OMM Technique overview DSA

Question 1

Relative contraindications for articulatory technique

Answer 1

repetitive rotation and extension due to risk of arterial or neurological compromise

Malignancy

Question 2

Absolute contraindications for articulatory technique

Answer 2

lack of patient consent
absence of somatic dysfunction
fracture of dislocation
neurologic entrapment syndromes 
serious vascular compromise
local infeciton (cellulitis, abscess, septic arthritis, osteomyelitis)

Question 3

absolute contraindications for BLT

Answer 3

lack of patient consent

absence of SD

Question 4

relative contraindications for BLT

Answer 4

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

Question 5

what are tender points

Answer 5

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

Question 6

trigger point differences from tenderpoints?

Answer 6

elicit radiation of pain when palpated

elicit a muscle twitch when palpated

Question 7

relative contraindications for counterstrain

Answer 7

pt who cannot voluntarily relax
severely ill 
vertebral artery disease
severe osteoporosis
patient with pathological limitations to certain body positions

Question 8

absolute contraindications for Strain/CS

Answer 8

absence of SD

lack of patient consent or cooperation

Question 9

what is facilitated positional release

Answer 9

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

Question 10

absolute contraindications for facilitated positional release

Answer 10

lack of pt consent
absence of SD
hip prosthetic 
shoulder pathology
any acute or chronic joint dislocation or separation 
recent trauma
acute fracture

Question 11

what re the absolute contraindications for HVLA

Answer 11

lack of pt consent
absence of SD
rheumatoid arthritis

Question 12

what re the principles of treatment for lymphatic technique (4)

Answer 12

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

Question 13

what are the absolute contraindications for lymphatic technique?

Answer 13

lack of patient consent
absence of SD
aneuresis if not on dialysis
necrotizing fasciitis

Question 14

what re the absolute contraindications of MET

Answer 14

absence of SD
lack of patient consent or cooperation
young child that cannot comprehend treatment instructions
coma/unresponsive patient

Question 15

what are the absolute contraindications for myofasical release?

Answer 15

absence of SD
lack of patient consent
acute fractures
open wounds
dermatitis 
acute thermal injury

Question 16

what re the various soft tissue techniques?

Answer 16

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

Question 17

how does still technique work?

Answer 17

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

Question 18

what are the absolute contraindications for still technique

Answer 18

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

Question 19

indications for myofascial release

Answer 19

relax contracted musculature
release tethered structures
restore symmetry
increase circulation and venous/lymphatic draining

decrease pain and edema

Question 20

indications for lymphatic technique

Answer 20

edema, tissue congestion, lymphatic stasis, infection and inflammation

useful in upper and lower respiratory tract, CV, GI, GU, pregnant, pediatric, geriatric and rheumatologic patients