Integrative Manual Therapy-Autonamic Nervous System and Related Disorders

CHAPTER 8 ADVANCED STRAIN AND COUNTERSTRAIN FOR SPEECH AND SWALLOWING Arytenoid Speech/l: Arytenoid Tendency to Adduct Cartilage (Netter's plate #71-73) (Bilateral) TENDER POI NT At the anterior-medial portion of the transverse process of C4. TREATMENT • Supine. • Push the thyroid cartilage towards C4 trans­ verse process on the ipsilateral side. (In cases of bilateral positive transverse processes, right side is generally treated first). • Contact on the posterior lateral mass (in the cervical region). (The portion between the spinous processes and the transverse process is called the lateral mass.) • Push C4 into an anterior shear on the ipsilat­ eral side of the Tender Point. GOAL Allow arytenoid abduction. Correct arytenoid tendency to adduct. I NTEGRATIVE MANUAL THERAPY The vocal cords attach to the posterior aspect of the thyroid cartilage and at the arytenoid complexes ,ame­ rior to the cervical spine at the level of C4 and CS. These muscles, the vocal cords, rend to adduct when they 3rc in a scare of pcorccrive muscle spasm. Speech and swallowing disorders can be alleviated with this technique. Often fascial restrictions remain, and re­ quire treatment with myofascial release after this tech­ nique. This technique can be performed after the myelohyoid is treated with Advanced StrainiCounter­ strain. 44