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CATA 441 - Manual Therapy > MFR > Flashcards

MFR Flashcards

1
Q

Meaning of myo

A

Muscle

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2
Q

Meaning of fascia

A

Band

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3
Q

What type of tissue is the myofascia?

A

Embryonic tissue often called connective tissue

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4
Q

Is myofascia continuous or intermittent?

A

CONTINUOUS, uninterrupted sheet of tissue that extends from the skull to the feet

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5
Q

Define myofascial release

A

Gentle manual technique used to release fascial restrictions by sustained pressure

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6
Q

Fascia includes what? (10)

A

Aponeurosis
Ligaments and tendons
Joint capsules
Layers of bone
Organs
Nerves
Duramater, CNS, PNS
Bronchial connective tissue
Mesentary of abdomen

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7
Q

Fascia is made up of 3 things

A

Collagen
Elastin
Ground substance

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8
Q

What is the role of collagen?

A

Provides strength and stability to guard against overextension

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9
Q

What is the role of elastin?

A

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

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10
Q

What is the role of the ground substance?

A

Provides medium in which all other elements are exchanged

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11
Q

Condition of the ground substance can affect what?

A

The rate of diffusion and therefore the health of the cells that it surrounds

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12
Q

Tensegrity - muscle do __ and bones do ___

A

muscle = pull
bone = push

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13
Q

How can you describe the tensegrity concept?

A

Structural system composed of balance between tension and compression (or push and pull)

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14
Q

What is Wolff’s law?

A

Bones grows and remodels in response to the forces that are placed upon it. *post injury = specific stress to help remodel

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15
Q

What is Hooke’s law?

A

Extension of a spring is in direct proportion with the load as long as it does not exceed the elastic limit

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16
Q

What is Newton’s 3rd law of motion?

A

For every action there is an equal and opposite reaction

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17
Q

Fascia moves in response to ___ activity

A

Muscle

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18
Q

Does fascia have contractibility?

A

No, it moves conjunctively with the muscles

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19
Q

Myofascia contains 2 things that are related to it’s sensory nature

A

Proprioception and pain receptor

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20
Q
A
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21
Q

Research shows that after joint and muscle spindle, the majority of proprioception occurs in what?

A

Fascial sheaths

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22
Q

What are the roles of fascia?

A

Cellular respiration
Elimination
Metabolism
Fluid and lymph flow
Repair by deposition of repair tissue
Conservation of body heat
Fat storage
Cellular health and immune system

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23
Q

Which fascia (deep or sup.) surrounds and separates visceral organs?

A

Deep fascia

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24
Q

Which fascia (deep or sup.) thickens in response to stress?

