BLT, FPR, Stills OMT Flashcards
What does BLT stand for?
Balanced Ligamentous Tension
What does FPR stand for?
Facilitated Positional Release
What type of techniques are BLT and FPR?
INDIRECT - take pt to shifted neutral or where they want to go!
What are the 3 principles for BLT?
Disengagement of dysfunctional area
Exaggeration of dysfunctional pattern
Balanced tension of ligaments
What is the activating force for BLT?
Inhale until ‘air hunger’ to flatten the spine
What are the steps for BLT?
Position segment in indirect manner
Have pt inhale and hold until air hunger
Return to neutral and reevaluate
What osteopathic principle is BLT using?
2nd - just helping the body self heal and help itself
What do alpha motor neurons go to?
Extrafusal fibers that sense proprioception
What do gamma motor neurons go to?
Intrafusal fibers that sense stretch/tension
What is the MOA for FPR?
Intrafusal fibers are allowed to return to normal length and signal there is less stretch which then allows the extrafusal fibers to decrease their tension and then muscles are allowed to relax and return to normal length
What is the first step in FPR?
FLATTEN the curve
What are the steps in FPR?
Flatten the curve Compression Place pt in shifted neutral - take to indirect barrier Hold 3-5 seconds Return to neutral and reassess
Indications for FPR?
Muscle hypertonicity
Time crunch
Works on all somatic dysfunction
Contraindications for FPR?
Fracture, unstable joint, open wounds, life threatening symptoms
What type of technique is still’s technique?
Combo - indirect and direct, patient is passive
