Lecture 22 - Deep Frictions Flashcards
what are deep frictions?
what are the types of deep frictions?
what are the 3 main therapeutic effects of deep friction?
- Traumatic hyperemia
- Pain relief
- Decreasing scar tissue & adhesions
explain the therapeurtic effect of traumatic hyperemia
explain the therapeutic effect of pain releif
*note if the area is stimulated too much it will increase pain
explain the therapeutic effect of decreasing scar tissue and adhesions
Inflammatory and early proliferative phases
Light DTF only
Rationale:
–To minimize the cross-linking & enhance the extensibility of the new tissue
–To prevent adhesion formation
–To maintain mobility between tissues
Late proliferative & remodeling phases
–Assists with the orientation of the collagen in the appropriate lines of stress
–Breakdown of adhesions (due to transverse nature of the frictions)
deep friction indications
- Chronic lesions in the ms, tendon, tendon sheaths, ligaments and joints
- Adhesions in ligaments, ms or between tissues
- Acute or subacute injuries to ligament, tendon or ms (Light DTF only)
- Can also be performed before a strong stretch to desensitize the tissues
deep friction contraindications
- Decreased sensation = can’t tell you what they are feeling
DTF application technique - location and tissue positioning
DTF application technique - therapist positioning
*make sure skin follows fingers - perpendicular to tissue
- No use of lubricant
- Done perpendicular to the orientation of the tissue fibres
- Moves the pt skin with the clinician’s finger over the site of the identified lesion back & forth
- Blisters prevention: important to moves skin with fingers
DTF application technique - amount of tension/pressure, amplitude, and rate of application
DTF application technique - treatment duration
DTF application technique - after application and DTF treatment frequency
Total number of treatments
- Pt specific → until no further improvements
- Most conditions should resolve within 6-10 sessions over 2-8 wks
- If no tissue improvement after 3 sessions - Discontinue DTF
DTF application technique - other considerations
NOTE
- May exacerbate Sx following the 1st 2-3 sessions
- Need to determine if the ↑ in pain is acceptable considering pt’s condition and phase of healing
- Educate pt about it & ice application
Remember
–The application of DTF is condition & pt dependent
–The amt of tension/pressure & duration is based on the phase of healing
–The pain induced should be kept within the pt’s tolerance
DTF research for tendinopathy
DTF research for ligament injuries
DTF research for muscles
DTF research for trigger points
Active trigger point = referred pain too
Non-active = pain but no referred
takehome DTF message
