Copyright Integrated Bowen Therapy 2015€¦ · Table of Contents for the Integrated Bowen Therapy...
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Copyright Integrated Bowen Therapy 2015
Transcript of Copyright Integrated Bowen Therapy 2015€¦ · Table of Contents for the Integrated Bowen Therapy...
CopyrightIntegratedBowenTherapy2015
TableofContentsfortheIntegratedBowenCertificateLevelCourse
INTRODUCTION............................................................................................................................................................3
WORDSTOUSEDURINGTREATMENTPROCESS........................................................................................................................3GETTINGPATIENTONANDOFFTHETREATMENTTABLE...........................................................................................................3BOWENPROCEDURESONYOURSELF.....................................................................................................................................4
CLASSICBOWENMOVE................................................................................................................................................5
STAGESOFTHEMOVE.........................................................................................................................................................5DIRECTIONOFBOWENMOVES............................................................................................................................................5BOWENBODYBALANCE–“BBB”........................................................................................................................................5
BACKMOVES................................................................................................................................................................6
LOWERBACKPROBLEMS....................................................................................................................................................6GLUTEALSANDOPENINGTHEBACK......................................................................................................................................6BACKOFTHELEGS.............................................................................................................................................................8RHOMBOIDS.....................................................................................................................................................................8SPINALRELEASE................................................................................................................................................................8SACRUMRELEASE..............................................................................................................................................................8PAINBETWEENTHESHOULDERBLADES.................................................................................................................................8LEVATORSCAPULARELEASE..............................................................................................................................................12INFRASPINATIS................................................................................................................................................................12SUPRASPINATIS(PRONE)...................................................................................................................................................12UPPERTRAPS(PRONEORSUPINE)......................................................................................................................................12
FOOTMOVES..............................................................................................................................................................16
CLOSINGTHEBACK.....................................................................................................................................................17
TURNINGSUPINE........................................................................................................................................................18
WHERETOSTARTWORKINGWHENTURNEDSUPINE...............................................................................................................18
FRONTMOVES............................................................................................................................................................19
NECKTENSION................................................................................................................................................................19RESPIRATORYMOVES.......................................................................................................................................................22ABDOMINALS.................................................................................................................................................................22
PECTORALISMAJOR...................................................................................................................................................23
SUPINE..........................................................................................................................................................................23STANDING......................................................................................................................................................................23
PECTORALISMINOR...................................................................................................................................................24
SUPINE..........................................................................................................................................................................24STANDING......................................................................................................................................................................24
NECKMULTIFIDUS......................................................................................................................................................26
LEGMOVES.................................................................................................................................................................27
QUADRICEPS..................................................................................................................................................................27KNEEPROCEDUREANDCALFMUSCLE.................................................................................................................................28SHINPAIN......................................................................................................................................................................28HITTINGTHELAT.............................................................................................................................................................28
