The Chronicle by Synergy Healthcare
The Chronicle Getting You Back on Track
THE THERAPEUTIC VALUE OF NEURAL MANIPULATION
French osteopath Alain Croibier collaborated with Jean-Pierre Barral to develop the technique of Neural Manipulation. The courses are based on clinical techniques personally developed by Jean-Pierre Barral combined with Alain Croibier’s scientific information. Comparative studies found Neural Manipulation beneficial for various disorders such as: • Lower back pain & sciatica
the more comprehensive (global) dysfunctional patterns. Manual therapy, as it applies to the treatment of nerves, follows the standard principles of mobility and function. For optimal function nerves must be able to move freely within its surroundings. This freedom of movement is essential for: • Nerve conduction • Intraneural blood supply • Local and systemic responsiveness Neural Fixation When a nerve is fixed, it typically loses its ability to glide and/or stretch in length. With fixation, smaller nerve sections can harden. They feel like buds and are very sensitive or painful to the touch. Such “nerve buds” are an indication of an intraneural interference, an overload of physiological pressure points, or a local fibrosis. Nerve buds can be released very quickly, sometimes within one therapy session. Palpation of the skin branches of peripheral nerves can be useful for evaluative, as well for therapeutic considerations. When evaluating the skin branches, if they are sensitive or painful to pressure, typically there is a fixation of the deeper nerve branches.
• Headaches & migraines • Carpal tunnel syndrome • Joint pain • Digestive disorders • Post-operative Scar Tissue Pain • And more
Neural Manipulation examines mechanical relationships between the cranium/spine hard frame to the dura and neural elements. It provides assessment and treatment approaches to address restrictions of the dural and neural components not commonly focused on with musculoskeletal symptoms. Neural Manipulation identifies and releases local nerve restrictions and examines the effect these local fixations have on the rest of the body, and by accessing this relationship, resolves
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The Chronicle Getting You Back on Track
THE THERAPEUTIC VALUE OF VISCERAL MANIPULATION
Visceral Manipulation (VM) was developed by world-renowned French osteopath and physical therapist Jean-Pierre Barral. Comparative studies found Visceral Manipulation beneficial for various disorders.
fixed abnormal points of tension that the body must move around, and this chronic irritation causes functional and structural problems.
Thanks to the dedicated work of Jean-Pierre Barral, a physiotherapist (RPT) and osteopath (DO), healthcare practitioners today can use the rhythmic motionsof thevisceralsystemas important therapeutic tools.Barral’sclinical work with the viscera led to his development of a form of manual therapy that focuses on the internal organs, their environment, and the potential influence on many structural and physiological dysfunctions. The term he coined for this therapy was Visceral Manipulation. Visceral Manipulation relies on the palpation of normal and abnormal forces within the body. By using specific techniques, therapists can evaluate how abnormal forces interplay, overlap, and affect the normal body forces at work.The goal is to help the body’s normal forces remove abnormal effects, whatever their sources. Those effects can be global, encompassing many areas of bodily function. How Does Visceral Manipulation Help You? Visceral Manipulation is used to locate and solve problems throughout the body. It encourages your own natural mechanisms to improve the functioning of your organs, dissipate the negative effects of stress, enhance mobility of the musculoskeletal system through the connective tissue attachments, and influence general metabolism. Today, a wide variety of healthcare professionals perform Visceral Manipulation. Practitioners includeosteopathicphysicians,allopathicphysicians,doctorsofchiropractic, doctors of Oriental medicine, naturopathic physicians, physical therapists, occupational therapists,massage therapists,andother licensedbodyworkers. How Is Visceral Manipulation Performed? Visceral Manipulation is based on the specific placement of gentle manual forces to encourage the normal mobility, tone, and motion of the viscera and their connective tissues.These gentle manipulations can potentially improve the functioning of individual organs, the systems the organs function within, and the structural integrity of the entire body.
