Medical Massage

Physical Therapy

Chiropractic

Osteopathic

Medical

Neurology

Orthopedic

Sports Medicine

Vol 1, Issue 3

Medical Massage

Physical Therapy

Sports Medicine

Spinal Refl ex Analysis:

Reach for the pivotal pointin physical medicine...

thethethethethethethethethethethethethethethethethetheSRASRA

journaljournaljournalSRA

journalSRASRA

journalSRA

journal journaljournaljournaljournaljournaljournal

SpinalRefl ex.com

TM

A Letter from the Founder and President of Spinal Refl ex Institute, International

I experienced recurrent low back stiffness and pain from the age of sixteen.As a cross country runner, sciatic pain would plague me repeatedly with the worst episode lasting well over a year and a half. Massage,

chiropractic, and medical treatment were unsuccessful for years and the threat of spinal fusion loomed as a fi nal option to manage the chronic pain.After twenty-fi ve years of various therapies, it wasthe use of Spinal Refl ex Analysis procedures that eliminated the pain... completely! The use of SRA in Massage, Chiropractic, and Exercise Therapy has profoundly changed my personal health and allowed me to run once again. I am more fl exible, and I can run farther and faster than at any point in my life, irregardless of underlying lumbar asymmetrical facet tropism, degenerative osteoarthritis, severe disc narrowing, herniation, and spinal stenosis without the pain and restrictions imposed by those conditions.Today, the demand for effective soft tissue protocols in Medical Massage and Physical Therapyis growing rapidly, enhanced effectiveness of Chiropractic and Osteopathic manipulative procedures is expected, improved muscle balance, performance, and recovery in Physical Therapy and Sports Medicine is sought after. Accurate physical diagnostics and non-pharmaceutical options in Medicine is publicly supported. Faster and more effective post surgical recovery and improved joint function in Orthopedics and viable “soft wiring” differential diagnostics in Neurology are needed. These are all benefi ts derived from SRA protocols.Based on extensive European and American research, the discovery and development of Spinal Refl ex Analysis through eleven years of intensive clinical application, evolved into the material available to you today. Material that offers solutions to all fi elds in physical medicine.I utilize SRA protocols in my practice 100% of the time. My case outcomes are signifi cantly more successful, and my practice has grown because of it.

Dr. Frank Jarrell

the the SRASRA journaljournal

ContentsSpinal Refl ex Analysis for Your Profession

Medical Massage ................................. 4 Physical Therapy ...................................5 Chiropractic ......................................... 6 Osteopathic .......................................... 7 Medical ................................................ 7 Neurology ............................................ 8 Orthopedic ............................................ 8 Sports Medicine .................................. 9

* SRA Certifi cation Programs................ 11

* Public Information .................. 3, 10, 11

SRASRA

journal journal journalnotesSpinal Refl ex Institute News and Research

Preliminary Sports Enhancement data is encouraging ................................ 3

C3 Axial Refl ex implicated in kneedysfunction ........................................... 3

Case studies developed for publication ............. 9

SRA-based exercises for strengthening and performance .................................... 11

SRA based curriculum Under Considerationthrough NVCC ..................................... 11

SRA Shows Tremendous Potential..................... 11

2

3www.SpinalRefl ex.com 1-877-259-5520

The pivotal point in physical medicine!

Professional Benefi tsConsistent and reproducible inter professional protocols are necessary for evaluation, management, and predictable outcome in physical medicine. Palpation, range of motion, muscle strength, physical and orthopedic testing, X-rays, MRI’s, and CT scans are often site specifi c and rarely encompass the dynamic relationship between neurology, joint physiology, soft tissue function, and biomechanics.SRA based evaluation and management procedures are concise, reproducible, and highly effective in the evaluation and integration of complex neuro-musculo-skeletal treatment programs. Spinal Refl ex Analysis protocols are as predictable as the knee-jerk refl ex and the clinical and performance benefi ts are live tested and substantial.SRA is a “must do” for any form of health care and performance enhancement based in physical medicine.

Public Benefi tsSRA is readily explained both in theory and in clinical practicality. SRA subjective and objective information inherently matches the symptom profi le and is readilysupported by the physical fi ndings. SRA based ergonomics, strengthening and stabilization of intrinsic/core muscles supplement the therapeutic portion of an SRA program of treatment, recovery, and performance enhancement. Net outcome includes consistent reduction in pain, improved mobility, balanced musculature, and structural decompression. ccntininued on page 9

SRASRA

journaljournal journal journaljournaljournaljournaljournaljournaljournaljournaljournaljournalnotes Preliminary Sports Enhancement

data is encouragingBaseline ROM’s for hip fl exion, Baseline ROM’s for hip fl exion, hip extension, knee fl exion and hip extension, knee fl exion and

vertical jump was established for vertical jump was established for 14 healthy athletes through the 14 healthy athletes through the Fort Lewis Athletic Depart-Fort Lewis Athletic Depart-ment. SRA based AP Therapy ment. SRA based AP Therapy was administered over 3 was administered over 3 sessions with pre and post sessions with pre and post

markers recorded for each markers recorded for each session. Average ROM session. Average ROM increases are between 25% increases are between 25% and 41% for hip fl exion, and 41% for hip fl exion,

7% for knee fl exion and 7% for knee fl exion and 4% for vertical jump. 4% for vertical jump.

