Mod1

Question 1

Why is the left brain imoportatnt according to Kuchera?

Answer 1

Left Brain understands the treatment manual;
stores & recalls the steps needed to carry out a
certain procedure

Question 2

Why is the Right brain imoportatnt according to Kuchera?

Answer 2

Senses tissue changes through
palpation with the fingers; guides manipulative
procedure

Question 3

What must OMP’s be able to do?

Answer 3

In a short period of time, must process and consider proper dosage, set-up, lesion pattern, and what
what layer a lesion is coming from

Question 4

Why is thinking about the L & R side of the brain’s qualities importatnt for clinical puposes?

Answer 4

“Thinking with your fingers’’

Integration of information between the left and the right brain can logically create a treatment plan.

Question 5

Where is a muscle spindle located?

Answer 5

Within extrafusal muscle fibers

Question 6

Intrafusal muscle fibers and innervated by _____ fibers; to do what?

Answer 6

Gamma nerve & Set tension

Question 7

What does the Gamma Gain of Muscle inform us of?

Answer 7

The amount of tension in a muscle mass that is “determined”

Question 8

How does the Gamma Gain Muscle inform us of the amount of tension in a muscle Mass?

Answer 8

Comparing length of extrafusal muscle fibers in relation to the length of intrafusal muscle fibers in the spindle

Question 9

What happens if the set of gamma gain is inconsistent with the expected movement?

Answer 9

Too much input may arrive at the CNS –> causes CNS confusion… may lead to muscle spasm

Question 10

Turning up gamma gain makes the muscle ?

Answer 10

More sensitive to stretch

Question 11

Increased gamma gain can lead to?

Answer 11

• Pain sensations to the cord
• muscle spasm & pain stimuli
• Inflammatory response
• Lymph & venous congestion
• Fibrosis and muscle contracture

Question 12

Describe Kucheras Direct Method of treatment

Answer 12

Taking the joint or tissue to their restrictive barrier; uses activating force; moves the joint through the
restrictive barrier

Question 13

Describe Kucheras Indirect Method of treatment

Answer 13

Taking the joint or tissue away from the restrictive barrier to a point of ease or balance
(the indirect barrier–the way it likes to go)

Question 14

During Indirect Method of Treatment What does the CNS do to relax muscles?

Answer 14

CNS reduces gamma gain to the intrafusal muscle fibers so that the main muscle mass (extrafusal
fibers) relaxes

Question 15

During Indirect Method of Treatment what way is the treatment moved

Answer 15

Away from restrictive barrier and toward the range of permitted motion

Question 16

What is the Principle of Motion?

Answer 16

Motion in one plane always affects the motion of the other two planes. (Nelson’s
Third Law)

Question 17

When would indirect treatment be benificial?

Answer 17

Patient experiences a great deal of pain,

Post-surgical patients
Weak bones or conditions that decrease the structural integrity of bones and ligaments, patients with

Extreme cases of arthritis, or injuries or conditions where ligaments and or joints are inflamed or compromised.

Question 18

When would indirect treatment be harmful/ ineffective?

Question 19

Direct treatment carries the joint or tissues toward the restrictive barrier so what can happen in all planes ?

Answer 19

Motion in all planes in engaged and
localized in that barrier and an activating force carries the joint/tissues through that barrier

Question 20

What is a Simple Lesion?

Answer 20

A singular lesion manifest as a single pathology. (localized to one area; somatic or organic)

Question 21

If a change to the erector mass along the spine between D5-9, which indicates a possible alteration to the visceral reflex of the upper portion of the digestive system and we are able
to confirm this by detecting lesioning of the liver and gallbladder. what kind of lesion is this?

Answer 21

Simple

Question 22

What is a Chain lesion?

Answer 22

If there was proximal lesioning in the musculature, there would also be irritation to hepatic portal circulation.. which could lead to a chain lesion where the pathway between one organ and the
next is compromised.

Question 23

What is a Complex Chain Lesion?

Answer 23

When there is more than one system in lesion

Question 24

If a gastric lesion in the liver that aggravated the stomach and esophagus and had a knock- on effect on any number of
other systems outside of the GI system. what type of lesion is this?

Answer 24

Complex Chain

Question 25

What does Fully lesioned mean?

Answer 25

The neurology is fully engaged on both the dorsal (somatic) and
ventral (organic) side

Question 26

The longer the lesion has been in existence what does this do to the motion?

Answer 26

There is less quality and quantity of
motion

Question 27

What is the purpose of treatment?

Answer 27

Bring back stability, coordination & integration of the body so self-healing and self-regulating mechanics can function properly

Question 28

When we palpate bind, what do we ask?

Answer 28

(1) How it got there
(2) How long has it been there
(3) The nature of its qualities?

Question 29

What is a Lesion?

Answer 29

A distortion of space between the shapes that then alters the function of those surfaces.

Question 30

What is our role during treatment?

Answer 30

A dialogical exchange of information between the practitioner and the patient, to interact and
communicate with a patient’s lesion; and give the body the chance we have of giving the body what it needs
to communicate.

Question 31

Can a Barrier can be fully or partially lesioned on what side?

Answer 31

The somatic side, Organic side, or Both

Question 32

What are the 3 types of barriers?

Answer 32

Anatomical
Physiological
Restrictive Barrier

Question 33

What is an anatomical barrier?

Answer 33

Anatomical (limited capacity of a joint to
move before injury results)

Question 34

What is a physiological Barrier?

Answer 34

Physiological (based on soft tissues that aid
and protect joints from injury)

Question 35

What is a restrictive/ pathological barrier?

Answer 35

Restrictive Barrier (repetitive strain,
injury, illness; affect any range of articulation
at any level of tissue)

Question 36

What is the definition of Barrier?

Answer 36

The palpatory experience identified by our knowledge of the structure and function of the anatomy; it is either normal or abnormal in the facilitation or
restriction of motion.

Question 37

Who Traced physiology back to anatomy.

Answer 37

John Martin Littlejohn

Question 38

Every cell of the human body is intimately connected through?

Answer 38

NAVL

Question 39

To ‘serve the lesion’ means ?

Answer 39

to follow it (the lesion) as dictated by palpation, correction & reassessmen

Question 40

The Body Approach is what? and who created it?

Answer 40

Its the GOT, John Wernham created as a starting point to be able to do a general overview of a patient before you are aware of their lesion patterns

Question 41

We always remain ______ in our approach

Answer 41

Critical, logical, and practical

Question 42

Use of techniques with Muscle energy activation..?

Answer 42

• Treatment of Individual joints
• Stretching Muscle
  -Fascial plane treatment
  -Activation of muscle pumps to move fluids
• For preparation to manipulate somatic dysfunction by some other methods especially if there is muscle spasm as a component of somatic dysfunction
• For addressing the soft tissue component of joint somatic dysfunction after the motion has been established successfully with a thrust type of direct activation
• For manipulation of somatic dysfunction of the pelvis and extremities where large muscles masses may be a factor potentiating a somatic dysfunction

Question 43

An effective operator is one who knows how to work …

Answer 43

Structurally to encourage (not force)
the body to do all the heavy lifting (physiologically)