Myofascial Release

Question 1

fascia

Answer 1

general name for fibrous connective tissue masss that binds together the structures of the body

glucosamine
hyaluronic acid
chondroiton sulfate

Question 2

GAGs?

Answer 2

glycosaminoglycans

are hydrophilic and take in water

lead to stiff or pliable fibers

Question 3

types of fascia?

Answer 3

dense irregular
dense regular
adipose
reticular tissue

Question 4

functions of fascia

Answer 4

packaging
protection
posturing
passageways

Question 5

can you separate muscle and fascia?

Answer 5

no, they are anatomically inseparable

Question 6

proprioception?

Answer 6

75% of proprioception occurs in fascial sheaths

-other 25% occurs in ligaments, tendons, joint capsules and muscle spindle activity

Question 7

function of fascia

Answer 7

adaptations accompany joints
joint immobilization
fluid content and contractile elements within connective tissues

Question 8

stress

Answer 8

force normalized over the area on which it acts

normal stress is perpendicular to the cross-section
sheer stress is parallel

Question 9

strain

Answer 9

changes in shape due to stress

Question 10

stiffness

Answer 10

ration of a load to the deformation/strain it causes (tight concept)

Question 11

compliance

Answer 11

inverse of stiffness

loose concept

Question 12

creep

Answer 12

continued deformation (increasing strain) of viscoelastic material under constant load over time; release of stored kinetic energy

Question 13

hysteresis

Answer 13

time lag in the occurence of two associated phenomena, as between cause and effect, change in energy content

Question 14

wolff’s law

Answer 14

bones deform along lines of force placed on them

Question 15

hookes law

Answer 15

strain on elastic body is in proportion to stress placed on it

Question 16

newton’s 3rd law

Answer 16

force of one object equal in magnitude/opposite direction than force of second object

Question 17

pascals law

Answer 17

pressure on liquid at rest from any point transmitted equally in all directions

Question 18

myofascial release mechanisms

Answer 18

change in length and associated changes in energy content (hysteresis)

provides peripheral neuroreflexive alterations in muscle tone and neural facilitation (mechanoreceptors)

external forces applied to fascia facilitate restoration of normal structure and function

Question 19

pizoelectric

Answer 19

mechanical changes will result in bioelectric signal

Question 20

elastic

Answer 20

amount of deformation is same for a given of stres

material returns to original length or conformation when stress is removed

Question 21

viscoelastic

Answer 21

nonlinear properties due to viscous nature
-magnitude of stress applied is dependent on rate of loading

stored mechanical energy not completely returned once stress removed

Question 22

area under stress/strain curve?

Answer 22

stored mechanical or kinetic energy

Question 23

slope of stress/strain curve?

Answer 23

stiffness of substance

Question 24

yield point

Answer 24

forces up to this point allow substance to return to original position

surpassing the yield point leads to plastic deformation - molecular components are permanently displaced

Question 25

creep

Answer 25

tendency of a solid material to slowly move or deform permanently under influence of stresses

result of long term exposure to stress below yield point

Question 26

when does creep occur in stress/strain curve?

Answer 26

after plastic elongation in the necking phase

Question 27

hysteresis

Answer 27

energy lost when energy returned is not equal to the energy stored and represents residual strain

area between curves - energy lost
area under bottom curve - energy recovered

Question 28

bone

Answer 28

very flexible and strong

Question 29

viscoelastic?

Answer 29

halfway between elastic and plastic (viscous) models

elastic goes back to first orientation
plastic assumes new orientation

viscoelastic somewhere in between

Question 30

tight/loose concept

Answer 30

pain typically at loose sites as muscles are usually weak and inhibited

tight areas are frequently tethered

Question 31

big bandage of fascial continuum model

Answer 31

emphasizes the fascia

use the integrity of fascial continuum to treat

proximal to distal
fulcrum with leverage
torsion and traction
respiratory assistance
reflexive neurologic reset

Question 32

pizoelectric model

Answer 32

mechanical tension causes collagen growth/remodeling via current creation

transducers that discharge electrical current when physically stressed

Question 33

negative charge?

Answer 33

stimulates osteoblasts

Question 34

positive charge?

Answer 34

stimulates osteoclasts

Question 35

palpation

Answer 35

high level haptic skill

Question 36

treatment with MFR increased when someone has proper?

Answer 36

intention
attention
activation

Question 37

goals of MFR?

Answer 37

relax contracted muscles
release tightness or tethering
-decreases O2 demand
-decreases pain
-normalizes ROM across joint
-restore 3D symmetry

increased circulation and drainage

don’t aggravate hypermobility

Question 38

MFR absolute contraindication?

Answer 38

absence of SD

lack of consent

Question 39

release

Answer 39

subtle motion palpated by physician

-relaxation, melting, shift of tissues

Question 40

direct MFR

Answer 40

toward barrier

Question 41

indirect MFR

Answer 41

away from barrier

Question 42

absolte contraindications of MFR? (book)

Answer 42

no SD
lack of consent
acute fractures
open wounds
dermatitis
acute themal injury

Question 43

long lever?

Answer 43

lower extremity MFR technique

upper extremity MFR technique