Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OPP exam 2 > Myofascial release (kania ) > Flashcards

Myofascial release (kania ) Flashcards

1
Q

what is stress

A

force normalized over the area on which it acts.

Normal stress is perpendicular to the cross-section

sheer stress is parallel.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is stiffness

A

the ratio of load to the deformation/strain it causes the “tight” concept

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is creep

A

the continued deformation (increasing strain) of a viscoelastic material under constant load over time

release of stored kinetic energy

solid material moving slowlly and deforming permanately under the stress placed upon it.

ice flowing despite being frozen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is compliance

A

the inverse of stiffness “the loose concept”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is hysteresis

A

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

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

so when you stretch down to touch your toes you can get farther each time and the longer you hold it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is strain

A

change in shape due to stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is fascia

A

fibrous CT masses that bind together the structures of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are GAG’s and their function

A

glycosaminoglycans

generated from fibrocytes in response to motion

HYDROPHILIC (water loving) and determine the relative fluid content of connective tissue

more GAGs = more H20 binds to them so this makes the tissues less stiff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the function of fascia?

A

packaging
protection- stabilize structures and establish limits of motion
posturing - contain proprioceptors that sense movement
passageways - for arteries, vv’s, nn’s, lymphatics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

where does 75 percent of proprioception occur? and the remaining 25 percent?

A

in fascial sheaths - so this is why we might treat fascia to improve proprioception

remaining 25 percent occurs in ligaments, tendons, joint capsules and muscle spindle activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what does joint immobilization or long periods of decreased motion enable the formation of?

A

increased collagen crosslinks causing myofascial connective tissue stiffness

**myofascial adaptations accompany the articular and periarticular motion restrictions and muscle imbalance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

in what orientation is normal stress?

A

perpendicular to the cross section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

in what orientation is sheer stress?

A

parallel to the cross-section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is wolff’s law

A

bones (and soft tissue) tend to deform along the lines of force placed on them.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is hooke’s law?

A

any strain/deformation placed on an elastic body is in proportion to the stress placed on it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is newton’s third law>

A

when 2 bodies interact, the force exerted by the first on the second is equal in magnitude and opposite in direction to the force exerted by the second body on the first body.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is pascal’s law

A

pressure applied to a liquid at rest from any point is transmitted equally in all directions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

external forces applied to fascia facilitate …

A

restoration of normal structure and function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is elastic material

A

The amount of deformation is the same for a given amount of stress
Material returns to its original length or conformation when the stress is removed

20
Q

what is viscoelastic material?

A

Nonlinear properties due to the viscous nature
Magnitude of stress applied is dependent on the rate of loading
Stored mechanical energy not completely returned once stress removed (hysteresis)

21
Q

both elastic and viscoelastic materials can be….

A

stiff, compliant, and brittle

22
Q

what is the area under the curve of a stress vs. strain graph

A

stored mechanical or kinetic energy

think of jumping on a trampoline
the difference of that position compared to the unstrained position represents stored mechanical energy

23
Q

stress- strain curve of a viscoelastic material. what does the slope of the curve mean?

A

slope represents the stiffness of a substance

Applying force to the substance prior to reaching the yield point allows elastic strain = the material can return to its original position without deformation.

Surpassing the yield point leads to plastic deformation = molecular components are permanently displaced.

example would be taking a credit card and bending it too far

24
Q

what is residual strain in a stress vs. strain graph

A

the residual strain occurs due to reorganization at a molecular level after stress has been applied

removed stress and it doesn’t come back along the same line b/c it has been deformed

25
Q

if elastic and plastic zones are exceeded the imparted energy is released as a

A

FRACTURE oh shit

Bone needs strength to be weight-bearing and flexibility to absorb high-impact forces by changing shape without failing and then return to its normal length.

26
Q

bone is …

A

a viscoelastic substance

weight bearing and flexible

27
Q

what is the mechanical plastic model (viscous model)

A

apply tensile force

now have changed post load (deformed)

28
Q

what is an elastic mechanical model

A

pre load and post load look the same!

nothing changed, went back to normal

29
Q

viscoelastic model mechanical model?

