OMM Technique overview DSA Flashcards
Relative contraindications for articulatory technique
repetitive rotation and extension due to risk of arterial or neurological compromise
Malignancy
Absolute contraindications for articulatory technique
lack of patient consent absence of somatic dysfunction fracture of dislocation neurologic entrapment syndromes serious vascular compromise local infeciton (cellulitis, abscess, septic arthritis, osteomyelitis)
absolute contraindications for BLT
lack of patient consent
absence of SD
relative contraindications for BLT
acute fractures open wounds acute thermal injury soft tissue or bony infections deep venous thrombosis disseminated or focal neoplasm recent surgery in area of proposed treatment aortic aneurysm
what are tender points
inappropriate proprioceptive reflex and correlate with a SD
caused by rapid myofascila tissue lengthening and this causes a shortening reflex by the antagonist muscle
A TP forms at the origin insertion or belly of a dysfunctional muscle and may be present in tendons, ligaments, and fascia
locally tender
no radiation of pain
found in associated with taut banding tissue or muscle contraction, dermographia, or specific pain patterns
trigger point differences from tenderpoints?
elicit radiation of pain when palpated
elicit a muscle twitch when palpated
relative contraindications for counterstrain
pt who cannot voluntarily relax severely ill vertebral artery disease severe osteoporosis patient with pathological limitations to certain body positions
absolute contraindications for Strain/CS
absence of SD
lack of patient consent or cooperation
what is facilitated positional release
indirect technique
treat the superficial function before deep dysfunciton is there are both
start with a sequence of movements that allow anatomical neutrality –> then add activating force (Compress, traction, torsion) –> release of restriction –> return to neutral position
joint restriciton –> caused by increased efferent gamma motor activity
absolute contraindications for facilitated positional release
lack of pt consent absence of SD hip prosthetic shoulder pathology any acute or chronic joint dislocation or separation recent trauma acute fracture
what re the absolute contraindications for HVLA
lack of pt consent
absence of SD
rheumatoid arthritis
what re the principles of treatment for lymphatic technique (4)
removing barriers to lymph flow
enhancing mechanisms involved in respiratory-circulatory homeostasis
extrinsically augmenting lymph flow and other immune system elements
mobilizing lymph fluid from other regions of the body to decrease congestion
what are the absolute contraindications for lymphatic technique?
lack of patient consent
absence of SD
aneuresis if not on dialysis
necrotizing fasciitis
what re the absolute contraindications of MET
absence of SD
lack of patient consent or cooperation
young child that cannot comprehend treatment instructions
coma/unresponsive patient
what are the absolute contraindications for myofasical release?
absence of SD lack of patient consent acute fractures open wounds dermatitis acute thermal injury
what re the various soft tissue techniques?
stretching (traction)
kneading
inhibition -directed superficial to deep directly into a dysfunctional tissue to reset tension or tone
effleurage - distal to proximal
petrissage and skin rolling
tapotement- repetitive striking of a muscle belly with the hypothenar eminence
used in patients with hypertonic muscles, excessive tension in fascial structures, abnormal somato-somatic and somato-visceral reflexes
how does still technique work?
1 place the dysfunctional tissues into the position of ease
2 add force vector through the dysfunctional tissues
3 while maintaining the force vector move the tissues through restrictive barrier
can be performed many times in a row
used for patients with SD associated with muscle hypertonicity and restricted ROM
what are the absolute contraindications for still technique
hip prosthetic shoulder injury acute or chronic joint dislocation or separation recent trauma fracture less than 6 weeks old recent wound lack of patient consent absence of SD
indications for myofascial release
relax contracted musculature
release tethered structures
restore symmetry
increase circulation and venous/lymphatic draining
decrease pain and edema
indications for lymphatic technique
edema, tissue congestion, lymphatic stasis, infection and inflammation
useful in upper and lower respiratory tract, CV, GI, GU, pregnant, pediatric, geriatric and rheumatologic patients