SPECIFICPROCEDURES(NOTPARTOF“BBB”)...........................................................................................................31
BASICSHOULDERPROCEDURE...........................................................................................................................................31CUPMOVE(SUPINE–RIGHTSIDE):.....................................................................................................................................31
CUPMOVE(STANDINGORSITTING):....................................................................................................................................31
POSTTREATMENT......................................................................................................................................................34
SITTINGTHEPATIENTUP...................................................................................................................................................34SHOULDER&LEVATORSCAPULASTANDINGORSITTING..........................................................................................................34STANDINGTHEPATIENTUP................................................................................................................................................34WALKINGAROUNDTHEROOM...........................................................................................................................................34POSTTREATMENTADVICE.................................................................................................................................................34
ASSESSMENT..............................................................................................................................................................35
ASSESSMENTSTEPS.........................................................................................................................................................35STEP1-VISUALASSESSMENT:...........................................................................................................................................35STEP2-ROMASSESSMENT:............................................................................................................................................35NECKROTATION.............................................................................................................................................................36MOVEMENTOFARMFROMSIDEOFBODYTOEAR..................................................................................................................36MOVEMENTOFARMFROMFRONTOFBODYTOEAR...............................................................................................................36WHATARETHEADVANTAGESANDDISADVANTAGESOFLITTLEORNOASSESSMENT?.....................................................................37WHATARETHEADVANTAGESANDDISADVANTAGESOFEFFECTIVEASSESSMENT?.........................................................................37DOCUMENTINGRANGEOFMOVEMENTTESTS(ROM)FORTREATMENTASSESSMENT..................................................................37
Introduction
Wordstouseduringtreatmentprocess. Patients come to youwith an expectation that you are going to fix, heal, cure ormake better theircondition.Whileitisimportanttomakethepatientawarethatastherapistswedonotfix,healorcureanybodyofanything-ratherwesimplystimulatethebodysothatitcanhealitself-itisveryimportanttousewordsthat inspireconfidence inyouasthetherapistandgiveapositiveexpectationofagoodresult.Youhavetobecomeverymindfulofthewordsyouuseatalltimeswhilstwiththepatient.Beforestartingatreatmentyoucansay“Iwouldliketodoaseriesofrangeofmovementtestsbeforewestartsothatyoucanseewhatlevelofrestrictionyouhavenow.Afteryourtreatmentwewillrepeatthesametestsandyouwillseeasignificantimprovement”.Document the results and comment that they have a mild, severe, or whatever it is, degree ofrestriction,whichisfairlycommon.Onceyouhaveperformedthemovesandnoticeimprovements,makeyourpatientsawareinordertore-instilthatsamepositivemindframeasthisinevitablyhaspositiveeffectsonthebodyandthereforeonyourtreatments.Refrain from using phrases like “I hope you feel better” or “that should help you” as these sorts ofphrasesimplysomelevelofdoubtinyourtreatmentoritspotentialeffectiveness.At theendofa treatment,makesureyou remindyourpatients todrinkplentyofwater (anymanualtreatmentreleasestoxinsfromthetissuesintothebody’sfluidstreamssowateristhereforeessentialinflushing them out and avoiding nausea, etc…) and to be aware that further improvementsmay takeplaceoverthecomingdays.
GettingpatientONandOFFthetreatmenttable
This is a component of the treatment process thatmany people tend to not paymuch attention to,however it is very importantas thepatient canbe ina lotofpainbefore, and sometimesafter, yourtreatment.Itisalsoatimewhentheycoulddomoredamagebytwistingorfallingoffthetable.Practicethedemonstratedmethodswithsomeonewhoisingoodconditionbeforetryingthemona
patient.Ifyouhavetheluxuryofanelectricheightadjustabletablethenthiswholeprocessismadealoteasier.Ifyourtablehasadjustablelegsthensettheheightofyourtabletosuityourheight.ThismeansaheightthatallowsyoutobedoingthemajorityoftheBowenworkwithouthavingtobendyourback,andthuspotentiallystrainingorinjuringyourself.Somepatientsareveryshortcomparedtoyousothetablewillbefartoohighforthemtocomfortablygetupontowithoutstretchingandcausingpainorstraininthemselves.Theanswerisasmallstoolformountingthetablebutnotfordismountingasthiscanbecomeapotentialfall(toppleover)orhazardifthey fail to standdirectly in themiddleof the stool. Youarebetter tohelp themslide slowlyoff thetable.Holdingthepatienttopreventafallwhengettingoffthetableneedstobedonesoastonotriskinjurytoyourself.Manypatientscanbeobeseandgettingontoorturningoveronthetablecanbedifficult.Undernocircumstancesshouldyouattempttoliftthepatient,asthiswillsignificantlyincreasetheriskofinjurytoyourself.Once on the table (usually prone) you need to ask the patient if they are comfortable. If so then noothermeasuresneedtobetakenbeforecommencingtreatment. Ifhowevertheycomplainofpainordiscomfort in somearea, thenyouneed toprovide somesupportunder theirbodywhereneeded tohelpeasethepainsothat it isnotamajordistractionforthemwhichcouldreducethepleasure,andeffectiveness,ofthetreatment.Stresstothepatientthattheyshouldtaketheirtimegettingonandoffthetableandthatthereisnorush.Thisincludesturningover.Youcangetthemonandoffmanytimesduringtreatmentifyouwishtoworkthatwaytoallowforassessmentduringtreatment.
