Intro to BLT, FPR, and Stills

Question 1

What are some reasons for using indirect treatments?

Answer 1

Patient or practitioner preference

Direct treatments are contraindicated
Direct treatment isn’t working

Question 2

____ and ____ are indirect techniques while ______ is a combination of the techniques

Answer 2

BLT and FPR are indirect

Stills is a combination of both

Question 3

________ is used to diagnose SD. The patient is placed in an indirect position and an activating force is utilized. Patient holds until air hunger and reassessed

Answer 3

Balanced Ligamentous Tension (BLT)

Question 4

What are the three principles of balanced ligamentous tension?

Answer 4

1. Disengagement of the dysfunctional area
2. Exaggeration of the dysfunctional patter
3. Balanced tension

Question 5

Describe how BLT is performed

Answer 5

1. position the patient in an indirect manner
2. Utilize the activating force: inherent respiration; figure out which one the patients SD improves on and do that THEN have the patient hold until air hunger
3. return to neutral and reevaluate

Question 6

What are the indications of BLT?

Answer 6

Ligamentous articular strain

Lymphatic congestion or local edema

Question 7

What are some of the contraindications of BLT

Answer 7

fracture, dislocation, instability

open wounds

soft tissue or bony infections

abscesses

DVT

malignancy

Question 8

The goal of ______ is to balance the articular surfaces directions of physiological motion that are common to articulation

Answer 8

BLT

Question 9

____ ______ ______ is a patient passive, indirect treatment involving interactions between Ia afferents and gamma efferents and decreases the tension in the extrafusal fibers

Answer 9

Facilitated positional release

Question 10

What are the components of FPR

Answer 10

Position the patient in the neutral position utilizing compression. Place the patient in the indirect position and hold for 3-5 seconds. Return to neutral and reassess

Question 11

What are the indications of FPR

Answer 11

Muscle hypertonicity
all SD
time crunch

Question 12

What are the contraindications of FPR

Answer 12

Unstable fracture 
Manifestation of neurologic sx 
Life threatening 
Wounds that are less than 6 weeks 
joint instability

Question 13

_____ _____ us used to diagnose SD. the patient is moved to the position of ease, a force vector is applied followed by an articulatory movement and the force vector is released. The patient is returned to neutral and reassessed

Answer 13

Stills technique

Question 14

Describe how a Stills technique would be utilized

Answer 14

Place the SD in an indirect position

add a localizing force

move through the restrictive barrier while maintaining that force

end in the direct position and return to neutral and reassess

Question 15

What are the indications of stills technique

Answer 15

all SDs

short on time

Question 16

What are the contraindications of stills technique

Answer 16

fractures and wounds

Question 17

What is the set up position for BLT

Answer 17

indirect

Question 18

What is the set up position for FPR

Answer 18

flatten and indirect

Question 19

What is the set up position for stills technique

Answer 19

Indirect

Question 20

What is the Activating force for BLT

Answer 20

respiratory assist

Question 21

What is the activating force for FPR

Answer 21

compression

Question 22

What is the activating force for Stills

Answer 22

Compression

Question 23

____ and _____ have an end position that is neutral and ____ has an end position that is direct

Answer 23

BLT and FPR are neutral and stills is indirect