Ranges are from 7% Ranges are from 7% to 105% net increase in ROM. Although preliminary data on this study is early, the trend and overall

improvement is improvement is consistent with clinical observation consistent with clinical observation

in symptomatic patients. The study is in symptomatic patients. The study is being performed by Dr. Frank Jarrell, being performed by Dr. Frank Jarrell,

Robert Culver, MES, NCMT and Dana Robert Culver, MES, NCMT and Dana Osorno, NCMT.

C3 ASR implicated in knee dysfunctionC3 axial spinal refl ex activity is C3 axial spinal refl ex activity is Implicated in aberrant soft tissue Implicated in aberrant soft tissue function and biomechanics of the function and biomechanics of the knee. Refl exive psoas contracture knee. Refl exive psoas contracture reduces net hip extension and reduces net hip extension and

compromises L4 neurology resulting compromises L4 neurology resulting in knee extensor hypertonicity (medial in knee extensor hypertonicity (medial

aspect), patellar tracking errors, andaspect), patellar tracking errors, andrestricted overall knee fl exion. restricted overall knee fl exion.

4

Spinal Refl ex Analysis is:

Spinal refl exes exercise infl uence over primary (axial) and secondary (peripheral) soft tissue tone, contraction and function. Prolonged axial spinal refl exes (ASR) lead to soft tissue myofascial syndromes, fi brosis, joint compression, and osteoarthritis (Fassbinder). “The primary functionally abnormal position of a vertebral unit followed by myotendinotic changes represents the primary spondylogenic refl ex syndrome.” (Dvorak and Dvorak)Early works by Sutter, Wyke, Maigne, Travell, Rinzler, Schmerl, Jurghanns and others illustrate the neuro -physiology of the spinal refl ex. Sutter’s original work is based on EMG studies of axial soft tissue contractions in response to vertebral facet joint injection of a noxious compound. His, and other original studies, albeit informative of this mechanism, did not evolve into functional clinical application. The spinal refl ex syndrome has largely gone unnoticed some 25 years later.Until now, identifying the predominant spinal refl ex in a clinical setting and utilizing effective treatment protocols were absent in their entirety. Dr. Loyd F. Jarrell researched, designed and developed clinical protocols for the rapid and specifi c identifi cation of the involved spinal segment and further developed soft tissue and hard tissue treatment procedures to arrest the spinal refl ex syndrome and enhance physical health and sports performance.

SRA is a Powerful System for the Medical Massage TherapistSRA is an effective means of evaluation and management of axial spinal refl ex syndromes and their reactions. Spinal Refl ex Analysis addresses the most prevalent source of neuro-musculo-skeletal pain and dysfunction encountered in current clinical settings. You can learn to apply basic and advanced SRA skills through Spinal Refl ex Institute International continuing professional education courses.

SRA identifi es the driver behind most soft tissue dysfunction in the human body.

Case Study:Patient: 63 year old female, highly active in skiing, biking, tennis, and other outdoor activities. Client suffered a meniscus tear in the right knee as a result of a collision with another skier two years prior. Client had subsequent arthroscopic repair of medial meniscus and partial removal and repair of the lateral meniscus. Initially, she was in therapy with some success focusing on exercises to rebuild hip and leg musculature. Her current therapist is addressing long-term muscular imbalances in the lower extremities.Presentation: Prior to skiing: slight limp with a hesitation to weight the leg and continuous low-grade pain while climbing stairs. Post-skiing: stiffness and decreased ROM leading to increased pain with activity and climbing steps. ROM in fl exion was fi fteen degrees less than the left knee. Knee pain was suffi cient enough to affect sleep. CC’s post skiing lasted for 3-5 days.SRA Evaluation: Spinal refl ex at C3 Rt. with psoas compression of L4 Treatment: Client was treated after skiing. Treatment consisted of approximately twenty minutes of AP therapy for a C3 Rt. soft tissue pattern. Emphasis was placed on the ipsilateral side of refl ex sartorius and tibialis anterior muscles. ROM post-treatment was equal to left knee without pain and restriction. Stair climbing and general motion was pain-free and the prior favoring of the right knee in ambulation was resolved. Prior sleep disruption from the knee condition for the two nights following treatment was resolved.Recommendations: Continue to develop leg strength and right/left balance of musculature. Begin AP therapy 1-2 times weekly for 6 weeks to reduce underlying spinal refl ex syndrome. Apply SRA Spinal Rehab. program.

