Localization of Forces Flashcards
The physiologic shifted neutral remains in a direction that is what direction from the restrictive barrier?
away
Indirect manipulative technique definition
manipulative technique where restrictive barrier is disengaged and dysfunctional part is moved away from the RB until tissue tension is equal in one or all planes
Examples of indirect techniques
counterstrain, BLT, indirect MFR
Localized force for CS technique
tissues should become softer as the proper location is reached
Localized force for indirect MFR technique
practitioner will need to readjust as neutral balance point changes
Localized force for BLT technique
hold position for duration of treatment
Finding the tissue balance point often involves movement in increments of…
0.5-2mm
Components of tissue movement in joints
rotation, abduction, adduction, flexion, extension, sup/inf glide, medial/lateral glide
Components of tissue movement with soft tissue tx
clock directions, torque, 3D regions
Neurologic dysfunction treated in counterstrain
inappropriate strain reflex
Treatment process of counterstrain
position tissues in direction opposite to reflex, about the point of tenderness, to achieve the therapeutic response
Counterstrain was developed by…
Lawrence Jones, DO in 1955
Pain scale in counterstrain tx should be established when?
before moving
Common pitfalls of force localization in indirect techniques
moving too quickly, moving too far, several overlaping tenderpoints
Definition of muscle energy
form of diagnosis and tx in which patient’s muscles are actively used on request, from a controlled position, in a specific direction, against a physician counterforce
Muscle energy was first described by…
Dr. Fred Mitchell in 1948
Where is force localized to in direct MFR and ME?
feather edge of RB
Where is force localized to in HVLA?
firmly against the RB
Tripod hand placement for localization
Thumb and 2nd digit feel for motion of the AFFECTED segment, 3rd digit feels for motion below the segment
Rhomboid major attaches to what spinal segments
T2-T5
Rhomboid minor attaches to what spinal segments?
C7-T1
Still’s technique is characterized as…
a specific, non-repetitive articulatory method that is indirect, then direct
“Still’s Technique” was coined by…
Richard Van Buskirk
When is force added using Still’s technique?
prior to placement in barrier
