Procedure of Tendon Release Therapy
Tendon Release Therapy: Tendons are apparently innervated by the autonomic nervous system because functionally they respond in a similar manner to smooth muscles. When there is the hypertonicity of the tendon, it presents as rigidity of the tendon.
There is reduced capacity of elongation and contraction of the tendon fibers.
What is Tendon Release therapy Used to Treat
Treatment of tendons with advance strain and counterstrain is 1 minute because all innervated muscles require 1 minute for the release of hypertonicity, as compare to 90 seconds release for voluntary nervous system innervated muscles.
Step-by-Step Tendon Release Therapy
Place the index finger (or the index finger plus the middle finger) pad of the distal phalanx of the caudal hand over the place of insertion of the inferior end of the tendon
Place the index finger (or the index finger plus the middle finger) pad of the distal phalanx of the superior hand over the musculotendinous interface of the muscle and tendon, at the superior aspect of the tendon.
Push on the tendon tissue with both hands with 1lb force perpendicular onto the bone.
Then compress the superior and inferior aspects of the tendon together with 1lb force, bringing the distal and proximal end of the tendon closer together.
This compression should be along the longitudinal length of the tendon fiber.
Maintain these compressive forces for 1 minute for the release of the hypertonicity of the tendon.
NOTE:- there may remain fascial restrictions of the tendon, which may still require a fascial release.
Example of tendon release: ACHILLES TENDON:–
At the insertion of Achilles tendon
The position of the patient:-
PRONE LYING. A small towel placed under the ankle, or foot off the edge of the bed/couch so that the foot and ankle is not placed in forced plantar flexion
Place the pointer (or the fore or index finger in addition to the center finger) cushion of the distal phalanx. Caudal hand over the spot of insertion of the Achilles tendon at the calcaneus. Place the pointer (or the forefinger in addition to the center finger) cushion of the distal phalanx of the better hand. The musculotendinous interface of the gastrocnemius muscle with the Achilles tendon, at the prevalent part of the tendon. Push the tissue with 1lb power opposite towards the tibia. At that point pack the prevalent and mediocre part of the tendon together with 1lb power. Bringing the 2 closures of the tendon nearer together.
>Maintain these comprehensive forces for 1 minute.
Indications of tendon release therapy:-
Essentially no contraindication of the tendon release therapy when performed in this manner, unless total rupture of the tendon.
At the point when the absolute crack of the tendon, the method won’t be powerful.
In the event that a tear or burst of the tendon, however, a redress performed (surgical) the procedure can perform.
Despite the fact that not 100% successful, the method will give a few results in diminished hypertonicity or unbending nature of the tendon,
If tendon release therapy performs immediately after surgery, there will facilitated healing of the tendinous injury.
Tendons which respond well to tendon release therapy:-
Medial and lateral hamstring tendons
Tibialis anterior and posterior tendons
Extensors/flexors tendons of foot and toes.
Adductor tendon of hip
Rotator cuff tendons: supraspinatus, infraspinatus, subscapularis.
Flexors/extensors tendons of Wrist and fingers
Biceps (short and long head)
Coracobrachialis and Brachioradialis tendons .etc
Common disorders which respond well to tendon release therapy:-
- Protective muscle spasm and spasticity
- Tear and rupture
- Calcification of tendon
- Ligament fiber therapy
- The function of forces acting on the ligament
- The longitudinal force of ligaments is direction maintenance.
The function of Horizontal force of ligaments is coordination which affects balance.
Lines of tension??
Lines of tension within the body from ligament to ligament.
Energy waves which direct body part during action and movement.
Assessment of lines of tension
These lines of tension can access stretching the ligament.
Each ligament pulled in a longitudinal manner like a string
the string between two ligaments that pull in a longitudinal manner
Direct longitudinal stretch with ligaments at same time access line of tension.
Dysfunction condition: line of tension compromised.
Ligament fiber therapy
To restore proliferation of ligament activity.
1. Horizontal fiber therapy
2. Longitudinal fiber therapy
Horizontal fiber therapy usually performed before longitudinal fiber therapy. In order to restore coordination of the joint so that one joint surface works correctively relative to the neighboring joint surface.
Horizontal fiber therapy
The function is to restore coordination.
The movement for the correction of the horizontal force can be in a weight bearing and nonweight bearing manner.
Longitudinal fiber therapy
Different from horizontal fiber therapy
Because of longitudinal fibers of the ligament the system of ligamentous fibers.
Which contract and relax together, which respond to all changes in pressure and motion anywhere in the body as a “functional unit”
The longitudinal fibers require total body approach.
The longitudinal traction on the ligament to access the line of tension and correct direction of the body parts. best performed in a non-weight bearing manner.
The significance of longitudinal fiber therapy.
The longitudinal system appears to the guidance system.
And perform Awareness function.
Is the distal bone moving in the correct direction according to the brain?
Is the distal bone moving in the correct direction according to the proximal attachment of the bone?
The biomechanical problem within joint affecting the 3-planar presentation of energy within that joint
premature to work on the ligament.