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OPP Exam 2 > Soft Tissue > Flashcards

Soft Tissue Flashcards

1
Q

Is Soft Tissue a Direct or Indirect treatment?

A

Direct

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2
Q

Define Soft Tissue

A

Direct treatment, which usually involves lateral stretching, linear stretching, deep pressure, traction and/or separation of muscle origin and insertion, while monitoring tissue response and motion changes by palpation

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3
Q

What does Soft Tissue technique address?

A

Muscular and fascial structures of the body and associated neural and vascular elements of the body

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4
Q

What is Soft Tissue similar to? How is it different?

A

Myofascial Release; more deeply and in a RHYTHMIC alternation fashion

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5
Q

Did AT Still use ST?

A

Yes

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6
Q

Give the 5 Proposed Mechanisms of ST

A
  1. Relaxes hypertonic muscles and reduces spasm by decreasing alpha motor neuron activity and Hoffman reflexes
  2. Stretches and increases the elasticity of shortened fascial strucutres
  3. Enhances circulation and improves local and systemic immune responses
  4. Improves local tissue nutrition, oxygenation, and removal of metabolic waste
  5. Improves abnormal somato-somatic and somato-visceral reflex activity, thus improving circulation n areas of the body remote from the area being treated
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7
Q

Give 6 Indications for ST

A
  1. Hypertonic muscles
  2. Excessive tension in fascial structures
  3. Abnormal somato-somatic and somato-visceral relfexes
  4. To identify areas of restricted motion, TTC, and sensitivity
  5. Provide general state of relaxation
  6. Precursor or adjunct to other manipulative techniques
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8
Q

Give 3 Contraindications for ST

A
  1. Severe osteoporosis
  2. Acute muscular strains
  3. Contagious skin disorders
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9
Q

Give 3 visceral contraindications

A
  1. Infection
  2. Organomegaly
  3. Bowel distension or obstruction
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10
Q

Is DVT an indication or contra?

A

Contraindication

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11
Q

Is ST safe?

A

Yes

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12
Q

What is traction?

A

Origin and insertion of the myofascial structures being treated are longitudinally separated - parallel stretching

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13
Q

What is traction also called?

A

Stretching

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14
Q

What is Kneading?

A

Rhythmic, lateral stretching of a myofascial structure. Origin and insertion are held stationary and the central portion of the structure is stretched BOWSTRING or perpendicular stretching

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15
Q

Name 5 ST techniques

A
  1. Skin rolling
  2. Tapotement
  3. Inhibition
  4. Petrissage
  5. Effleurage
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16
Q

What is Inhibition?

A

Sustained deep pressure over a hypertonic myofascial structure - deep inhibition

17
Q

Do we return the muscle stretch with the same amount of time as we stretched it?

A

Yes

18
Q

Do we compress tissue directly against a bone?

A

NO!

19
Q

What should we not do?

A

Over treat!

20
Q

Define Articulatory Approach

A

Gently and repetitively carries the body part being treated through the restrictive barrier

21
Q

What are 2 other names for Articulatory?

A
  1. Springing technique

2. Low-velocity/high amplitude

22
Q

Do many techniques use longer lever forces to achieve their effects?

A

Yes

23
Q

Is the articulatory approach as old as the osteopathic profession?

A

Yes

24
Q

What is an indication for Articulatory?

A

When the restrictive barriers to motion appear to be in a joint itself or in the periarticular tissues

25
Q

Can Articulatory be used for both a single joint like glenohumeral or an entire region like the chest cage?

A

Yes

26
Q

Who is Articulatory Approach well tolerated by?

A
  1. Frail/elderly patients
  2. Arthritic patients
  3. Postoperative patients
  4. Critically ill patients
27
Q

What are 4 contraindications for Articulatory?

A
  1. Fracture or dislocation
  2. Neurologic entrapment syndromes
  3. Serious vascular compromise
  4. Local malignancy or infection
28
Q

How far does Articulatory go?

A

Until restrictive barrier reaches a plateau after multiple engagements with the restrictive barrier

OPP Exam 2 (9 decks)

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