneficial in all its forms. Helpful in regaining and maintaining musculoskeletal flexibility and visceral vitality. One of many benefits is the use of isometric contraction combined with postures that encourage balance and coordination. These are the factors most important in maintaining healthy posture.
2509 Milvia Street, Berkeley, CA 94704 tel 510-843-1234 fax 510-843-1209
bruce@mychirocare.com
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