BowenProceduresonYourself
ThefollowingsetsofBowenprocedureswilladdressmostofthecommonconditions.WhiletheprimaryfocusisforyoutotreatyourclientswithBowen,youcanalsodomanyoftheseproceduresonyourselftogreateffect.Themovescanbedoneinanyposition(standing,sittingorlyingdown)howevertheyarebestdonewhile lyingsomewherecomfortable likeyourbed,whereyouaremorerelaxed.Themoveshavemoreaffectwhendoneonrelaxedmusclesinmostcases.Iftreatingyourownconditiondoesnotgivesatisfactoryresults,itmaywellbethatyourbodyistoofarout of balance to respondwell tominimal treatment. Itwould thenbe a good idea to visit a BowenTherapistforacompletebodybalancetogetyouintoamorestablecondition. Execute the lowerbackmoves (moves1&2)eachmorningas yougetoutofbed. If youareable toreachmoves3&4thenyoucandothemaswell.Dothemassoonasyoustandupoutofbed.Youcanalsoteachyourpatientstodothisforthemselvesonadailybasis.
ClassicBowenMove TheclassicBowen‘Move’isthesamewhereverappliedonthebody;theonlyrealdifferenceisthatonsomemusclesarollingoveractionispossible(anddesirable)andonotherpartsofthebodynorollingactionispossiblebecausethemuscleislargeandflat.
Stagesofthemove
Step1: Locatethestartingpointwiththefingertips(orthumbs)andimaginetheyaregluedto
theskin. Step2: Drawtheslackintheskininonedirectionacrossthefibresofthemuscle. Step3: Applyachallenge;i.e.gentleforceatabout45degreestothesurfaceofthebody. Step4: While maintaining that challenge, lift the wrists (or drop them depending on your
position)andallowtheBowenmovetohappenunderyourfingers.Donotpushinthedirectionofthemove(Bulldozermove)asthiswillhurtthepatientandwillnotgetthebestresult.
Step5:Releasethefingers(orthumbs)andrepositionforthenextmove. Wherethere isa lotof tensionpresent,haveyourpatient takeadeepbreathandfullyexhalebeforemaking the move. This means the muscle will be at its most relaxed condition and therefore moreconnectivetissuewillbeinfluenced.DirectionofBowenMovesNote the direction of the arrowhead in each diagram; the arrowhead represents the direction inwhichtheBowenmoveneedstobemade. Bowen moves are done (in almost all cases) across the fibres of the muscles rather than along themusclesasgenerallydoneinmassage.Keepinmindthatthemuscle isnotthecomponentofprimaryconcern-ratherourfocusisonthefascia(softconnectivetissue)surroundingthemuscles.
BowenBodyBalance–“BBB”
When treating in an “ideal” clinical situation there is always time to perform a Bowen Body Balance(BBB).Thisensuresyourpatient isgoingtogetanoverallbodybenefit fromyourtreatment.AtypicaltreatmentplanwillinvolveaBBBplusworkonareasofspecificneed.
BackMoves
LowerBackProblems
Most people suffer from lower back pain to some degree or another at sometime in their lives. Thecausesaremanyandsometimesnoteasytoestablish.Lowerbackpain isusuallyeasytoresolvewithBowen.Additionallywithstretching,exerciseandsimplemanagement,mostproblemscanbeavoidedorcontrolled.ThefirstsetofmovesonanyoneistheLowerBackReleasemoves(moves1&2).Theseareverypowerfulmovesandhaveamajoreffectonthelowerback,GlutsandHamstrings.