A

Deep fascia

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25
Which fascia (deep or sup.) provides space for the accumulation of fluid?
Superficial fascia
26
Which fascia (deep or sup.) provides shock absorption?
Superficial fascia
27
Which fascia (deep or sup.) stores fat?
Superficial fascia
28
Which fascia (deep or sup.) helps stabilize posture and compartmentalizes the entire muscular system?
Deep fascia
29
What 3 things happens when the body reacts to trauma? think of 3 structures
- Collagen becomes dense and fibrosis - Elastin loses it's resiliency - Ground substance solidifies
30
Fascia ___, ___ and ____ in response to trauma (physical, emotional, inflammation, poor posture)
Shortens, thickens, solidifies
31
What is the name of the phenomen when fascia shortens, thickens and solidifies?
binding down
32
3 general conditions that affect fascia
Injury or trauma Inflammatory process Poor posture
33
Explain link between inflammatory processes and fascia
Inflammation creates imbalances in the cellular fluids = cell death from lack of oxygen = scar formation and fascial adhesions
34
Explain the link between habitually poor posture and fascial restrictions
Body in position for too long = binds down to support pressure imposed upon it Leads to compensatory patterns
35
J.Gorden Zink D.O's fascial direction - transitions sites: (4)
Occipitoatlantal area Cervicothoracic area Thoracolumbar area Lumbosacral area
36
3 types of common compensatory patterns
- Common compensatory - Uncommon compensatory - Uncompensated
37
Most common compensatory pattern in 80% of people: explain
L at OA // R at CT // L at TL // R at LS Common compensatory pattern (CCP)
38
Oother 20% is called: explain
R at OA // L at CT // R at TL // L at LS Uncommon compensatory pattern
39
When does the uncompensated compensatory pattern happens?
Traumatic origin Fascial preferences do not alternate
40
how does MFR work? explain
Allows the collagen and elastin fibers to rearrange themselves into a more conductive resting length by application of pressure from the therapist's hand Supplies mechanical and thermal energy to bring back GS in gel state
41
Explain how the heat (thermal energy) affects during MFR
Downregulate nervous system = relaxation (helps myofascial tension that are created by stress) Increase elasticity of the tissue + bring more blood to the area
42
Technique should be held for ____ seconds but ideally ____
90-120 seconds 5 minutes
43
Therapeutics effects of MFR (10)
- Relieve pain - Restore function - Increase ROM - Improve motor performance - Restore body equilibrium - Promote relaxation and sense of well-being - Improved digestion, absorption, elimination - Improved sleep - Decrease anxiety - Decreased muscle activity & vigor after stressful exercise or performance
44
MFR global contraindications (11)
- Fever - Systemic infection - Alcohol and recreational drug use - Colds and flus that are contagious - Circulatory conditions - Severe underdiagnosed swelling/pain - Undiagnosed lumps - Deep vein thrombosis and aneurysm - Rapid weight loss/gain - Undiagnosed breathing difficulties - Undiagnosed bowel and bladder issues
45
MFR local contraindications (12)
- Open wounds - Sutures and stitches - Healing scars (wait 6-8 weeks) - Healing fractures - Skin hypersensitivity/inflammation - Infectious skin condition or sunburn - Radiation therapy - Localized infection - Cortisone therapy (wait 3-4 days) - Varicose veins - Osteoporosis or advanced degenerative changes
46
MFR is appropriate for pregnant women after _____
after their 1st trimester
47
What is contraindicated with MFR and pregnancy?
Abdominal work
48
What is the best position for pregnant women and why?
Left side because prevents IVC to be compressed
49
MFR and scar tissue/adhesions - why do it?
Very rewarding for the patient Not because there is no incision that there is no adhesions Making the scar look better
50
Normal patient responses to MFR
- Burning under the skin - Redness of skin - Changes in breathing - Sweating - Therapeutic pain (not more than discomfort) - Emotional release (crying, laughing, etc.)
51
What may the patient feel after treatment?
- Localized pain or discomfort possible for 24-48h - Increased sleep - Lethargy - Old aches/pains re-surfacing
52
What should the patient do post treatment?
Drink water to get rid of toxins release Stretching, strengthening + proprioception exercises RE-ENFORCE REPEAT
53
T or F: Myofascial TP release is not as effective as stretching?
FALSE Myofascial TP release was MORE effective than stretching alone
54
What should you do in your posture assessment? name
Fascial drag
55
What is important during the palpatory assessment?
Let your hands listen and tell your mind, not the other way around Use your whole hand (not just fingertips) Contact is soft and relaxed but firm enough + contact is long enough
56
Should the palpatory assessment be done in a specific position? why?
Should be done standing or lying down (gravity eliminated)
57
What is specific to know about palpation with women who wear a bra?
T10 level - restrictions should be on both side if normal so important to compare
58
Things to look for in the palpatory assessment: (4)
- Tissue equality, bounce and end-feel - Tissue temperature - Tissue drag - Areas that are hard or tender
59
What is mobility? vs motility?
Mobility refers to the ability of a tissue to move Motility refers to the freedom of tissue to move
60

CATA 441 - Manual Therapy (9 decks)

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