효과적인 임상 도수치료 테크닉

Section 1 촉진
Spine Palpation
촉진 Palpation

척추 관절의 중립 위치에서의 가동성 평가를 위한 촉진
경추 촉진 C/S Palpation
경추 촉진(C1 laterality) C/S Palpation(C1)
흉추, 요추 관절의 동작 촉진 TS/LS Joint Play Palpation : 여러 분절 극돌기 접촉
흉추, 요추 관절의 동작 촉진 TS/LS Joint Play Palpation : 특정 분절 횡돌기 접촉
흉추 요추 관절의 회전성 및 기울기 동작 촉진 TS/LS Joint Play Palpation : 특정 분절 극돌기 접촉
흉추 요추 관절의 회전성 동작 촉진 TS/LS Joint Play Palpation : 특정 분절 횡돌기 접촉

척추 관절의 가동 끝부분에서의 가동성 촉진 평가
후두환추 관절 Atlantooccipital joint의 구조
후두골 굴곡 및 신전 평가 Occiput flexion and extension evaluation
후두골 회전 평가 Occiput rotation evaluation
후두골 외측 굴곡 평가 Occiput lateral flexion evaluation
후두골의 측면 이동 Occiput lateral shift
환추골 관절의 가동범위 끝부분 평가 end play evaluation of C1
C2–T4 굴곡 및 신전 Flexion and extension
C2–T4 : 회전 Rotation
C2–T4 외측 굴곡 Lateral flexion
T5–L5 굴곡 및 신전 Flexion and extension
T5–L5 회전 Rotation
T5–L5 외측 굴곡 Lateral flexion
Location of AP, TP, MP from SP

늑골의 가동성 평가를 위한 촉진
늑골의 일반적인 움직임
제 1-2번 늑골 가동성 평가를 위한 촉진
제 3-5번 늑골 가동성 평가를 위한 촉진
제 6-10번 늑골 가동성 평가를 위한 촉진
제 1-10번 늑골의 개별 촉진 검사
제 11-12번 늑골 가동성 평가를 위한 촉진

천장 관절의 가동범위 끝부분에서의 가동성 평가를 위한 촉진
골반 동작 촉진(선 자세) Pelvis Palpation(Standing position)
천골과 골반의 동작 촉진(선 자세) Sacrum and Pelvis Palpation(Standing position)
천장관절 동작 촉진(엎드린 자세) SI Joint play Palpation(Prone position)

사지관절 동작 촉진
견갑골의 외회전 동작 촉진 Scapula external rotation movement
견갑골의 내·외회전 동작 촉진 Scapula rotation mobility
견흉관절 M-L/L-M 글라이딩 동작 촉진 Thoracoscapula M-L/L-M gliding mobility
상완골 전후/후전, 외측 글라이딩 동작 촉진 Humerus Rotation, A-P/P-A/M-L gliding mobility
상완골 상하 동작 촉진; 중립/굴곡/외전상태 Humerus S-I in neutral, flexion, abduction
상완골 후방 글라이딩 동작 촉진 Humerus posterior gliding mobility
흉쇄관절의 가동범위 끝부분에서의 평가를 위한 촉진
견쇄관절의 가동범위 끝부분에서의 평가를 위한 촉진
종축 및 내/외측 글라이딩 동작 촉진 Longitudinal, M-L/L-M gliding mobility
요척골, 요상완골 관절의 A-P, P-A 및 스핀 동작 촉진 Radial head A-P/P-A gliding and spinning mobility
종축견인/M-L, L-M glide/M-L, L-M tilt/A-P, P-A glide