Massage Therapy

Assessment, identifi cation, and treatment of soft tissue contractures originating from the spinal refl ex are emphasized. A working understanding of SRA as the primary cause of myofascial pain and dysfunction, prolonged muscle and ligament contractions, and muscle hypertonicity is provided through NCBTMB Certifi ed seminar’s on SRA Attachment Point (AP) Therapy. SRA-AP Therapy can be complimented by other soft tissue techniques without compromising the effectiveness of SRA procedures.M

edic

al M

assa

ge

Touch Assessment, identifi cation, and treatment Touch Assessment, identifi cation, and treatment tissue contractures originating from the spinal Touch tissue contractures originating from the spinal

with refl ex are emphasized. A working understanding

with refl ex are emphasized. A working understanding of SRA as the primary cause of myofascial pain with of SRA as the primary cause of myofascial pain and dysfunction, prolonged muscle and ligament with and dysfunction, prolonged muscle and ligament contractions, and muscle hypertonicity is provided with

contractions, and muscle hypertonicity is provided

SRAAttachment Point (AP) Therapy. SRAAttachment Point (AP) Therapy. SRA-AP Therapy can be complimented by other SRASRA-AP Therapy can be complimented by other soft tissue techniques without compromising the SRAsoft tissue techniques without compromising the

5www.SpinalRefl ex.com 1-877-259-5520

Physical Therapy Protocols for Evaluation and ManagementCritical differential assessment will help the therapist avoid the common trap found in physical medicine of fi xating on the point of pain and direct the therapist instead, toward recognition of the cascading soft tissue reactions originating from the axial spinal refl ex syndrome.

Physical therapy directed by, and applied according to, the SRA spinal segment is an extremely accurate and highly effective strategy for reducing and managing the pathophysiology underlying many common and obscure biomechanical conditions.

SRA based assessment protocols allow for effi cient management of traumatic and non-traumatic rotator cuff and knee conditions, knee and shoulder post surgical recovery and management, various factors in restricted joint range of motion, post sports and trauma recovery, impairment reduction for enhanced athletic performance, life style enhancement, and core strengthening.

Case Study:Patient: 56 year old male with a 5 year history of bilateral rotator cuff syndrome diagnosed as frozen shoulder. Initial 12 weeks of PT and Cortisone injections with mild improvement followed by complete relapse within 4 weeks. CC was aggravated by driving trucks and lifting activities. Presentation: Rt.>Lt. restricted shoulder ROM in all directions with persistent low-grade ache and pain. Elevation was restricted to 85’ Rt. and 110’ Lt. with full recruitment of acsending traps. Active and passive ROM were equal.SRA Evaluation: Compound C4 and C1 bilateral refl exes inducing a secondary L5 spinal refl ex with a net soft tissue contracture pattern of bilateral latissimus dorsi, levator scapula, and descending trapezius fi bers. Combined contractures resulted in a full “lock down” of the scapulas bilaterally.Treatment: SRA based Attachment Point therapy per involved refl exes netted an elevation increase of 45+ degrees in the Rt. and a 60+ degree increase in left ROM on the fi rst treatment. Two follow-up treatments netted shoulder ROM function to within 5% of normal Rt. and full ROM Lt. Spinal intrinsic exercises, home stretches, and ergonomic education was prescribed.Recommendations: Maintain intrinsic muscle strength through home therapeutic exercise and pursue AP Therapy on a PRN basis (currently 1x per 6-12 weeks).

SRA is the only evaluation and management system available to you to effectively treat the spinal refl ex mechanism!

Physical Therapy

Spinal Refl ex Analysis for Physical Therapy clarifi es the most prevalent soft tissue effects on axial and peripheral biomechanics. The therapist is trained in identifying contracted, fatigued, or weakened muscles and ligaments originating from the spinal refl ex mechanism, applying specifi c exercises to assist in recovery, balance, and symmetry, and useful strategies to facilitate ROM and pain reduction both post trauma and post surgical. Peripheral joint conditions including lateral epichondolitis, rotator cuff syndrome, and knee arthralgia are covered in SRA courses. SRA AP Therapy is available as an adjunct to PT

Ph

ysical Th

erapy

Guide clarifi es the most prevalent soft tissue effects on Guide clarifi es the most prevalent soft tissue effects on axial and peripheral biomechanics. The therapist Guide axial and peripheral biomechanics. The therapist is trained in identifying contracted, fatigued, or Guide is trained in identifying contracted, fatigued, or

with weakened muscles and ligaments originating

with weakened muscles and ligaments originating from the spinal refl ex mechanism, applying with from the spinal refl ex mechanism, applying with specifi c exercises to assist in recovery, balance, with specifi c exercises to assist in recovery, balance,

SRApost surgical. Peripheral joint conditions including SRApost surgical. Peripheral joint conditions including lateral epichondolitis, rotator cuff syndrome, SRAlateral epichondolitis, rotator cuff syndrome, and knee arthralgia are covered in SRA courses. SRAand knee arthralgia are covered in SRA courses.

