(2) FPR/Stills, Innominate, Sacrum & Ribs

Question 1

Innominate Diagnosis

Answer 1

Question 2

Sacral Diagnosis

Answer 2

Question 3

Palpation of Ribs 1-2

Answer 3

Question 4

Palpation of Ribs 3-6

Answer 4

Question 5

Palpation of Ribs 7-10

Answer 5

Question 6

Rules for Rib 11-12 Inhalation SD

Answer 6

Question 7

Rules for Ribs 11-12 Exhalation SD

Answer 7

Question 8

Palpation of Ribs 11-12

Answer 8

Question 9

Naming Rib diagnosis

Answer 9

Question 10

FPR is a treatment method in which a dysfunctional body region is addressed with a combination of ____, _____, and placement into ______

Answer 10

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.

Question 11

FPR indications

Answer 11

Myofascial or articular SD

Question 12

FPR absolute CONTRAindications (3)

Answer 12

1. Unstable fracture affected by treatment positioning
2. Manifestation of neurological sx brought on by tx position
3. Exacerbation of potentially life-threatening symptomatology by tx position (EKG changes, drop in o2 saturation) in a monitored patient

Question 13

FPR Relative Contraindications (4)

Answer 13

1. Tx is not well tolerated or significant symptoms or signs occur during the process
2. Comorbidities that place the pt at risk for fx (e.g severe osteoporosis, malignancy)
3. Moderate to severe joint instability
4. Spinal stenosis/nerve root impingement where positioning could exacerbate the condition

Question 14

FPR Proposed Mechanism:

SD is initiated or maintained by _____ activity in the _____ motor neurons

Answer 14

Somatic dysfunction is initiated or maintained by increased activity in the gamma motor neurons of the muscles of a particular segment

Question 15

FPR Proposed Mechanism:

Positioning the muscle in neutral position results in inverse _____ _____.

Answer 15

Inverse spindle output

Question 16

Inverse spindle output in FPR eliminates what?

Answer 16

Afferent excitatory input to spinal cord through Group 1a and II fibers =>

Tension and hypertonicity of extrafusal muscle is reset

Question 17

FPR results in positive input upon ______ and ______ activity

Answer 17

Proprioceptive and nociceptive activity

Question 18

What is the the body’s initial response to FPR? Followed by what?

Answer 18

Soft tissue followed by articular

Question 19

Steps of FPR

Answer 19

Question 20

When is the activating force applied in FPR Pelvic techniques?

Answer 20

AFTER positioning

Question 21

When is the activating force applied in FPR rib techniques?

Answer 21

BEFORE positioning

Question 22

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?

Answer 22

Still Technique

Question 23

Indications for Still’s Technique

Answer 23

EVERYWHERE (cranium, spine, pelvis, limbs, muscles, tendons, ligaments, viscera)

in EVERYONE (all ages)

Question 24

Contraindications to Still’s technique

Answer 24

Recent wounds (surgical/otherwise)

Fx >6 weeks old

Question 25

Steps to Still Technique

Answer 25