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LECOM MS1 OPP > Myofascial Release > Flashcards

Myofascial Release Flashcards

1
Q

What is fascia

A

ubiquitous connective tissue enrobing the body in a big bandage contributing to form and function

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2
Q

What results from the derangement of fascia

A

somatic dysfunction

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3
Q

What is somatic dysfunction

A

It is an impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial, and myofascial structures, and related vascular, lymphatic and neural elements

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4
Q

What are the signs of somatic dysfunction

A 
TART changes
tissue texture
assymmetry
restricted ROM
tenderness
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5
Q

What is the goal of OMT

A

restore homeostasis

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6
Q

What is homeostasis

A

both a state of equilibrium and the process by which balance is maintained. It is a dynamic, ever adapting and changing series of events responding to internal and external environmental changes

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7
Q

What are the osteopathic principles

A
  1. the body is a unit
  2. structure and function are interrelated
  3. the body possesses self regulatory mechanisms
  4. the body has the inherent capacity to defend and repair itself
  5. Abnormal pressure in one part of the body produces abnormal pressures and strains upon other parts of the body
  6. When normal adaptability is disrupted, or when environmental changes overcome the body’s capacity for self-maintenance, disease may ensue
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8
Q

What are the functions of fascia

A

packaging
protection
posture
passageway

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9
Q

How does fascia aid in protection

A

establishes limits by stabilizing joints, bony tissue, and body area

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10
Q

How does fascia aid in posture

A

sense of body movements

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11
Q

How does fascia aid is passageway

A

for somatic and autonomic n, arteries, veins, and lymphatics

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12
Q

What are the physical properties of muscle

A 
irritability
contractility
relaxation
distensibility
elasticity
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13
Q

What is the physical property of irritability

A

ability of the muscle fiber to react to stimulation

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14
Q

What is the physical property of contractility

A

ability to actively create tension between its origin and insertion

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15
Q

What is the physical property of relaxation

A

ability to reduce tension between origin and insertion

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16
Q

What is the physical property of distensibility

A

ability of the associated CT to be stretched or deformed by and outside force and if the force does not exceed the tensile strength of the CT, the muscle will not be injured

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17
Q

What is the physical property of elasticity

A

ability of the CT to return to its original resting shape when forces are removed

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18
Q

Chart the force effects in CT

A 
Plastic deformation
elastic deformation
viscosity
stress
strain
creep
hysteresis or stress strain
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19
Q

What is plastic deformation

A

a stressed, formed, or molded tissue preserves its new shape

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20
Q

What is elastic deformation

A

a stressed, formed, or molded tissue recovers its original shape

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21
Q

What is viscosity

A

capability of a solid to continually yield under stress with a measurable rate of deformation

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22
Q

What is stress

A

effect of force normalized over an area

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23
Q

What is strain

A

a change in shape as a result of stress

24
Q

What is creep

A

continued deformation of a viscoelastic material under constant load over time

25
Q

What is hysteresis or stress-strain

A

a ct response to unloading and loading where the restoration of the final length of the tissue occurs at a rate and to an extent less than during deformation, representing energy loss in the CT

26
Q

What is Hooke’s Law

A

stress applied to stretch or compress a body is proportional to the strain, or change in length thus produced, so long as the limit of elasticity of the body is not exceeded

27
Q

What will result from edema caused by trauma

A

fibrin and collagen to be deposited in a thick and haphazard scar, these thickened areas impede normal function of the linear sheets of fascia causing stiffness, change in ROM, pain, and further edema

28
Q

What will result from trauma

A

trauma patterns affect the whole system

29
Q

What will result from mechanical tension

A

creates bioelectric current changes that guide the orientation of the fibrin and collagen

30
Q

What substance within the body is piezoelectric

A

collagen

31
Q

What is the largest collagen pool in the body

A

fascia

32
Q

What is the function of fibroblasts

A

prepare and secrete collagen, elastin, and other proteoglycans

33
Q

What is ground substance

A

all CT have a spatial fill-in-material, ground substance, which is a mixture macromolecules, proteoglycans, and glycoproteins

34
Q

What is Wolff’s law of bone transformation

A

every change in the function of bone is followed by certain definite changes in internal architecture and external conformation in accordance with mathematical laws

35
Q

What is the charge of GAGS and what do they bind

A

large net negative charge and can bind large amounts of water

36
Q

What is myofascial release

A

engages continual palpatory feedback to achieve release of myofascial tissues

37
Q

What are soft tissue techniques

A

inhibitory pressure, stretching, kneading, petrissage, skin rolling, deep friction, tapotment, and effleurage

38
Q

Describe the type of palpation used in myofascial release

A

asymmetric motion and position of components of the musculoskeletal system are readily identified through palpation

layered palpation with minimal to moderate pressure

39
Q

What is direct technique of myofascial release

A

restrictive barrier is identified, engaged with a loaded constant directional force until the tissue releases and motion is restored

40
Q

What is indirect technique of myofascial release

A

tissue position of ease is identified, engaged with a directed pressure guided the tissues along the line of least resistance until free movement of all tissues is achieved

41
Q

What are release enhancing mechanisms

A

activating forces

42
Q

What is inherent (intrinsic) force

A

using the body’s natural tendency to seek homeostasis, rhythmic activity in all tissues that works to improve the hydrodynamics and bioenergetic factors around restricted tissues and articulations

43
Q

What is respiratory force? (cooperation/assist)

A

full cycle respiratory effort, particular phase of respiration, breath holding, coughing/sniffing

44
Q

What are the different types of activating forces

A 
inherent force
respiratory force
patient cooperation
physician guided force
spring/vibration
45
Q

What is patient cooperation activating force

A

patient requested to move in specific directions

46
Q

What is physician guided force

A

physician sequentially guides the tissue/joint through various positions following a shifting pattern of easy motion
- neutral point used in function techniques

47
Q

What is springing/vibration activating force

A

applying variable degrees of pressure and or frequency of force with the hands or percussion hammer

48
Q

What are the goals of MFR

A

relaxation of contracted muscles
increase circulation to area of ischemia
increase venous and lymphatic drainage thereby decreasing local swelling and edema
a stimulatory reflex on the stretch reflex in hypotonic muscles

49
Q

What are the different models of MFR

A

biomechanical
fascial continuum
bioenergetic

50
Q

What is the proposed mechanism of action of MFR

A

muscle spindle
golgi tendon organ reflex
reciprocal inhibition
crossed extensor reflex

51
Q

What are the patterns of fascial strain

A

80% of patients follow common compensatory pattern

Most frequently affected areas of restriction found at transition zones and alternate from side to side

52
Q

What type of patient will have a tissue reaction and what is the treatment

A

tissue reaction post treatment is possible especially in non-active patient and uncontrolled diabetic, usually treated with increasing water and applying ice

53
Q

What are the contraindications for MFR

A

absolute and relative

54
Q

What are the absolute contraindications for MFR

A

absence of somatic dysfunction, lack of patient consent or cooperation

55
Q

What are the relative contraindications for MFR

A

open wounds, fractures, dislocations, recent surgery’s cute sprain/strain, DVT, malignancy, osteoporosis, infection

LECOM MS1 OPP (5 decks)

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