Lecture 5: Introduction of FPR/BLT/Still's Flashcards
Describe the BLT technique.
Indirect Technique
Utilizes activating force
Hold until air hunger (feel if it is better in exhalation or inhalation)
What are the three principles of BLT?
- Disengagement of dysfunctional area
- Exaggeration of dysfunctional pattern
- Balanced tension of ligaments
What are indications to utilize BLT techniques?
Ligamentous articular strain
Lymphatic congestion or local edema
What are contraindications for BLT techniques?
Fracture, dislocation, instability Open wounds Soft tissue/bony infections Abscesses DVT Malignancy
What is the goal of BLT?
Balance the articular surfaces’ directions of physiologic motion that are common to that articulation
Physician helps body help itself (2nd tenet)
Describe FPR technique.
Flatten or neutralize the curve
Add compression and hold 3-5 seconds in indirect position before returning to neutral
Describe the mechanism of a FPR technique.
-Interaction between 1α-afferent and γ-efferent activity
-Intrafusal fibers allowed to return to normal length
1α-afferent signals decrease
-Decreases tension in extrafusal fibers
-Muscles achieve normal length and tone
What are indications to utilize FPR techniques?
Muscle hypertonicity
Virtually all somatic dysfunction
Time crunch
What are contraindications for FPR techniques?
Unstable fracture Manifestation of neurologic symptoms Life-threatening symptoms Wounds <6 weeks Joint instability
What is the first step in an FPR technique?
Place segment in neutral position and flatten curve
Describe Still’s technique.
- Place dysfunctional segment in indirect position
- Add localizing force of compression/traction (~5lbs)
- Move through the restrictive barrier while maintaining localizing force, ending in direct position
What are indications to utilize Still’s techniques?
All somatic dysfunction
Short on time
What are contraindications for Still’s techniques?
Fractures or wounds <6 weeks
