Practical Flashcards

1
Q

DMFR relative con

A
  • Acute sprain or strain
  • Fracture or dislocation
  • Neurologic or vascular compromise
  • Osteoporosis or osteopenia
  • Malignancy (locally or in other areas of the body)
  • Infection
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2
Q

DMFR ab con

A

NONE

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3
Q

IMFR ab con

A

NONE

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4
Q

IMFR relative con

A
  • Acute sprain or strain
  • Fracture or dislocation
  • Neurologic or vascular compromise
  • Osteoporosis or osteopenia
  • Malignancy (locally or in other areas of the body)
  • Infection
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5
Q

ME rel con

A
  • Moderate or severe muscle strain
  • Severe osteoporosis
  • Severe illness
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6
Q

ME ab con

A
  • Lack of cooperation of patient (can’t understand instructions)
  • Fracture, dislocation, or moderate to severe joint instability
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7
Q

HVLA rel con

A
  • Mild-to-moderate strain sprain in the area to be treated
  • Mild osteopenia or osteoporosis in the area that will be receiving compression, torsion, or another such force from the positioning and/or thrust
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8
Q

HVLA ab con

A
  • Joint instability

- Severe osteoporosis

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9
Q

SCS rel con

A
  • Patients who cannot voluntarily relax

- Stoic patients who cannot discern the level of pain or its change secondary to position

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10
Q

SCS ab con

A
  • Traumatized (sprained or strained) tissues that would be negatively affected by positioning the patient
  • Severe illness in which strict positional restrictions preclude treatment
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11
Q

FPR con

A
  • Herniated disc where the positioning could exacerbate the condition
  • moderate to severe joint instability
  • severe sprains or strains where the positioning may exacerbate the injury
  • vertebrobasilar insufficiency
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12
Q

BLT con

A
  • fracture, dislocation, or gross instability in area to be treated
  • malignancy, infection, or severe osteopor
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13
Q

DMFR Phys

A

By engaging the skin and subcutaneous fascia, you will allow for disengage of the fasica from the hypertonic muscle, This allows for increased ROM and reduced tension which aids the body in healing and restoring overall health when considering the blood vessels, lymph vessels, and nerves that are present in this layer. You can inc circulation and increase lymph drainage to decrease edema and restoration of health.

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14
Q

IMFR phys

A

By engaging the skin and subcutaneous fascia, you will allow for disengage of the fasica from the hypertonic muscle, This allows for increased ROM and reduced tension which aids the body in healing and restoring overall health when considering the blood vessels, lymph vessels, and nerves that are present in this layer. You can inc circulation and increase lymph drainage to decrease edema and restoration of health.

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15
Q

ME phys

A

This is a direct, active technique that utilizes the Golgi tendon organ reflex and post-isometric relaxation. The golgi tendon is activated when it senses the muscle is being stretched too far, thus exciting inhibitory signals to the muscle to relax it. By taking the muscle to the feather edge of resistance you engage the GTO, and when the patient engages isometric contraction (them activating the muscle when you hold it in place) you reset the GTO to a new position. This allows the muscle to stretch out farther without the GTO activating the inhibitory efferent motor fibers.

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16
Q

HVLA phys

A

This direct, passive treatment resets the facet joints into a more proper alignment so they do not impinge on nearby muscles, nerves, and fascia, as well as permit better range of motion. You position the joint to firmly engage the restrictive barrier. By exerting a quick and localized thrust, you can push through the barrier.

17
Q

SCS phys

A

Muscles possess intrafusal proprioceptors that help set the tone of the local muscle fibers
These muscle spindle fibers are sensitive to changes in length, and if overstretched will induce reflex contraction of the larger extrafusal muscle via 1a afferent signals
By shortening the muscle in this treatment we are diminishing that proprioceptive afferent signal which decreases the gamma efferent gains which allows for the extrafusal to become relaxed

18
Q

FPR phys

A

Muscles possess intrafusal proprioceptors that help set the tone of the local muscle fibers
These muscle spindle fibers are sensitive to changes in length, and if overstretched will induce reflex contraction of the larger extrafusal muscle via 1a afferent signals
By shortening the muscle in this treatment we are diminishing that proprioceptive afferent signal which decreases the gamma efferent gains which allows for the extrafusal to become relaxed

19
Q

BLT phys

A

Disengage: Compress or decompress the joint of the vertebra fascial plane, increasing the pressure or traction until you are able to move the injured part
Exaggerate: Carry the injured part back to the original position, for example, rotating, flexing, “side bending,” or “side shifting” until the balance point or still point is found.
Balance: Maintain the area of dysfunction in the position of injury, that is, the balance point or still point, until a release occurs. The bone will move slightly farther in the direction of exaggeration. It then will move back to its normal functional position as the cranial rhythmic impulse or tide returns through the tissues that were injured.

-retracing the path of injury via ligamentous tension and strain to start the body’s healing process