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OS 1 add ons > soft tissue and mfr > Flashcards

soft tissue and mfr Flashcards

1
Q

what techniques are directly applied to the muscular and fascial structures of the body and affect the associated neural and vascular elements. improves articular motion. uses force

A

soft tissue techniques

*directed toward tissues other than skeletal or arthropodal (only muscular or facial and facial parts)

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2
Q

what is in “soft tissue”

A 
fascia 
muscles
organs
nerves
vasculature 
lymphatic
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3
Q

fascial anatomy

“diety for the body”

A

connective tissue with collage and elastin in an amporhous metric of hydrated proteoglycans which mechanically links the collage fiber networks in these structures

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4
Q

T/F fascia is a complete sytem with blood supply, fluid drainage, and innervations

A

true

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5
Q

what comprises fascia ? what is its function?

A

irregular dense CT, fibrous elements of varying density

  • involved in tissue protection and healing of surrounding systems (macrophages and mast cells)
  • provides for mobility and stability of the MSK system
  • elastic and contractile (myofibroblasts)
  • stabilizes and maintains balance

NOT TENDONS LIGAMENTS OR APONEUROSES

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6
Q

what is pannicular fascia (aka panniculus)

A

outermost layer of fascia

  • derived from somatic mesenchyme
  • surrounds the entire body (except orifices}
  • outer part is adipise
  • inner part is membranous and adherent
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7
Q

what is axial and appendicular fascia (aka investing layer)

A

internal to the pannicular layer (fused to it)

-surrounds all of the muscles, periosteum of bone, and peritendon of tendons

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8
Q

what is meningeal fascia

A

surrounds the nervous systeml including the dura

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9
Q

what is visceral fascia

A

surrounds the body cavities (pleural, pericardial, and peritoneum)

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10
Q

___ of mechanoreceptors in the skin also have fields in loose fascia
___ % of stretch receptors for muscles and balance are in fascia

A

20%

75% (on 25% in muscle)

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11
Q

T/F fascia has liquid crystal like properties such as piezoelectricity

A

true

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12
Q

what is viscoelastic material

A

any material that deforms according to rate of loading and deformity

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13
Q

stress vs strain

A

stress- force that deforms CT

strain- percentage of deformation of CT

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14
Q

what is hysteresis

A

energy loss from loading and unloading in CT

*strecting CT to its plastic deformational range will bring about lengthening of the tissue

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15
Q

what is tissue creep

A

CT that has elongated (deformed) in response to constant load (below failure threshold)

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16
Q

ease vs bind

A

ease- direction CT moves the most in

bind- restriction of CT mobility

17
Q

what is the concept pf the fascial sweater

A

fascial restrictions in one area of the body will create CT restrictions at a distance away from the original site of restriction = abnormal myofascial and joint mobility

18
Q

what is hookes law

A

the strain (deformation) placed on an elastic body is in proportion to the stress (force) placed upon it

  • strain is proportional to the stress
  • deformation is proportional to force
19
Q

what is wolff’s law

A

bone and fascia will develop according to the under stress placed upon it

20
Q

direct vs indirect techniques

A

direct- goes toward the restrictive barrier

indirect- goes away from the barrier

21
Q

what is sherrington’s law

A

when a muscle received a nerve impulse to contract, its antagonists receive an impulse to relax

*muscle contacts and antagonist relaxes

22
Q

compensatory pattern vs uncompensated pattern

A

compensatory

  • healthy
  • common (L/R/L/R) or uncommon (R/L/R/L)

uncompensated

  • usually symptomatic
  • usually trauma involved
23
Q

contraindication in severe osteoporosis

A

prone press may be contraindicated in thoracocostal region, but lateral recumbent techniques could be easily applied

24
Q

contraindication of acute injuries

A

direct tenhcniques to injured muscles or joints may do additional damage and should not be performed with Soft tissue tecnhique

25
Q

absolute ST contraindications

A 
fracture/dislocatoin 
neurologic entrapment syndrome
serious vascular compromise
local malignancy 
local infection 
bleeding disorder
26
Q

ST Technique

A

forces are very gentle and of low amplitude and are applied rhythmically (1-2 seconds of stretch followed by 1-2 sec of release)

  • as the tissues respond the amplitude may increase but the rate of application remains the same
  • NO FRICTION
  • continued until desired affect is achieved
27
Q

increase distance between origin and insertion of muscles always parallel with muscle fibers

A

stretch (ST technique)

  • both hands move in opposite directions
  • or anchor one end and pull muscle in direction on other end
28
Q

repetitive pushing of tissue perpendicular to muscles fibers

A

kneading (ST technique)

29
Q

pushing and holding perpinduclar to the fibers at the musculotendinous part of hypertonic muscle
-hold until relaxation of tissue

A

inhibition (ST technique)

*hypertonic = muscle contracted when not actively contracting it

30
Q

what technique engages continual palpatory feedback to achieve release of myofascaial tissues

A

MFR

use in SD, cant use HVLA or MET, and counterstrain may be difficult secondary to a patients inability to relax

31
Q

which technique is a treatment system in which combined procedures are designed to stretch and reflexively release patterned soft tissue and joint related restrictions

A

integrated neuromusculoskeletal release (INR)

  • uses breath holding
  • REMs (release enhancing maneuvers) speed the treatment process
32
Q

what are 3 activating forces of MFR

REMS

A
  1. inherent forces (using bodies primary respiratory mechanism)
  2. respiratory cooperation (patient directed inhalation exhalation or hoping of breath)
  3. patient cooperation : patient asked to move to a position to aid in mobilizing specific areas of restriction
33
Q

MFR treatment endpoint

A
  1. warmth, softening, or increase ROM of tissue
  2. no change presented after activating forces used
  3. tissue shows symmetry

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