Myofascial Release - Class 1 Flashcards
myofascial release is a
hands on technique
used to manage myofascial pain
myo =
muscle
fascial =
CT that covers and supports the mm throughout the body
MFR can feel
painful
why can MFR be painful
fascial tissue may be restricted
has many attachments to the body
what does softening and easing tension in one area often lead to
sensation of pain/tightness elsewhere
fascia is
all connected
goals of MFR
restore fxnal balance
decrease sxs
increase ROM
restore quality and quantity of motion
normalize shock absorption
prevent re-injury
fascia
3-D CT
provide strength, support, elasticity and cushioning to the organs, tissues, nerves, vessels, etc.
what does fascia form
continuum throughout the body
fascia consists of
3 layers
3 layers of fascia
superficial
deep
subserous
superficial level of fascia
under skin
loose, permits skin movement
what does the superficial layer house
nerves
blood vessels
lymph nodes
sweat glands
etc
deep lapyer
compartmentalizes body/separates and contours
around muscle bellies
subserous layer
around internal organs
lubricates viscera
mechanoreceptors of fascia–> type
ruffini ending
pacinian ending
mechanoreceptors of fascia–> stimulation
low and high tension loads during joint movement
muscle has
2 components
2 components of muscles
contractile elements
non-contractile elements
contractile elements
muscle fibers
non contractile component
CT sheath
CT sheath
supports and binds muscle fibers
what does the CT sheath provide
strength
allows muscle to withstand forces of contractions
what does CT allow
entry and exit of nerves and blood vessels
what does MFR involve
applying gentle, sustained, pressure into myofascial CT restrictions to eliminate pain and restore motion in body
what is MFR also called
trigger point therapy
myofascial trigger points (MTrP)
hyperirritable spot in skeletal muscle or fascia
myofascial trigger points are
painful upon compression
myofascial trigger points could
give rise to referred pain
motor dysfxn
autonomic sx
2 types of MTrP
primary
secondary
primary trigger point
cause pain locally at the pressure site
radiate sxs along a typical radiation pattern
found at muscle bellies
secondary trigger points
painful point in a muscle
that becomes active when you stress another muscle
will return if you dont treat the primary trigger point
tx of fascia
skin strokes
myofascial strokes
types of skin strokes
skin glides
finger slides
boney contours
myofascial strokes
strumming
perpendicular strokes
muscle play
skin glide
skin movement as a whole
hands move skin as a whole
“round the clock”
finger slide
assessment through the skin
fingers glide through the skin
“round the clock”
boney contours
finger slide around boney structures
what tells us if there is dysfxnal tissue
end feel
perpendicular strokes
asses the fascia at the edges of the muscle
strumming
with index fingers crossed
strum over the muscles to assess and attempt to eliminate increased resting muscle tension
muscle play
ability of a muscle to be mobile and move separately from surrounding structures
what should we always start with
assessment
our assessment
locate restrictions
identify end feel
fine tune direction
used clock method
depth and direction
what should we be sure of during massage
maintain a professional demeanor at all times
we have all necessary equipment prior to initiating tx
pt is positioned properly
what should we be aware of during massage
pts comfort lvl, respect their desire for modesty
pts allergies
what must we maintain during massage
professional demeanor at all times
we should always
drape our pt
have clean, dry hands
fingernails be short
remove jewelry, watches, etc.
use proper body mechanics
we should never
lose contact with our pt during massage
draping
must be done so as to not overexpose pt
we should only expose
area being treated
when should we cover the exposed area
if we are leaving pt or the tx area
draping is not
an option during pts tx
