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OPP III > Exam I OMM techniques > Flashcards

Exam I OMM techniques Flashcards

1
Q

What are other terms for articulatory technique

A

springing technique or low velocity, high amplitude

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2
Q

what are the general principles behind articulatory technique

A

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

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3
Q

when do you use articulatory technique

A

SD in joint or periarticular tissues

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4
Q

what are relative precautions for articulatory technique

A

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

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5
Q

what are the absolute contraindications for articulatory technique

A 
lack of patient consent
absence SD
fracture or dislocation
neurologic entrapment syndromes
serious vascular compromise
local infection (cellulitis, abscess, septic arthritis, osteomyelitis)
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6
Q

What is Balanced ligamentous tension

A

restore balance to boney and ligamentous relationships

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7
Q

when do you use BLT

A

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

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8
Q

what are direct vs indirect BLT

A

direct is taking body toward restrictive barrier

indirect is taking body away from restrictive barrier

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9
Q

what are relative contraindications to BLT

A

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

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10
Q

what are the absolute contraindications to BLT

A

lack of patient consent

absence of SD

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11
Q

where are typical locations for counterstrain

A

tendinous attachments and in belly of muscle

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12
Q

tenderpoints indicate what underlying process

A

inappropriate proprioceptive reflex and correlate with SD

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13
Q

What are indications for CS technique

A

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

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14
Q

what are relative contraindications to CS

A

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

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15
Q

what are absolute contraindications

A

absence SD, lack of consent

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16
Q

what is difference between tenderpoint and triggerpoint

A

trigger point radiates when palpated

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17
Q

is Facilitate positional release a direct or indirect technique

A

indirect

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18
Q

describe general principles of FPR

A

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

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19
Q

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

A

superficial

20
Q

what causes joint restriction

A

increased efferent gamma gain in muscles involved with joint

21
Q

When is FPR indicated

A

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

22
Q

what are the relative contraindications for FPR

A 
joint prosthetic
degenerative joint disease
readicular pain
osteoporosis
malignancy
stenosis
rheumatologic disorder
congenital malformation
23
Q

what are the absolute contraindications for FPR

A 
lack of consent
absence SD
hip prosthetic
shoulder pathology
acute or chronic joint dislocation or separation
recent trauma
acute fracture
24
Q

what is High Velocity Low Amplitude

A

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

25
Q

what are indications for HVLA

A

Tx SD with firm distinct barriers

26
Q

what are relative contraindications to HVLA

A 
acute herniated nucleus pulposus
acute radiculopathy
acute whiplash/severe muscle spasm/strain/sprain
osteopenia/osteoporosis/osteoarthritis
spondylolisthesis
metabolic bone disease
hypermobility syndromes
27
Q

what are the absolute contraindications to HVLA

A

lack of patient consent
absence of SD
Rheumatoid arthritis
compression fracture

28
Q

what is the “pop” in HVLA theorized to be from

A

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

29
Q

what are the principles for treatment with lymphatic techniqe

A

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

30
Q

What are the indications for using lymphatic technique

A

edema, tissue congestion, lymphatic stasis, infection and inflammation

31
Q

what are the relative contraindications for lymphatic technique

A

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

32
Q

what are the absolute contraindciations for lymphatic technique

A

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

33
Q

is MET direct or indirect

A

direct

34
Q

what is the physiologic goal of MET

A

gamma gain

35
Q

what is isometric MET

A

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

36
Q

what is isotonic MET

A

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

37
Q

what are relative contraindications for MET

A

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)

38
Q

what are absolute contraindications to MET

A

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

39
Q

what are relative contraindications for MFR

A

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

40
Q

what are the absolute contraindications of MFR

A 
absence of SD
lack of patient consent
acute fractures
open wounds
dermatitis
acute thermal injury
41
Q

what are the types of soft tissue techniques

A

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

42
Q

what are relative contraindications to soft tissue techniques

A 
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
43
Q

what are the absolute contraindications to soft tissue techniques

A

absence of SD

lack of patient consent

44
Q

What is the still technique

A

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

45
Q

what are relative contraindications for still technique

A 
joint prosthetic, degenerative joint disease
radicular pain
osteoporosis
malignancy
stenosis
rheumatological disorder
congenital malformation
46
Q

what are the absolute contraindications for stillt echnique

A 
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

OPP III (7 decks)

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