Exam I OMM techniques

Question 1

What are other terms for articulatory technique

Answer 1

springing technique or low velocity, high amplitude

Question 2

what are the general principles behind articulatory technique

Answer 2

patient relaxed
use body weight to apply force
engage restrictive barrier
gentle firm pressure against restrictive barrier to carry body past point of restriction
maintain for 1-2 seconds
retreat barrier 1-2 seconds to release stretch
re-engage restrictive barrier
repeat until restriction reaches plateau or full physio motion obtained

Question 3

when do you use articulatory technique

Answer 3

SD in joint or periarticular tissues

Question 4

what are relative precautions for articulatory technique

Answer 4

repetitive rotation and extension due to risk of arterial or neurological compromise
malignancy

Question 5

what are the absolute contraindications for articulatory technique

Answer 5

lack of patient consent
absence SD
fracture or dislocation
neurologic entrapment syndromes
serious vascular compromise
local infection (cellulitis, abscess, septic arthritis, osteomyelitis)

Question 6

What is Balanced ligamentous tension

Answer 6

restore balance to boney and ligamentous relationships

Question 7

when do you use BLT

Answer 7

to relax contracted musculature, release tethered structures, restore symmetry and increase arterial circulation and venous/lymph drainage

Question 8

what are direct vs indirect BLT

Answer 8

direct is taking body toward restrictive barrier

indirect is taking body away from restrictive barrier

Question 9

what are relative contraindications to BLT

Answer 9

acute fractures, open wounds, acute thermal injury, soft tissue or bony infections, DVT, disseminated or focal neoplasm, recent surgery in area of propposed tx, aortic aneurysm

Question 10

what are the absolute contraindications to BLT

Answer 10

lack of patient consent

absence of SD

Question 11

where are typical locations for counterstrain

Answer 11

tendinous attachments and in belly of muscle

Question 12

tenderpoints indicate what underlying process

Answer 12

inappropriate proprioceptive reflex and correlate with SD

Question 13

What are indications for CS technique

Answer 13

for patients not able to tolerate direct techniques
acute and chronic SD
can also improve viscerosomatics

Question 14

what are relative contraindications to CS

Answer 14

patient who cannot voluntarily reflex, severely ill patient, vertebral artery disease, severe osteoporosis, patient with pathological limitations to certain body positions

Question 15

what are absolute contraindications

Answer 15

absence SD, lack of consent

Question 16

what is difference between tenderpoint and triggerpoint

Answer 16

trigger point radiates when palpated

Question 17

is Facilitate positional release a direct or indirect technique

Answer 17

indirect

Question 18

describe general principles of FPR

Answer 18

bring dysfunctional tissure to ease then add compression or traction or torsion and move into restriction and return then to neutral

Question 19

If superficial and deep restrictions are found what layer do you Tx first with FPR

Answer 19

superficial

Question 20

what causes joint restriction

Answer 20

increased efferent gamma gain in muscles involved with joint

Question 21

When is FPR indicated

Answer 21

patients with SD that have caused muscle hypertonicity and restricted range of motion

Question 22

what are the relative contraindications for FPR

Answer 22

joint prosthetic
degenerative joint disease
readicular pain
osteoporosis
malignancy
stenosis
rheumatologic disorder
congenital malformation

Question 23

what are the absolute contraindications for FPR

Answer 23

lack of consent
absence SD
hip prosthetic
shoulder pathology
acute or chronic joint dislocation or separation
recent trauma
acute fracture

Question 24

what is High Velocity Low Amplitude

Answer 24

direct technique that employs rapid, localized and corrective force that travels a short distance within anatomic range of motion and engages restrictive barrier in one or more planes

