Soft Tissue Manipulation

Question 1

what is…. use manual application of force directed toward influencing specific tissues of the MSK system or, by peripheral stimulation, enhancing some form of reflex mechanism that alters biologic function… can prepare the tissues for additional specific joint mobs or can be a therapeutic end in themselves.

Answer 1

soft tissue procedures

Question 2

what is… a specialized system of prolonged manual stretching of the fascial tissues of the body, to the point where there is a release of tension. this release of tension is felt by the therapist and implies a slight lengthening of the fascial tissues

Answer 2

myofascial release

Question 3

what is…. a bodywork modality using passive positioning of bones and joints, intended to reset proprioceptors and establish a more functional level of tone and resistance

Answer 3

positional release

Question 4

what is a synonym for positional release

Answer 4

strain-counterstrain

Question 5

what is… skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of MSK pain and movement impairments…

Answer 5

dry needling

Question 6

what is the purpose of the fascia?

Answer 6

• connects all parts of the body together with a continuous web of tissue
• assists in maintaining muscle force
• enhances postural balance
• acts as shock absorber
• aids in venous and lymphatic circulation

Question 7

what are the 3 layers of the fascia

Answer 7

• superficial
• deep
• deepest

Question 8

what are causes of strain on the fascial system

Answer 8

• excessive strain
• poor ergonomics
• abnormal postural alignment
• trauma

Question 9

strain -> contracture/tightness -> pain and restricted movement ->_________

Answer 9

seek PT treatment

Question 10

myofascial release is obtained with a combination of what 3 things?

Answer 10

• tension
• traction
• twist

Question 11

what are some contraindications of myofascial release?

Answer 11

• healing fracture
• sutures
• febrile state (localized heat)
• systemic/localized infection
• open wounds

Question 12

what are some precautions of myofascial release?

Answer 12

• malignancy
• osteomyelitis (infection)
• acute circulatory conditions
• hematoma
• anticoagulant therapy
• skin hypersensitivity
• acute RA

Question 13

positional release positions the body and tissue in positions of comfort, to interrupt the ______, and reset tissue

Answer 13

pain cycle

Question 14

T or F: positional release is safe and effective in patients with acute and chronic pain

Answer 14

T

Question 15

once positional release is complete you should follow with…

Answer 15

PT rehab

Question 16

what is… a general term that describes procedures that relax tension and relieves pain in muscles that contain trigger points.

Answer 16

trigger point release

Question 17

trigger point dry needling is a _________ approach while pain neuroscience education is _________ approach

Answer 17

bottom-up
top-down
*should combine these two approaches

Question 18

what are some general guidelines for trigger point dry needling

Answer 18

• patient is always supine, prone or side lying
• use universal precautions
• identify taught band
• palpate trigger point
• needle is directed in and out of TP
• LTR should be elicited if possible
• the needle can be redirected by drawing it toward the skin
• eliminate all LTR
• provide post-treatment hemostasis by compressing the site

Question 19

what are some contraindications and precautions to dry needling

Answer 19

• fear of needles
• significant cog impairment
• unable to communicate
• local skin lesions
• local or systemic infections
• local lymphedema
• abnormal bleeding conditions
• 1st trimester of pregnancy
• vascular disease
• lungs, heart, spine
• post op where joint capsule was opened or implant placed
• cosmetic implants