Case Study:Patient: 20 year old female complains of LBP from dance and theater related activities. Onset 3 months, no prior or current history of spinal trauma, familiar conditions or pathology. Related orthopedics were essentially negative.SRA Evaluation: T7 Lt. with 1/2 inch FLLD. Lumbar plain fi lm studies were unremarkable with no evidence of pathology or biomechanical alterations.Treatment: CMT for T7 Lt. SRA pattern with prescribed postural education and therapeutic exercise. CC was resolved within 6 weeks.Patient returned 3 months later post MVA as a passenger in a motor vehicle that sustained a same side impact at 35 m.p.h.. Presenting symptoms included relapse of LBP in addition to acute mid-cervical spine pain and spasms. Whiplash induced SRA fi ndings included C3/C4 per plain fi lm studies revealing excessive segmental translation in fl exion and extension. Acute post MVA scoliosis per cervical spinal refl ex pattern was noted per refl exive soft tissue contraction. Noted resolution within 90 days utilizing SRA based CMT and rehabilitative exercises. Recommendations: CMT prn to prevent aberrant spinal biomechanics and home exercises to maintain ligamentous integrity.

Chiropractic CMT is Directly Supported by SRA Procedures SRA and chiropractic are naturally linked in that the primary spinal refl ex is synonymous with the unstable spinal segment and constitutes the traditional defi nition of a “subluxated vertebra”. The subluxated vertebra is less than “luxated” in that it does not require immediate surgical intervention to stabilize. It does however, affect local and radicular neurology originating at the nerve root and sclerotomal based pain originating at the facet articulation. Aberrant neurology secondary to spinal biomechanics precedes the majority of soft tissue reactions ranging from hypertonicity to myofascial pain and dysfunction. Soft tissue is pain fi ber, or nocioceptively rich and constitutes the greater portion of a pain complex. Chiropractic care is at the heart of a neurologically based diagnostic protocol and SRA further clarifi es the science behind the clinical application of chiropractic care. SRA protocols for the application of CMT (chiropractic manipulative therapy) is a powerful tool that signifi cantly ramps up accuracy and effi cacy in virtually all chiropractic cases. Cross professional utilization of complimentary SRA procedures in Massage and Physical Therapy are proven effective adjuncts to the strong neurological base that constitutes the profession. Further complementation through SRA Nutritional protocols provide a health oriented long term benefi t to the chiropractic patient.

6

Ch

iro

pra

ctic

Chiropractic

Spinal Refl ex Analysis is core to the Chiropractic profession; whereas a working knowledge of clinical neurology, clinical presentation, and any one of numerous spinal manipulation / adjusting techniques places chiropractic in a favorable position to effectively treat the spinal refl ex syndrome. The procedural benefi t is found in rapid identifi cation and effi cient treatment. Direct and indirect neurological assist is noted with often profound reduction in symptoms and improved biomechanical function. Further case management is achieved through SRA training in ergonomics and postural re-education, nutrition and dietary strategies, and stress reduction. SRA based medical massage and physical therapy now become effective adjuncts to the spinal adjustment.

Adjustclinical neurology, clinical presentation, and any Adjustclinical neurology, clinical presentation, and any one of numerous spinal manipulation / adjusting Adjustone of numerous spinal manipulation / adjusting techniques places chiropractic in a favorable Adjusttechniques places chiropractic in a favorable position to effectively treat the spinal refl ex Adjust

position to effectively treat the spinal refl ex

with syndrome. The procedural benefi t is found in rapid

with syndrome. The procedural benefi t is found in rapid identifi cation and effi cient treatment. Direct and with identifi cation and effi cient treatment. Direct and indirect neurological assist is noted with often with indirect neurological assist is noted with often

SRAis achieved through SRA training in ergonomics SRAis achieved through SRA training in ergonomics and postural re-education, nutrition and dietary SRAand postural re-education, nutrition and dietary strategies, and stress reduction. SRA based medical SRAstrategies, and stress reduction. SRA based medical

7www.SpinalRefl ex.com 1-877-259-5520

Case Study:Patient: 47 year old male with chronic progressive cough and episodic esophogeal spasms, diffi culty swallowing, and respiratory constriction when supine at night leading to acute hypoxia. History: Mild GERD, extensive recurrent muscle and joint pain and spasms in the extremeties and cervical spine, chronic fatigue, multiple lumbar herniated disc and recent snowboarding related cervical spine whiplash.Findings: Vitals WNL with noted sub-optimal temp. (97.4 oral). Thyroid, blood count, and endoscopic eval. of esophogus WNL less suspected incomplete closure of the cardiac sphinchter and possible secondary esohogeal spasms. Diagnosis: Possible acalasia and mild GERD. SRA Findings: C3/C4 ASR secondary to cervical hyperfl exion sprain. T3 secondary ASR noted.Discussion: GERD and acalasia would explain the esophogeal spasms and diffi culty swallowing. However, the coupling of lower base temp. and extensive musculoskeletal history may implysub-clinical hypothyroidism aggrevated by cervical trauma, leading to global soft tissue hypertonicity.trauma, leading to global soft tissue hypertonicity.Treatment: 6 mo. Armour thyroid, dietary

changes, and SRA based cervical stabilization w/ CMT resulted in complete remission to three years follow-up evaluation.