These two starting moves are done medially; I.e. towards the middle of the spine. They are veryimportantmovesastheyhaveamajorimpactonthebody.Whenthepatientlaysdownprone,thefirstthingtocheckisrelativeleglength.Ifthepatienthasthesame leg length then proceed with doingmoves 1, 2, 3 & 4 with no wait in between. If, there is adiscrepancybetweenleglengths,however,notewhichsideislongerandbyhowmuch.Tellthepatientwhatyoufindanddomoves1&2only,waitabout30to60secondsandre-measure.In90%ofcasesthelegswillcomebacktobeinglevelafterthelowerbackreleasemoves.Thisoftenamazesthepatientandgivesthemimmediateconfidenceinwhatyouaredoing.Proceedwiththeupperbackrelease (moves3&4).Makesuretodoboththesesetofmovesonfullexhalation.
GlutealsandOpeningtheBack Moves 5&6 are done at the crossingover of theGluteusMaximus andGluteusMediuswhere theymeettheGlutealfascia.Moves7&8area seriesof Lateralmovesover Erector Spinae from theSacrum toT1. These canbedoneeitheralternatingfromsidetosideasyouworkupthebackoryoucanopentheleftsideallthewaytoT1andthenopentherightside.Theyarealllateralmoves;I.e.outwardsfromthespine.Whenlearningthesemovesandgettingusedtofeelingdifferentdegreesoftension,thebetterapproachistoalternatesidessoastofeelthedifferencebetweenthemandgetusedtonoticingdifferences ineachsideofthebody.To locatemoves9&10first findthetopoftheFemur(thighbone)andtheCrestof Ilium(hipbone).Dividethissectionofthebodybythreeandperformthetwomovesatthosedividingpoints.
Moves11–14are the final stageof theGlutealReleasemoves,opening thehipandhelping,incombinationwithmoves5,6,9&10,toresolveissuesintheGlutmuscles.TheyareperformedmediallyjustbelowtheCrestofIlium.
BackoftheLegs Thesearemoves15–20andaddressthehamstrings,ITBandandtheBicepFemoris.First,separatetheheadsoftheHamstringswithafirmlateralBowenmove(15&16).LocatethethreetriggerpointsinthebellyoftheVastusLateralismuscle.Thiscanbedonebydividingtheupperleginhalf(fromthetopoftheFemur/thighbonetotheknee)andperformingaBowenmoveatthatpointandabouttwofingerswidth either side of it. Make firm Bowen moves (17 & 18) over these trigger points; down or up,directionisnotimportant.Finally,makeagentleBowenmove (19&20)over theBicepFemoris just above theknee. If youarehavingdifficultylocatingthispointthenliftthelegslightlyandthemusclewillbemoreobvious.
RhomboidsMoves21-24areaseriesofslidingactionmovesaround(oralong)themedialborderoftheScapula.These address the insertion of the Rhomboids and resolve the common pain or burning sensationbetweentheshoulderblades.
SpinalReleaseTheMultifidusmoves(move25)releasetensionintheMultifidusmusclesthatrunalongeithersideofthe spine. They are performed downwards, using two fingers, starting from T1 and finishing at theSacrum.Thismoveloosensthespineatadeeplevel,enhancingrotationofthespineandneck.
SacrumReleaseMoves 26& 27 are performed along the sides of the Sacrumbone towards the Coccyx or tail bone.Thesemovesalsohelp to release tension fromtheGlutealmuscles,whichattach into the sideof theSacrum.
PainBetweentheShoulderBladesPain between the shoulder blades is usually a result of tension or active triggers in the Rhomboids.Thereare3commonTriggerpointsactivewhichcausethispainpattern.BydoingBowenmovesoverthesetriggerpointsisoftenallthatisneededtorelievethispain.Thesemovescanbedonestandingorsitting.Theyaremoreeffectiveifthehandofthepatientisplacedontheiropposingshoulder,thismovestheshoulderbladefurtherawayfromthespine.ApplyaseriesofBowenmovesalongtheedgeoftheshoulderbladefromthebottomtowardstheshoulderarea.
ArtworkforQualificationLevelTrainingStudentswhoenrolinthequalificationleveltrainingaresuppliedwiththefollowingextracourseartworkfilesinhighresolutionPDFformat.Theycanbeusedaspostersintreatmentroomsaswellaslearningreferences.
