ICRFR Flashcards
What is hysteresis?
The interval between creep and elastic deformation
What is creep?
When a load/stress is applied to fascia for a long period, lowering its elasticity
What are the functions of fascia? (four Ps)
Postural
Protection
Packaging
Passageways
What embryolocial layer is fascia derived from?
Mesoderm
What are the three components of fasica?
Cells
Ground substance
Fibers
Is fascia continuous or discontinuous?
Continuous
What does it mean for fascia to be contiguous?
In contact with everything in the body
True or false: the body is composed of separate, discreet regions//systems
False
How does fascia support and stabilize the tissues?
Dissipates energy as it transmits lines of force
Does fascia have contractile properties?
For OMM, yes.
Fascia has what type of composistion?
Colloid-like
Low force impulses to fascia causes what?
Wave-like fluid mechanics
How is fascia arranged?
Along the same stress lines as the direction of force within the tissue
What is fascia controlled by?
Nerves and hormones
What does fascia surround (nerves, muscles, bones, and/or organs etc)
EVERYTHING
What are the components of the passageway function of fascia? (3)
Forms planes = passageways
Provides fluid for lube
Keeps veins open
What can dysfunctions in the fascia cause?
Affects metabolism of cells
adds pressure/tension
Where are the longitudinally arranged fascia?
Arms/legs
Tendons
Where are horizontal fascial lines?
(Diaphragms)
Cranial base and dura
Thoracic inlet
Respiratory diaphragm
Urogenital diaphragm
What is Wolff’s law?
Bone is increased where needed and resorbed where not
Where is Ca laid down in fascia?
along lines of stress
How does fascia develop directionality?
When it is subjected to stress
How does Wolff’s law relate to fascia?
Fibrous adhesions hamper ability to return to normal state
What are the three layers of fascia?
- Superficial
- Deep
- Subserous
Where is the superficial fascia? What does it allow us to do?
Just beneath the skin, allows for skin to be moved easily
What does superficial fascia contain/
Fat
Vasculature
Nerve tissue
Where is deep fascia found? What are its characteristics?
Deep
Tough, tight, compact
Which layer of fascia compartmentalizes the body?
Deep
Periosteum Perichondrium Peritoneum Pericardium and pleua are all forms of what?
Deep fascia
How does deep fascia relate to NAVL?
wraps around each, then around bundles of them
What is subserous fascia?
Loose areolar tissue covering organs
What are the four fascial responses to stress?
- Inflammation
- Elastic deformation
- Creep
- Hysteresis
What are the inflammatory changes of fascia?
Erythema and edema
What is elastic deformation?
Fascia’s ability to come back to its original shape after stress is removed
What is the key difference between massage and OMM?
OMM is diagnostic
What comprises soft tissue?
All tissue that is not bone or organ (fascia and muscles)
What are the three uses of soft tissue and fascial treatments?
Theraputic
Diagnostic
Adjunct to care
What are the six contraindications to soft tissue?
Acute trauma Infection DVT Spondylolisthesis Down's RA Ankylosing spodylitis
True or false: it is okay to use fingertips for soft tissue
false–use pads
True or false: It is never okay to induce pain
True
True or false: Rubbing the skin is appropriate in soft tissue techniques
False
Should you snap tight muscles?
No
Should you compress soft tissue against bone
No
What is effleurage?
Stroking movement used to move lymphatic tissue
What is petrissage?
Kneading or squeezing action, compressing soft tissue against each other
What is tapotement?
Striking the belly of a muscle with the hypothenar eminence in an attempt to increase its tone and arterial perfusion
What is a traction technique?
Stretching technique, moving origin and insertion apart
When is deep pressure used (which technique we’ve done)?
Trap pinch
When is perpendicular kneading used (which technique we’ve done)?
Prone thoracic perp stretch
What techniques that we’ve doe utilize excitation?
Rapid rib raising and sacral rocking
What techniques that we’ve done utilize inhibition?
Gentle rib raising
Sacral inhibition