Changes in Range of Motion After Neurofascial
Process
Author: Brenda Potter, PT
Key Words: Fibromyalgia, EndermologieTM, Hyperbaric OxygenTM, Neurofascial Process, Plan A Program, Homework Helpers
Abstract: The purpose of this case study is to show the changes in Range of Motion in all joints after performing Neurofascial Process3.
Presentation of Study: The patient is a 55 year old female with a medical diagnosis of Fibromyalgia, who has had extensive treatment with Integrative Manual TherapyTM1 (IMT) for all body systems. At the time of this study, the patient had just completed 4 days (21 hours) of treatment on a program called Plan A. The Plan A Program includes EndermologieTM2 and Hyperbaric OxygenTM treatment with Integrative Manual TherapyTM interspersed. The final portion of the program required 3 hours of Neurofascial Process3 (NFP) to be done. For this process to be accomplished in the most efficient manner many hands were required. CenterIMT in Georgia has set up a “Homework Helpers” Program which is a group of teenagers who are trained and monitored by the Center for helping the client complete their Neurofascial Process homework. Pre and Post testing was done in the form of two methods. These methods involved mobility testing and Range of Motion testing of the spine and peripheral joints. Pre and post testing was performed by a therapist at CenterIMT Georgia. Due to circumstances of timing and location of the treatment team and the NFP team and testing therapist, pre-testing was performed in Hartford, Connecticut in the late afternoon. The patient then traveled by plane and car to Georgia where the 3-hour Neurofascial treatment was carried out the next afternoon. The post testing followed that next morning. No other treatment occurred during this time.
Outcome: The results of the treatment were significant increases in Range of Motion as follows:
CERVICAL ROM
| February 18, 2001 | February 20, 2001 | |
|
|
BEFORE
|
AFTER
|
|
Flexion
|
-5
|
20
|
|
Extension
|
15
|
25
|
|
Left Rotation
|
5
|
45
|
|
Right Rotation
|
15
|
30
|
|
Left Sidebend
|
0
|
10
|
|
Right Sidebend
|
5
|
30
|
SPINAL ROM - hyperextended thoracic spine; T1-T6 neutral; flexed T6-T8
|
|
BEFORE
|
AFTER
|
| Flex |
0
|
20
|
| Extend |
0
|
|
| Right Sidebend |
0
|
15
|
| Left Sidebend |
20
|
15
|
| Left Rotation |
15- 20
|
25
|
| Right Rotation |
5-7
|
15
|
SHOULDERS
|
|
BEFORE
|
AFTER
|
||
|
LEFT
|
RIGHT
|
LEFT
|
RIGHT
|
|
| Protraction |
25
|
25
|
15
|
20
|
| Flexion |
80
|
30
|
130
|
160
|
| Extension | ||||
| Abduction |
30
|
35
|
85
|
70
|
| Adduction | ||||
| Internal Rotation |
45
|
40
|
60
|
45
|
| External Rotation |
30
|
-5
|
45
|
35
|
| Horizontal adduction |
0
|
-45
|
5
|
10
|
| Horizontal abduction |
70
|
60
|
70
|
80
|
HIPS
|
|
BEFORE
|
AFTER
|
||
|
LEFT
|
RIGHT
|
LEFT
|
RIGHT
|
|
| Flexion |
110
|
100
|
125
|
125
|
| Extension | ||||
| External Rotation |
45
|
50
|
70
|
70
|
| Internal Rotation |
20
|
10
|
30
|
15
|
| SLR |
70
|
45
|
80
|
90
|
| Abduction |
40
|
40
|
45
|
50
|
| Adduction |
0
|
0
|
5
|
15
|
ANKLES
|
|
BEFORE
|
AFTER
|
||
|
LEFT
|
RIGHT
|
LEFT
|
RIGHT
|
|
| Dorsiflexion with knee bent |
10
|
5
|
0
|
5
|
| Dorsiflexion with knee straight |
30
|
20
|
15
|
15
|
| Forefoot equinus |
20
|
20
|
10
|
15
|