Facilitated Positional Release

Question 1

FPR Definition

Answer 1

A modification of indirect MFR treatment. The restricted region of the body is placed into a neutral position to diminish tissue
and joint tension in all planes. Then an activating force (compression or torsion) is added.

Question 2

Primary Goal of FPR

Answer 2

Primary Goal: Reduce abnormal muscle hypertonicity (superficial and deep) and restore
lost motion to a restricted articulation.

Question 3

Basic Steps of FPR

Answer 3

1. Monitor
2. Modify the sagittal posture: Flatten the curve or place the region in neutral position
3. Add facilitating force of compression or torsion (or sometimes traction)
4. Move into freedom of motion (indirect)
5. Tissue relaxation: Hold for 3-4 sec monitoring for tissue relaxation or release of dysfunction
6. Neutral: Return to neutral and release compression
7. Reassess

Question 4

Indications for FPR

Answer 4

-Acute or chronic
somatic dysfunctions
(can be used primary treatment or in conjunction with other approaches)
-Muscle spasticity

Question 5

Relative contraindications to FPR

Answer 5

-If the patient cannot
voluntarily relax or tolerate position - May use alternate positioning of the region or alternative techniques
-Severe osteoporosis or joint instability
-If pt experiences radicular pain, then repositioning or traction may be attempted
-Fracture or disc herniation in region being treated

Question 6

Use FPR with caution in….

Answer 6

osteoporosis, malignancy, rheumatological disorders, congenital malformations, stenosis, other clinical diseases

Question 7

Absolute contraindications of FPR

Answer 7

Lack of patient consent or cooperation

Question 8

Name the seated postions

Answer 8

• Thoracic segmental and hypertonic

- Rib anterior and posterior