하지관절 동작 촉진
대퇴골 상하 동작 촉진; 중립/굴곡 Femur S-I mobility in neutral, flexion
대퇴골 전후/후전 동작 촉진 Femur A-P/P-A gliding mobility
대퇴골 후방 글라이딩 동작 촉진 Femur posterior gliding mobility
대퇴골 회전 동작 촉진 Femur rotation mobility
경골 내회전 외회전 동작 촉진 Tibia rotation mobility
경골 전후/후전 동작 촉진 Tibia A-P/P-A mobility
무릎 내/외측 글라이딩 동작 촉진 Knee M-L/L-M gliding mobility
경비골관절 전후/후전 글라이딩 동작 촉진 Proximal Fibula P-A/A-P gliding mobility
경비골관절 하상/상하 동작 촉진 Proximal Fibula I-S/S-I gliding mobility
발목관절 족배굴곡/족저굴곡 동작 촉진 Ankle dorsiflexion/Plantar flexion movement
발목관절 전단 동작 촉진 Tibiotalar joint shearing mobility
발목관절 내번 외번 동작 촉진 Tibiotalar joint inversion eversion movement
중족골 A-P/P-A 전단 동작 촉진 Metatarsal A-P/P-A shearing mobility
발목 외전, 내전 동작 촉진 Ankle Abduction, Adduction mobility
거골하관절 가동성 동작 촉진 Subtalar joint mobility
Section 2 후두골
RPS, LPS Occiput : MP push
RPS, LPS Occiput : ZA push
RL, LL Occiput : MP push
RL, LL Occiput : ZA push
PI Occiput : base Occiput push
PI Occiput : base Occiput scooping
RPI, LPI Occiput : base Occiput push
RAI, LAI Occiput : base Occiput push

Section 3 경추
Dynamic Thrust Techique
RL, LL : Atlas(TP push)
RP, LP : all Cervicals(AP push; thumb contact)
RP, LP : all Cervicals(AP push; index contact)
RP, LP : C2-C7(AP pull; supine position)
RP, LP : C2-C7(AP pull; sitting position)
RP, LP : C2-C7(AP push)

Non-force Technique
RP LP : Atlas(TP push ; Non-force technique)
RL, LL C1 : TP push, non force technique
RP, LP : Axis(SP push ; Non-force technique)
RP, LP : C3-C7(AP push ; Non-force technique)
Upper cervical(C0-C3) traction
Cervical Stair-step Technique

Cyriax Method
Straight pull
Traction with leverage
Slow stretch : Rotation
Slow stretch : Side flexion
Side glide
Anterior to posterior glide
전략 STRATEGY

Section 4 흉추
RP, LP : C7-T2(SP push)
RP, LP : T1-T4(TP push)
RP(S, I), LP(S, I) : T4-T12(TP push)
RP, LP : T1-T12(TP/SP push)
RI, LI : T5-T12(TP push)
PI : T1-T12(TP push)
AI : T1-T12(TP push)

Supine Thoracic Adjusting
RP, LP : T1-T12(TP push)

Section 5 요추
RP, LP : L1-L5(Mammillary push ; Pelvis lift)
RP, LP : L1-L5(Mammillary push ; Leg lift)
RP, LP : L1-L5(Mammillary push ; Side position)
RP, LP : L1-L5(Mammillary push ; Sitting position)
RP, LP : L1-L5(SP push ; Side position)
RP, LP : L4-L5(SP push ; Non-force technique)
RP, LP : L1-L5(SP pull)
RP, LP : L1-L5(SP pull and push)
Inferiorities : L1-L5(MP push)
Disc herniation : Lumbar and sacrum(SP and apex push)
Manual decompression traction : Lumbar disc

Cyriax Method
Disc Reduction Technique
Stretch Type I
Stretch Type II
Leg Over
McKenzie Leg Over
Reverse Stretch
Reverse Stretch with Thigh
Central Pressure
Unilateral Pressure : Leg lift
Unilateral Pressure : Double pisiform
Stretch in Prone Lying
전략 STRATEGY
Anti-deviation Technique
Anti-deviation Technique : Rotation
Anti-deviation Technique : Extension
Anti-deviation Technique : Self-exercise
Section 6 골반과 천골
RPIN, LPIN : Innominate(PSIS push ; prone position)
RPIN, LPIN : Innominate(PSIS push ; side position)
RAIS, LAIS & RPIN, LPIN : Sacrum and Innominate(ST lig. Contact)
RPIN, LPIN : Innominate(PSIS push; trunk lift)
RPIN, LPIN : Innominate(MET)
RAIN, LAIN : Innominate Rotate(ASIS and IT rotate)
RAIN, LAIN : Innominate Rotate(ASIS pull; side position)
RAIN, LAIN : Innominate(IT push)
RAIN, LAIN : Innominate(ASIS pull; trunk lift)
RAIN, LAIN : Innominate(MET)
SI joint EX(In-flare) : Out-flare MET
SI joint IN(Out-flare) : In-flare MET
Inferiority : Innominate(Leg pull)
RAIS, LAIS : Sacrum(Sacral base, notch push and pull)

Non-force Technique
Fixated SI joint : Sacrum(Sacral lift)
Fixated SI joint : Sacrum(Pelvis pull)
Fixated SI joint : Sacrum(Sacral pull)
Fixated SI joint : Sacrum and lumbar mobilization

Section 7 상지
Shoulder
Shoulder general mobilization
Shoulder pendular/Rotation mobilization
Shoulder S to I adjustment : in flexion
Shoulder S to I adjustment : in abduction(Sitting position)
Shoulder S to I adjustment : in abduction(Supine position)
Shoulder A to P adjustment
Shoulder P to A adjustment
Shoulder internal rotation adjustment : Supine position
Shoulder internal rotation mobilization : Standing position
Shoulder external rotation adjustment
Shoulder I to S adjustment
Scapula internal rotation mobilization
Scapula external rotation mobilization
Clavicle S to I adjustment : SC joint
Clavicle S to I adjustment : AC joint
Clavicle I to S adjustment : SC joint
Clavicle I to S adjustment : AC joint
Clavicle A to P adjustment : SC joint
Clavicle A to P adjustment : AC joint
Clavicle P to A adjustment
Shoulder centeralization
Capsular stretching(Cyriax method)
Distraction(Cyriax method)

Elbow
Elbow extension mobilization
Elbow flexion mobilization
Tennis Elbow
Posterior radial head adjustment : Extra-articular pattern
Mill’s manipulation : Extra-articular pattern
Radioulnar joint M to L and I to S glide : Extra-articular pattern
Elbow pronation/Extension : Extra-articular pattern
Radioulnar joint inferior glide : Intra-articular pattern
Olecranon S-I adjustment : Golf elbow
Pulled elbow : Pronation/flexion

Wrist
수근관 증후군 Carpal tunnel syndrome
Wrist general mobilization
Wrist compression : Carpal tunnel syndrome
Lunate A to P adjustment : Carpal tunnel syndrome
Wrist pronation and deviation mobilization : Carpal tunnel syndrome
Wrist lateral gliding mobilization
Metacarpal A-P, P-A mobilization

Section 8 하지
Hip Joint
Femur long axis distraction : Leg pull
Femur long axis distraction : GT(greater trochanter) push
Femur S to I adjustment in flexion
Femur internal rotation adjustment
Femur external rotation adjustment
Femur internal external rotation mobilization : Belt 사용
Femur P to A adjustment
Femur A to P adjustment
Femur centeralization
Femur flexion mobilization : Belt 사용
Capsular stretching in flexion(Cyriax method)
Capsular stretching in extension(Cyriax method)
Capsular stretching in medial rotation(Cyriax method)
Loose body 1st manipulation(Cyriax method)
Loose body 2nd manipulation

Knee Joint
Knee A to P adjustment
Knee P to A adjustment
Fibula I to S adjustment
Fibula S to I adjustment
Fibula A to P adjustment
Fibula P to A adjustment
Knee internal rotation adjustment : in extension
Knee external rotation adjustment : in extension
Knee internal/External rotation mobilization: in flexion(Type 1)
Knee Internal/External rotation mobilization : in flexion(Type 2)
Knee valgus mobilization ; Tibia lateral translation
Knee valgus mobilization ; Tibia lateral translation(Belt 사용)
Lateral collateral ligament mobilization
Medial collateral ligament mobilization
Cyriax loose body : 1. Basic manipulation
Cyriax loose body : 2. Flexion manipulation
Cyriac loose body : 3. Extension manipulation
Maniscus reduction manipulation
MCL adhesion rupture manipulation : Flexion
MCL adhesion rupture manipulation : Extension
MCL adhesion rupture manipulation : Internal
MCL adhesion rupture manipulation : External

Foot & Ankle
Lateral malleolus I to S mobilization
Talus D to P(dorsal to plantar) mobilization
Talus D to P(dorsal to plantar) adjustment
Talus P to D(plantar to dorsal) mobilization
Talus P to D(plantar to dorsal) adjustment : Type 1
Talus P to D(plantar to dorsal) adjustment : Type 2
Subtalar joint mobilization : Thumbs movement
Subtalar joint mobilization : Hands movement
Subtalar joint traction403


Section 9 악관절
도수치료를 위한 검사
앞니 정렬 상태 검사 Alignment test
하악골 능동적 가동성 검사 : 타입 1 Mandible movement test : Type 1
하악골 능동적 가동성 검사 : 타입 2 Mandible movement test : Type 2
하악골 능동적 가동성 검사 : 타입 3 Mandible movement test : Type 3
하악골 수동적 가동성 평가 Passive movement evaluation
하악골 최대 가동성 검사 Maximum mobility test

근막 이완 Myofascial Release
하악골과 상악골의 근막 이완 Mandible and maxilla MFR
경구개 근막 이완 Hard palate MFR
악관절의 일반적 근막 이완 General TMJ MFR
내익돌근 및 외익돌근 이완 Medial and lateral pterygoid muscle release
교근 이완 Masseter muscle release

도수치료 Manipulation
하악골 돌기의 상방 변위(일측성) Superior condylar subluxation(Unilateral)
하악골 돌기의 상방 변위(양측성) Superior condylar subluxation(Bilateral)
하악골 돌기 외측 변위 Lateral condylar subluxation
TMJ 디스크 복원 TMJ Disc reduction
악관절 탈골 교정 TMJ Dislocation reduction
플라이카 증후군 Plica entrapment 복원
하악골 돌기 전후 가동술 Condyle AP mobilization

Section 10 늑골
거상늑골 도수치료
1번 거상늑골 치료
2-10번 거상늑골 치료
11/12번 거상늑골 치료

하강늑골 도수치료
1번 하강늑골 치료 ; 전, 중사각근
2번 하강늑골 치료 ; 후사각근
3-5번 하강늑골 치료 ; 소흉근
6-10번 하강늑골 치료 ; 전거근
11-12번 하강늑골 치료

흉곽 이완 도수치료
흉곽 이완 : Rib cage mobilization
흉곽 이완 : Rib cage release(MET)
흉골 이완 : Sternum mobilization

Section 11 연부조직
Gestrocnemius
Hamstrings : Lateral and medial portion
Erector spinae
Upper trapezius/Levator scapula
Thoracolumba fascia and latissimus dorsi
Suboccopitalis : C0/C1 decompression
Tibialis anterior
Quadriceps
Abdominalis : Step 1
Abdominalis : Step 2
Abdominalis : Step 3
Pectoralis major and sternalis
Pectoralis minor
Peroneus
Tensor fascia latae
Hip triangle
Rib cage
Splenius capitis/Cervicis
Sternocleidomastoid(SCM)
Lateral septum of biceps and triceps
Medial septum of biceps and triceps
Extensor carpi muscle group
Flexor carpi muscle group
Adductors
Iliopsoas

횡경막 이완 Diaphragm Release
Tentorium
Thoracic outlet
Diaphragm type 1
Diaphragm type 2
Pelvic diaphragm type 1
Pelvic diaphragm type 2
Popliteus diaphragm
Plantarfascia

Peripheral Nerve Stretching
Radial nerve stretching
Ulnar nerve stretching
Median nerve stretching
Sciatic nerve stretching
Femoral nerve stretching
Tibial nerve stretching
Peroneal nerve stretching

Cyriax Method
Supraspinatus : Tenoperiosteal junction
Supraspinatus : Musculotendon junction
Infraspinatus : Tenoperiosteal junction
Subscapularis : Tenoperiosteal junction
Biceps long head : Intra-articular of tendon
Extensor carpi : Tendon body(Brevis) (Extra-articular tennis elbow pattern)518
Flexor carpi : Tendon body(Golf elbow)
Medial collateral ligament
Medial coronary ligament