Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 23145
  Title Manual soft tissue techniques for the shoulder complex [audio lecture]
Journal DC Tracts. 2013 Fall;25(3):3-6
Peer Review Yes
Publication Type Audio Lecture

Lecture II Outline:

I. Focal versus global dysfunction
   A. Global dysfunction = abnormal movements and postures
         1. May lead to excessive meachanical forces, causing focal dysfunction
         2. Need to correct with rahabilitation exercise/posture correction
   B.  Focal dysfunction = localized area of soft tissue
   C.  Three types of focal dysfunction
        1. Trigger points
        2. Tendinopathy
        3. Adhesions/fascial restrictions (capsule: mobs)

II. Focal dysfunction requires focal treatment
   A. Soft tissue "subluxations" amenable to four types of manual treatment
         1. Static pressure
         2. Dynamic pressure
         3. Focal stretching
         4. Combination of techniques
   B. Which technique works best  for which lesion?
        1. Trigger points = any of the above
        2. Tendinopathy = friction to increase fibroblastic activity
        3. Adhesions = dynamic and stretching

III. Combining focal and global techniques
   A. Think locally, act globally
   B. Find and treat the focal dysfunctions (lesions) first, then address the global dysfunction
   C. Global dysfunction can perpetuate focal dysfunction
   D. Rehabilitation requires both focal and global methods 

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