Download BASIC RELAXATION MOVE 2 (BRM 2) - Upper - Bowen

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

Document related concepts

Lateral computing wikipedia , lookup

Minimax wikipedia , lookup

Transcript
BASIC RELAXATION MOVE 2
(BRM 2) - Upper Back Procedure
Minimum Prerequisite
NONE. When performing both BRM 1 & BRM 2 always
begin with BRM 1.
Move 1
Stand at the client’s left side to move the left erector
spinalis thoracis medially. Spinalis thoracis is the
medial continuation of erector spinae and lies medial
to and blends with longismsus thoracis in its lower
part.
Position both hands pronated with fingers extended, the palmar aspect of both thumbs laying tip-totip on the crest of the left erector spinalis thoracis
1 finger-width below the level of the inferior angle
of the scapulae.
BRM 2 - SUMMARY
Moves 1 & 2 - Medial moves over the left (1) then right
(2) Erector spinae at a level 1 finger-width inferior to the
inferior angle of the scapulae.
Moves 3 & 4 - Medial moves over the left (3) then right
(4) Erector spinae at a level 1 finger-width superior to
the inferior angle of the scapulae.
Pull skin laterally over the left erector spinalis thoracis on exhalation and without sliding to the lateral
border of the left spinalis thoracis. Sink the thumbs
beside the lateral border of the left spinalis thoracis
PAUSE
Moves 5 & 6 - With the thumb pad placed 1/3 from the
top of the scapula take move supero-medially and then
supero-laterally in a boomerang pattern (5). Stop at the
medial border of the scapula. Draw skin slack inferiorly
with your spare hands finger as you lift the thumb pad
off the skin. Replace the thumb and angle the challenge
obliquely and move supero-laterally over the Rhomboideus
minimus and Levator scapula (6).
Moves 7 & 8 - Repeat moves (5) & (6).
6
8
PAUSE
5
7
Moves 8 (a) & 8 (b) - Optional if the shoulders are
tight perform 2 posterior moves over the tendonous
fibres of Latissimus dorsi superior to the inferior angle of
the scapula and level with the back of the arm.
PAUSE
Moves 9 - 16 - 4 pairs of ascending moves between
Moves (1) & (2) of BRM 1 and Moves (1) & (2) of BRM
2. The pairs of moves alternate in each direction and the
thumbs perform all the moves away from you and the
fingers perform all the moves towards you.
PAUSE
26
Copyright © BTC Canada Ltd.
3
4
1
2
15
16
13
14
11
12
9
10
1
2
by Jonathan Damonte for The North American Bowen Teaching College Inc.
apply gentle pressure medially to its lateral border
to create challenge. Wait for an exhalation and move
over and through medially while maintaining the
same comfortable depth and pressure to lightly
release the tension created.
Move 2
Move over the right erector spinalis thoracis medially as in Move (1) but using the palmar aspect of
both hands 2nd fingers.
Move 3
Move over the left erector spinalis thoracis medially
as in Move (1) with the palmar aspects of both
thumb on a line 1 finger-width above the level of the
inferior angle of the scapulae.
Move 4
Move the right erector spinalis thoracis medially as
in Move (2) with the palmar aspect of both hands
2nd fingers on a line one finger-width above the
level of the inferior angle of the scapulae.
Provide A Minimum 2 Minute Pause
Moves 5 & 6
Made over left trapezius, rhomboideus major, rhomboideus minor and levator scapulae in a boomerang
or shallow semi-circle. Move (5) affects the deeper
muscles including: rhomboideus major, longissimus
thoracis and iliocostalis lumborum and Move (6)
affects rhomboideus minor and levator scapulae.
Position the palmar aspect of the left hands thumb
adjacent to the medial border of the left scapular
and at a point one-third below the superior border
of the scapula, measured between the inferior angle
and the superior border. (This can also be landmarked by defining a point one finger-width inferior
to the spine of the scapula).
To have the best hand position for these moves it is
best to rest the back of the 2nd & 3rd fingers gently
on trapezius, to support you're hand during the
move, and place the palmar aspect of the right hands
2nd finger tip-to-tip with the left hands thumb.
Push the available skin slack inferiorly along the
medial border of the left scapula to its limit. Apply
gentle challenge supero-medially with the thumb
only. Move the thumb pad over and through rhomboideus major and the deeper iliocostalis muscles
to the limit the skin allows without sliding. While
maintaining depth and challenge adjust the angle of
the thumb to move supero-laterally to the medial
angle of the scapula, stop.
Elevate the thumb pad slightly and pull the excess
