Myofascial I Flashcards
What are the three significant roles that tensegrity plays?
- Effects on postural stress
- Compensation
- Adaptation and decompensation
Why is tensegrity important as a model of fascia?
Little energy for the maintenance of posture/structure
What aspects of OMM are reflected by the tensegrity principle?
Functional unit
Self-regulation
The balance of the internal functions are reflected in tensegrity how?
Homeostasis
The balance of the external structure in response to stress results in what?
Postural changes
How does hypermobility in one area affect other areas?
Causes hypomobility elsewhere
What causes the pain in plantar fascitis?
Fascial tension causes bone formation on the fascia, creating a hell spur
What is the superficial layer of fascia?
Subcutaneous
What is the deep layer of fascia? Role?
Investing fascia that compartmentalizes tissues
Neurovascular bundles
Periosteum is an example of what layer of fascia?
deep fascial layer
Pericardium is an example of what layer of fascia?
subserous fascia
Coverings of organs represents what layer of fascia?
subserous
What is the function of the contractility of fascia?
creates tension between origins and insertions
What are the colloid like properties of fascia?
the gel like ability
What causes a loss of the colloid like properties of fascia?
Adhesions–abnormal crosslinking of fascia
What are the four functions of fascia?
- Stabilize (posture)
- Coordinates muscles
- Supports organs/muscles
- Aids in circulation
How does fascia aid in circulation?
Keeps veins open
What is the role of fibroblasts in fascia?
create it
What is Wolff’s law, and how does it apply to fascia?
Mechanical stress/pressure stimulates fibroblasts to produce collagen to offset stress
What happens when fascia cross-links?
Increases strength
Decreases flexibility
What are myofascial treatments?
system of diagnosis and treatment that engages continual palpatory feedback to release myofascial tissues
What is direct myofascial techniques?
Engaging the restrictive barrier
What is the indirect myofascial technique?
tissues guided along the path of least resistance
What are the nerves that innervate muscle spindles?
Gamma motor neurons
What happens to the nerves with injury?
Leads to persistent afferent excitatory input
What does the spinal cord do in response to increased afferent stimulation?
Increased in gamma motor neuron activity, to increase muscle tone, muscle shortening, increased sensitivity to muscle stretch
How does MFR treat the increased afferent input into the spinal cord?
Shuts off the cycle by decreasing afferent stimulation
Decreases gamma motor neuron activity
Decrease in muscle stretch
What are the three goals of MFT?
- relax muscles
- Increase circulation
- Increased drainage
True or false: in MFR, the pt is in charge; we merely facilitate the release
True
What are the two ways of indirect release of myofascial stuff?
Takes tissues where it wants to go, and hold
Take it where is wants to go, and continue to follow it
Too much pressure with MFR causes what?
Impeded the motion of the tissue
What are the four steps of MFR?
- Assess motion
- move to pt of ease (neutral)
- hold to release
- Reassess
What is the principle of facilitated positional release?
Excessive tone on skeletal muscles causes increased resistance
For facilitated positional release, the pt should be placed in what position? Why?
Neutral position
Unloads facets
What is the next step in FPR after the pt is placed in a neutral position?
Place dysfunction into its freedom of motion
How much force should be added with the listening hand? For how long?
3-5 lbs
3-5 seconds
What should be done when FPR is finished?
Released and reevaluate
True or false: radicular pain is a contraindications to using FPR
True
The majority of fascia in the body has what organization? What are the exceptions to this?
Longitudinal
Diaphragms have horizontal
True or false: There are no absolute contraindications to MFR
True
What are the contraindications to FPR?
- Radicular pain with compression
- Fractures
- Pain
how long does it take for a ligament to heal once put back into place?
3 months