Hello everyone, thank you for joining me. I'm Dr. Shan Shan Wu, an Allergy Immunology Fellow here at University Hospitals, and I'm going to be demonstrating the myofascial release technique for a patient with cervical thoracic dysfunction. So first of all, hand placement is essentially the same as for diagnosing somebody with a dysfunction of their cervical thoracic junction, and then the model that we're going to use is the steering wheel model. So who here is familiar with hand placement for diagnosing someone with cervical thoracic junction dysfunction? Okay. That's okay. That's okay. So that's why, you know, that's why we're here, so I'll go over it. So first you want to have your thumb over the transverse process, the T1, so you find the T1 first, you go lateral, and that's where the first rib is, right? And then your other fingers, they're over the patient's clavicle. Okay, so with this, like you're driving a car, when I rotate the patient to the right, I'm essentially steering the car to the right. If I'm pressing the gas pedal, I'm side-bending the patient to the right. If I'm pressing on the brake, I'm side-bending the patient to the left, and if I'm turning the patient, or turning the wheels to the left, I'm rotating the patient to the left. Okay? So we'll start with that. So I'm rotating him to the right, turning the wheels to the right, and pressing on the gas, so side-bending him to the right. With this, I hold him in this position for about 10 seconds, then I bring him to neutral for one to two seconds. We always want to make sure to do it to the other side as well, right, so he's balanced. I'll rotate him to the left, side-bend him to the left, and hold in that position for another 10 seconds. Okay, and then bring him to neutral, so that's one cycle, and then we repeat this for two other cycles for a completion of three cycles. So what this does is, essentially, I'm applying pressure to the connective tissue where he's most restricted at, trying to free this range of motion and relieve his pain. Now, at the end of every technique, we just want to be sure to reassess him for his range of motion. Would anyone like to try? Don't be shy. I'll do it. All right. So you can be the driver, and you can show me where your hand placement is first. So my fingertips are going to be on the anterior side of the clavicle. Perfect. And my thumbs are on the posterior aspect of the first rib. So I'm going to turn the bus wheel to the right, and then I'm going to press on the gas, and then I'm going to hold it for 10 seconds. Yes. So you're rotating him to the right, pressing the gas, which is side-bending him to the right as well. Good. Okay. And I'm going to go back to neutral, and I would do the same to the other side, but for the sake of time, I will not. Perfect. Okay. Thank you, sir. Thank you. Now, does anyone else have any questions? No? Okay. So in summary, what I just demonstrated was the myofascial release technique for somebody with a dysfunction of the cervical thoracic junction. Thank you. Okay, students. What did you see? Okay. So I liked how, like, calm and at ease you were during your presentation because you seemed very confident, which is nice to see in a presenter. And also, your audience engagement helped keep us interested in paying attention. So what did you do right? I introduced myself. Yes, you did. I gave what I'm demonstrating, the indications for it. I thought I spoke in a clear voice, engaged the students, made them participate, think a little bit. Good. So let me share my observations. You did have a good introduction. You, the body was very clear to me. I think you broke everything down into steps and went over each step. You demonstrated the steps as you were talking about them so that the students understood them. You did have a good summary at the end to tell the students, you know, what are the key learning points. You engaged your student when you actually had one of the students come over and do things that you asked them to do. All of it was good. What things did you think you could improve on? I guess I could go over everything more in detail. I thought it was excellent. I don't know of anything that you could improve on. I thought it was good. I thought it was the best presentation of the day. I thought that was great. Okay, good job. Thank you.

myofascial release

cervical thoracic dysfunction

steering wheel model

Dr. Shan Shan Wu

connective tissue