Facilitated Positional Release (FPR) and Still Technique Flashcards
What happened in 1963 for DO’s?
D.O.s are accepted by Civil Service as medical officers on equal footing with MDs
What 2 things happened in 1966 for DO’s?
- Robert McNamara, Secretary of Defense, directs the Army, Navy and Air Force to accept qualified D.O.s as medical officers. Viet Nam is on
- Andrew Lovy, OD, DO CCO’62 is the first DO to be drafted into the Army Medical Corp as a physician
4 things associated with FPR
- Positional technique
- Facilitated with compression, distraction or torque
- Quick and efficient
- Effective
Define FPR
Facilitated positional release (FPR) is an indirect positional method of treatment for somatic dysfunction or abnormal muscle tension
Who developed FPR?
Stanley Schiowitz D.O.
What reports length and rate of stretch?
Muscle spindles
FPR can provide restoring to what?
Hyper-shortened muscle decreases firing
What 3 things cause neural feedback to rapidly normalize?
- Compression force
- Torque
- Distraction
What are the 4 facilitating forces in FPR?
- Compression
- Torque
- Traction
- Distraction
5 steps to FPR
- Put joint in a “loose pack “ position
- Flatten the anterposterior spinal curve to be treated
- Add facilitating force
- Position into freedom of motion or shortening of the muscle
- Hold for 3-5 seconds and release
(3 & 4 may be reversed)
5 indications for FPR
Somatic dysfunctions with a neural component
Any area of the body
Acute or chronic
Need for a gentle technique
Primary treatment or combined with other techniques.
What is FPR useful for specifically?
Pain from disc herniations
What 5 things MUST we know for FPR?
Put A/P curve in neutral (if treating spinal segments)
Introduce vector force- compression/distraction/torque- this MUST be maintained throughout the treatment!
Position dysfunction to point of ease (localization of motions)
Wait 3-5 seconds for release
Return to pretreatment position.
Who discovered techniques first used by Still?
Richard Van Buskirk, D.O., Ph.D., F.A.A.O
Define Still technique
Indirect then direct
The methodology for Still Technique at the American School of Osteopathy was taken by who?
Charles Hazzard, D.O
Detailed steps of Still Technique
A gentle, precise localization technique
Starts out as indirect, but finishes as direct
Utilizes localization of all planes of motion to the balance point, or position of ease
Uses a final activating vector force through the affected tissue
The vector force should come from a part of the body that can be used as a lever for the technique
Then, finishes by returning the joint, tissue, fascia, etc. to the normal range of motion
As the coupled vector force and the tissue motion takes the tissue past its restriction, a palpable release is appreciated
The vector force is then released and the tissue is returned to its start position
What is the activating force in Still Technique?
Vector force as it moves the tissue through its range of motion and through the area of restriction
How is Still Technique articulatory?
It takes the tissue through the range of motion, but is not a repetitive articulation
5 reasons why we use Still Technique
Can be used for almost any type of dysfunction
Quick and efficient
Can retreat are without complications
Very gentle
Can treat in SEATED and supine positions
4 players in Still Technique
The dysfunction
The physician’s sensing hand- passive
The physician’s operating hand-the worker
The force vector- compressive or distractive- 3-5 pounds
6 steps on how Still Technique is done
Find the Dysfunction
Place sensing hand on dysfunction and localize to balance point or the pathological neutral
Operating hand does all the work
Introduces the force vector through the tissue to the sensing hand Uses the force vector as a steering rod at a low-moderate velocity motion to return the tissue to normal
Must keep the vector force focused at all times!!
How is Still technique similar to FPR/Counterstrain?
Initial start point
How is Still technique similar to HVLA?
Requires precise localization
How is Still Technique similar to Articulatory?
Puts tissue through its range of motion, BUT ONLY ONCE
What are 6 things we MUST know for Still Technique?
Place sensing hand on dysfunction and localize to balance point or the pathological neutral
Operating hand does all the work
Introduces the force vector through the tissue to the sensing hand
Use the force vector as a steering rod at a low-moderate velocity motion to return the tissue to normal
MUST KEEP THE VECTOR FORCE FOCUSED AT ALL TIMES!!
Reassess
