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OS1 Final > BLT, Stills FPR OMT > Flashcards

BLT, Stills FPR OMT Flashcards

1
Q

_____ Techniques method of action engage the restrictive barrier directly.

A

Direct

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2
Q

Direct techniques (6)

A

MFR

INR

ST

MET

HVLA

Visceral

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3
Q

Comination techniques (direct and indirect)

A

MFR

Stills

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4
Q

Indirect techniques

A
  1. MFR
  2. INR
  3. BLT/LAS
  4. FPR
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5
Q

BLT definition

A

Load tissue of the affected ligaments in a position so where tension is equal in all planes, so the bodies inherent forces can fix the SD

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6
Q

BLT is described as a _____ _________ tx method

A

indirect passive

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7
Q

BLT says that since it is the ________ that are involved in maintaining a lesion, it is they, not muscles that are the main agency for reduction… point of balanced tension

A

ligaments

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8
Q

BLT indications (2)

A

SDs that involve

1. ligamentous articular strains

2. Lymphatic congestion/ edema

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9
Q

BLT relative contraindications

A
  1. fxs
  2. open wounds
  3. soft tissue or bony infections
  4. absesses
  5. DVT
  6. anticoagulation, disseminated or focal neoplasm
  7. post-op on site of tx
  8. aortic aneurisms
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10
Q

What does BLT/LAS say about direct techniques

A

if you articulate back and away from the lesion, it can strain the ligaments that are normal.

If force is used, you can seperate fibers from the ligaments and bony attachments

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11
Q

BLT says that the type of motion that occurs at any given articulation is determined by what?

A
  • shape of joint surfaces
  • position of ligaments
  • forces of muscle on that joint
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12
Q

BLT says that the differences between ligaments and muscles

A

L do not stretch and contract like muscles do.

thus, tension in Ligaments has little varioation

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13
Q

BLT says that tension t/o the ligament of any joint is _____.

When moving, as you move your joint, the relationship between the ligament changes, but total tension in the ligamentous articular mechanism _________

A

BALANCED.

DOES NOT.

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14
Q

what biochemical changes occur before immobilization ,according to BLT

A

Fibrofatty infiltrates were found in capsular folds.

The longer the joint was immobilized, the more infiltration. Ground substance lost water and glycoaminoglycans.

Maintaing the interfiber distance for smooth movement requires collagen fiber lubrication. Whe not, microadhesions are form and collegen is deposited in a bad manner.

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15
Q

• Immobilization for >12 weeks resulted in an ___________

A

overall loss of collagen since rate of degradiation > rate of synthesis

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16
Q

Physiologic Changes Secondary to Immobilization, occording to BLT

A

moving an immobilized joint requires 10x more force. afteer several attempts, it is reduced to 3x more. OVertime, joint will regain normal mobility.

17
Q

steps in BLT

A

in BLT, you dx a joint SD in all planes of motion

  1. Shift neutral (indirect positioning)- you want to move the distal structure of an extremity (superior segment) over the inferior segment to acheive BLT in all planes
  2. Activating force: breathing pahse assx with greatest east
  3. Reevaulate
18
Q

Object of BLT is to do what?

A

Balance the articular surface or tissue in the directions of physiologic motion common to articulation.

Doc doesnt CAUSE the change, but helps the body help itself.

19
Q

How much pressure should be put into BLT?

A

Not alot; you should not go to elastic limit and the doc should not make it so uncomfortable that the patient guards

20
Q

Central principle of BLT

A

Make something you palpate hard–> soft.

When flow comes through dysfunctional area, your tx is complete.

21
Q

FRP Def

A

Tx body with neutral positioning, activating force (torsion, compression or distraction) and put in position of ease

made by Stanley schiowitze

22
Q

FPR is primary described as a _________ treatment method

A

indirect passive

w/ shifted neutral

23
Q

adcantages of FPR

A

easy, effective, time effcient

patient satisfaction d/t immediate relied

thorough

24
Q

FPR indications

A

myosfasial or articular SD

25
Q

FPR absoluate contraindications

A
  1. Unstable fx
  2. Neurological sx
  3. Life- threatining symptomatology
26
Q

FPR Relative Contraindications

A
  1. tx not tolerated
  2. osteoporosis/cancer
  3. moderate to severe joint instability
  4. spinal stenosis/nerve root impingment
27
Q

FPR Proposed Mechanism

A

Gamma motor neurons cause somatic dysfunction/tension by stimulating muscle spindles.

Puting the muscles in neutral will inverse spindle output, reducing afferent excitatory input and resetting tension and hypertonisity and unloading the joint,

28
Q

FPR steps

A

Diagnose SD in every plane

  1. setup by monitoring and put in neutral sagittal plane position (mechanically unloading)
  2. Add activating force: compression, torsion, distraction
  3. Indirect position, 3 plane positioning (neutral) and hold for 3-5 seconds
  4. return and reevaulate
29
Q

Stills technique def

A

combined techique that uses both indirect and direct tx: first put in indirect position, add axial force (compression, traction, torsion) to carry through RB

-p

30
Q

Still

Start at ________ then move to ___

A

shifted neutral–> anatomical barrier

31
Q

same advantages as FPR

A
32
Q

Still indications

A
  1. Any SD
  2. Efficacy is limited ONLY BY docs knowledge of anaomty
  3. safe 4 all agez
33
Q

Still contraindications

A

dont use across wounds or fx < 6 weeks old

34
Q

Why does Still technique go from indirect–> direct?

A

Still thinks that all dislocations should be loosened from other tissue–> bring back to original place

35
Q

Steps in Still

A
  1. Indirect positioning (ease)
  2. Add localizing force (5 lbs of compression or traction)
  3. Move through barrier while maintaing cmopression (u may hear a click)
  4. go to final tx position at the anatomic barrier
  5. return to neutral
  6. Reassess
36
Q
A

OS1 Final (11 decks)

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