OMM Technique's Overview Flashcards
Strain/counterstrain
Indications
In presence of TP
Tx patients not able to tolerate more direct tx
Strain/counterstrain
Relative contraindications
pt who cannot voluntarily relax
severely ill patient
vertebral artery disease
severe osteoporosis
pt with pathological limitations to certain body positions
Strain/counterstrain
Absolute contraindications
absence of SD
lack of patient consent and/or cooperation
Strain/counterstrain
Description
Tissue balancing technique used in association with myofascial tenderpoint (TP) to relax intrafusal muscles and reset gamma gain
Muscle origin and insertion are moved closer together around TP and then is held in position for 90 sec or until release
HVLA Description
Direct technique that employs a rapid, localized and corrective force that travels a short distance within the anatomic range of motion of a joint and engages the restrictive barrier in one or more planes to improve motion and function
HVLA Indications
Tx of SD with firm, distinct barriers to restore motion and function
Reduce muscle hypertonicity, stretching of shortened musculature, increasing fluid movement and reducing pain
HVLA Relative Contraindications
Acute herniated nucleus pulposus Acute radiculopathy Acute whiplash/severe muscle spasm/strain/sprain Osteopenia/osteoporosis/osteoarthritis Spondylolisthesis Metabolic bone disease Hypermobility syndromes
HVLA Absolute Contraindications
Lack of patient consent
Absence of SD
Rheumatoid arthritis
Lymphatic Technique
Description
Focuses on restoring homeostasis and improving the lymphatic circulation while removing barriers to lymph flow
Free restrictions first centrally and then peripherally in the body
1 remove barriers to lymph flow,
2 enhance mechanisms involved in respiratory-circulatory homeostasis,
3 extrinsically augment lymph flow and other immune system elements,
mobilize lymph fluid from other regions of the body to decrease congestion
Lymphatic Technique
Indications
Edema, tissue congestion, lymphatic stasis, infection and inflammation
Lymphatic Technique
Relative Contraindications
Cancer Osseous fracture or crushed tissue Bacterial infections with risk of dissemination Chronic infections with risk of reactivation Diseased organ Circulatory disorders Coagulopathies/pt on anticoagulants Unstable angina CHF COPD
Lymphatic Technique
Absolute Contraindications
Lack of patient consent
Absence of SD
Aneuresis if not on dialysis
Necrotizing fasciitis
Muscle energy
Description
Direct technique that uses controlled forces from both pt and doc. Patient is positioned against edge of restrictive barrier. Physician directs patient to apply a force in opposition to doc for 3-5 sec. pause for 2 and then is taken to next barrier
Muscle energy
Indications
Increase ROM
Enhance lymphatic and venous circulation, thereby reducing edema and tissue congestion
Muscle energy
Relative Contraindications
Infection, hematoma, or tear in msk
Fracture or dislocation of involved joint
Undiagnosed joint swelling of involved joint
Positioning that compromises vasculature
Patient with low vitality who could be further compromised
