Common Postural Respiration Dilemmas
Yesterday I highlighted common problems that may occur when initiating a Myokinematic Restoration program. Today I will cover common dilemmas in a Postural Respiration program:
1. Can’t reduce left rib flare
- Open right low back – inhibit right quadratus lumborum.
- Right Superior T4 manual technique or two person Infraclavicular Pump with emphasis on proprioceptive integration of inhalation on right and exhalation on left.
- 90-90 abdominal integration without use of hip flexors.
2. Can’t realize 70-80% of passive right HG IR
- Restore left horizontal abduction and cervical axial rotation to the left. Guide right humeral internal rotation with hand placement on volar forearm to inhibit HG ER guarding.
- Supine Resisted Right HG IR with Left HG ER to fatigue right teres minor and infraspinatus, followed by Supine Resisted Right HG IR with Weighted Left HG ER.
- Two person Right Subclavius manual technique.
3. Can’t achieve 45% of left upper extremity horizontal abduction
- Supine Hooklying T8 Extension
- Paraspinal Release
- Standing Hip Flexor Stretch
- Sternal Positional Stretch
4. Can’t expand right chest with left chest wall resisted expansion
- Improve right thoracic rotation with technique that places a rolled towel along the left paraspinals when in supine.
- PRI Supine Weighted Punch (right serratus anterior) with Right Apical Expansion and (left latissimus dorsi) Left Resisted HG IR.
- Two person Superior T4 with right arm distraction from mid range flexion to full flexion (end range) during inhalation.
5. Can’t blow up a balloon without pinching balloon neck
- Allow patient to blow balloon and pinch neck during inhalation at first. Then practice tongue up during pinch. Then attempt again normal balloon process with epiglottis sealed by tongue.
- Can they perform Supine Hooklying Restorative Synchronized Resisted Glute without arching back?
- Consider blowing up a balloon correctly in seated position first to allow for posterior mediastinal expansion. Then go back to supine hooklying position.
Tommorrow we will end this series on Common Dilemmas with a Cervical-Cranio-Mandibular Restoration program!
