Education

Arlene Ross received her Physical Therapy degree from the University of Maryland in 1993. She earned a Master’s Degree in Dance Theatre at Case Western Reserve University in Cleveland">

 

Education

Arlene Ross received her Physical Therapy degree from the University of Maryland in 1993. She earned a Master’s Degree in Dance Theatre at Case Western Reserve University in Cleveland, Ohio in 1974, and a Bachelor’s Degree in History from Queens College in Flushing, New York in 1969. Arlene became a Certified Muscular Therapist in 1979, a Certified Teacher of the Alexander Technique in 1981 and a Certified Practitioner of Zero-Balancing in 1983.  Arlene is a licensed Physical Therapist and a certified practitioner of Frequency Specific Microcurrent.

Treatment Philosophy

Arlene Ross combines traditional Physical Therapy interventions, manual therapy and gentle modalities to create a comprehensive approach to treating musculo-skeletal and other physical problems. Therapeutic interventions include Frequency Specific Microcurrent, Zero-Balancing, Craniosacral Therapy, Vestibular Therapy, Lymphedema Therapy, The Alexander Technique of Postural Re-education, Joint Mobilization, Strain and Counterstrain, Functional Manual Therapy and Therapeutic Exercise.

Background & Experience

Arlene Ross currently practices Physical Therapy at RiverHill Wellness.  She worked as a Physical Therapist at Central Maryland Rehabilitation Center in Columbia, Maryland from 1995 to 2001, seeing a varied patient population with both orthopedic and neurological problems. She worked at Howard County General Hospital in the Physical Therapy Department from 1993 to 1995, working with both inpatient and outpatient populations. Arlene had a private practice in Movement Therapy from 1979 to 1993, using the techniques of Muscular Therapy, Zero-Balancing, Craniosacral Therapy and the Alexander Technique of Movement Re-education. Arlene taught Movement Therapy at the University of Maryland - Baltimore County as an adjunct professor from 1978-1982. She also taught elementary school in Buffalo, New York from 1969-1972, and Modern Dance in Columbia, Maryland from 1974-1977.



MANUAL THERAPY

Manual Therapy is a form of Physical Therapy intervention that encompasses various hands-on techniques that decrease pain and minimize soft tissue and joint restrictions.  Arlene Ross, Physical Therapist at RiverHill Wellness Center , employs the following gentle Manual Therapy techniques:  Zero-Balancing, Craniosacral Therapy, Strain and Counterstrain, Mulligan Joint Mobilization, and Functional Manual Therapy.   

  • Zero-Balancing – Zero-Balancing (ZB) is a hands-on bodywork system designed to work simultaneously with the structure and energy of the body.  Zero-balancing works through a touch at “interface”, where the hands of the therapist and the body of the patient meet mutually.  In the ZB system, this interface occurs at specific bony points, referred to as foundation or semi-foundation joints.  Foundation joints are the cranial sutures, sacroiliac articulations, symphysis pubis, and intratarsal and intracarpal articulations.  They are unique because their motion is of extremely small range, involuntary and outside conscious awareness. A small dysfunction here may result in a significant limitation of the movement potential of the individual.  Semi-foundation joints are the intervertebral articulations, rib joints, clavicular articulations and costochondral joints.  They differ from the foundation joints only in their slightly larger range of motion and muscular attachment.  When imbalance is detected, a specific method of contact called a fulcrum is used to restore balance.  In a Zero-Balancing session the client remains clothed.  The session proceeds through a protocol, with the therapist contacting specific points at the pelvis, mid-back, low back, hips, feet, ribs, shoulders, neck and occiput.  Areas of the body where there is a loss of function or movement potential through stress, injury or habit may be restored to full vitality.  Zero-Balancing is particularly effective for treatment of neck pain, back pain, upper trapezius pain and headaches. 
  • Craniosacral Therapy – Craniosacral Therapy is a non-invasive and indirect approach to restoring mobility to the central nervous system.  It embraces the concept that there is mobility between the cranial bones, mobility between the sacrum and ilia, and reciprocal tension membranes called the dura that regulate the movement in this system.  Distortions in the movement pattern of the cranium, the sacrum and the dural membrane system can be responsible for signs and symptoms locally and distally.  Craniosacral rhythmic impulses, which occur at 6 to 12 cycles per minute, can be felt throughout the body, but are strongest when contacted at the cranial bones or at the sacrum.  A whole series of holds designed to influence different aspects of the system are utilized by the therapist to alter bony or membrane restrictions.  This technique can successfully treat problems such as headaches, back and neck pain, and pain resulting from trauma to the head or spine. 

