Localization of Forces Flashcards
Where is the physiologic shifted neutral?
direction away from restrictive barrier
What is an indirect OMM technique?
manipulative technique where RB is disengaged & dysfunctional body part is moved away from RB until tissue tension is equal in 1 or all planes & directions
What should be felt during an indirect technique?
distinct sensation of lack of any tension
tension changes will begin as body responds neurologically
What is counterstrain?
system of diagnosis & tx that considers dysfunction to be a continuing, inappropriate strain reflex, which is inhibited by applying position of mild strain in direction OPPOSITE to that of the reflex
What are some pitfalls of counterstrain?
moving too quickly may prevent recognition for texture changes @ monitoring point (may pass pt past the ideal point)
there may be several tender points & knots that overlap
if many TPs, usually only 1 will reach “0”
What is muscle energy?
OM dx & tx in which pt’s muscles are actively used upon request from a controlled position, in a specific direction, & against a distinctly executed physician counterforce
Where do you localize for ME & direct MFR?
localize to feather edge of RB (@ very first sign of any tissue restriction)
Where do you localize for HVLA?
localize firmly against RB (movement is increased until there is firmer resistance to pressure)
How to feel localization on spine for HVLA
tripod hand placement to feel for affected segment & then monitor motion below that level
3 finger placement (can feel segment being treated & motion below that segment)
How do you localize force for cervical or upper thoracic T1-T6 ME?
use head to induce motion from above down to affected segment
start w/ SB & then induce rotation down to segment
Can you use the “osteopathic salute” for localizing force above T5?
NO b/c this technique uses the rhomboids to tilt & twist the spine from T5 & below
What is Still’s technique?
a specific, non-repetitive articulatory method that is indirect, then direct
How is compression transmitted in Still’s technique?
sequentially between segments (slowly add additional compression until force is palpated @ junction between segments being treated)
What is HVLA?
employs rapid, therapeutic force of brief duration that travels short distance w/ in anatomic range of motion of a joint
engages RB in 1 or more planes of motion to elicit release of restriction
In supine HVLA, where is the physician’s thenar eminence placed?
place thenar eminence on PTP to cradle the spinous process
