ROOD Flashcards
Brushing (fast)
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
Contraindications for fast brushing
Children under the age of 7
People with history of seizures
Fast vibration
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
Contraindications for fast vibration
NONE
Slow vibration
Inhibitory
<90 cycles/s; can go longer than 3-5 seconds
Quick stretch/tapping
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
Prolonged stretch
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
Deep pressure
Inhibitory
Receptors: merkels receptors
Apply deep pressure to the insertion of the muscle
Joint compression
Less than BW
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
Joint compression
Greater than BW for that joint
Facilitatory
Receptors: type II joint receptors in the fat pad
Apply compression to the joint at greater than what the joint is used to
Resistance
Facilitatory to the muscle you are resisting
Receptor: muscle spindles
Resistance to antagonist
Inhibitory
Reciprocal inhibition
Give resistance to the antagonist muscle to turn off the agonist muscle
Gross touch
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
Light pressure (upward)
Facilitatory
Receptors: hair follicles
Stroke up against the fair follicles
Light pressure (downward)
Inhibitory
Receptors: hair follicles
Lightly stroke downward (with) the hair follicles
Prolonged cold
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
Quick ice
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
Neutral warmth
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
Noxious stimuli
Facilitatory
Receptors: type IV receptors
Unpleasant smell, slightly uncomfortable position
Slow rocking
Inhibitory
Receptors: inhibition of reticular formation
Slow gentle rocking of the patient to cause relaxation
Slow stroking
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
Contraindications for prolonged cold
Use caution around the neck, behind the ear
Watch out for rebound phenomenon
Resistance contraindications
Giving to much that the patient cannot move or eliciting associated reactions
Deep pressure contraindications
Pain
Be careful about the quadruped position and it inhibiting the quads from kneeling on a hard mat.
Prolonged stretch contraindications
Pain
