exam 4 Flashcards
goals of biofeedback
- improve self awareness
- improve motor control
- improve performance
- pain control
visual, auditory or sensory cue
that allow user to change motor
response
EMG biofeedback
Things biofeedback helps with
- headaches
- pelvic floor disorders
- motor control post stroke
- post op quad activation
A GROUP OF SYSTEMATIC, SCIENTIFIC MANIPULATIONS OF BODY TISSUES
WHICH ARE BEST PERFORMED BY THE HANDS FOR THE PURPOSE OF
AFFECTING THE NERVOUS, RESPIRATORY, MUSCULAR, AND CIRCULATORY
SYSTEMS. USED TO PROMOTE HEALING OR RESTORE FUNCTION
Soft tissue mobilization (STM)
effects of STM
- Pain reduction (endogenous opiate theory)
- improves tissue quality and movement
- decreases muscle guarding
- remodels tissue
- improved circulation
indications for Soft tissue mobilization
- pain
- immobility
- post surgery
- trigger and tender points
- tissue restrictions
- increased muscle tone
what are the effects of spinal traction
- joint distraction
- Temporary reduction of disc protrusion
- Muscle relaxation
- Disc fluid exchange may be enhanced
The separation of two articular surfaces perpendicular to the plane of articulation to reduce joint compression and widen intervertebral foramina
joint distraction
indications for traction
- Disc bulge or herniation
- Nerve root impingement due to OA
- Radiculopathy
contraindications for traction
- After acute trauma such as whiplash
- Most patients who have had ortho/neuro surgery to the area
- Joint hypermobility/ instability
- Peripheralization of symptoms with traction
precautions for traction
- Claustrophobia
- Inability to tolerate prone or supine position such as with respiratory disorders
- GERD or late pregnancy
- For lumbar, Inability to tolerate belts or harnesses such hernias
- Pregnancy due to possible joint laxity (lumbar cannot be done in late pregnancy)
- Diseases in the treatment area such as
Osteoporosis/osteopenia, long term steroid use
what weight do you begin with on cervical traction
10-15 lbs
what weight do you need to have a proper rx for cervical traction
20-30 lbs
how much weight do you start out with on lumber traction
20-30% of body weight
how much weight is needed for an effective lumbar traction
25-50% of body weight
what goes in your documentation for traction
1.Type of traction
2. Area of body where traction applied
3. Patient position
4. Type of halter
5. Maximum force
6. Treatment duration
7. Response to intervention
8. With intermittent traction –
9. Hold time, relax time, force during relax time
difference between massage and STM
- STM is more localized
- STM is shorter
- part of PT POC
effects of STM
- pain reduction
- tissue remodeling
- overall tissue quality and movement
- improve functional mobility and movement
- decreased muscle guarding
- improved circulation
- activation of immune system
contraindications for STM
- cancer
- sutures or staples
- fracture or osteoporosis
- edema
- areas of infections
- RA
- friable or unhealthy skin
precautions for STM
- soreness and increased inflammatory pain
- systematic diseases
- skin sensitivities with lube
reasons why fascial restrictions occur
- INJURY
- IMMOBILIZATION
- STRESS
- FAULTY MOVEMENT PATTERNS
- PAIN AND INFLAMMATION
structure that produces a collagen and elastin matrix, GAGs, aids in tissue healing, aids in strengthening of tissues
fibroblasts
structure that lubricates the tissue
GAGs
molecules RELEASED AS PART OF THE NORMAL INFLAMMATORY PROCESS AND AID TO REPAIR TISSUES, BEHAVE AS GLUE TO HOLD TISSUE TOGETHER, THEY CAUSE FASCIA TO BIND TO ITSELF AND IT LOOSES ITS MOBILITY
CAMS
CROSS LINKS AND CAMS (CELLULAR ADHESION MOLECULES)
