7: ST, MFR, INR Flashcards
Direct vs indirect OMT technique
Direct: takes tissues towards restrictive barrier
Indirect: takes tissues away from restrictive barrier
What tissues are considered “soft tissue”
Fascia, muscles, organs, nerves, vasculature, lymph vessels, fat, skin
Three things that are NOT considered soft tissue
Tendons, ligaments, aponeuroses
Technical definition for soft tissues
All the tissue in the body that is not hardened by ossification or calcification
Fascia
Thin sheath of fibrous tissue enclosing a muscle or organ
Does fascia contain nerves?
Yes - so fascia can sense stress/injury and react to it
Two things to be sure of when starting OMT involving the patient and physician
- Pt should be comfortable and relaxed
2. Physician should be comfortable, able to minimize energy expenditure, and able to use body weight for treatment
What type of technique is ST?
Direct and repetitive
Four typical components of ST
- Lateral stretching
- Linear stretching
- Deep pressure
- Traction
Four reasons to use ST Technique
- Somatic dysfunction
- Clinical conditions such as hypertonic muscles, excess tension, etc.
- Diagnostically
- In preparation for another OMT technique
How can ST be diagnostic?
It can be used to ID areas of somatic dysfunction or restricted motion
Three possible reactions to ST
- Ecchymosis
- Acute muscle spasms
- Post-OMT soreness
Three absolute contraindications for ST
- Lack of consent
- Skin or soft tissue not intact
- Absence of somatic dysfunction
Traction/stretching
Origin and insertion of myofascial structures are longitudinally separated
Kneading
Rhythmic, lateral stretching of myofascial structures with origin and insertion held stationary; central portion is stretched like a bowstring