7

Osteo

path

ic

Osteopathic

Spinal Refl ex Analysis for Osteopathic Medicine provides a system of rapid assessment and identifi cation of the primary involved spinal segment. Further emphasis on axial spinal refl ex induced somato-somato and somato-visceral refl exes is provided as a bases for systems management. SRA strategies in spinal manipulation and soft tissue techniques are emphasized and correlated to the cranial-sacral model and integrated with sympathetic-parasympathetic management.

Treat with provides a system of rapid assessment and

Treat with provides a system of rapid assessment and identifi cation of the primary involved spinal Treat with identifi cation of the primary involved spinal segment. Further emphasis on axial spinal refl ex Treat with segment. Further emphasis on axial spinal refl ex

SRAmanagement. SRA strategies in spinal manipulation SRAmanagement. SRA strategies in spinal manipulation and soft tissue techniques are emphasized and SRAand soft tissue techniques are emphasized and

Medical

Medical utilization of Spinal Refl ex Analysis protocols establishes systematic entry into determining the most prevalent factor in musculo-skeletal diagnostics. Through identifi cation of the involved axial spinal refl ex the physician can access the cascade of presenting symptoms and determine the most appropriate means of treatment. SRA provides the physician with an effective alternative to pain, muscle and infl ammatory medications, and early surgery through appropriate usage of alternative spinal and soft tissue therapies.

Medical

Medical Diagnostics and OMT ProceduresSRA procedures for medicine allows for enhanced accuracy in assessing neuro-musculo-skeletal status and its’ relationship to presenting symptoms. Differential diagnostics take on new meaning when the spinal refl ex mechanism is identifi ed and appropriate therapies are emphasized as adjuncts to, or alternates for, pharmacological options with safe and effective long term benefi t. Anti-infl ammatory diets and physical fi tness procedures for spinal strength and stability are included. Effective referral pathways are emphasized for maximum improvement. for maximum improvement. SRA based early detection and intervention of progressive osteoarthritis, neuralgia, neuritis, motor weakness, and visceral compromise allows for increased prevention of progression to surgical status.Viable OMT protocols are presented with clear relations to sympathetic/parasympathetic tonal affects and reduced visceral and hormonal impairment.

Refer Medical utilization of Spinal Refl ex

Refer Medical utilization of Spinal Refl ex Analysis protocols establishes systematic Refer Analysis protocols establishes systematic entry into determining the most prevalent Refer entry into determining the most prevalent

out axial spinal refl ex the physician can access out axial spinal refl ex the physician can access the cascade of presenting symptoms and out the cascade of presenting symptoms and determine the most appropriate means of out determine the most appropriate means of with Through identifi cation of the involved

with Through identifi cation of the involved axial spinal refl ex the physician can access with axial spinal refl ex the physician can access the cascade of presenting symptoms and with the cascade of presenting symptoms and determine the most appropriate means of with determine the most appropriate means of

SRASRA provides the physician with an

SRASRA provides the physician with an effective alternative to pain, muscle and SRAeffective alternative to pain, muscle and infl ammatory medications, and early surgery SRAinfl ammatory medications, and early surgery

Neu

rolo

gy

Neurology

SRA Neurological protocols effectively separate ‘hard-wired’ impingement syndromes from the more prevalent ‘soft-wired’ symptomology associated with myofascial, sclerotomal and myotomal sources. The spinal refl ex is noted to be at the core of most ‘soft-wired,’ or referred and ill-defi ned pain syndromes and neatly fi lls in this void in pain management. SRA reduces the ambiguity associated with multiple concurrent sensory and motor compression syndromes and allows for improved differential diagnostics.

8

Spinal Refl exes: Spinal Refl exes: The Orthopedic The Orthopedic Connection

Ort

ho

ped

ic

Orthopedic

Spinal Refl ex Analysis protocols have shown clinically signifi cant improvement in post surgical recoveries in ROM, pain and edema for elbow, shoulder, ankle, foot and spinal procedures. SRA protocols are presented to allow for pre and post surgical options in management and rapid recovery. Suggested therapeutic pathways are provided with clear and effective outcome based monitoring emphasized.

Treatment: CMT (chiropractic manipulative therapy) specifi c to SRA protocols was administered over two consecutive days with a complete remission in elbow, knee, and thigh symptoms, 85% reduction in headaches and visual blurring, third treatment after two day interlude 95% successful.Recommendations: Continue SRA based CMT, heat myofascial muscle condition 1x/day for two plus weeks, increase anti-stress and anti-infl ammatory dietary factors, actively modify posture and computer ergonomics. Implementation of SRA Therapeutic exercise program.

Case StudyPatient: 45 year old female with history of 4 surgical proceedures on the right knee dating from high school to 1996. Seperate orthopedic evaluations in 2000 confi rmed fi nal option as total knee replacement. Patient declined and tolerated pain, locking, edema, and restricted ROM for three additional years.Evaluation: Review prior records and recommendations.Noted right knee fl exion at 81degrees passive and 74 degrees active, Extension noted at -9 degrees. SRA Findings: Sac/T6 SRA patterns were treated utilizing CMT and Attachment Point Therapy. Right knee ROM increased to 134 degrees passive and 131 degrees activebefore discomfort was noted and post activity edema was negligable after 5 treaments. Patient has resumed snow-boarding and hiking and is retaining functional gains between treatments. Prolonged sitting triggers sacral ASR activity.Recommendations: Continue SRA based protocols until MMI is achieved. Emphasize SRA based exercise therapy for self management.

