OMM Treatment II Flashcards
Muscle Energy
a form of manipulation in which the patient uses their muscles in a controlled, specific direction against a physician’s counterforce (Patient is active, extrinsic, and intrinsic)
Isometric
change in the tension of a muscle without approximation of its origin or insertion (the patient and the physician push with equal force)
Isotonic
approximation of the muscle origin and insertion without change in its tension (the patient pushes with greater force than the physician)
Isolytic
contraction of a muscle against resistance while forcing the muscle to lengthen (the physician overcomes the patient) - used to break up scar tissue, adhesions, or fibrous tissues
When does the isometric technique reset the intrafusal and extrafusal muscle fiber lengths?
during the post contraction relaxation phases (about 2-3 seconds after a muscle contracts there is a refractory period during which the muscle can be passively stretched without the muscle being able to contract or resist the stretch)
Sequencing (isometric)
the patient ultimately pushes a total of three times and the physician brings the patient to a final fourth barier (taking up the slack in between each stretch)
Contraindications for muscle energy
patients with low vitality who could be further compromised, fractures, severe neuromuscular injuries, patient cannot follow directions, proper positioning cannot be achieved
Soft tissue technique (myofascial treatment)
a procedure directed toward tissues other than the skeleton while monitoring response and motion changes using diagnostic palpation (this is not a massage) - direct technique, passive, extrinsic and intrinsic
Tractional technique (stretching)
origin and insertion of the myofascial structures being treated are longitudinally stretched
Kneading
type of soft tissue technique - rhythmic, lateral stretching of the myofascial structure in which the origin and insertion are held stationary and the central portion of the structure is stretched
Inhibition
sustained deep pressure over a hypertonic (tight) myofascial structure.
Soft tissue contraindication
cellulitis
Strain and counterstrain
indirect treatment in which the patient’s SD is treated by using a passive position, resulting in spontaneous tissue release & at least 70% decrease in tenderness
The time of onset of joint dysfunction is not the strain itself, but the body’s ____ to strain
reaction
Tender points
located deep in muscle, tendon, ligament, or fascia (not in or just beneath the skin)
Contraindications for strain/counterstrain
positions that cause dizziness or radicular pain, extreme forward bending in osteoporotic patients
Cranial technique
using the primary respiratory mechanism and balanced membranous tension, direct and indirect, passive, extrinsic and intrinsic
Contraindications for cranial
acute head trauma
myofascial release technique
engages continual palpatory feedback to achieve release of myofascial tissues, direct and indirect, passive, extrinsic and intrinsic (fascia, muscles and tissue)
Contraindications for myofascial release
flare up of symptoms in patients with Lupus and FM
