In the video below, NAIOMT faculty member, Stacy Soappman provides a nice refresher demonstrating a seated thoracic manipulation.
Do you see patients with SI joint pain? In the video below, NAIOMT faculty member, Stacy Soappman, discusses her approach to testing and treating a 27-year-old male who came into the clinic with SI Joint pain.
The lumbar scan was done to rule out neurological involvement and serious pathology. As part of her lumbar exam she did a biomechanical exam including joint and muscular assessment. What she found was the patient had a lot of muscular imbalance between sides.
Since he experienced stability problems of the SI joint, she choose stability work that involved stance activities, as the SIJ is designed to be more stable in a loaded position. For example, she had him stand on the wobble board and balance, do squats on the flat side of the BOSU, and single leg activities while moving the non WBing leg. To wean him off the SI belt she had him start by doing short duration activity without it and gradually increased the time each day he was out of the belt.
How do you decide which tests to conduct and what kind of treatment plan to develop from patient to patient? This may sound obvious, but bears repeating: really knowing our anatomy plays a huge role in effective clinical reasoning.
In the video below, NAIOMT's Stacy Soappman discusses a violinist she saw last month who was experiencing numbness and tingling in his left fourth and fifth finger. She addresses how taking a hard look at upper extremity anatomy helped her in assessing and treating the patient.
In the manual therapy video below, NAIOMT faculty member Stacy Soappman discusses and demonstrates a modified seated thoracic manipulation technique that can be really useful in the clinic when your arms can't comfortably reach around a larger patient.
Not just for girls, our Manip Like A Girl: Work Smarter Not Harder course is for anyone who wants to learn how to effectively treat patients larger than themselves. If you want to learn how to handle patients larger than yourself and do it with more efficiency and effectiveness then this is the course for you. Reserve your spot in one of these upcoming sessions:
In the manual therapy video below, NAIOMT faculty member Stacy Soappman explains why it's useful to have three different muscle testing approaches for the lumbar spine. Essentially, each has a different intent:
For neurological conductivity, fatiguing versus consistent weakness.
Looking at the power position, and giving it a manual muscle test grade to document in chart to use an objective measure to show how they've improved and gained strength over the course of physical therapy.
To pick up minor tissue damage, if looking for grade one strain.
Do you tend to see a lot of ankle sprains in the clinic? In the manual therapy video below, NAIOMT faculty member Stacy Soappman discusses sprains and demonstrates one way to treat the subtalar joint.
Do you see patients who experience pain when turning their head to the left? In the manual therapy video below, NAIOMT’s Stacy Soappman demonstrates one way of assessing and treating that pain.
In the manual therapy video below, NAIOMT’s Stacy Soappman provides a brief review of Sacroiliac Joint assessment and treatment.
In order to determine if gapping manip of the SI Joint is appropriate for a patient, she performs a standing weight bearing assessment. If the tests are symmetrical and patient presents with the same dysfunction both in standing and in non weight bearing tests, she moves forward with the manipulation. If there's a discrepancy between the two components of the test, she does not use manipulation, but instead employs another approach such as soft tissue, exercise or needling to help with the neuromuscular balance component.