1. Functional Technique Part 2 Cervical & Lumbar Spine Stephen Tyreman PhD MA DO

2. Guidelines for Treatment
The initial introduction of motion in any one elementary direction is small, with minimal forces applied
Motion directions are toward a sense of immediately increasing ease; this response is manifested by a decreasing sense of resistance- to-pressure at the fingers monitoring the response at the tense dysfunctional segment. (At the same time, motions are away from the opposing direction in which increasing resistance is encountered.)

3. Guidelines cont. 2
Single elements of rotary and translatory directions are combined, effecting the control of an eventual smooth torsion arc for body movement. The order of introduction of these elements is not important.
The final step of the functional procedure involves request for a specific direction of active respiration, whichever direction (inhalation or exhalation) contributes further to the increasing ease. For example, if inhalation, the request is for the subject to take a deep breath slowly, and hold briefly.

4. Guidelines cont. 3
This respiratory interval, adding to a continuous feedback of decreasing resistance, allows the operator to actively finalise the combination of translatory and rotary elements most appropriate to reach the objective of a sense of release of tissue tension at the fingertips monitoring the dysfunctional segment.
The release of restraint in the motor mechanism allows the return to midline resting, unobstructed by any of the sense of resistance previously encountered in the return direction.

5. Cervical diagnosis Patient sitting Scan tissues Superficial & Deep
Motion testing
sidebending or rotation to the same side
Patient supine (Head over end of table)

6. Cervical treatment Axial movements Flexion/extension
Side-bending left/right
Rotation left/right
Translatory movements
Antero-posterior shift / P-A shift
Lateral right shift / lateral left shift
Caudad shift (compression) / Cranial shift (traction)
Respiration
Inhalation / exhalation

7. Lumbar Spine Diagnosis Standing & sitting Scanning Percussion
Motion testing (also test supine)
Treatment
Sitting, sidelying, prone and supine
Position according to diagnostic findings

8. Treatment of thoracic & lumbar spine sidelying
Position in accordance with examination findings
Lying on right side entails sidebending left
Think about relative position of hips and shoulders
Add additional components until lesion is corrected

9. Treatment of lumbar spine prone & supine
Position in accordance with examination findings
Use elbows supine to elevate shoulders
Use pillow prone to elevate hips or shoulders
Add additional components until lesion is corrected

10. Physiological theory
Explanation of Functional Technique depends on a number of assumptions
Nervous system organised around reflexes
cybernetic control
Nervous system is not hard-wired
Nervous system is adaptable
Maladaptation (inappropriate physiology rather than pathology)

11. Compliance

12. Compliance 2

13. Motor Control

14. Spindle Control

15. Muscle Spindle

16. MS system as an expression of human behaviour
Human behaviour is the final pathway of a number of events:
volitional commands
physical actions including their physiological support
social and psychological ‘norms’
activities we take for granted
expectations
innate physiological reflexes

17. Human Behaviour