Localization of Forces

Question 1

Where does the shifted neutral lie in a somatic dysfunction?

Answer 1

-on the opposite side of true neutral from the side of the restrictive barrier

–(but not as big of a magnitude of difference as the restrictive barrier is from the physiologic barrier)

Question 2

What is the difference in the practitioner’s technique between indirect myofascial release and BLT?

Answer 2

• during MFR, the practitioner will need to adjust and re-establish a new point of neutral balance
• during BLT, the original position is held throughout treatment

Question 3

True or False: tension changes are linear when finding the indirect “balance point” of ease

Answer 3

False

Question 4

How much should you adjust your positioning as you approach the nearest ideal?

Answer 4

0.5-2mm

Question 5

When positioning for counterstrain treatment, how many planes of motion do you move first?

Answer 5

one plane only

Question 6

What physician first described Muscle Energy?

Answer 6

Fred Mitchell, Sr.

1948

Question 7

Where do you localize your forces when setting up Direct MFR or Muscle Energy?

Answer 7

against the feather’s edge of the restrictive barrier

Question 8

Where do you localize your forces when setting up HVLA?

Answer 8

firmly against the restrictive barrier

Question 9

For supine thoracic HVLA, which side does the physician stand on?

Answer 9

-opposite the PTP

Question 10

For supine thoracic HVLA, how does the patient place their arms?

Answer 10

• the arm on the side of the PTP is on top

- elbows aligned

Question 11

For supine HVLA, where should your thenar eminence be placed?

Answer 11

-on the PTP

Question 12

For supine HVLA, where should your palm be placed?

Answer 12

-cradling the spinous process

Question 13

For supine HVLA with a Type I dysfunction, which way do you sidebend the patient?

Answer 13

-away from the physician

Question 14

For supine HVLA with a Type II dysfunction, which way do you sidebend the patient?

Answer 14

-toward the physician

Question 15

Where do you place your hand underneath the patient when doing supine HVLA on an extension somatic dysfunction?

Answer 15

-supporting the vertebrae below the dysfunctional vertebral body

Question 16

When doing supine HVLA on an extension somatic dysfunction, what direction is your thrust?

Answer 16

-thrust above your underneath hand, towards the dysfunctional segment

Question 17

For prone thoracic HVLA, which side does the physician stand on?

Answer 17

• Type 1: same side of PTP
• -PTP hand facing caudad
• Type 2: opposite side of PTP
• -PTP hand facing cephalad

Question 18

True or False: prone thoracic HVLA can be done for extension or flexion somatic dysfunctions

Answer 18

False; only for flexion

-anterior pressure would induce further extension and make an extension dysfunction worse!

Question 19

How is the force delivered in prone HVLA?

Answer 19

• thrust through both hands with slightly more pressure on the PTP, perpendicular to the spine (rays of the sun)
• this counter balance pressure creates a circular twist motion in the direction of the fingers