MFR Flashcards

1
Q

what is the myofascia system

A

is web-like, 3-dimensional matrix that intertwines,
surrounds, protects and supports every other
structure in the human body

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2
Q

what is myofascia

A

t is a single, uninterupted sheet of tissue that extends from the inner aspects of the skull down to the soles of the feet and from the exterior to the interior of the body, ultimately making up the shape and form of the whole body

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3
Q

why no tissue exist in isolation

A

due to fascia that bound and interwoven and act together

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4
Q

fascia is made up of

A

collagen and elastin and gel like fluid called ground surface

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5
Q

collagen provides ?

A

strength and stability to guard against
overextension

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6
Q

elastin provide what

A

provides elastic properties that allow connective tissue to stretch and absorb tensile forces.

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7
Q

what is surrounding collagen and elastin

A

ground substance

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8
Q

grounds substance provide what

A

Provides medium in which all other elements are
exchanged (gases, nutrients, hormones, cellular
waste, antibodies, white blood cells)

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9
Q

how does force transmission force work within the fascia

A

Fascia responds to internal and external pressure
and transmits that force throughout the matrix.

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10
Q

what is tensegrity

A

Acts as a whole system so that any
internal or external forces acting on
them are transmitted to all elements
of the structure equally, causing it to
deform symmetrically rather than
collapse

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11
Q

T/F myofascia contain proprioception and pain receptor

A

T

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12
Q

after joint and muscle spindles , where does the most majority of proprioception occurs

A

fascial sheats

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13
Q

role of superficial fascia

A

Forms a thin layer beneath the skin
¡ Provides shock absorption
¡ Provides space for the accumulation of fluid
¡ Stores fat
¡ Provides insulation
¡ Contains capillaries and lymphatic channels
¡ Regulates fluid

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14
Q

role of deep fascia

A

Is tough, tight and compact
¡ Contributes to contour and function of body
¡ Compartmentalizes the entire muscular system
¡ Surrounds and separates visceral organs
¡ Encases the nervous system and brain
¡ Thickens in response to stress
¡ Helps stabilize posture

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15
Q

fascial restriction create what

A

abnormal strain patterns
resulting in compression of joints and musculature
producing pain and imbalances.

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16
Q

how does binding down of fascia happen

A

Fascia shortens, solidifies and thickens in response to
trauma, anything physically or emotionally injurious to
the body, inflammation and poor posture

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17
Q

binding down can impose what and create what

A

negative stress on the system and can alter organ and tissue significantly

As the fascial system binds down, it creates restrictions
not only in the area of injury but throughout the whole
structure.

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18
Q

explain how the fascial system can be compromised by inflammatory process

A

inflammation creates an imbalance in the
cellular fluids and possible cell death from lack of
oxygen resulting in scar formation and fascial
adhesions

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19
Q

what is a common compensatory pattern

and what is an uncommon compensatory patter

A

80% had an alternating or
compensatory fascial pattern in which the
preference for its rotation to the left at the OA area,
the right for cervicothoracic, left for the
thoracolumbar, right at the lumbosacral. (L/R/L/R)

R/L/R/L

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20
Q

what is an uncompensated pattern

A

fascial preferences do not alternate. Often have traumatic origin

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21
Q

what happen when muscle fiber are injued

A

they heal by forming adhesions, the fibers and the fascia which surrounds it become short and tight.

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22
Q

scaring or injury to ground surface of fascia is a major cause of

A

pain and limitation of motion

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23
Q

why tension in the fascia can create symptoms in other part of the body that are unrelated to the actual restricted area

A

Because the fascial system is interconnected, this
stress can be transmitted through the
fascia to other parts of the body

24
Q

what MFR allow

A

the collagen and the elastin fibres to
rearrange themselves into a more conductive resting length by application of pressure from the therapist’s hands.

