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Practice Topics Exam 4 > MFR 2 > Flashcards

MFR 2 Flashcards

1
Q

Concept of fascia

A

It is everywhere! It connects the entire body

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2
Q

Forward head posture - possible myofascial restrictions

A 
Anterior chest wall
Thoracic
Abdominal
Post C spine
Ant C spine
Diaphragm
Hip flexor
REMINDER - pt with neck pain, do not just treat their neck!
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3
Q

Basic principles - Tx with MFR will affect

A

the treated area and distal body areas

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4
Q

Basic principles - Release of tightness and restrictions can affect

A

other body organs through a reflexive relaxation of tension transmitted through fascial system

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5
Q

Basic principles - MFR can change _____ if ____ does not have ___

A

Can change posture if posture does not have joint changes

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6
Q

Basic principles - Progress measured through

A

the normal stuff - ROM, function, impairments

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7
Q

Basic principles - comfort with MFR

A

MFR is more comfortable than other stretching techniques

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8
Q

Historical assumptions - how does it work

A

MFR will work even though we don’t know why it works

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9
Q

Historical assumptions - Finding and stretching tightness

A

Utilizing feedback from the pt, the therapist can find and stretch tightness and restrictions that can’t be detected by other techniques

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10
Q

Historical assumptions - Asymmetrical soft tissue tightness can cause

A

pain proximal to, or distal to the area of dysfunction

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11
Q

Historical assumptions - In the conflict of what the therapist sees and feels - what wins

A

Feel!!! Always go by what you feel

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12
Q

Historical assumptions - As long as the therapist can locate the tightness and restriction,

A

the actual structure of the restriction does NOT have to be known

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13
Q

Treatment techniques - efficacy

A

Lack of research - the tx is dependent on what therapist feels
Balance clinic intuition with scientific scrutiny

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14
Q

Treatment techniques - Sequencing - where to perform

A

Perform myofascial tx in involved and regional areas of involvement - pain area might not be the problem area

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15
Q

Treatment techniques - Sequencing - myofascial before or after joint mobs

A

Treating myofascial tissues before joint mobs allows joint mobs to be applied with less force

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16
Q

Treatment techniques - Sequencing - direct vs indirect

A

Direct before indirect techniques

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17
Q

Treatment techniques - Sequencing - Superficial vs deep

A

Superficial to deep

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18
Q

Treatment techniques - Sequencing - what is the sequence

A 
Myofascial techniques
Joint mobility
Stretching after joint and myofascial
Neuromuscular re-ed
Postural instructions
19
Q

What is a release - descriptors

A

Melting
fluttering
resulting autonomic response - heat or cold

20
Q

What is a release - end feel

A

Soft rubbery quality
Calm sensation of relaxation
Inherent tissue motion stops guiding the therapists hand when no further tightness or restrictions are present

21
Q

What is a release - Sensation that

A

no unnecessary tension is present in the tissue

22
Q

What is a release - might see

A

Psychological release of emotion

23
Q

Where do you release

A

Anywhere that has decreased myofascial mobility

24
Q

How do you do a release?

A 
Take up slack POET3
Stretch or hold until release occurs
Take up new slack and hold - repeat
Need quiet and be attentive to sensory feedback 
Your hands guide you
25
Q

What directions do you release

A

Traction
Twist
Compressive

26
Q

What directions do you release - Traction

A

CT loaded along the long axis of myofascial elements
PT hands go in opp directions
Inc tension in tissues

27
Q

What directions do you release - Twist

A

Rotational loading into the tissues in a radial or ulnar direction
Twist will localize the traction, not only at point of contact, but also at points of distance

28
Q

What directions do you release - depth of release can be seen by position of the hands - describe

A

The more perpendicular to the body, the deeper the release

29
Q

What directions do you release - compressive

A

Localizes tension from superficial to deep in the fascial system

30
Q

Gross releases - what is it

A

Releases an entire body area or mm group and is used to locate and release restrictions

31
Q

Gross release - how to

A

One hand stabilizes, other stretches
Stretch in line with mm fibers and then move diagonally
Once released, can pick up tissue and do a vertical lift

32
Q

Focused release - what is it

A

release of small segment within a mm using several fingers

33
Q

Treatment effects usually last

A

24 hours, then the tx’s build on each other with repetition

34
Q

Treatment - begin with

A

gross superficial releases and progresses deeper

35
Q

Treatment - as one area releases, may not

A

improvement in other areas OR further restrictions in other areas

36
Q

Post tx

A

New posturing of the body so pt may have pain
Important to follow up with strengthening, ARON in new posture
Drunk lots of water

37
Q

Indications

A

1 Traditional PT has not helped
2 Complex, global, or specific pain that does not follow dermatomal, myotomal or visceral referral patterns
3 Underlying chronic conditions that cause tightness and restriction in soft tissue (postural asymmetries, COPD, CNS dys)
4 frequent HA stimulated by mm or joint
5 Nonlabyrinthe vertigo and dizziness secondary to active myofascial trigger points
6 Competitive athletes who need subtle stretching to inc speed/accuracy

38
Q

Contraindications

A 
1 unstable med condition
2 skin inflammation - dermatitis
3 contagious skin disease
4 wounds, fracture, infections, tumors, CA
5 psych impairments
39
Q

Contraindications - psych impairments includes

A 
Lack of boundaries
Does not tolerate physical contact
Does not trust PT
Cog impaired
PT not comfortable with pt
40
Q

Precautions

A

May lower BP - let rest supine or prone post tx and stand close when they sit up or change position
May lower blood sugar
Cautious in those with impaired circulation
Cautious with those who are on blood thinners

41
Q

Two dx that we often treat with MRF

A

Fibromyalgia

Myofascial pain syndrome

42
Q

Two dx that we often treat with MRF - Fibromyalgia - describe

A 
Altered nociception
Sleep disturbances
Depression
Ex seems to worsen condition
Tender points
Multisystem dysfunction
43
Q

Two dx that we often treat with MRF - Myofascial pain syndrome - describe

A

Priamry issue or secondary to systemic disease
Mechanical dysfunction with multp. trigger points
Activation of trigger points can cause autonomic response
Trigger points may cause diminished ROM and strength

Practice Topics Exam 4 (9 decks)

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