The Post Surgical Benefi ts of SRA can be Profound

Case StudyPatient: 43 year old female with prior history of chronic fatigue moderately resolved and no signifi cant trauma. Presentation: Four months of visual blurring of unknown etiology. Prior diagnostics and treatment included evaluation by neurologist, neuro-opthamologist, opthamologist, internist, chiropractor, naturopath, acupuncturist, herbalogist, massage therapist, and physical therapist. Tests include (unremarkable) brain MRI and blood workup. The response to treatment was marginal. Additional symptomology included bilateral elbow pain and ache, right wrist pain and binding, bilateral anterior thigh ache, bilateral knee pain, and frontal headaches.SRA Evaluation: Revealed a C2 spinal refl ex mechanism with secondary C5, T2, T5, L3, and S1 reactive segmental dysfunction. All muscle, ligament, and joint reactions noted per SRA patterns with direct correlation of sternal-clido-mastoid and trapezius myofascial referred headaches and visual blurring.

Neurology SRA Neurological protocols effectively Neurology SRA Neurological protocols effectively separate Neurology separate ‘hard-wired’ impingement syndromes from Neurology ‘hard-wired’ impingement syndromes from the more prevalent ‘soft-wired’ symptomology Neurology the more prevalent ‘soft-wired’ symptomology

improves associated with myofascial, sclerotomal and

improves associated with myofascial, sclerotomal and myotomal sources. The spinal refl ex is noted to improves myotomal sources. The spinal refl ex is noted to be at the core of most ‘soft-wired,’ or referred improves be at the core of most ‘soft-wired,’ or referred

with SRAand ill-defi ned pain syndromes and neatly fi lls in

with SRAand ill-defi ned pain syndromes and neatly fi lls in this void in pain management. SRA reduces the with SRAthis void in pain management. SRA reduces the ambiguity associated with multiple concurrent with SRAambiguity associated with multiple concurrent

Post Surg. Spinal Refl ex Analysis protocols have Post Surg. Spinal Refl ex Analysis protocols have shown Post Surg. shown clinically signifi cant improvement in post surgical Post Surg. clinically signifi cant improvement in post surgical

improves recoveries in ROM, pain and edema for elbow,

improves recoveries in ROM, pain and edema for elbow, shoulder, ankle, foot and spinal procedures. SRA improves shoulder, ankle, foot and spinal procedures. SRA protocols are presented to allow for pre and improves protocols are presented to allow for pre and post surgical options in management and rapid improves

post surgical options in management and rapid

with SRArecovery. Suggested therapeutic pathways are with SRArecovery. Suggested therapeutic pathways are provided with clear and effective outcome based with SRAprovided with clear and effective outcome based

SRASRA

SRASRAjournaljournal

SRAjournal

SRASRAjournal

SRASRAjournal

SRASRAjournal

SRA journal journalSRAjournal

SRASRAjournal

SRAjournal notes

continued from page 3

9 www.SpinalRefl ex.com 1-877-259-5520

Sp

orts P

erform

ance

Sports Medicine and PerformanceSpinal Refl ex Analysis for Sports Medicine places emphasis on the neurological aspect of strength and coordination. Research indicates that thirty-fi ve plus percent of muscle strength, coordination and output is non-mass related. SRA training and strengthening programs reduce neurological impairment of maximum performance and enhance balance, coordination, and core motion. Combined increases in accuracy, strength, endurance, and net recovery are realized. Rapid recovery allows for greater intensity and frequency in training.

Net Performance Enhancement through theSRA system

SRA is the only evaluation and management system available to effectively treat the axial spinal refl ex mechanism.

SRI continues to set newstandards in physical medicine and performance enhancement.

The SRA Sports Medicine module is composed of a basic and advanced course and will provide the therapist with rapid access and effi cient application for injury recovery and performance enhancement for the most common conditions and objectives. The SRA Sports Performance Specialist has an in depth commitment to mastering the SRA assessment and procedural standards used specifi cally in prof-fessional sports. The SRA - SPS portion is a highly sought certifi cation standard reserved for select professionals who wish to work with professional athletes and performing arts programs through SRI International.

Case StudyClient: 28 year old male professional cyclist with persistant left medial and inferior subpatellar knee pain for two years. Prior impact injury to lower extremity with a diagnosis of tibia bone bruise. History of physical therapy and massage resulting in marginal improvement. Current procedures included taping the patella to modify tracking. No evidence of improvement noted.SRA Findings: Sacral and C3/4 alternating compound spinal refl ex pattern was noted. Hypertonicity and attachment ten-donosis noted in the distal aspect of the sartorious and adduc-tors. Secondary iliotibial band and psoas contractures evident on the left more than the right. Noted Lt.>Rt. hip extension no greater than 14 degrees passive on the Lt. Treatment: AP Therapy coupled with CMT per SRA protocol resulted in immediate doubling of hip extension and negative knee pain under loading with intensive training on the same day.Recommendations: Spinal stabilization to reduce spinal refl ex induction of soft tissue impairment leading to aber-rant tibial and patellar tracking. Evaluate and modify cycling ergonomics.

