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
Inhibition
Sustained deep pressure over hypertonic myofascial structure
What type of technique is MFR?
Can be direct, indirect, or combined
Myofascial release
System of diagnosis and treatment which engages continual palpatory feedback to achieve release of myofascial tissues
Indication for MFR
Somatic dysfunction
Two things to know before doing MFR too aggressively
- Overly aggressive intervention will be counterproductive
2. Flare-ups are possible for people with autoimmune or inflammatory disorders
Two absolute contraindications for MFR
- Lack of consent
2. Absence of somatic dysfunction
Is MFR used to treat or diagnose?
Both
How to get started with MFR
Evaluate the area of somatic dysfunction in multiple planes of motion - determines position of ease and restrictive barrier
Integrated Neuromuscular Release
An enhancing maneuver used with MFR that activates the musculature below where the hands are treating, helping to untether the dysfunction
Stress as a force effect
The effect of a force normalized over an area
Viscosity
Capability of a solid to continually yield under stress with a measurable rate of deformation
Plastic vs elastic deformation
Plastic: a stressed, formed, or molded tissue will PRESERVE its new shape
Elastic: a stressed, formed, or molded tissue will RECOVER its original shape
Strain as a force effect
A change in shape as a result of stress
Creep
The continued deformation of a viscoelastic material under constant load over time
Hysteresis or stress-strain
A CT response to loading/unloading where restoration of final length occurs at rate and extent less than during deformation, representing energy loss in the CT
