Range of Motion Technique Reference

This table indicates where you might focus your palpation and Integrated Dry Needling techniques for each positive Integrated Global Screening result. They are not always obvious and you might note some interesting omissions..There are , of course , many variations and exceptions but this is a good guide fro those starting out.

Range of motion	Primary	Down regulate	Mobilise	Down regulate or mobilise as appropriate	Secondary	Down regulate	Mobilise	Down regulate or mobilise as appropriate
Cervical Spine Rotation	Anterior cervical spine	✓			Cervical Facets			✓
	Posterior Gleno-humeral Joint Capsule		✓		L4-S1		✓
	Upper Limb	✓			Posterior Hip Capsule		✓
	Occiput		✓		Hamstring/Sciatic Nerve Pathway	✓
	Cervico-Thoracic Junction			✓	Calves	✓
	Rib Angles	✓
Thoracic Spine Rotation	Posterior Gleno-humeral Joint Capsule		✓		Posterior Hip Capsule		✓
	Upper Limb	✓			Hamstring/Sciatic Nerve Pathway	✓
	Anterior cervical spine	✓			Calves	✓
	Cervico-Thoracic Junction			✓	Occiput		✓
	Anterior Lumbar Spine/ Inguinal		✓		Cervico-Thoracic Junction			✓
	Rib angles over costo-vertebral joints 2-5. Look for other peri-structural tissue points in the posterior thoracic cage that are restricted			✓
Gleno-humeral Internal Rotation	Anterior cervical spine	✓			Rib Angles	✓
	Posterior Gleno-humeral Joint capsule		✓		Occiput		✓
	Upper Limb		✓		Cervical Facets			✓
Gleno-humeral External Rotation	Anterior cervical spine	✓			Rib Angles	✓
	Posterior Gleno-humeral Joint Capsule		✓		Occiput		✓
	Upper Limb	✓			Cervical Facets			✓
ULTT1&2	Anterior cervical spine	✓			Rib Angles	✓
	Posterior Gleno-humeral Joint Capsule		✓		Occiput		✓
	Upper Limb	✓			Cervical Facets			✓
Lumbar Spine extension/lateral flexion	Anterior Lumbar Spine/ Inguinal		✓		L4-S1 facets		✓
	Femoral Nerve Pathway and distally	✓			Rib angles over costo-vertebral joints 2-5. Look for other peri-structural tissue points in the posterior thoracic cage that are restricted			✓
	Cervico-Thoracic Junction if excessively flexed			✓	Hamstring/Sciatic Nerve Pathway	✓
	Rib angles mid thoracic spine or thoraco-lumbar junction if excessively flexed			✓	Calves	✓
Lumbar Spine Flexion	Anterior Lumbar Spine/ Inguinal		✓		Any "over contributing" areas of the posterior chain in the lumbar spine	✓
	Femoral Nerve Pathway and distally	✓
	Any "over contributing" areas of the posterior chain-cervical spine to calves other than in the lumbar spine	✓
	Any "under contributing" areas of the posterior chain-cervical spine to calves		✓
Straight Leg Raise	Anterior lumbar spine/ inguinal		✓		Occiput		✓
	Femoral nerve pathway and distally	✓			Rib angles over costo-vertebral joints 2-5. Look for other peri-structural tissue points in the posterior thoracic cage that are restricted			✓
	Anterior cervical spine	✓			Any other "over contributing" areas of the posterior chain-cervical spine to calves	✓
	Any under contributing areas of the posterior chain-cervical spine to calves		✓
Hip Internal Rotation	Anterior lumbar spine/ inguinal		✓		Anterior cervical spine	✓
	Femoral nerve pathway and distally	✓			Any under contributing areas of the posterior chain-cervical spine to calves		✓
	Posterior greater trochantur		✓
	Ischium		✓
Hip External Rotation	Anterior lumbar spine/ inguinal		✓		Anterior cervical spine
	Femoral nerve pathway and distally	✓			Any under contributing areas of the posterior chain-cervical spine to calves		✓
	Posterior greater trochantur		✓
	Ischium		✓
	45 ° anterolateral line of femur	✓
	L4-S1		✓
Thomas Test	Femoral nerve pathway and distally		✓		Anterior cervical spine	✓
	Anterior lumbar spine/ inguinal	✓			Any under contributing areas of the posterior chain-cervical spine to calves		✓
	45 ° anterolateral line of femur	✓

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Range of Motion Technique Reference

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