OMM: Balanced Ligamentous Tension

Question 1

Diagnosis and treatment are inseparable but…

Answer 1

This does not mean you can begin treating without a diagnosis

Question 2

Place attention to the ________ to your treatment, not on what you are doing

Answer 2

Patient’s response

Question 3

Which Dr. used the principle of balanced ligamentous tension as his approach to treatment in the cranium and the body?

Answer 3

Dr. Sutherland

Includes both direct and indirect methods

Question 4

All techniques involve engaging and utilizing the “______” from a “_____”

Answer 4

“Powers within the patient’s body” from a “point of balanced tension”

Question 5

Balanced Tension

There are a variety of ___________ which can act directly on the areas of strain to correct the dysfunction

Answer 5

Inherent forces

The action of these inherent forces is perceptible as the point of balanced tension is achieved

Question 6

The _________ will respond to the point of balanced tension and “reset”

Answer 6

Nervous system

This alters tissue tension to baseline and reduce facilitation

Question 7

Proprioceptor/postural reflexes

Answer 7

Standard theories on the mechanism of indirect treatment focuses on the physiology of the muscle spindle and the proprioceptive nervous system

Question 8

Proprioceptive information also originated from the ___________ and contributes to the reflex control of muscle tension and joint position

Answer 8

Joint capsule and ligaments

There is a relatively high concentration of joint “golgi tendon organs” compared to the tendons

Question 9

By bringing the joint to a point of BLT, this will_____________

Answer 9

Reduce the firing of these joint receptors

May account for the immediate change in muscle tension pal patted at point of BLT and resetting postural tone

Question 10

____________ reflexes are immediately involved in the physiology of somatic dysfunction

Answer 10

Nociceptors reflexes

Question 11

Joint capsules have a high concentration of __________ fibers, much higher than muscle

Answer 11

Nociceptive

Question 12

What happens to blood and muscles during increased muscle tension?

Answer 12

Blood is shunted away, and changes in muscle physiology promote maintenance of spasm and dysfunction.

Positioning will relax muscle tension and alter its circulation. May notice a change in the pulse

Question 13

Ligamentous strain will also impair ___________

Answer 13

Local blood supply

Question 14

_________ and ________ circulation is more sensitive to tissue pressure than arterial

Answer 14

Venous and lymphatic

Question 15

Interstitial fluid flow is also reduced by tissue tension. This will have a direct effect on…..

Answer 15

Local cellular physiology and nutrition, an often overlooked consequence of somatic dysfunction

Question 16

The goal of treatment is to improve __________

Answer 16

The interchange of all the fluids of the body across all tissue interfaces

Question 17

The evaluation of somatic dysfunction should include the impact on local expression of inherent motion such as _________..

Answer 17

Respiration, pulse and the primary respiratory mechanism

Question 18

The point of Balanced ligamentous/membranous tension is defined as ….

Answer 18

The point in the range of motion of an articulation where the ligaments and membranes are poised between the normal tension present throughout the free range of motion and the increased tension preceding the strain

Question 19

Although the concept of BLT is simple, the depth lies in the ______

Answer 19

Precision with which it is applied

Question 20

Assistance of innate forces

Answer 20

• Directing the tide
• Respiratory assistance
• Postural assistance

Question 21

Reactions to treatment

Answer 21

• Always check the cranio-cervical junction
• Observe change in physiologic phenomena
• Apply the “treatment” to the “patient”
• Observe
  
  • what happened before (diagnosis)
  • what’s happening now (treatment)
  • what will happen (prognosis)