Peak Spinal Refl ex Analysis for Sports Medicine places Peak Spinal Refl ex Analysis for Sports Medicine places emphasis on the neurological aspect of strength Peak emphasis on the neurological aspect of strength and coordination. Research indicates that thirty-Peak

and coordination. Research indicates that thirty-

Performance fi ve plus percent of muscle strength, coordination

Performance fi ve plus percent of muscle strength, coordination and output is non-mass related. SRA training Performance and output is non-mass related. SRA training and strengthening programs reduce neurological Performance and strengthening programs reduce neurological

with SRAimpairment of maximum performance and enhance

with SRAimpairment of maximum performance and enhance balance, coordination, and core motion. Combined with SRAbalance, coordination, and core motion. Combined increases in accuracy, strength, endurance, and net with SRAincreases in accuracy, strength, endurance, and net

SRA application for a C3 ASR has shown clinical SRA application for a C3 ASR has shown clinical increases in net ROM of 52% for an end point total knee replacement candidate with medial compartment bone on bone, numerous cases of complete resolution of medial knee pain with professional cyclists, and post surgical resumption of full ROM in unresponsive rehab cases.

Case Studies developed for publicationThe case studies on low-back pain, and knee pain and edema in the elderly patient as a result of axial spinal refl ex reactions to bifocals is complete and under submission to related Physical Medicine Journals. This body of study was performed and submitted by Dr. Frank Jarrell.The preliminary study of frequent non-traumatic rotator cuff and frozen shoulder misdiagnosis and its’ alternate origin in L5 and cervical axial spinal refl exes is currently underway by Dr. Frank Jarrell and will be complete in the spring of 2004.Studies on post surgical knee and shoulder ROM and functional restrictions are in planning and preliminary

Spinal Refl ex Analysis SRA is a system of evaluation and treatment strategies designed to identify the most prevalant causative mechanism of physical pain and dysfunction: the spinal refl ex (ASR).SRA is the only clinically proven system for the identifi cation and treatment of the spinal refl ex syndrome.Whether caused by trauma, disease, or lifestyle, SRA procedures have proven invaluable in reducing acute and chronic pain, stiffness, discomfort, and poor performance. Improvement is seen in a variety of conditions ranging from traditional aches and pain, unresponsive post surgical procedures, injury recovery, to notable gains in athletic performance.SRA is the pivitol point in physical medicine.Ask your therapist or doctor today if they are using SRA procedures.

Patterns are formed in our tissues that refl ect the current and historical status of our functional health… and we can read these patterns as a language. SRA is the language between the nervous system, the spine, and the soft tissue of the body.”The Diagnosis and Treatment of Spinal Refl ex Syndromes, Dr. Frank Jarrell

SRA is the tool to “turn off” spinal refl exes!

Each vertebra produces refl exive contractions in not just one muscle, but in many muscles and ligaments throughout the body. These spinal refl exes can be strong or weak, and will cause persistent spasms that lead to long term fatigue, ache, pain, stiffness, joint compression and subsequent wear (arthritis).Spinal refl exes can be “turned on” and can “get stuck” when we are injured, stressed or affected by the many physical, chemical, and emotional challenges of modern life. General aches and pain, acute and chronic muscle spasms, compensatory posture, scoliosis, myofascial pain, sclerotomal pain, chronic joint pain, rotator cuff and knee pain, poor recovery from knee and shoulder surgery, elbow and wrist pain, headaches, neck and back pain, stiffness and more… can be caused by or infl uenced by spinal refl ex syndromes.

Information for the Client or Patient

The Language of SRAClient/PatientSpinal Refl ex Analysis is for the client or patient with nerve, muscle, and joint pain. The effects of the axial spinal refl ex on the bodies systems and performance is the center of the SRA process.

Therapeutic benefi t can be profound when identifying and treating the spinal refl ex condition. An SRI, International certifi ed therapist, doctor, or specialist is the only trained and credentialed provider to render SRA Therapy according to SRI, International’s stringent standards.

Log onto www.SpinalRefl ex.com to view a list of certifi ed practitioners in your area.

Clie

nt

/ Pat

ien

t

Reach for SRA... an ageless aproach to a modern world!

