Lumbar And Thoracic Soft Tissue And MFR

Question 1

Soft tissue indications

Answer 1

1. Hypertonic muscles and spasm
2. Dec. elasticity of fascial structures
3. Dec. fascial circulation
4. Poor local tissue nutrition, oxygenation, and waste removal
5. Poor reflex activities (dec. circulation in distant areas)
6. Dx: restricted motion, tissue texture changes, sensitivity
7. Tissue response to tx
8. Use -> general relaxation

Question 2

Soft tissue relative contraindications

Answer 2

1. Severe osteoporosis
  A. No prone pressure
  B. Lateral recumbent ok
2. Direct techniques that stretch:
  A. Injured muscles
  B. Tendons
  C. Ligaments
  D. Joint capsules

Question 3

Absolute contraindications

Answer 3

1. Fractures/dislocation
2. Some neurological entrapment syndromes
3. Serious vascular compromise
4. Malignancy
5. Local infection
6. Bleeding disorders
7. Pt. Refusal

Question 4

Respiration and biomechanics

Answer 4

1. Inhalation dec. Spinal curves
2. Exhalation inc. spinal curves
3. Sacral nutation = sacral flexion
4. Sacral counternutation = sacral extension

Question 5

Sacral mechanics

Answer 5

1. Inhalation
   A. Sacral base moves post
   B. ILAs and apex move ant
2. Exhalation
3. Sacral base moves ant
4. ILAs and apex move post

Question 6

Prone lumbosacral MFR

Answer 6

1. Indications
  A. Low back pain
  B. Stiffness
  C. Difficulty bending/turning
2. May help
  A. Menstrual cramps
  B. Prostatitis
  C. UTIs
  D. IBS
  *probably due to symp and parasympathetic NS