BLT/FPR/Still's LECT

Question 1

BLT

Answer 1

Involves minimization of periarticular tissue load and placement of the affect ligaments in a position of equal tension in all appropriate planes to that the body’s inherent forces can resolve the SD

Question 2

BLT Indication

Answer 2

SD that involve ligamentous articular strains

Areas of lymphatic congestion or local edema

Question 3

BLT Relative Contraindications

Answer 3

Fractures 
Open wounds 
ST or bony infections 
Abscesses
DVT
Anticoag or focal neoplasm 
Post-op
Aortic Aneurysm

Question 4

Steps of BLT

Answer 4

1) Position the structure in the “shifted neutral” position for all planes (Position of ease)
2) Use activating force (Respiration)
3) Recheck in all planes, release should be palpable (softening)

Question 5

FPR

Answer 5

Tx method in which a dysfunctional body region is addressed with a combination of neutral positioning, application of an activating force and placement into a position of ease.

Question 6

FPR Indications

Answer 6

Myofascial or articular SD

Question 7

FPR Absolute Contraindications

Answer 7

Unstable fracture affected by treatment positioning

Manifestation of neurological symptoms brought on by the treatment position

Exacerbation of potentially life-threatening sympomatology by treatment positioning in a monitored patient

Question 8

FPR Relative Contraindications

Answer 8

Treatment is not well tolerated or significant symptoms or signs occur during the process

Comorbidities that place the patient at a risk for fracture (osteoporosis or malignancy)

Moderate to sever joint instability

Spinal stenosis/nerve root impingement where the positioning could exacerbate the condition

Question 9

Steps in FPR

Answer 9

1) neutralize sagital plane
2) Add a facilitating force
3) Move structure into the position of ease and hold for 3-
5 sec
4) Return to neutral and re-eval

Question 10

Still

Answer 10

The dysfunctional region is first placed in an indirect position, an axial force is added then used to carry the region toward or thru the restrictive barrier

Combo of both direct and indirect components

Question 11

Still’s Indications

Answer 11

SD in virtually all tissue pf the body

Efficacy is only limited by the practitioner’s knowledge of functional anatomy

Safe to use for patients of all ages

Question 12

Still’s contraindications

Answer 12

Not advisable across recent wounds or fractures less than 6 weeks old

Question 13

Steps in Stills

Answer 13

1) Structure is moved into its position of ease
2) Add activating force, either compression or traction
3) While maintaining the force move the structure thru neutral position and into the restrictive barrier
4) Release force and re-eval