“The SRA analysis and adjustment were by far the most thorough and comprehensive that I have experienced.” A. King

“The method you used in your Chiropractic workshop with regard to my “frozen shoulder” issue has had continued success thus far. I have retained what I would guess to be at least

97% of the virtually full range of motion you got me to during the session. Additionally, throughout Sunday and Monday following I did not experience any of the range of motion pain I had been experiencing on a regular daily basis for weeks in my work and leisure movements. It’s funny how it takes a while to dawn on you that “hey, I reached for that item and it didn’t hurt like it always does.” K. Burgess

10

www.SpinalRefl ex.com 1-877-259-5520

SRASRA

SRASRASRAjournaljournal

SRAjournal

SRASRAjournal

SRA journal journal

SRAjournal

SRAjournal

SRAjournal

SRASRAjournal

SRAjournal notes

continued from page 9

11

Visit SpinalRefl ex.com or call 1-877-259-5520 for a list of SRA Level I, Level II, or Level IIIpractitioners near you.

SRA Certifi cation and TrainingThere are three levels of SRA certifi cation, each qualifying the practitioner for a distinct profi ciency to deliver care within the scope of their profession through SRA therapeutic protocols.

Level I Basic certifi cation qualifi es a practitioner to perform fundamental identifi cation for specifi c treatment of simple spinal refl ex patterns, SRA case management basics, and essential inter-professional referral protocols.Client/Patient conditions best served by this level are general musculo-skeletal pain and discomfort, low grade chronic conditions, and clients or patients referred for general SRA care. Material is scope of practice specifi c for your fi eld of physical medicine.

Level II Advanced certifi cation qualifi es the practitioner to evaluate and treat compound spinal refl ex patterns, identify ergonomic, repetitive motion, and trauma induced causes, establish advanced case management and inter-professional relations. Client/Patient conditions best served by this level are acute and chronic neuro-musculo-skeletal conditions, compound refl ex patterns, patients and clients utilizing multiple practitioners. Material is scope of practice specifi c for your fi eld of physical medicine.

Level III Specialist certifi cation contains two divisions: SRA Health Care Specialist and SRA Sports Performance Specialist. Each qualifi es the practitioner to assess and acquire a clinical standard of evaluation and treatment including differential assessment, complex and goal specifi c case management and performance.Client/Patient/Athlete conditions best served by this level are acute, chronic, or trauma based conditions, complicated health history, post orthopedic surgical recovery, unresponsive or abandoned cases, collegiate or professional athletic performance enhancement and injury recovery, and performing arts. Material is scope of practice specifi c for your fi eld of physical medicine.

Prerequisite and Training:Level I Basic Certifi cation is 16 hours and requires current certifi cation or licensure in your fi eld according to your state requirements.

Level II Advanced certifi cation is 16 hours and requires Level I Basic certifi cation and profi ciency.

Level III Specialist Certifi cation Program – All Level II graduates may apply for enrollment in Level III Specialist Certifi cate Program. This is an advanced professional curriculum and enrollment is limited. Call for details.

Reach for SRA... an ageless aproach to a modern world!

clinical data shows signifi cant promise as a viable post operative protocol for accelerating recovery through soft tissue and manipulative therapies. Clinical application of SRA based APT, CMTand PT procedures show reduced post surgical pain and dysfunction with this program. This research project will include solicitation to regional orthopedic doctors for collaboration. Contact SRI, Intl. for inclusion in this research project.

SRA based exercises for strengthening and performanceBob Culver, NCMT, MES is expanding upon our current program of accelerated MVA and sports injury recovery protocols. This material is progressing into the development of spinal strengthening and sports enhancement exercises based on current SRA research. Continued expansion of spine centered ergonomic education is under development.

SRA curriculum in place for use in NVCC Myotherapy ProgramSRA based material has been accepted for inclusion in the continuing education curriculum of the Northern Virginia Community College system. Ms. Tricia Grafelman, NCTMB, former science teacherand current instructor in Anatomy, Physiology, and Massage, attended the December 2003 SRA course held in Manassas, VA. She is instrumental in developing potential integration of SRA materials in the NVCC system, and is working toward SRA Instructor Certifi cation. She is author of Graf’s Anatomy and Graf’s Physiology: two preliminary review and reference texts recommended for the Level I and Level II courses in Medical Massage. She can be contacted at GrafsAnatomy.com or linked via SpinalRefl ex.com

SRA shows tremendous potentialSRA AP and CMT procedures show tremendous potential in preliminary application to athletic recovery and performance. Fort Lewis College women’s basketball player returns to conference playoffs with complete resolution of pain and spasms after three treatments over two days. Condition was marginally responsive to ER care prior to SRA. Also: Effective elimination of knee pain noted with two world class cyclists in 1-2 treatments. Ultramarathonist experiences doubling of hip fl exor and quadracept ROM in one treatment and continued hip stabilization over 6 weeks @ 1x / wk.

“PR

SR

T S

TD”

U.S

. PO

STA

GE

PAID

DU

RA

NG

O, C

OP

ER

MIT

NO

. 699

1111

Cam

ino

Del

Rio

Dur

ango

, CO

813

01U

SA Me

dic

al

Ma

ssa

ge

Ph

ysic

al

Th

era

py

Ch

iro

pra

cti

c

Oste

op

ath

ic

Me

dic

al

Ne

uro

log

y

Ort

ho

pe

dic

Sp

ort

s P

erf

orm

an

ce