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OS Exam 1 > Lecture 3 LO > Flashcards

Lecture 3 LO Flashcards

1
Q

Describe the functions of fascia

A
  • Supporting matrix of the musculoskeletal system
  • Provides pathway for nerves and vessels (including lymph) and fascial planes
  • Restraining mechanisms
  • Formation of bursa sacs
  • Preserves the contour of the limbs
  • Superficial storage of fat
  • Participates in healing
  • Provides attachment and origin of muscles
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2
Q

Describe the functions of fascia

-Provides pathway for nerves and vessels (including lymph) and fascial planes

A

Possible negative effect on lymph flow

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3
Q

Describe the functions of fascia

-Restraining mechanisms?

A

Pulleys, tendonous sheaths

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4
Q

Describe the functions of fascia

-Formation of bursa sacs?

A

Decrease friction

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5
Q

Describe the functions of fascia

-Preserves the contour of the limbs?

A

Deep fascia

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6
Q

Describe the functions of fascia

-Participates in healing?

A

-Deposition of collagen fibers in scar tissue

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7
Q

Discuss fascial dysfunction and the relationship to somatic dysfunction

A

??

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8
Q

Describe the anatomic distribution and continuity of fascia

A

??

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9
Q

Describe the interactions of fascia and muscle

A

?

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10
Q

Describe soft tissue techniques used to treat myofascial restrictions

A
  • Treatments used to release stress in the non-skeletal aspect of the musculoskeletal system
  • Can be used alone or along with other modalities
  • Useful in acute and chronic problems
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11
Q

Describe soft tissue techniques used to treat myofascial restrictions
-Action?

A
  • Mechanically stretch skin, fascia, muscles to increase pliability and motion
  • Increase circulation of fluid in and around the MS system
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12
Q

Describe soft tissue techniques used to treat myofascial restrictions
-Neurological effect?

A

Decreases inappropriate reflexive spasm

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13
Q

Describe soft tissue techniques used to treat myofascial restrictions
-In bedridden patients?

A

Helps increase muscle tone in bedridden patients

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14
Q

Describe soft tissue techniques used to treat myofascial restrictions
-Barrier concept-direct vs. indirect?

A

Direct barrier-Going toward restrictive barrier

Indirect barrier-Going away from restrictive barrier

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15
Q

Describe soft tissue techniques used to treat myofascial restrictions
-Types of techniques?

A
  • Lateral/perpendicular stretch
  • Linear/longitudinal stretch
  • Reflex inhibition
  • Effleurage, petrissage, tapotement
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16
Q

Describe soft tissue techniques used to treat myofascial restrictions
-Types of techniques-Lateral/perpendicular stretch?

A

Force the tissue at right angles to the long axis of the muscle or tissue

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17
Q

Describe soft tissue techniques used to treat myofascial restrictions
-Types of techniques-Linear/longitudinal stretch?

A

Force tissue in direction of long axis or moving from origin and insertion

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18
Q

Describe soft tissue techniques used to treat myofascial restrictions
-Types of techniques-reflex inhibition?

A

Force applied as steady pressure to spastic tissue

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19
Q

Describe soft tissue techniques used to treat myofascial restrictions
-Types of techniques-Effleurage, petrissage, tapotement?

A

Lymphatic techniques

20
Q

Underlying principles of soft tissue

-Stretch and kneading?

A
  • Slow, do not “surprise” muscles or tissues
  • Not too much
  • Causes realignment of collagenous fibers, lengthening of muscle fibers
  • Helps move fluids
21
Q

Underlying principles of soft tissue

-Pressure?

A
  • Moves fluids
  • May cause reflex inhibition of nociceptive inputs
  • May cause golgi tendon organ inhibition of muscle activity
22
Q

Underlying principles of soft tissue

-Lymphatic techniques?

A
  • Increases circulations via vibrations, stroking of tissues

- Increases extracellular fluid movement

23
Q

Underlying principles of soft tissue

-Myofascial release technique-Designed to?

A

-Designed to stretch and reflexively release patterned soft tissue related restrictions

24
Q

Underlying principles of soft tissue

-Myofascial release technique-Goals?

A
  • Assess and modify maladaptive patterns

- Search out tight and loose “end-feels”

25
Q

Underlying principles of soft tissue

  • Myofascial release technique-Goals:
    • Search out tight and loose “end-feels”-dynamic barriers?
A

-Soft tissue/bony impediment to INHERENT motion

26
Q

Underlying principles of soft tissue

  • Myofascial release technique-Goals:
    • Search out tight and loose “end-feels”-static barriers?
A

-Soft tissue/bony impediment to PASSIVE motion

27
Q

Underlying principles of soft tissue

  • Myofascial release technique-Goals:
    • Search out tight and loose “end-feels”-direct treatments?
A
  • Define areas of tightness by holding tissue firmly into barrier of restriction
  • Wait for tissue release (tissue CREEP)
  • Art lies in being able to follow tissue response as release begins
28
Q

Underlying principles of soft tissue

  • Myofascial release technique-Goals:
    • Search out tight and loose “end-feels”-Indirect treatments?
A
  • Move the tissue in 3 dimensions 180 degrees from restrictive barrier
  • Subtle release of tissue
  • Art lies in being able to keep the tissues in a “loose” fashion while the body “unwinds”
29
Q

Describe the compensatory patterns observed by J. Gordon Zink

  • Areas of?
  • Examples?
A
  • Areas of restriction frequently at transition zones

- Examples-OA, cervicothoracic, thoracolumbar, lumbosacral

30
Q

Describe the compensatory patterns observed by J. Gordon Zink
-May be due to any number factors including?

A

Handedness, eye dominance, foot preference, leg length discrepancies

31
Q

Describe the compensatory patterns observed by J. Gordon Zink
-Compensated patterns?

A
  • Common (LRLR)

- Uncommon (RLRL)

32
Q

Describe the compensatory patterns observed by J. Gordon Zink
-Uncompensated?

A
  • No alteration in pattern, or incomplete alterations
  • Trauma, slow injury recovery, illness
  • Typically require more chronic treatments
33
Q

Describe the structure and composition of fascia

A
  • Makes up a large portion of soft tissue
    • All enveloping
  • Ability to be contractile and elastic
    • Serves many functions
34
Q

Wolf’s Law

A

Tissue is laid upon lines of stress

35
Q

Hook’s Law

A

Amount of deformation (i.e. strain) is dependent on the amount of stress (force) applied

36
Q

Newton’s Third Law

A

Force exerted by one object is equal in magnitude to the opposite force exerted by a second object

37
Q

Stress

A

Force normalized over an area on which it acts

38
Q

Strain

A

Change in shape (deformation) as a result of stress

39
Q

Stiffness

A

Ratio of load to amount of deformation it causes

40
Q

Compliance

A

Inverse to stiffness

41
Q

Viscoelastic material

A

Any material that deforms in relation to rate of loading and deformity

42
Q

Creep

A

Continual deformation of viscoelastic material with time under constant load

43
Q

Tethering

A

Idea of a change in forces (tension) in a tissue causing and/or maintaining asymmetries in static posture and available motion (function)

44
Q

Tethering

-Tightness of tissue involves?

A
  • Deep and superficial fascia
  • Large and small muscle groups
  • Bone
  • Suggests tethering
45
Q

Tethering-Looseness

A

Joint/tissue laxity with or without neural inhibition

46
Q

Tethering

-caused by?

A
  • Somatic dysfunction
  • Synovial joint changes affect joint play
  • Asymmetrical neural implants

OS Exam 1 (9 decks)

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