  • Strain and Counterstrain -  Strain and Counterstrain is an indirect and gentle manual therapy technique that involves putting painful and restricted areas of the body into positions of greatest comfort. Pain is decreased by decreasing the activity of the muscle proprioceptors.  Diagnosis is made by the presence of specific tender points that are found in painful muscles.  These tender points, which exist throughout the body, are shut off by markedly shortening the painful muscle that contains a malfunctioning muscle spindle.  The therapist holds the position of comfort for 90 seconds, which decreases the discharge in the muscle spindle and allows the muscle to return to its normal length . The muscle is then returned to neutral slowly, allowing the new muscle length to fully establish itself.  Increased range of motion, relief of pain, and improved joint function results.  Strain and Counterstrain is useful for both acute and chronic pain conditions, and its gentleness makes it safe and effective for treating patients of all ages. 

  • Mulligan Joint Mobilization – This technique of joint mobilization, also referred to as “mobilization with movement”, is unique in that it employs the movement of the patient to help achieve the desired outcomes.  Instead of using thrusting techniques, the patient moves in a specific direction as the therapist guides the restricted body part to release.  It is a non-invasive and comfortable intervention, and has applications for the spine and the extremities.  Mobilization with movement has the potential to quickly restore functional movements in joints, even after many years of restriction.
  • Functional Manual Therapy – Functional Manual Therapy is an approach to manual therapy that combines several different techniques.  Following a systematic evaluation, the patient performs gentle active movement while the therapist simultaneously provides soft tissue mobilization to the joint, muscle and fascia of the restricted and painful area of the body.  Functional Manual Therapy takes into account the connection between the central and peripheral nervous systems.  It is very effective for treating chronic pain and joint restrictions of the spine and extremities.

FREQUENCY SPECIFIC MICROCURRENT

Frequency Specific Microcurrent is a physical therapy modality providing electric current in millionths of an ampere.  It has the ability to relieve pain, increase the rate of wound healing, increase protein synthesis, stimulate the regeneration of injured tissue, stimulate lymphatic flow and relieve myofascial trigger points.  Because microcurrent flows at one millionth of an ampere, it is delivered on the same scale as the current the body produces on its own in each cell, and it is therefore physiologic.  Microcurrent is subsensory and cannot be felt while it is being delivered because there is not enough current to stimulate the sensory receptors.  Traditional electrotherapy units such as TENS, interferential and high volt deliver current in milliamps, which a higher level of current.  They can cause muscle contraction and microcurrent cannot.

Microcurrent increases ATP production by 500%.  ATP is the primary molecule from which our body produces energy, and it is found in every cell of the body,  In a study done by Ngok Cheng, M.D. entitled “The Effects of Electric Current on ATP Generation, Protein Synthesis and Membrane Transport in Rat Skin”, it was demonstrated that ATP production increased five times with currents from 50 uA to 1000 uA.  With currents exceeding 1000 uA, which is the milliamp range, ATP production leveled, and with 5000 uA ATP production was reduced slightly.  Microcurrent was also shown to increase protein synthesis and amino acid transport.

Frequency Specific Microcurrent applied to injured tissue supports the natural current flow in the tissue, allowing cells in the traumatized area to regain their capacitance, or flow of electrons.  Trauma affects the electrical potential of the damaged cells.  The injured area has a higher electrical resistance than the surrounding tissue.  This decreases electrical conductance through the injured area, and decreases cellular capacitance, leading to impairment of the healing process and inflammation.  When microcurrent is applied, resistance is reduced, allowing bioelectricity to flow through and reestablish normal function.  This process helps to initiate and perpetuate the many biochemical reactions that occur in healing.  In Frequency Specific Microcurrent, specific frequencies are used for varying tissues and conditions, often providing softening of the tissue and decreased pain.  This softening and the pain relief that comes with it seems to be long lasting and in many cases permanent.

