Direct Osteopathic Tecniques Flashcards
How do restrictive barriers relate toward restrictive barriers?
Direct techniques take the joint/muscle toward the restrictive barrier
What are soft tissue techniques?
- Stretching
- Kneading/cross fiber stretching
- Deep pressure
- Effleurage, Petrissage, and tapotement
- Stroking of tissues
What are contraindications of soft tissue techniques?
Relative:
- Severe osteoporosis
- Acutely injured muscles/tendons/ligaments
Absolute:
- Fracture/dislocation
- Serious vascular compromise
- Opened sounds and localized infections
- Localized malignancies
- Severe bleeding disorders
Describe Direct Myofascial Release techniques.
A restrictive barrier is identified in the myofascial tissue and is engaged with a loaded, constant, directional force until the tissue releases and motion is restored.
What are activating forces for DMFR?
- Inherent tendency toward homeostasis
- Respiratory force
- Physician guided force
- Springing/vibration
Describe direct articulately techniques.
- Clinician repetitively takes the part of the body being treated directly to restrictive barrier in order to improve physiological ROM
- ex. Low velocity - High amplitude
What are indications for articulatory techniques?
- Postoperative pts
- Elderly patients - osteoarthritis
- When more invasive techniques are contraindicated
Describe direct muscle energy techniques.
The patients muscles are actively used on request, from a precisely controlled position, in a Specific direction, and against a distinctively executed physician counterforce
What are indications for muscle energy techniques.
- Relax hypertonic muscles
- Treat joint restrictions
What type of contraction is used in ME techniques?
Isometric contraction
What must be done at the end of a ME treatment?
After the final cycle, you must approach the barrier one last time prior to coming out of treatment position.
What are the 3 theories related to neurophysiological concepts of muscle energy techniques?
- Post-isometric relaxation theory: Refractory period of muscle occurs and muscle cannot fire allowing further unopposed stretch
- Golgi tendon organ inhibitory effects theory: Muscle contraction Golgi tendon threshold is reached. GTO is Activated Nd inhibits motor neuron activity
- Muscle fatigue theory: Isometic contraction produced several times over fatigues muscle which is holding joint out of place.
What are contraindications to DME techniques?
- individual is unwilling
- Internal bleeding
- Post-surgical patient
- Pt initially following MI
- Areas of acute injury
Define Direct high velocity Low amplitude techniques.
Osteopathic technique employing a rapid, therapeutic force of brewing duration that travels a short distance within an anatomical range of motions of a joint and engages the restrictive barrier in one or more planes of motion to elicit release of restriction
What is the purpose of HVLA?
To correct Joint restriction/somatic dysfunction