Lab 4: Myofascial Release OSCE Flashcards
Cervical MFR/INR
Physician cups the subocciput with hands (no pressure with thumbs) and gently add traction to engage the hypertonic tissues
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/232/a_image_thumb.png?1566933249)
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– eye, tongue & UE movement
- Timing= 20-60 seconds or until palpable release
Knee MFR/INR
Physician uses superior hand to grasp thigh superior to the patella & other hand inferior to patella on tibia and fibula
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– knee flexion/extension
- Timing= 20-60 seconds or until palpable release
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/233/a_image_thumb.png?1566933306)
Hip Region MFR/INR
Physician places one hand on the proximal anterolateral aspect of the leg (over quadricep and greater trochanter) and the other posteromedially (over hamstrings and adductors)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/234/a_image_thumb.png?1566933265)
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– knee/hip flexion/extension, AB/AD, IR/ER •Timing= 20-60 seconds or until palpable release
Glenohumeral and Scapular MFR/INR
Physician grasps the proximal humerus inferiorly near the axilla and superiorly placing thumb & 5th digit on humerus and digits 2-4 on scapula
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/236/a_image_thumb.png?1566933511)
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– arm F/E, IR/ER, AD/ABduction
- Timing= 20-60 seconds or until palpable release
Thoracolumbar MFR/INR (prone)
Physician right hand at the right TLJ with thumb pads medial to the longissimus thoracis and thenar eminence upon it; the left hand is placed similarly on the left side
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/237/a_image_thumb.png?1566932661)
Activating Force
- MFR: Inherent and respiratory
- INR: REMs– leg extension, IR/ER; arm motion
- Timing= 20-60 seconds or until palpable release
Prone Sacrum Base MFR/INR
Physician places one hand with pinky just superior to the lumbosacral junction, thenar & hypothenar eminence lateral to one of the sacroiliac joints and the contralateral finger pad on the lateral aspect of the other sacroiliac joint
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– leg flex/extend, IR/ER
- Timing= 20-60 seconds or until palpable release
Prone Regional Thoracic MFR/INR
Physician right hand with thumb pads medial to the longissimus thoracis and thenar eminence upon it at T7-9; the left hand his placed similarly on the left side
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/239/a_image_thumb.png?1566932736)
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– arm motion flex/extend, IR/ER, Ab/Ad
- Timing= 20-60 seconds or until palpable release
Elbow MFR/INR
Physician grasps the radioulnar area near the radiohumeral joint with one hand positioned inferior to the joint and the other superior
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/240/a_image_thumb.png?1566933532)
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– supination/pronation
- Timing= 20-60 seconds or until palpable release
Ankle MFR/INR
Physician grasps the patient’s distal leg crossing the ankle joint (holding medial & lateral malleoli) with superior hand and with inferior hand grasp the forefoot
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– dorsiflexion/plantarflexion
- Timing= 20-60 seconds or until palpable release
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/242/a_image_thumb.png?1566933365)
Wrist MFR/INR
Physician a) Grasp the wrist just proximal to the wrist joint; b) Grasp distal to the wrist joint with the other hand
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/243/a_image_thumb.png?1566933611)
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– wrist flexion/extension, radial/ulnar deviation & clenching/unclenching fists
- Timing= 20-60 seconds or until palpable release
Still’s Wrist MFR/INR
Physician grasps the wrist anteriorly/posteriorly using your thenar and hypothenar eminences
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/244/a_image_thumb.png?1566933703)
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– wrist flexion/extension, radial/ulnar deviation & clenching/unclenching fists
- Timing= 20-60 seconds or until palpable release
Popliteal Space MFR/INR
Physician uses finger pads to grasp the medial & lateral aspects of the hamstrings (superior) or the gastrocs (inferior) as they create the superior/inferior popliteal space
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– knee flexion/relaxation; IR/ER at the hip
- Timing= 20-60 seconds or until palpable release
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/245/a_image_thumb.png?1566933284)
Plantar Fascia MFR/INR
Physician’s thumbs are crossed, making an X, with the thumb pads over the area of concern at the plantar fascia. •The thumbs provide a separating force to load tissues appropriate to dMFR.
![](https://s3.amazonaws.com/brainscape-prod/system/cm/290/399/246/a_image_thumb.png?1566933459)
Activating Forces:
- MFR: Inherent and respiratory
- INR: REMs– plantarflexion/dorsiflexion
- Timing= 20-60 seconds or until palpable release