Review Of Direct And Indirect Techniques Flashcards
When is OMM indicated?
When somatic dysfunction is present and likely a major contributor of the patient’s complaints
What are the 3 basic components to an OMM technique?
Use biomechanics of target tissue
Localize to direct/indirect barrier
Application of an activating force
What is thoracic lumbar dysfunction?
When tissues develop restrictions of motion within their biomechanical movements
What are characteristics of acute TTA?
Edematous, boggy and hypertonic contraction
What are characteristics of chronic TTA?
Cool, dry and ropy fibrotic contracture
What is shifted/pathologic neutral?
New midline where the vertebral segment is at rest
Rest of spine is still at old midline
Produces posterior transverse process (PTP)
How can each somatic dysfunction be unique?
Restriction in motion can be different in each plane
What are direct techniques?
MET, ART and HVLA
Toward the restrictive barrier
What are indirect techniques?
BLT and FPR
Toward shifted/pathologic neutral
Which techniques treat the myofascia?
MFR, INR, soft tissue, and counterstrain
Which techniques are arthroidal?
MET, ART, HVLA, BLT, FPR and Still’s
What is normal function?
Biomechanics (linkage and coupled motions)
Loss of motion causes what?
The joint to rest at pathologic/shifted neutral
Treatment of somatic dysfunction begins and requires what?
Localization to either the direct (restrictive barrier) or indirect (pathologic/shifted neutral)
What does accurate localization require?
Both palatine to the proper layer of tissue and mindful movement into the barrier