Acute Disorders Whiplash Seatbelt injuries Chest or abdominal sports injuries Concussion Traumatic brain injuries Digestive Disorders Bloating and constipation Nausea and acid reflux GERD Swallowing dysfunctions Women’s & Men’s Health Issues Chronic pelvic pain Endometriosis Fibroids and cysts Menstrual pain
Musculoskeletal Disorders Relationshipbetweenorgans&skeleton Chronic spinal dysfunction Headaches and migraines Carpal tunnel syndrome Peripheral joint pain Sciatica Neck pain Pain Related to Post-operative scar tissue Post-infection scar tissue Pediatric Issues Constipation and gastritis Persistent vomiting Vesicoureteral reflux Infant colic Emotional Issues Anxiety and depression Post-traumatic stress disorder
Bladder incontinence Prostate dysfunction Referred testicular pain
VM addresses functional and structural imbalances throughout the body includingmusculoskeletal,vascular,nervous,urogenital,respiratory,digestive, and lymphatic dysfunction. It evaluates and treats the dynamics of motion and suspension in relation to organs, membranes, fascia, and ligaments. VM increases proprioceptive communication within the body, thereby revitalizing a person and relieving symptoms of pain, dysfunction, and poor posture. Strains in the connective tissue of the viscera can result from surgical scars, adhesions, illness, posture, or injury. Tension patterns form through the fascial network deep within the body, creating a cascade of effects far from their sources for which the body will have to compensate.This creates
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Integrated Listening System (iLs)
The integrated listening system is an exercise program for improving brain and body function. The combined elements of iLs--movement, music, and language--begin with sensory processing support and gradually extend to the higher order cognitive functions. As the body becomes organized, so does the brain. With increased organization, the brain is able to process enviromental information, sustain attention, and learn. How does iLs work? In the same way that exercise trains our bodies to become stronger and healthier, the iLs multi-sensory approach trains our brains to process sensory, cognitive and emotional information more effectively. iLs programs begin with music and movement, and then gradually integrate language and cognitive activities.The difficulty level can be individualized for any age or skill level. Who can benefit? iLs has a global effect on the brain and is therefore used to achieve a
wide variety of therapeutic goals: • Rehab for brain injury and stroke • Stress and sleep-related issues • Concentration/attention/memory/speech/language • Written expression & reading comprehension • Social communication, behavior • Motor skills
• Processing speed • Sensory processing • Higher executive functioning • Developmental delays, including autism spectrum disorder/down syndrome • Concussion iLs music programs are delivered via iPods and customized air/bone conduction headphones. Programs can be customized for individual goals.
Owner Spotlight
Shauna Burchett, OTR/L, Owner
Shauna Burchett is the owner of Synergy Healthcare in Spokane, WA. She graduated from University of Alberta, Faculty of Rehabilitation Medicine, Department of Occupational Therapy in 1993. She began her career as an occupational therapist specializing in traumatic head injuries. She has also worked in skilled nursing facilities specializing in long and short term geriatric rehabilitation. Shauna has been in private practice since 1998. She loves craniosacral therapy, visceral manipulation, neural manipulation and lymphatic drainage. Her perspective on healing and recovery has been influenced by many osteopaths whose classes she has taken, but more importantly by the clients that have taught
her through their injuries and illnesses.
She loves the expression ”If you listen hard enough to a patient they will tell you what is wrong with them, but if you listen even harder they will tell you how to fix it.” It is the framework on which she built the clinic. The perspective she tries to lead from and from which she tries to live her life is: “I think we don’t listen enough”. Shauna enjoys spending time with her husband, Robin,and threesons,Ethan,Parker,andSawyer. She also enjoys traveling, playing the piano, and studying yoga.
CDA (208) 666-0611
VALLEY (509) 413-1630
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Patient Success Spotlight
“Before I did the iLs, I was disorganized and had lots of work in school that I had not done, also I could never do one task without getting distracted somehow. I didn’t have a very high self esteem. While I did the attention and concentration program on the iLs, initially, I could not focus right after I did it, but within about an hour, my focus was really good and I could do one task really well. However, if I tried to do something like play ping pong or shoot hoops while doing the iLs, those activities were really difficult. But over the course of doing the whole program, I became very adept at those activities. After I finished the whole program I was even better, I had no more missing homework and could focus in school and had a much higher self esteem. My teacher even asked me what I was doing because it was such a big difference.” - S.M.B. (gifted student 12 years of age) “I had no more missing homework and could focus in school and had a much higher self esteem.”
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WEEKLY CLASSES AT SYNERGY HEALTHCARE
Coupon Corner
QIGONG MONDAYS 1:00 - 2:00 PM
Physical Therapy Occupational Therapy Massage Therapy
Limit to one coupon per patient $10 OFF PRIVATE PAY MASSAGE THERAPY VISIT
This class integrates physical postures, breathing techniques, and focused intention. It is similar to Tai Chi, a practice many westerners are already familiar with. FELDENKRAIS TUESDAYS 12:15 - 1:15 PM These group classes are directed through a series of movements intended to “re-wire” the brain into more efficient patterns.
Phone: (509) 413-1630 Fax: (509) 413-1673
12012 E Mission Ave Spokane Valley, WA 99206
CLASS PRICE: $12 PER CLASS OR 4 CLASSES FOR $40
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Synergy Healthcare can further assess your needs. Contact us today!