A

preload is loaded with tensile force

some goes back to how it was (the spring) and some is deformed

so some elongation is lost and some is retained after the application of tensile force
this is an example of creep

30
Q

what is the tight/loose concept

A

Pain is typically at loose sites as muscles are usually weak and inhibited

Tight areas are frequently tethered

Looseness suggests joint or soft tissue laxity

so if your left knee gets tight your left ankle would be loose

31
Q

big bandage of fascial continuum model

A

Emphasizes the fascia

Uses the integrity of the fascial continuum to treat
proximal to distal

fulcrum with leverage

torsion and traction

respiratory assistance

reflexive neurologic reset

32
Q

DEEP fascial lines

A

deep fascia in the thigh that becomes contiguous with the deep fascia of the pelvis to the torso/abdomen/thorax

the entry point at the ankle allows one to pick up the IOM and continue deeply into the pelvis and thorax

33
Q

Bioenergetic model

A

O’connell

Piezoelectric model

What accounts for the change in energy content? (hysteresis)
Collagen is a Piezoelectric substance in bone and has been shown to affect growth/remodeling of bone
Negative charge stimulates osteoblasts
Positive charge stimulates osteoclasts
Mechanical tension creates bioelectric current changes that guide the orientation of fibrin and collagen.

34
Q

what is piezoelectricity>

A

Piezoelectricity is current that is produce by the transformation of mechanical stress to electrical energy.

Piezoelectric substances act as transducers and are able to discharge electrical current when physically stressed.

35
Q

what is palpatory diagnosis

A

high-level haptic skill (motor and sensory aspects of hand activities)

36
Q

what are the MFR indications ?

A

Somatic dysfunctions involving myofascial or other connective tissues

37
Q

what are the goals of myofasical release?

A

relaxation of contracted muscles

release tightness or tethering

Decrease oxygen demand
Decrease pain
Normalize ROM across a joint

Restore 3-D functional symmetry

DON”T AGGRAVATE HYPERMOBILITY don’t make things looser

Increased circulation to area of ischemia

Increase venous drainage and lymphatic drainage

38
Q

complications of MFR

A

Exceeding the limits of dysfunctional and injured tissue creates iatrogenic trauma layered on top of the somatic dysfunction and complicates the treatment and healing.

Temporary worsening of symptoms may occur the first day or two typical of post-exercise muscle soreness.
Older aged or debilitated patients, inflammatory conditions (auto-immune diseases, rheumatic conditions, fibromyalgia) are likely to experience post-OMT flare-ups.
Drinking more water, resting, soaking in a hot bath can help.

39
Q

what are the absolute contraindications of MFR

A

Absence of somatic dysfunction

Lack of patient consent and/or cooperation

40
Q

what are the relative MFR contraindications

A 
Fractures
 open wounds, 
acute thermal injury
soft tissue or bony infections
deep venous thrombosis (threat of embolism) 
disseminated or focal neoplasm 
recent post-operative states over the site of proposed treatment (wound dehiscence)
 aortic aneurysm
41
Q

how do you do MFR

A

Technique is a procedure that utilizes a position, method and an activating force.

Static and dynamic movement barriers are released as they are encountered by sequentially loading areas of tightness using compression, traction and twisting

42
Q

what is direct MFR

A

a myofascial tissue RESTRICTIVE BARRIER IS ENGAGED for the myofascial tissues and the tissue is loaded with a constant force until tissue release occurs.

Identifies the restrictive barrier in all planes.
Brings the body to the restrictive barrier and applies a corrective force (traction, compression, twist,

may also utilize:
Respiratory cooperation in the phase which encourages tissue tension

Tissue inhibition

Oscillation

Eye, tongue, jaw, head or limb movements

43
Q

what is indirect MFR

A

the dysfunctional tissues are guided along the path of least resistance until free movement is achieved.

Identifies the position of free motion in all planes = neutral.
Brings the body to the neutral place and waits for the body to initiate the corrective action.

may also use:

Regional compression, distraction, or torsion

Tissue inhibition or traction

Respiratory cooperation in the phase which encourages tissue relaxation

Eye, tongue, jaw, head or limb movements

44
Q

objectives

A
  1. Describe the difference between elastic and visco-elastic material.
    3.
    Know the different models of myofascial systems.
  2. Describe the different force effects on fascia.
  3. Describe the myofascial mechanisms of action.
  4. Describe the effects of mechanical deformation on fascia.
  5. Discuss the tight-loose concept.
45
Q

objectives

A
  1. Describe the difference between elastic and visco-elastic material.
    3.
    Know the different models of myofascial systems.
  2. Describe the different force effects on fascia.
  3. Describe the myofascial mechanisms of action.
  4. Describe the effects of mechanical deformation on fascia.
  5. Discuss the tight-loose concept.
46
Q

what are the absolute contraindications for doing myofascial release

A 
absence of SD
lack of patient consent
acute fractures
open wounds
dermatitis (inflammatory or infectious)
acute thermal injury
47
Q

how long do you hold the patient in the position of ease or restriction

A

until you feel a release

OPP exam 2 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions