Cervical spine muscle energy techniques

Myofascial soft tissue treatment with counterstrain and muscle energy techniques may relieve the facial pain associated with Bell s palsy. The occipitomastoid compression should be released and the temporal bone assisted into normal internal/external rotation. Normal lymphatic flow should be assured by correcting dysfunctions of the cervical spine, cranial motion, and sacrum. C3 should always be evaluated and any dysfunction corrected. 

The primary focus of the initial treatment was to perform a full evaluation for primary and secondary sites of somatic dysfunction. Although the primary concern of the patient was the cervical region, it was important to correct any structural problems affecting the other parts of the body. Soft tissue and muscle energy techniques were complemented with moderate velocity-low amplitude (MVLA) techniques except for the cervical spine, where myofascial release techniques were the primary modality used. Trapezius inhibition techniques were performed with a compression myofascial technique to the right trapezius. 

Bums D.K., Wells M.R. (2006) Gross Range of Motion in the Cervical Spine The Effects of Osteopathic Muscle Energy Technique in Asymptomatic Subjects JAOA 106 3 pp. 137-142. 

He was treated with a variety of osteopathic techniques. The cervical spine was treated with muscle energy and normal motion was restored. The first rib was treated with facilitated positional release. The pronator teres and the wrist were treated with counterstrain. The wrist was treated with articulatory techniques. 

A.L. was treated with general myofascial techniques to the entire spine passive and active were used. Spencer techniques were used to improve shoulder motion. Muscle energy was used to treat the cervical muscles and the lumbar muscles, as well as the trapezius. Fascial release was performed on the sternum and both scapulae. The first ribs were treated with counterstrain. 

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