I have begun an investigation into the effectiveness of TBB on a CrossFit Athlete.
Here are some random notes and impressions following our first “volunteer client session”.
First Session Observations
Finding movement, and structural asymmetries in a functional- strength athlete.
For example, My first subject " N" could not abduct is right leg fully without externally rotating his femur to achieve full ROM norm. Subject's Right hip displayed significant instability while perform contralateral circumduction of the illio-femoral joint.
Client complains of uncomfortable tightness in Right Shoulder, Right Hip, Right Knee. Client reports a chiropractic Dx of right illio-sacral dysfunction.
Coaxing Subject out of sympathetic overload, when he commonly trains with maximal effort in maximal movements, may be a challenge because of many contributing factors including:
1. N is a business owner in a bad economy
2. He works in a Chaotically noisy environment.
Client says Active ReleaseTechnique works best for him (a modality that calls for the subject to actively load a muscle, while the practitioner manually amplifies inhibition to that muscle) to restore motor and functional balance.
N says TBB has brought to his attention areas of disconnect with his body (areas where it is difficult for him to disengage muscles on command while attempting to relax in a supine position). He notices low back “stuff”. N also reports increased relaxation, slightly less tension in right knee and his right acromio-clavicular.
It appears the subject’s inability to disengage a muscle is a type of dysfunction.
Lack of preparedness on my part, difficulty getting setup, and environmental factors (noise), resulted in an incompleteTBB full-body evaluation, and an incomplete first-phase of TBB Treatment.
MET, Reciprocal inhibition, and TBB treatments were applied to right sartorius and right TFL to balance resting tone and improve muscle functioning of right TFL.
Post treatment Evaluation
The subject's AROM of right illio-femoral abduction, while standing, was optimized to a norm. External rotation altering the movement in mid-range was for the moment eliminated. Discomfort in subject's low back during said movement slightly altered toward the norm.
24 – 48 HR Routine Follow-Up:
Client mentioned slight increased function in right shoulder.
Treatment Plan Note:
Will aim to complete evaluationphases in standing, supine, seated, prone for releasing the pelvic and thoracic diaphragms, implementing lower extremity elevation, breathing cues, and an inferred heating pad to attenuate signs of sympathetic overload.
Implemented heating pad, but not breathing cues. Subjects compliance improved greatly.
TBB treatments (5 phases this time, 360 degree treatment) were Focused on attempting to balance “Spiral Lines”, open the superficial backline, and level the sacral base.
AROM of right hip adduction, and TBB evaluations narrowed the focus to the T12 – T10 insertions of right illio-thoracic, as a site of asymmetrical tone/function. During AROM abduction of the right illio-femoral joint, said assymetry was alleviated by applying proximal pressure along the muscle’s fiber direction, ad/abduction leg swinging warm up Ex.
MET and TBB movement/evaluations were applied to increase rotational ROM of the Lower lumber while client was seated and legs straddling the table.
All optimizations have as of this posting held.