Question 25

what are indications for HVLA

Answer 25

Tx SD with firm distinct barriers

Question 26

what are relative contraindications to HVLA

Answer 26

``` acute herniated nucleus pulposus acute radiculopathy acute whiplash/severe muscle spasm/strain/sprain osteopenia/osteoporosis/osteoarthritis spondylolisthesis metabolic bone disease hypermobility syndromes ```

Question 27

what are the absolute contraindications to HVLA

Answer 27

lack of patient consent absence of SD Rheumatoid arthritis compression fracture

Question 28

what is the "pop" in HVLA theorized to be from

Answer 28

evacuation of gas from synovial fluid and release of ligamentous adhesions, bones moving into place or out of dysfunctional position

Question 29

what are the principles for treatment with lymphatic techniqe

Answer 29

removing barriers to flow enhancing mechanisms involved iwth respiratory-criculatory homeostasis extrinsically augmenting lymph flow and other immune system elements mobilizing lymph fluid fron other regions to decrease congestion

Question 30

What are the indications for using lymphatic technique

Answer 30

edema, tissue congestion, lymphatic stasis, infection and inflammation

Question 31

what are the relative contraindications for lymphatic technique

Answer 31

cancer (immune system activation vs lymphatic spread) osseous fracture or crushed tissue bacterial infections with risk of dissemination chronic infections with risk of reactivation diseased organ pregnancy circulatory disorders coagulopathies unstable cardiac conditions CHF COPD

Question 32

what are the absolute contraindciations for lymphatic technique

Answer 32

lack of patient consent, absence of SD, aneuresis if non on dialysis, necrotizing fasciitis

Question 33

is MET direct or indirect

Answer 33

direct

Question 34

what is the physiologic goal of MET

Answer 34

gamma gain

Question 35

what is isometric MET

Answer 35

counterforces of patient and doctor equal each other and no length change is permitted by muscle

Question 36

what is isotonic MET

Answer 36

muscle length changes during treatment can be concentric(muscle contracts) eccentric(passive lengthening) or isolytic (forced lengthening of shortened fibotic muscles

Question 37

what are relative contraindications for MET

Answer 37

infection, hematoma, tear in muscle fracture or dislocation of involved joint rheumatologic conditions causing instability of c spine undiagnosed joint swelling of involved joint positioning that compromises vasculature patient with low vitality (post MI)

Question 38

what are absolute contraindications to MET

Answer 38

absence SD lack of patient consent young child that cannot comprehend Tx instructions coma/unresponsive patient

Question 39

what are relative contraindications for MFR

Answer 39

soft tissue or bony infections DVT recent post operative states over site of proposed Tx aortic aneurysm dermatitis

Question 40

what are the absolute contraindications of MFR

Answer 40

``` absence of SD lack of patient consent acute fractures open wounds dermatitis acute thermal injury ```

Question 41

what are the types of soft tissue techniques

Answer 41

stretchin-traction along longitudinal axis kneading- latitudinal axis inhibition- superficial to deep directly into dysfunctional tissue to reset tension or tone effleurage- pressure or light stroking tissues from distal to proximal petrissage- skin rolling tapotement- repetitive striking of muscle belly

Question 42

what are relative contraindications to soft tissue techniques

Answer 42

``` acute fascitis, acute fascial tears, acute muscular strains, acute myositis, muscle neoplasms, acute ligamentous sprain, acute ligamentous inflammatory disorders, septic arthritis, primary or secondary joint neoplasms, acute fracture, osteomyelitis, primary or secondary bone tumors, osteoporosis, infectious or neoplastic enlargement of ogans like liver and spleen gastric or bowl obstruction distention acute organ pain unDx abdominal or pelvic pain hematoma DVT uncontrolle bleeding disorders ```

Question 43

what are the absolute contraindications to soft tissue techniques

Answer 43

absence of SD | lack of patient consent

Question 44

What is the still technique

Answer 44

placing dyfunctional tissue into position of ease, adding force vector through dysfunctional tissues and moving thorugh restrictive barrier

Question 45

what are relative contraindications for still technique

Answer 45

``` joint prosthetic, degenerative joint disease radicular pain osteoporosis malignancy stenosis rheumatological disorder congenital malformation ```

Question 46

what are the absolute contraindications for stillt echnique

Answer 46

``` lack of patient consent absence SD hip prosthetic shoulder injury acute or chornic joint dislocation or separtaion recent trauma fracture less than 6 weeks recent wound ```