Localization of Forces Flashcards

1
Q

The physiologic shifted neutral remains in a direction that is what direction from the restrictive barrier?

A

away

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2
Q

Indirect manipulative technique definition

A

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

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3
Q

Examples of indirect techniques

A

counterstrain, BLT, indirect MFR

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4
Q

Localized force for CS technique

A

tissues should become softer as the proper location is reached

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5
Q

Localized force for indirect MFR technique

A

practitioner will need to readjust as neutral balance point changes

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6
Q

Localized force for BLT technique

A

hold position for duration of treatment

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7
Q

Finding the tissue balance point often involves movement in increments of…

A

0.5-2mm

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8
Q

Components of tissue movement in joints

A

rotation, abduction, adduction, flexion, extension, sup/inf glide, medial/lateral glide

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9
Q

Components of tissue movement with soft tissue tx

A

clock directions, torque, 3D regions

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10
Q

Neurologic dysfunction treated in counterstrain

A

inappropriate strain reflex

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11
Q

Treatment process of counterstrain

A

position tissues in direction opposite to reflex, about the point of tenderness, to achieve the therapeutic response

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12
Q

Counterstrain was developed by…

A

Lawrence Jones, DO in 1955

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13
Q

Pain scale in counterstrain tx should be established when?

A

before moving

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14
Q

Common pitfalls of force localization in indirect techniques

A

moving too quickly, moving too far, several overlaping tenderpoints

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15
Q

Definition of muscle energy

A

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

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16
Q

Muscle energy was first described by…

A

Dr. Fred Mitchell in 1948

17
Q

Where is force localized to in direct MFR and ME?

A

feather edge of RB

18
Q

Where is force localized to in HVLA?

A

firmly against the RB

19
Q

Tripod hand placement for localization

A

Thumb and 2nd digit feel for motion of the AFFECTED segment, 3rd digit feels for motion below the segment

20
Q

Rhomboid major attaches to what spinal segments

A

T2-T5

21
Q

Rhomboid minor attaches to what spinal segments?

A

C7-T1

22
Q

Still’s technique is characterized as…

A

a specific, non-repetitive articulatory method that is indirect, then direct

23
Q

“Still’s Technique” was coined by…

A

Richard Van Buskirk

24
Q

When is force added using Still’s technique?

A

prior to placement in barrier

25
Q

Direction of compression in treatment

A

towards dysfunctional segment

26
Q

Effect of lost compression focus

A

movement induced at other tissue levels, lack of correction or induction of dysfunction

27
Q

Definition of HVLA

A

rapid, therapeutic force that travels a short distance within anatomic ROM of a joint and engages restrict barrier in one or more planes of motion to release the restriction

28
Q

Where should spinous process be when positioning hand for spinal HVLA?

A

on palm

29
Q

Part of hand that goes on PTP for supine HVLA

A

thenar eminence

30
Q

Which direction is patient side bent in type I dysfunction for supine HVLA?

A

away from the doctor

31
Q

Which direction is patient side bent in type II dysfunction for supine HVLA?

A

towards doctor

32
Q

Where is the fulcrum hand placed in supine HVLA for type II extended dysfunctions?

A

Below the dysfunctional vertebrae

33
Q

What is the direction of the thrust for supine HVLA for type II extended dysfunctions?

A

above the fulcrum hand, towards the dysfunctional vertebrae

34
Q

Physician positioning for prone HVLA type I

A

stand on same side as PTP, PTP hand facing caudad, pisiform ends in PTP

35
Q

Physician positioning for prone HVLA type II flexed

A

stand on opposite side as PTP, hypothenar eminence ends on TP, PTP hand faces cephalad

36
Q

Direction of force in prone HVLA

A

perpendicular to the spine