Intro to BLT, FPR, Stills

Question 1

Relative Contraindications of BLT

Answer 1

Fractures, open wounds, soft tissue or bony infections

Abcess

DVT

Anticoagulation, disseminated or focal neoplasm

Recent operations over the site

Aortic Aneurisyms

Question 2

What factors can influence changes in ligament tension?

Answer 2

Fibrofatty Infiltrates

Loss of water / glyocosaminoglycans

Collagan fiber lubrication decreases

Question 3

If distance is not adequately maintained in a tendon, what happens?

Answer 3

Microadhesions form and collagen is laid down in a haphazard manner.

Immobilization >12 weeks results in greater deterioration of collagen then can be synthesized.

Question 4

What is the positioning in BLT

Answer 4

Shifted neutral. This is the point at which balanced ligamentous tension is reached

Question 5

FPR contraindications

Answer 5

Unstable fractures

Neurological symptoms brought on by FPR procedure

Exacerbation of a patient in a life-threatening situation by moving position

Question 6

FPR relative contraindications

Answer 6

Treatment is just not well tolerated

Risk of fracture patients (severe osteoporosis, malignancy)

Moderate to severe joint instability

Spinal stenosis / nerve root impingement

Question 7

Describe the mechanism of FPR

Answer 7

1. SD is maintained or intiated by firing of gamma motor neurons
2. These stimulate muscle spindles
3. When placing the patient into neutral, there is inverse spindle output, which eliminates the excitatory input from Group IA and group II
4. Unloading the joint causes a rapid 3-plane “shifted neutral” therapeutic postion

Question 8

Contraindications of Still’s Technique

Answer 8

Not advisable across recent wounds or fractures less than 6 weeks old