PRT

Question 1

What is PRT

Answer 1

Positional release technique is an indirect technique aimed to relive tender points using body positioning

A passive, positional procedure that places the body in a position of greatest comfort,
thereby relieving pain by reduction and arrest of inappropriate proprioceptor activity that maintains somatic dysfunction.

For success hyper-stimulated muscle must return to neutral length slowly
Treatment does not cure; it decreases or eliminates irritation and allows body to heal itself.

Question 2

Theory

Answer 2

Dysfunction that characterizes the Somatic Dysfunctiondoes not arise in the joint, but areimposed by muscles that traverse thejoint
Blames the primary orannulo-spiralproprioceptor reflexes in the musclespindle
Increased gamma discharge exaggeratesafferent discharge from spindle causingreflexspasm which fixates joint in certainposition

Question 3

Indications

Answer 3

Acute injuries (Sports!)
Fragile (osteoporosis)
Pregnant
Pediatrics
Chronic pain
Post-op (e.g. lumbar, knee, shoulder)
Neurologic

Question 4

Contra-indications

Answer 4

Open wounds
Recent sutures
Healing fractures up to 6 weeks
Hematoma
Hypersensitivity of the skin
Systemic / localized infection

Question 5

Effects of use

Answer 5

Normalization of muscle hypertonicity
Normalization of fascial tension
Reduction of joint hypomobility
Increased circulation
Decreased swelling
Decreased pain
Increased strength, movement, function

Question 6

How to identify a tender point

Answer 6

Small zones of tense, tender, edematous muscle and fascial tissue about 1 cm in diameter

Sensory manifestations of a neuromuscular or musculoskeletal dysfunction

Manifestation of facilitated segment

Diagnostic indicator

Question 7

Which vectors to use in relation to location

Answer 7

Anterior tender points are usually treatedin FLEXION

Posterior tender pints are usually treatedin EXTENSION

Tender points on or near the midlineare treated with more FLEX & EXT

Tender points lateral from the midlineare treated with more ROT & SB

Question 8

Technique

Answer 8

Locate the tender point (TP)
Apply sub-threshold pressure on tender point while finding POC or mobile point
Monitor point response but take pressure off
Wait for Fasciculation (twitching) - can take 60 sec to appear or just Hold for 90 seconds
SLOWLY Return to neutral
Recheck tender point

Question 9

INFORM Patients

Answer 9

Deep soreness for up to 48 hours
DO NOT Engage in vigorous physical activity for 24 hours
Pain relief may occur 48 hours after TT