skin-slack, that has bunched superior to the scapula,
from the trapezius inferiorly. Replace the thumb in
its last position and challenge anteriorly. Turn the
wrist supero-anteriorly over the trapezius whilst
challenging rhomboideus minor and levator scapulae antero-laterally with the palmar aspect or tip of
the thumb. The rhomboideus minor and specifically
the levator scapulae are challenged and released as
the thumb moves supero-laterally adjacent to the
medial angle of the scapula.
Lower Stoppers
Moves 7 & 8
As per Moves (5) & (6), Moves (7) & (8) are performed
over the right trapezius, rhomboideus major, rhomboideus minor and levator scapula in a boomerang
or shallow semi-circle.
Copyright © BTC Canada Ltd.
27
Modules 1-2 Bowen Therapy Instruction Manual
Provide A Minimum 2 Minute Pause
Note: It is easiest to stand on the left side of the
client to perform these moves but if preferred it
is acceptable to stand on the right side to perform Moves (7) & (8).
Optional Moves
If there is little response in the rhomboideus major,
rhomboideus minor or levator scapular. Or, if these
muscles are particularly tense ‘Optional Moves’ (8a) &
(8b) can be applied followed by a minimum 2 minute
pause and an optional repetition of Moves (1 - 8)
with no obligatory pause between Moves (4) & (5).
Note: Angle the challenge supero-medially. The
palmar aspect of both thumbs can aslo be used
to perform the move. Another way to landmark
the starting point is to divide the 2 points
between the inferior angle of the scapula and
the axilla.
Provide A Minimum 2 Minute Pause
Latissimus dorsi
Moves 8a & 8b
Place the palmar aspect of the fingers of the left
hand on the belly of the latissimus dorsi at a level
approximately 1 finger-width superior to the inferior angle of the scapula and midway between the
inferior angle of the scapula and triceps tendon.
Push the skin with the proximal finger joints anteriorly till the fingertips reach the anterior border of
the latissimus dorsi, challenge latissimus dorsi posteriorly and move posteriorly releasing the challenge to latissimus dorsi as the move is made.
Levator scapulae Rhomboideus minor
6
8b
Trapezius
8
7
5
1
3
4
1
2
8b
Latissimus dorsi
15
16
13
14
11
12
9
10
1
28
Copyright © BTC Canada Ltd.
2
2
by Jonathan Damonte for The North American Bowen Teaching College Inc.
Moves 9 to 16
Stand on the left side. All the moves away from the
therapist are performed using the thumbs pushing
away and all the moves towards the therapist are
performed with the fingers pulling towards. The
direction of the moves alternates after each pair is
performed.
Note: The medial moves are relaxing and the
lateral moves are stimulating to the system.
The moves are performed using the palmar aspect
of both hands fingers and thumbs and consist of 4
pairs of moves over the left and right erector spinae
and are positioned equidistant and superiorly to
Moves (1) & (2) of BRM 1 and inferiorly to Moves (1)
& (2) of BRM 2.
E.g. If the focus of the client’s problem is in the
neck it is important to have an idea of sectioning the effects of the treatment to that area
to maximize the benefit to it. Bowen Therapy
can be powerful in its effect on the manner the
body has dealt with the problems and where it
has built defense that protective state can be
pulled apart and can leave the area in more
pain for a short time. It is as if the body will
re-visit how it has dealt with the problem in
the first place. It can feel as if the problem
re-occurred to the patient and can be quite
alarming. It is for this reason we focus an area
of treatment to the area of concern and using
the concept of 'Stoppers' will keep these potentially strong reactions comfortable and manageable for the client.
Moves 9 & 10
Medial. (Thumbs - Fingers)
Moves 11 & 12
Lateral. (Fingers - Thumbs)
Moves 13 & 14
Medial. (Thumbs - Fingers)
Moves 15 & 16
Lateral. (Fingers - Thumbs)
Provide A Minimum 2 Minute Pause
The purpose of a "Stopper' is to segment the
body into parts and thereby section off an
area being worked on and importantly to section off the effects of the work. In the beginning of treatment with Bowen Therapy the
effect desired is to influence specific areas of
the body in an orchestrated manner and this is
important as the overall benefit of these first
procedures is a resetting of the body's blueprint. It is a re-boot of the way it has accommodated itself for all the old injuries, diseases
and stresses of life. To achieve the most effect
it is best to have a focus of influence to an
area.
Copyright © BTC Canada Ltd.
29