How to Apply TheraTogs – Listen to the Story

TheraTogs are applied based on intended affect or change that the therapist and medical team define for the patient. The application of TheraTogs relies on the therapist understanding Muscle Balance theory ( Shirley Sahrmann’ s work). Or, TheraTogs relies on the therapist listening to the story told by shortened tissues:

Shortened muscles are short after prolonged chronic, tonic recruitment. Shortened tissues reveal the ‘known and familiar’ (however pathologic) postural control or movement strategies. Shortened tissues remind therapists that the sensorimotor system ‘knows” these muscles and strategies.

So, how does this help with applying TheraTogs? Shortened muscles are clues. Discover the recruitment strategies that built them. This helps in understanding when and how to apply TheraTogs. Lengthening the short muscles only depletes the effectiveness of the known, pathologic strategy. With no better strategy in place and no knowledge of how to build one, the same strategies persist as demonstrated by recurrence of contractures and deformities.

Work for a strategy change. The strategy change is equivalent to the strapping goals. Improve postural alignment (first) and improve base of support (BOS) all day.

Wear it, Live it, Learn it

Wear it

TheraTogs works when therapists strive for optimum muscle length. How? Shorten long muscles before you lengthen short muscles. Give a more effective strategy before removing the existing one. The garments are engineered to provide the base or foundation for postural support. Strapping is added based on assessing the story told by the shortened muscles. Find the relative point of flexibility (the point where support is needed) and add strapping based on supporting and creating improved postural alignment and improved base of support. When you add strapping, create the improved weight line.

Live it and Learn It

Allow the patient to learn excellent execution with improved postural alignment and base of support (BOS.)

Allow the patient to practice (i.e. live in) excellent execution. Allow the patient to achieve excellence and success with new recruitment patterns.

Depending on the indication and diagnosis, a child may have to live and learn a new story (strapping strategy) longer than another. By continual assessments, a new strapping strategy is not added until the first strategy is learned. New strategies are learned as a progression, over time.

TheraTogs Applications

  • Facilitate Trunk Extension
  • Reduce Upper Trunk Rotation
  • Facilitate Trunk Flexion / Reduce Opisthotonus
  • Facilitate Trunk and Hip Extension
  • Reduce Pelvic Rotation
  • Reduce Excessive Anterior Pelvic Tilt
  • Facilitate Increased Lumbar Lordosis and Hip Flexion
  • Apply Vertical Compression for Ataxia / Reduce Hip Adductor Dominance
  • Facilitate Hip Abduction and Stability / Reduce Scissor Gait
  • Facilitate Hip Lateral Rotation
  • Facilitate Hip Medial Rotation
  • Facilitate Hip Extension
  • Reduce Excessive Lateral Leg Rotation
  • Reduce Excessive Medial Leg Rotation
  • Facilitate Knee Extension
  • Reduce Knee Hyperextension
  • Facilitate Knee Flexion
  • Manage Genu Varum Due to Ligament Laxity
  • Manage Genu Valgum Due to Ligament Laxity
  • Reduce Excessive Lateral Leg Rotation
  • Reduce Excessive Medial Leg Rotation
  • Facilitate Knee Extension
  • Reduce Knee Hyperextension
  • Facilitate Knee Flexion
  • Manage Genu Varum Due to Ligament Laxity
  • Manage Genu Valgum Due to Ligament Laxity
  • Facilitate infant trunk control
  • Facilitate infant neck control and neck strength
  • Facilitate sensory input
  • Limit excessive trunk motions
  • Facilitate alignment of hips and/or shoulders
  • Stabilize one or both scapulae
  • Facilitate respiration by reducing flexible kyphosis

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