Chart1of7forAnatomyTrains
Chart1of5forTriggerPoints
TraditionalChineseMedicinePointChart
LatestreleaseoftheBowenMovesartworkManual
CopyrightIntegratedBowenTherapy2015
TableofContentsfortheIntegratedBowenTherapyDiplomaLevelCourseHAMSTRINGPROCEDURE....................................................................................................................................3
STEPONE...............................................................................................................................................................3STEPTWO..............................................................................................................................................................3STEPTHREE............................................................................................................................................................4
TERESMAJORANDTERESMINOR........................................................................................................................5
SERATISANTERIOR..............................................................................................................................................6
SUBSCAPULARIS..................................................................................................................................................7
STANDING..............................................................................................................................................................7
ARMANDHANDISSUES......................................................................................................................................8
TRICEPS.................................................................................................................................................................8BICEPS...................................................................................................................................................................8FOREARMS.............................................................................................................................................................8
QUADRATUSLUMBORUM.................................................................................................................................11
PELVICPROCEDURE...........................................................................................................................................13
ANGLEOFTHEFEETASSESSMENT................................................................................................................................13LEGLENGTHASSESSMENT.........................................................................................................................................13
COCCYXPROCEDURE.........................................................................................................................................15
PIRIFORMIS.......................................................................................................................................................16
RECTUSABDOMINIS..........................................................................................................................................17
CHEST................................................................................................................................................................19
CHESTPAIN..........................................................................................................................................................19
ILIOPSOAS.........................................................................................................................................................20
ASTHMAPROCEDURE........................................................................................................................................22
HEADMOVES....................................................................................................................................................23
SCALPTENSION.....................................................................................................................................................23SINUSISSUES/HAYFEVER.......................................................................................................................................23MUCUSDRAINAGEOFTHEHEAD................................................................................................................................24TMJ...................................................................................................................................................................25
REFLEXOLOGY....................................................................................................................................................28
RESEARCHONREFLEXOLOGY.....................................................................................................................................28RIGHTSOLEOFFOOT..............................................................................................................................................30LEFTSOLEOFFOOT.................................................................................................................................................31TOPOFFEET.........................................................................................................................................................32INSIDE/OUTSIDEOFFEET........................................................................................................................................33
ANKLEMOVES...................................................................................................................................................34
ROLLEDANKLE...................................................................................................................................................37
FOOTMOVES.....................................................................................................................................................38
HamstringProcedure
Used forhamstringproblemsand lowerbackproblems.OftenHamstring tensionwill resolvewithbasicbalancemoves.Iftensionisstillpresentthenproceedasfollows:StepOne
1. Maketwo firmseparationmovesat theheadof theHamstringsasclose to the IschiaTuberosityaspossible(wherethebuttocksmeetsthethigh);
2. Bendthe legtorightanglesandhold inthatpositionwhileyoumakeagentlemedial
BowenmovedeepacrossthePoplitealFossa;
StepTwo
1. Supporttheanklewithonehandwhilerotatingthefootwiththeotherhandforseveral
rotations inbothdirectionsand finishwitha firmsharpdownwardmovementon theballofthefoot.Lowerthelegtothetable;
StepThree
1. UsethumbsofbothhandstoseparatethetwosidesoftheHamstringsstartingatthetopandworkingdowntotheknee.Asyougetclosertothekneethemusclessplituptoattach on the outside of the knee so youwill need to follow them to just above theknee.
Allow at least 5minutes for these largemuscles to respond before coming back to test forchange.Repeatifnecessary.
TeresMajorandTeresMinor Withpatientstandinghookthumbunderthesemusclesandrolloverinanupwarddirection.
SeratisAnterior Thesemovescanbedonestandingorprone.MakeBowenmovesdownthebodylinetojustunderthebottomoftheScapulaline.Yourfocushereisontheinsertionpointsandthebellyofthemuscles-ifyouusetheflatsofyourfingersyoucoveralotofthemuscle.Itiseasiertomovefromunderthearmpittowardsthefeetthantheotherwayaround.Thesemovesmayalsoassistwithbreathingrestrictionastheyattachintotheribs.
