13: BLT, FPR, Still's

Question 1

Three reasons to use an indirect technique

Answer 1

1. Pt/practitioner preference
2. Direct may be contraindicated
3. Direct treatment isnt working

Question 2

Three major indications for indirect treatment

Answer 2

1. SD
2. Muscle hypertonicity
3. Short on time

Question 3

Four steps in BLT

Answer 3

1. Diagnose SD
2. Place in indirect position
3. Use activating force
4. Return to neutral and evaluate TART findings

Question 4

Activating force used in BLT

Answer 4

Inherent respiration; using the breathing phase associated with the greatest ease

Question 5

Inhalation vs exhalation in moving the spine

Answer 5

Inhalation: flattens spine in the anterior/posterior direction
Exhalation: increases anterior/posterior spinal curves

Question 6

Five steps in FPR, facilitated positional release

Answer 6

1. Make diagnosis
2. Flatten/neutralize the curve
3. Add compression and place pt in a shifted neutral position
4. Hold 3-5 seconds
5. Return to neutral, assess for TART findings

Question 7

Physiology of FPR

Answer 7

1. 1a-afferent + y-efferent activities interact
2. Intrafusal fibers can return to normal length -> 1a-afferent signals decrease -> decreased tension in extrafusal fibers -> muscle achieves normal length and tone

Question 8

How is Still’s technique a combined technique?

Answer 8

Starts indirect, ends in a direct position

Question 9

Five steps in Still’s technique

Answer 9

1. Diagnose DS
2. Move to position of ease
3. Apply localizing force
4. Articulatory movement - moving through the restrictive barrier
5. Release force vector, return to neutral, reassess for TART findings