STI intro lecture

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Introduction to Soft Tissue Intervention:

Introduction to Soft Tissue Intervention

Objectives:

After the lecture, the student will: List the potential therapeutic effects of soft tissue treatment in physical therapy Describe the three common physical therapy scenarios where soft tissue interventions are often applied State and apply basic principles of body mechanics to massage Perform a professional introduction and maintain a professional environment for patients/peers during soft tissue treatments in class Verbalize understanding of the rules and expectations of the students and professors in the Soft Tissue Intervention course Objectives

Soft Tissue Intervention I Responsibilities of the student:

What are your responsibilities as a student in this course? ONLINE Regularly participate in online learning –(checking blackboard at least once a day and staying on top of all material covered online) Completing all quizzes and assignments on time Notifying the instructor if issues arise that require an extension BEFORE the due date Coming up with questions for your instructor that will help facilitate learning and discussion Soft Tissue Intervention I Responsibilities of the student

Soft Tissue Intervention I Responsibilities of the student:

IN THE CLASSROOM: Tell your partner and professor about any injuries or issues where soft tissue work should not be performed on you Tell your partner if any technique they are performing on you is painful Provide your partner with valuable feedback to help improve their technique and yours Ask for help if you have any questions or feel you need additional help on a technique Only practice techniques taught in this class Soft Tissue Intervention I Responsibilities of the student

Soft Tissue Interventions for physical therapists- 3 common uses:

Preparatory (preparing the soft tissue for subsequent treatment) Examples: reducing swelling prior to ROM Relaxation of tight muscles prior to joint manipulation Familiarization with PT’s hands prior to more specific or corrective treatments Soft Tissue Interventions for physical therapists- 3 common uses

Soft Tissue Interventions for physical therapists- 3 common uses:

2. Corrective: AKA mechanical Cross friction to break collagen cross links to increase scar tissue mobility Myofascial manipulation/release to increase mobility of muscle and fascia in areas of restriction Soft Tissue Interventions for physical therapists- 3 common uses

Soft Tissue Interventions for physical therapists- 3 common uses:

3. Supportive: After a treatment in which the treatment may have flared the condition, created pain or inflammation Soft tissue treatments can potentially help with pain reduction, removal of byproducts of microtrauma , and reduction of swelling Soft Tissue Interventions for physical therapists- 3 common uses

Proposed effects/outcomes of soft tissue treatment:

Increased connective tissue mobility including scar tissue Fascia lengthening Promotion of connective tissue remodeling/healing Normalize resting muscle tension Decreased muscle spasm/tone Decreased pain Increased blood flow/venous return Decreased swelling/edema Proposed effects/outcomes of soft tissue treatment

Professional Therapeutic relationships:

**In the physical therapy setting, it is imperative that we ALWAYS perform a comprehensive physical therapy evaluation prior to initiating any treatment, including soft tissue interventions What are some important components of our initial visit with a patient that help establish a professional relationship? Professional Therapeutic relationships

Establishing a professional relationship:

Initial introduction Handshake Eye contact Introduce yourself (name and title-PT student) Address the patient by the full or last name Listen to the patient After performing a thorough evaluation- communicate your findings clearly Establishing a professional relationship

Initial introduction:

Initial introduction

Maintaining a professional therapeutic relationship:

Maintaining a professional therapeutic relationship

Informed Consent:

Before initiating any form of treatment in the physical therapy setting , we must obtain informed consent Patient must understand the intent and direction of your proposed treatment This includes a clear explanation of proposed treatment and a verbal or written agreement from the patient Informed Consent

General Rules for patient positioning:

General Rules for patient positioning When positioning a patient for manual work, consider the following: 1. Patient should be relaxed and comfortable 2. Patient should be well supported 3. The region you will be treating should be exposed and in a neutral position 4. Other body parts should be in an appropriate resting position 5. Areas that will not be treated should be draped 6. Always ASK the patient if they are comfortable

Positioning the patient for prone soft tissue techniques :

Positioning the patient for prone soft tissue techniques

Body mechanics of the therapist General Rules:

Stay close to your patient (avoid reaching if possible) Adjust table to appropriate height Stay relaxed and comfortable Be aware that tension in your body will transfer to your treatment Body mechanics of the therapist General Rules

Why is it important for physical therapists to use proper body mechanics? :

Why is it important for physical therapists to use proper body mechanics? Your Text Here

Why practice proper body mechanics?:

To set a good example for our patients and colleagues –practice what you preach! To protect ourselves and reduce our injury risk To improve the efficiency of our technique and force production Why practice proper body mechanics?

Body mechanics principles to apply to soft tissue techniques:

Neutral spine Hinge at hips when bending forward Avoid hyperextension of joints Avoid shrugging shoulders/sustained tension in shoulders and neck WEIGHT SHIFT from the body and legs to generate force and movement Feet and forearms in line with direction of force Body mechanics principles to apply to soft tissue techniques

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