Myofascial I

Question 1

What are the three significant roles that tensegrity plays?

Answer 1

• Effects on postural stress
• Compensation
• Adaptation and decompensation

Question 2

Why is tensegrity important as a model of fascia?

Answer 2

Little energy for the maintenance of posture/structure

Question 3

What aspects of OMM are reflected by the tensegrity principle?

Answer 3

Functional unit

Self-regulation

Question 4

The balance of the internal functions are reflected in tensegrity how?

Answer 4

Homeostasis

Question 5

The balance of the external structure in response to stress results in what?

Answer 5

Postural changes

Question 6

How does hypermobility in one area affect other areas?

Answer 6

Causes hypomobility elsewhere

Question 7

What causes the pain in plantar fascitis?

Answer 7

Fascial tension causes bone formation on the fascia, creating a hell spur

Question 8

What is the superficial layer of fascia?

Answer 8

Subcutaneous

Question 9

What is the deep layer of fascia? Role?

Answer 9

Investing fascia that compartmentalizes tissues

Neurovascular bundles

Question 10

Periosteum is an example of what layer of fascia?

Answer 10

deep fascial layer

Question 11

Pericardium is an example of what layer of fascia?

Answer 11

subserous fascia

Question 12

Coverings of organs represents what layer of fascia?

Answer 12

subserous

Question 13

What is the function of the contractility of fascia?

Answer 13

creates tension between origins and insertions

Question 14

What are the colloid like properties of fascia?

Answer 14

the gel like ability

Question 15

What causes a loss of the colloid like properties of fascia?

Answer 15

Adhesions–abnormal crosslinking of fascia

Question 16

What are the four functions of fascia?

Answer 16

• Stabilize (posture)
• Coordinates muscles
• Supports organs/muscles
• Aids in circulation

Question 17

How does fascia aid in circulation?

Answer 17

Keeps veins open

Question 18

What is the role of fibroblasts in fascia?

Answer 18

create it

Question 19

What is Wolff’s law, and how does it apply to fascia?

Answer 19

Mechanical stress/pressure stimulates fibroblasts to produce collagen to offset stress

Question 20

What happens when fascia cross-links?

Answer 20

Increases strength

Decreases flexibility

Question 21

What are myofascial treatments?

Answer 21

system of diagnosis and treatment that engages continual palpatory feedback to release myofascial tissues

Question 22

What is direct myofascial techniques?

Answer 22

Engaging the restrictive barrier

Question 23

What is the indirect myofascial technique?

Answer 23

tissues guided along the path of least resistance

Question 24

What are the nerves that innervate muscle spindles?

Answer 24

Gamma motor neurons

Question 25

What happens to the nerves with injury?

Answer 25

Leads to persistent afferent excitatory input

Question 26

What does the spinal cord do in response to increased afferent stimulation?

Answer 26

Increased in gamma motor neuron activity, to increase muscle tone, muscle shortening, increased sensitivity to muscle stretch

Question 27

How does MFR treat the increased afferent input into the spinal cord?

Answer 27

Shuts off the cycle by decreasing afferent stimulation Decreases gamma motor neuron activity Decrease in muscle stretch

Question 28

What are the three goals of MFT?

Answer 28

- relax muscles - Increase circulation - Increased drainage

Question 29

True or false: in MFR, the pt is in charge; we merely facilitate the release

Answer 29

True

Question 30

What are the two ways of indirect release of myofascial stuff?

Answer 30

Takes tissues where it wants to go, and hold Take it where is wants to go, and continue to follow it

Question 31

Too much pressure with MFR causes what?

Answer 31

Impeded the motion of the tissue

Question 32

What are the four steps of MFR?

Answer 32

1. Assess motion 2. move to pt of ease (neutral) 3. hold to release 4. Reassess

Question 33

What is the principle of facilitated positional release?

Answer 33

Excessive tone on skeletal muscles causes increased resistance

Question 34

For facilitated positional release, the pt should be placed in what position? Why?

Answer 34

Neutral position Unloads facets

Question 35

What is the next step in FPR after the pt is placed in a neutral position?

Answer 35

Place dysfunction into its freedom of motion

Question 36

How much force should be added with the listening hand? For how long?

Answer 36

3-5 lbs | 3-5 seconds

Question 37

What should be done when FPR is finished?

Answer 37

Released and reevaluate

Question 38

True or false: radicular pain is a contraindications to using FPR

Answer 38

True

Question 39

The majority of fascia in the body has what organization? What are the exceptions to this?

Answer 39

Longitudinal Diaphragms have horizontal

Question 40

True or false: There are no absolute contraindications to MFR

Answer 40

True

Question 41

What are the contraindications to FPR?

Answer 41

- Radicular pain with compression - Fractures - Pain

Question 42

how long does it take for a ligament to heal once put back into place?

Answer 42

3 months