(2) FPR/Stills, Innominate, Sacrum & Ribs Flashcards
Innominate Diagnosis
Sacral Diagnosis
Palpation of Ribs 1-2
Palpation of Ribs 3-6
Palpation of Ribs 7-10
Rules for Rib 11-12 Inhalation SD
Rules for Ribs 11-12 Exhalation SD
Palpation of Ribs 11-12
Naming Rib diagnosis
FPR is a treatment method in which a dysfunctional body region is addressed with a combination of ____, _____, and placement into ______
A treatment method in which a dysfunctional body region is addressed with a combination of neutral positioning, application of an activating force (compression, torsion or distraction) and placement into a position of ease.
FPR indications
Myofascial or articular SD
FPR absolute CONTRAindications (3)
- Unstable fracture affected by treatment positioning
- Manifestation of neurological sx brought on by tx position
- Exacerbation of potentially life-threatening symptomatology by tx position (EKG changes, drop in o2 saturation) in a monitored patient
FPR Relative Contraindications (4)
- Tx is not well tolerated or significant symptoms or signs occur during the process
- Comorbidities that place the pt at risk for fx (e.g severe osteoporosis, malignancy)
- Moderate to severe joint instability
- Spinal stenosis/nerve root impingement where positioning could exacerbate the condition
FPR Proposed Mechanism:
SD is initiated or maintained by _____ activity in the _____ motor neurons
Somatic dysfunction is initiated or maintained by increased activity in the gamma motor neurons of the muscles of a particular segment
FPR Proposed Mechanism:
Positioning the muscle in neutral position results in inverse _____ _____.
Inverse spindle output
Inverse spindle output in FPR eliminates what?
Afferent excitatory input to spinal cord through Group 1a and II fibers =>
Tension and hypertonicity of extrafusal muscle is reset
FPR results in positive input upon ______ and ______ activity
Proprioceptive and nociceptive activity
What is the the body’s initial response to FPR? Followed by what?
Soft tissue followed by articular
Steps of FPR
When is the activating force applied in FPR Pelvic techniques?
AFTER positioning
When is the activating force applied in FPR rib techniques?
BEFORE positioning
What technique first places the dysfunctional region in indirect position, followed by an axial force to carry the region toward or through the restrictive barrier?
Still Technique
Indications for Still’s Technique
EVERYWHERE (cranium, spine, pelvis, limbs, muscles, tendons, ligaments, viscera)
in EVERYONE (all ages)
Contraindications to Still’s technique
Recent wounds (surgical/otherwise)
Fx >6 weeks old
Steps to Still Technique
