Introduction to BLT, FPR, and Still's Techniques Flashcards
For BLT, FPR, and Still’s, which techniques are indirect, direct, or a combination?
BLT/FPR: indirect
Still’s: combination
What are the 3 principles for balanced ligamentous tension (BLT)?
Disengagement of dysfunctional area, exaggeration of dysfunctional pattern, and balanced tension of ligaments
What are the steps to BLT?
1) Position segment in an indirect manner
2) Utilize activating force (ask patient to hold their breath until “air hunger”
3) Return to neutral and reevaluate
What does inhalation do to the spine during the BLT technique? Exhalation?
Inhalation: flattens spine in the anterior-posterior direction
Exhalation: increases AP spinal curves
What are the indications for BLT?
Ligamentous articular strain and lymphatic congestion or local edema
What are the contraindications for BLT?
Fracture, dislocation, instability; open wounds, soft tissue/bony infections, abscesses, DVT, malignancy
What are the steps for FPR?
1) Flatten “neutralize” curve
2) Add compression
3) Indirect positioning
4) Hold 3-5 seconds
5) Return to neutral
6) Reassess
What are the indications for FPR?
Muscle hypertonicity, virtually all somatic dysfunction, time crunch
What are the contraindications for FPR?
Unstable fracture, manifestation of neurologic symptoms, life-threatening symptoms, wounds <6 weeks old, joint instability
What are the steps for Still’s technique?
1) Move to position of ease
2) Apply force vector
3) Articulatory movement (from indirect to direct positioning)
4) Release force vector
5) Return to neutral
6) Reassess
What are the indications for using Still’s technique?
All somatic dysfunction and short on time
What are the contraindications for using Still’s tehnique?
Fractures or wounds <6 weeks old
What is the activating force for BLT, FPR< and Still’s techniques?
BLT: respiratory assist
FPR/Still’s: compression
