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Positional Tuina

Positional Tuina has three techniques that are done concurrently with each other and ETPS: the practitioner manually stretches muscles and joints; treatment muscles are actively stretched or contracted by positioning the patient; and reatment muscles are engaged with a gentle contraction by the patient.

Positional Tuina Technique 1: The practitioner manually stretches muscles and joints
According to Lauren Berry, PT and Structural Engineer, repetitive strain and trauma can cause positional dysfunction of soft tissue. Muscles, tendons and ligaments have a normal position relative to the neighboring soft tissue and to the joint that they affect. They can roll out of their normal position and can become displaced relative to the joint and neighboring soft tissues. Muscle positions shift so that shortened muscles held in a postural compensation position for a period of time change position, some fibers of the shortened muscle start rolling into a more advantageous position that restricts other motions and these fibers form adhesions to support this position (a palpable muscle ridge or knot).

For example: with a compensated position (with the head forward and rounded shoulders) the shoulder is forward and closer to the neck, this puts the muscle fibers of the anterior trapezius in a shortened position creating the feeling that these fibers have rolled forward and bunched up. (photograph coming soon). Positional Tuina stretches the muscles and moves them back into their normal position.

Positional Tuina Technique 2: Active stretching/contracting of muscles by positioning the patient
Muscle problems begin when muscles are tightened during use while the muscle is either lengthened or shortened, not in a neutral position. Most treatment occurs with muscles in a neutral position - with patients in a prone, supine or side-lying position. Treating in neutral will only relieve some of the tightness. Treating by positioning the body in the position of injury (lengthened or shortened muscles) releases tight muscles more completely and increases joint range of motion. Improvement lasts longer because the muscles are now loosened up in a full range of motion. For some points, muscles are engaged with a gentle contraction during treatment.

Positional Tuina Technique 3: Treatment muscles are engaged
For some points, muscles are engaged with a gentle contraction during treatment.