PAUL ST. JOHN NEUROMUSCULAR THERAPY
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The therapist applies pressure for 8-12 seconds to each area being treated
(pressing longer may cause the body to treat the pressure as an intrusion,
particularly if there is inflammation in the tissues). Optimal success is achieved by
applying pressure to trigger points or ischemic areas 3-4 times for 8-12 seconds
rather than a longer duration. This is because the therapist’s goal is to interrupt
the physiopathological reflex circuits. St. John therapists believe that the healing
process should also be an educational process, so they work to teach the patient
about their health, structure, biomechanics, and anything else that may be
influencing their pain condition.
Proper Stages of Rehabilitation (Paul St. John)
1. Eliminate spasms, hypercontraction and trigger points from the tissues
(therapy).
2. Restore proper biomechanics (movement).
3. Restore flexibility to the tissues (stretching).
4. Rebuild strength of the injured, weak, and/or atrophied tissues.
5. Build endurance of the tissue.
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MYOSKELETAL ALIGNMENT TECHNIQUES (MAT)
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Massage therapists trained in the MAT method of deep-tissue therapy find success
in assessing and correcting a wide range of chronic pain conditions by integrating
the following eight procedures:
1. Observe for upper and lower crossed syndromes upon the client's entrance.
2. Conduct a five-minute structural assessment on the therapy table with the client
draped.
3. Lengthen short, hypertonic muscles with deep-tissue, myofascial release, and
assisted-stretching techniques.
4. Tone weak, inhibited muscles with fast-paced spindle-stimulating maneuvers.
5. Fibroblast-friction hyper-mobile ligaments and loosen hypo-mobile ligaments
using finger, fist and elbow procedures.
6. Massage fibrotic transversospinalis muscles to unlock stuck facet joints or to
stimulate spindles if weak and inhibited.
7. Restore joint play and capsular flexibility with co-activating receptor techniques.
8. Relieve disc compression and dural drag with gentle distraction maneuvers.
Therapists also learn six dynamic ways to identify and correct conditions such as:
sciatica, lumbago, scoliosis, rib dysfunction, carpal tunnel, rotator cuff injuries,
forward head postures, and anterior scalene syndrome.
1—Evaluate painful neck, shoulder, arm, and low back structures looking for ART =
Asymmetry, Restriction of motion and Tissue texture abnormality.
2—Lengthen only the hypertonic (tight) muscles.
3—Tonify weak, inhibited muscle groups to promote agonist/antagonist balance.
4—Palpate and dig-out fibrosis in deep spinal rotator muscles that lock facet joints
open or closed.
5—Improve scoliotic postures by releasing cervicocranial, cervicothoracic,
transabdominal, and pelvic diaphragms.
6—Correct adhesions, sympathetic spasm, and joint blockage caused by tension,
trauma and poor posture. |