(509) 413-1630
All About Kids The Newsletter About Taking Care of the Ones That Matter Most Tips for ERGONOMIC PARENTING
The months following the birth of a child are some of the most rewarding for new parents—and the most challenging to a new parent’s body. Here are some tips on how using proper body mechanics within an ergonomically friendly nursery can help ease the strains and stresses of parenting. The Changing Table Before placing the baby on the changing table, it is essential to keep him or her at the center of your body. Hold your baby at the front-center portion of the torso, rather than on the side at the hip. Holding the baby on the hip can damage your low back and pelvic area. Additionally, carrying an infant close to your body helps you keep your center of balance and reduces strain on your back. The table should be at the appropriate height for parental use. When changing your baby’s diaper, the best table placement and height is directly in front of and slightly below the elbows. This helps avoid the type of bending and twisting that can cause injury. Other Tips: Place all diaper-changing materials within arm’s reach—for instance, in wide-set drawers directly below the changing area. You may wish to place one leg on a stool when you are using the changing table. This can help take strain off your back and neck. Bending and Lifting Parents can practice proper body mechanics by learning to bend and avoiding twisting when picking up their child. When you are lifting your child from a crib or stroller, stand directly in front of the child to avoid twisting your back. It is important to bend from your hips rather than from your lower back, much like rising from a squatting position.
To return your child to the crib or stroller, use the same technique, and always remember to keep your child close to your chest. If the crib rail cannot be lowered, place a stepstool next to the crib and place one foot on the stool to reduce strain on your lower back as you bend and lift your child.
Acknowledgement: Marianne Ryan, PT, OCS
6270N. GovernmentWay DaltonGardens, ID83815 (208) 666-0611
SPECIALIZING IN : Sensory Integration/Processing • Listening Therapies • Gross Motor & Coordination Skills Development • Play Skills • Fine Motor/ Visual Motor Skill Development • Oral Motor/Oral Sensory Development • Speech/Articulation Development • Expressive-Receptive Language Therapy • Literacy & Cognitive Development • Social Language Skills
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All About Kids The Newsletter About Taking Care of the Ones That Matter Most
5 Tips for RETURNING TO PHYSICAL ACTIVITY AFTER CHILDBIRTH
Afterhavingababy,youmight feel thedesire togetback intopre-pregnancy shape immediately, but it is important to make a slow return to full activity. Here are some tips on what you can do in the first six weeks after delivery to prepare to return to your previous fitness routine. 1. Get help with tasks. A new mom needs an ally in the weeks following childbirth. During this time, a woman should not lift anything heavier than her baby, in spite of the temptation. Make sure all the heavy nursery equipment is set up by someone else in advance of the baby’s arrival. It’s important now for you to rest and engage in light activities only. 2. Breathe. Believe it or not, something as natural and instinctive as breathing will require focus after childbirth. This is because the growing uterus pushes the diaphragm upward, causing it to lose its ability to descend during inhalation. Since the diaphragm forms the top of the core muscles, it is important to work with a physical therapist, who will prescribe exercises to help restore your diaphragm function to its full capacity. 3. Focus on your core. A woman’s abdominal muscles undergo a great deal of strain during pregnancy. In fact, separation of abdominal muscles, called diastasis recti, is a common occurrence. Also, engaging in inappropriate exercise, such as sit ups, can worsen the problem for some women. A physical therapist can prescribe exercises to help “close the gap” between muscles. Gentle core-strengthening exercises also can be done, paving the way for more vigorous abdominal exercises six or more weeks after delivery. 4. Strengthen abdominal and pelvic floor muscles. Physical therapists recommend that immediately post-partum, women focus on exercising the abdominal muscles and the muscles of the pelvic floor. During pregnancy, these muscles often are stretched and weakened. Strengthening them gives women a strong, stable base from which to
work and move. This can alleviate pain later on, and simplifies tasks such as carrying the baby, getting in and out of the car, and lifting and reaching. Women who have had a caesarian section should be watchful of discomfort during abdominal exercise. Pain could indicate that the exercise is being done too soon, incorrectly, or too vigorously. 5. Every minute counts. Over time, a woman may begin incorporating fitness into her everyday routines—such simple activities as taking a family walk around the neighborhood or participating in a fitness group with other new moms. Remember to go at your own pace. New moms should sleep whenever they have the opportunity.
https://www.moveforwardpt.com/Resources/Detail/5-tips-return-physical-activity-after-childbirth
synergyidaho.com 6270N. GovernmentWay DaltonGardens, ID83815 (208) 666-0611
SPECIALIZING IN : Sensory Integration/Processing • Listening Therapies • Gross Motor & Coordination Skills Development • Play Skills • Fine Motor/ Visual Motor Skill Development • Oral Motor/Oral Sensory Development • Speech/Articulation Development • Expressive-Receptive Language Therapy • Literacy & Cognitive Development • Social Language Skills
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