Frequency Specific Microcurrent may be beneficial for the following conditions:

  • Chronic and Acute Spinal Pain

  • Chronic and Acute Low Back and Neck Pain

  • Orthopedic Injuries

  • Fibromyalgia  

  • Myofascial Pain

  • Tendon and Ligament Repair

  • Fractures

  • Edema/Lymphatic Drainage

THE ALEXANDER TECHNIQUE

The Alexander Technique is a form of postural re-education directed at improving our daily movement activities.  Poor postural habits are a primary cause of pain and injury.  F. Matthias Alexander, an actor who solved his own problem of repeated loss of voice, developed the technique in the 1890’s.  Students of the Alexander Technique learn to observe themselves in action and to become aware of their particular tension and movement patterns.  Activities such as walking, standing, sitting at a computer, driving a car, playing a musical instrument, cooking, lifting, jogging, playing golf, etc., are observed in the patient and evaluated as to their potential to cause pain and dysfunction if not performed correctly.  Once the patient becomes aware of their incorrect performance of any particular activity, they can begin to change the organization of their movement behavior.  The patient is encouraged to become aware of their movement habits and to change to newer and easier ways of moving that they have learned from the therapist.

Teachers of the Alexander Technique are trained to sense tension in the patient’s body, and through gentle touch to encourage freely flowing movement.  Patients are guided to understand, kinesthetically, the directions of body organization that help to create ease of movement.  For example, the head-spine relationship is crucial to proper body alignment.  Downward pressure of the skull on the spine exaggerates the natural curve of the spine, contributing to lordosis, kyphosis, or scoliosis.  The weight of the head pressing down on the spine encourages a pattern of compression for the whole body.  The Alexander Teacher guides the student’s head to move in the upward direction so that the spine can lengthen in both headward and tailward positions.  This release of the spine expands the middle back, helping the lower back and ribs to spread on inhalation.  Lengthening the spine is not the same as holding it straight.  Holding the back flat or the spine straight reduces flexibility.  The spine can lengthen while it is curving and twisting because the vertebrae are being afforded more space in which to separate. 

The Alexander Teacher guides the patient to direct their energy and movement for all areas of the body and for any activity that the patient performs.  After repeated guided kinesthetic experiences, students of the Alexander Technique come to sense their former static tensions as uncomfortable and alien.  New movement patterns replace old patterns of misuse that may cause pain and dysfunction.  These new movement patterns facilitate the improvements that the patient is making in physical therapy, and help to prevent problems from arising in the future.

THERAPEUTIC EXERCISE

Therapeutic Exercise is an integral part of the practice of physical therapy.  It is important for patients to have strong and lengthened muscles, flexible joints, and good aerobic conditioning.  Patients often incur injuries due to tight and weak muscles and restriction at the joints, and these problems must be addressed as part of the therapeutic process.  Four kinds of exercise are important for an overall exercise program:  stretching exercise, strengthening exercise, flexibility exercise, and aerobic exercise.  These exercises are introduced at appropriate times during the therapeutic process.  For example, a patient who has recently had a repair of the rotator cuff tendons of the shoulder must adhere to a specific protocol of exercise progression to protect the integrity of the surgical intervention.  Exercises are gradually introduced to stretch and strengthen the tissue and enhance joint mobility, while still protecting the joint.  If a patient has suffered a back injury, gentle stretching exercises are generally introduced early on, and these progress as the patient improves.  Strengthening and aerobic exercise will be recommended as the back pain decreases and trunk and hip mobility increases.  All therapeutic exercise programs taught at the RiverHill Wellness Center are individualized for the particular needs of the patient.  They are aimed at facilitating the healing process and preventing the pain or injury problem from returning.

 

 

 

 

 

 

 

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