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BASIC RELAXATION PROCEDURE ( I )  LOW BACK

PROCEDURE ( I ) MUST BE COMPLETED BEFORE ANY LOWER EXTREMITY, PELVIS, AND COCCYX MOVES. IT MUST ALSO BE PERFORMED PRIOR TO PROCEDURE ( II ) – HOWEVER, YOU MAY BEGIN THE ( II ) MOVES AFTER  MOVES 1 – 4 IN ORDER TO SAVE TIME.

BASIC RELAXATION PROCEDURE ( 1 )

Part A.  Client in the prone position with a pillow under the ankles Practitioner  on left side of client.

1. Place your fingertips on the right side of the spinous processes at the level L3 and place your thumb tips together on the left side of the spinous process of L3. Pull the skin slack laterally over the erector spinae muscle. Pause 3 seconds while client takes in a deep breathe.

     On the exhale raise your wrists and your thumbs will roll over the top of the muscle toward the spinous process to complete move 1.

2.  Remain standing on client’s left side and place your thumb tips together on the left side and your 1st fingers on the right side forming an upside-down V in the hollow between the spinous process of L3 and the erector spinae muscle. Push the skin laterally with the tips of your 1st fingers over the muscle. As you pass over the muscle you will dip down in a little hollow. Pause 3 seconds as the client takes a deep breathe.

    On the exhale, pull your fingers over the muscle towards the spinous process  to complete move 2.

3.  Remain standing on left side. Place your left middle fingertip at the base of the spine and your right middle fingertip on the top of the gluteal crease. Place the tips of the thumbs together over the edge of the gluteus medius muscle and pull the skin slack down toward the tabletop. Hold for 3 seconds while client takes a deep breath.  On the exhale raise your wrists and roll your thumbs up and over the  muscle toward medial to complete move 3.
 4.  Move to right side of client and repeat # 3 move over right gluteus  medius to complete move 4.

 Wait 2 minutes or longer before proceeding to the next moves. Tell client that this is to allow for the muscles and tendons to relax, and for the energy released  to flow before doing the next series of moves in adjacent muscles.

Part B.    Stand on client’s left side.

   5.  Place your 1st and 2nd fingers of your left hand on the X just below the gluteal fold over the origin of the semitendinosus muscle.  Place your right  thumb over  the lateral hamstring just above the popliteal fossa.  Pull skin slack laterally over the tendon.
Push your thumb over the top of the tendon medially to complete move 5. You should feel a vibratory sensation under your fingers at point X.

   6.  Place tips of thumbs together at mid thigh level on the lateral side of the Illeotibial band.  Move the skin slack toward the tabletop.
 Raise your wrists and roll the band posterior to complete move 6.


 Repeat same moves on the right side that you just did on the left to  complete moves 7 & 8.