5. BLT FPR ST

Question 1

engage the restrictive barrier directly

Answer 1

direct techniques

Question 2

positioning away from the restrictive barrier to perform tx

Answer 2

indirect treatment

Question 3

founder of this indirect technique: cranial tehcnique (BMT)

Answer 3

Dr. William Sutherland, DO

Question 4

founder of this indirect technique: dynamic neutral point of joint motion

Answer 4

Dr. Harold Hoover, DO

Question 5

founder of this indirect technique: first used the term “BLT”

Answer 5

Dr. Anne Wales, DO

Question 6

founder of this indirect technique: strain-counterstrain

Answer 6

Dr. Lawrence H. Jones, DO (1955)

Question 7

founder(s) of this indirect technique: facilitate positional release

Answer 7

Dr. Stanley Schiowitz, DO & Dr. Eileen DiGiovanna, DO (1977)

Question 8

Are (1) Still’s, (2) BLT, and (3) FPR indirect or direct?

Answer 8

1. combinaton
2. indirect
3. indirect

Question 9

place patient in indirect position

utilize activating force

hold until “air hunger”

Answer 9

BLT: balanced ligamentous tension

Question 10

3 principles of BLT

Answer 10

1. disengangement of the dysfunctional area
2. exaggeration of dysfunctional pattern
3. balanced tension of the ligaments

Question 11

What is the activating force of BLT?

Answer 11

inherent respiration (respiratory assist) & holding until air hunger

[breathing/respiratory phase associated w/ greatest ease]

Question 12

flattens the spine in the anterior-posterior direction

Answer 12

inhalation

Question 13

increases AP spinal curves

Answer 13

exhalation

Question 14

indications of BLT

Answer 14

• ligamentous articular strain
• lymphatic congestion or local edema

Question 15

contraindications of BLT

Answer 15

• fx, dislocation, instability
• open wounds
• soft tissue/bony infxn
• abscess
• DVT
• malignancy

Question 16

What is the goal of BLT?

Answer 16

balance the articular surfaces’ directions of physiologic motion common to that articulation

Question 17

Which tenet of osteopathy is emphasized with BLT?

Answer 17

2nd tenet

Question 18

flatten or neutralize the curve

add compression (<1 lb)

indirect positioning

hold 3-5 seconds and return to neutral

Answer 18

FPR: facilitated positional release

Question 19

What is the mechanism of FPR?

Answer 19

interaction b/w 1-alpha-afferent and gamma-efferent activity

intrafusal fibers allowed to return to normal length (1 alpha-afferent signals decrease)

muscles achieve normal length and tone

Question 20

Name secondary effects of FPR.

Answer 20

improved lymphatic drianage

venous drainage

improved fluid dynamics

Question 21

indications of FPR

Answer 21

• muscle hypertonciity
• all SD
• time crunch

Question 22

contraindications of FPR

Answer 22

• unstable fx
• manifestation of neurologic symptoms
• life-threatening symptoms
• wounds <6 weeks
• joint instability

Question 23

move to position of ease (indirect position)

apply force vector (localizing force <5 lb)

apply articulatory movement (move through RB & maintain force)

release force vector (AB is attained)

return to neutral

Answer 23

Still’s technique

Question 24

Who coined the name “Still’s Technique”?

Answer 24

Dr. Richard von Buskirk, DO, PhD (2000)