ROOD

Question 1

Brushing (fast)

Answer 1

Facilitatory
Receptor= base of hair follicle
Lightly brush skin down the extremity; 2-3 swipes; done to dermatome area; lasts 20 min; see increased EMG activity within 4-5min

Question 2

Contraindications for fast brushing

Answer 2

Children under the age of 7

People with history of seizures

Question 3

Fast vibration

Answer 3

Facilitatory
Receptor: pacinian corpuscle
Only last as long as you vibrate; 90-120 cycles/s; apply over length of muscle trying to facilitate; 3-5s; response is immediate; follow with resistance immediately to the muscle you have facilitated

Question 4

Contraindications for fast vibration

Answer 4

NONE

Question 5

Slow vibration

Answer 5

Inhibitory

<90 cycles/s; can go longer than 3-5 seconds

Question 6

Quick stretch/tapping

Answer 6

Facilitatory
Receptor: muscle spindle
Stretch and tap the muscle you want to facilitate; tap for a few seconds until you see a response to the muscle; place the extremity in the position opposite of the motion you want

Question 7

Prolonged stretch

Answer 7

Inhibitory
Receptor: GTO
Prolonged high level stretch until you see the affects of inhibition
Make sure that your multi-joint muscles are in elongated position at every joint they cross to prevent facilitation

Question 8

Deep pressure

Answer 8

Inhibitory
Receptors: merkels receptors
Apply deep pressure to the insertion of the muscle

Question 9

Joint compression

Less than BW

Answer 9

Inhibitory
Does not facilitate type II in the articular fat pad
Apply compression to the joint at less than what the joint is used to

Question 10

Joint compression

Greater than BW for that joint

Answer 10

Facilitatory
Receptors: type II joint receptors in the fat pad
Apply compression to the joint at greater than what the joint is used to

Question 11

Resistance

Answer 11

Facilitatory to the muscle you are resisting

Receptor: muscle spindles

Question 12

Resistance to antagonist

Answer 12

Inhibitory
Reciprocal inhibition
Give resistance to the antagonist muscle to turn off the agonist muscle

Question 13

Gross touch

Answer 13

Facilitatory
Receptors: hair follicles and Meisner’s corpuscles
Apply to the muscle in the direction that you want it to move
Stay off the flexors when trying to facilitate extension

Question 14

Light pressure (upward)

Answer 14

Facilitatory
Receptors: hair follicles
Stroke up against the fair follicles

Question 15

Light pressure (downward)

Answer 15

Inhibitory
Receptors: hair follicles
Lightly stroke downward (with) the hair follicles

Question 16

Prolonged cold

Answer 16

Inhibitory
Receptors: Krause’s endings
Cold pack for up to 20 minutes or an ice bath to an extremity or a total body submersion (less than 5 minutes)
MUST FOLLOW WITH EXERCISE TO PREVENT REBOUND PHENOMENON

Question 17

Quick ice

Answer 17

Facilitatory
Receptors: krause’s endings
Apply over muscle you are facilitating; quick swipe of the ice proximal to distal and dab quickly with a towel in between quick strokes

Always follow with resistance

Question 18

Neutral warmth

Answer 18

Inhibitory
Receptors: inhibition of Krause’s endings
Use a clean dry towel, wrap around extremity to hold in body heat
Patient can hold while sleeping

Question 19

Noxious stimuli

Answer 19

Facilitatory
Receptors: type IV receptors
Unpleasant smell, slightly uncomfortable position

Question 20

Slow rocking

Answer 20

Inhibitory
Receptors: inhibition of reticular formation
Slow gentle rocking of the patient to cause relaxation

Question 21

Slow stroking

Answer 21

Inhibitory
Receptors: inhibition of hair follicles
Stroke along paraspinals down on one side, as you get toward the bottom, start with the other hand so there is always contact on the patient

Question 22

Contraindications for prolonged cold

Answer 22

Use caution around the neck, behind the ear

Watch out for rebound phenomenon

Question 23

Resistance contraindications

Answer 23

Giving to much that the patient cannot move or eliciting associated reactions

Question 24

Deep pressure contraindications

Answer 24

Pain

Be careful about the quadruped position and it inhibiting the quads from kneeling on a hard mat.

Question 25

Prolonged stretch contraindications

Answer 25

Pain