Tendon Release Therapy: Tendons are apparently innervated by the autonomic nervous system ,because functionally they responds in a similar manner to smooth muscles.When there is the hypertonicity of the tendon, it presents as a 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 requires 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 hyper tonicity of the tendon.
NOTE:- there may remain fascial restrictions of the tendon, which may still require fascial release.
Example of tendon release: ACHILLES TENDON:–
At the insertion of Achilles tendon
Position of the patient:-
PRONE LYING. A small towel is placed under the ankle, or foot is off the edge of the bed/couch, so that the foot and ankle is not placed in forced planter flexion
Place the pointer (or the fore or index finger in addition to the center finger) cushion of the distal phalanx of the 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 over the musculotendinous interface of the gastronemius 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:-
There are essentially no contraindication of the tendon release therapy, when performed in this manner , unless there is total rupture of the tendon.
At the point when there is absolute crack of the tendon , the method won’t be powerful.
In the event that there is a tear or burst of the tendon, however there is a redress performed (surgical) the procedure can be performed.
Despite the fact that not 100% successful, the method will give a few results in diminished hyper tonicity or unbending nature of the tendon,
If tendon release therapy is performed immediately after surgery , there will be facilitated healing of the tendinous injury.
Tendons which responds 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 responds well to tendon release therapy:-
- Protective muscle spasm and spasticity
- Tear and rupture
- Calcification of tendon
- Ligament fiber therapy
- Function of forces acting on ligament
- The function of Longitudinal force of ligaments is direction maintenance.
The function of Horizontal force of ligaments is coordination which affects balance.
Lines of tension??
There are lines of tension within the body from ligament to ligament.
These are Energy waves which direct body part during action and movement.
Assessment of lines of tension
These lines of tension can be accessed by stretching the ligament.
Each ligament is pulled in a longitudinal manner like a string
This string is between two ligaments that are pulled in longitudinal manner
Direct longitudinal stretch with ligaments at same time acess line of tension.
Dysfunction condition: line of tension compromised.
Ligament fibre therapy
To restore proliferation of ligament activity.
1. Horizontal fiber therapy
2. Longitudinal fiber therapy
Horizontal fiber therapy is usually performed before longitudinal fiber therapy. In order to restore coordination of the joint so that one joint surface is working correctively relative to the neighboring joint surface.
Horizontal fiber therapy
Function is to restore co-ordination.
The movement for the correction of the horizontal force can be in a weight bearing and non weight bearing manner.
Longitudinal fiber therapy
Different from horizontal fiber therapy
Because longitudinal fibers of ligament are 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 requires total body approach.
The longitudinal traction on the ligament to access the line of tension and correct direction of the body parts is best performed in a non weight bearing manner.
Significance of longitudinal fibre therapy.
The longitudinal system appears to be a guidance system.
And perform Awareness function.
Is the distal bone moving in correct direction according to the brain.
Is the distal bone moving in correct direction according to the proximal attachment of the bone .
Biomechanical problem within joint affecting the 3-planar presentation of energy within that joint
It is premature to work on ligament.