Localization of Forces Flashcards
Where does the shifted neutral lie in a somatic dysfunction?
-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)
What is the difference in the practitioner’s technique between indirect myofascial release and BLT?
- 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
True or False: tension changes are linear when finding the indirect “balance point” of ease
False
How much should you adjust your positioning as you approach the nearest ideal?
0.5-2mm
When positioning for counterstrain treatment, how many planes of motion do you move first?
one plane only
What physician first described Muscle Energy?
Fred Mitchell, Sr.
1948
Where do you localize your forces when setting up Direct MFR or Muscle Energy?
against the feather’s edge of the restrictive barrier
Where do you localize your forces when setting up HVLA?
firmly against the restrictive barrier
For supine thoracic HVLA, which side does the physician stand on?
-opposite the PTP
For supine thoracic HVLA, how does the patient place their arms?
- the arm on the side of the PTP is on top
- elbows aligned
For supine HVLA, where should your thenar eminence be placed?
-on the PTP
For supine HVLA, where should your palm be placed?
-cradling the spinous process
For supine HVLA with a Type I dysfunction, which way do you sidebend the patient?
-away from the physician
For supine HVLA with a Type II dysfunction, which way do you sidebend the patient?
-toward the physician
Where do you place your hand underneath the patient when doing supine HVLA on an extension somatic dysfunction?
-supporting the vertebrae below the dysfunctional vertebral body
When doing supine HVLA on an extension somatic dysfunction, what direction is your thrust?
-thrust above your underneath hand, towards the dysfunctional segment
For prone thoracic HVLA, which side does the physician stand on?
- Type 1: same side of PTP
- -PTP hand facing caudad
- Type 2: opposite side of PTP
- -PTP hand facing cephalad
True or False: prone thoracic HVLA can be done for extension or flexion somatic dysfunctions
False; only for flexion
-anterior pressure would induce further extension and make an extension dysfunction worse!
How is the force delivered in prone HVLA?
- 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