25
what does MFR do to the ground surface
supply mechanical and thermal energy which converts the ground substance into gel state again which allow facilitation of sliding movement of collagen and elastin fibers.
26
MFR should be held for _sec but ideally _min
90-120s, 5min
27
therapeutic effect of MFR
Relieve pain ¡ Restore function ¡ Increase range of motion ¡ Improve motor performance(str, proprio, etc) ¡ Restore body equilibrium ¡ Promote relaxation and a sense of well-being ¡ Improved digestion, absorption and elimination ¡ Improved Sleep ¡ Decrease anxiety ¡ Decreased muscle activity & vigor after stressful exercise or performance
28
MFR - Contraindications
Fever ¡ Systemic infection ¡ Alcohol and recreational drug use ¡ Colds and flus that are contagious ¡ Circulatory conditions ¡ Severe undiagnosed swelling \ pain ¡ Undiagnosed lumps ¡ Deep vein thrombosis and aneurysm ¡ Rapid weight loss \ gain ¡ Undiagnosed breathing difficulties ¡ Undiagnosed bowel and bladder issues
29
how munch time do we need to wait before doing MFR on scar
6-8 weeks
30
MFR is appropriate for pregnant women after their _ trimester
1st
31
patient best position with MFR and pregnancy
left side
32
patient responses to MFR
- Burning under the skin as cross-links are broken down - Redness of skin either under hands or further away * Change in breathing * Sweating * Therapeutic pain (should not be more than discomfort) * May have an emotional release (laughing, crying,
33
what can the patiente feel after MFR treatment
Localized pain or discomfort possibly for 24-48 hours post-treatment ¡ Increased sleep ¡ Lethargy ¡ Old aches/pains re-surfacing ¡ These responses can be normal and should be verbalized to your patient.
34
what should the patient do post treatment
- drink water to help get ride of an toxins release during treatment - stretching, strength, proprio
35
Effects of MFR can last
Until motion causing trauma is repeated. - Research has found up to a 6 month post treatment. - Research also shows that benefits can be achieved with a physical therapy visit once a week. - Further lasting benefits are noted when self-MFR is performed.
36
palpation for fascia restriction is easier in which position
lying down
37
what to look for during palpation of soft tissue
Tissue equality, bounce and end-feel in all directions. - Tissue temperature - Tissue Drag - Areas that are hard or tender
38
what is mobility vs motility
- Mobility refers to ability of tissue to move - Motility refers to the freedom of tissue to move
39
what is active myofascial trigger point
focus of hyperirritability in the muscle or its fascia that is symptomatic with respect to pain: it refers a pattern of pain at rest and\or in motion that is specific for the muscle.
40
what is a passive or latent myofascial trigger point
A focus of hyperirritability in the muscle or its fascia that is is clinically ‘quiet’ with respect to spontaneous pain; it is however painful when palpated.
41
what is a satellite or associated myofascial trigger point
develops in response to compensatory overload, shortened range or referred phenomena caused by trigger point activity in another muscle.
42
what is a direct stretch
stretch toward the restriction
43
type of MFR
cross hand, longitudinal plane release, compression release, transverse plane release, myofascial unwinding
44
which plane should we treat first with MFR
transverse before longitudinal because transverse plane are deeper and denser
45
what are the 4 mains transverse planes in the human body
pelvic floor, respiratory diaphragm, thoracic inlet, cranial base
46
what are some indication for pelvic floor dysfunction
- Restrictions seen or felt on assessment -Sacral \ pelvis dysfunctions - Pelvic floor pain -Forward flexed posture; prolonged sitting during the day -Cross-chain/Cross-thorax fascial restrictions
47
indications for respiratory diaphragm treatment
- Restrictions seen or felt on assessment -History of asthma, bronchitis, -Car accident (seat belt injury) -Digestive problems -Forward flexed posture; prolonged sitting during the day -Cross-chain/Cross-thorax fascial restrictions
48
indication for thoracic inlet
- Thoracic Outlet Syndrome; -Neck, shoulder or upper extremity issues -Rounded posture; -Restrictions seen/felt on palpation -History of Asthma; Bronchitis -Carpal Tunnel syndrome; -Headaches/migraines -Rib issues/injuries -Vocal problems
49
what composed the thoracic inlet
T1, first rib, manubrium of sternum
50
indication of cranial base
- Thoracic Outlet Syndrome; -Neck, shoulder or upper extremity issues -Rounded posture; -Restrictions seen/felt on palpation -Headaches/migraines -Rib issues/injuries -Vocal problems
51
arrangement of interosseous of forearm allow what
shared compression
52
what happen if forearm interosseous is not treated after injury
Can perpetuate wrist and elbow injuries long after proper orthopedic care and complete healing of strains, sprains, or fractures of the elbow or wrist should have taken place”
53
indication for upper interosseous membrane
- Acute/chronic elbow injuries/conditions; “-itis”conditions of the arm and forearm; wrist injuries, carpal tunnel; - Frees up the vascular system of the forearm - radiating nerve pain from arm or c-spine - increase shock absorption of forearm and decrease stiffness - post fracture
54
shin splint pain is often a problem of
tightness or restrictions in this membrane.
55
indication for lower leg interosseous membrane
- Leg pain; shin splints; ankle sprain; post leg fracture; - radiating nerve pain - Edema; - Tendonitis any leg muscles - Tension seen/palpated on assessment; decreased bounce - Frees up the vascular system of the forearm - post fracture
56