Soft Tissue, MFR, INR OMT Flashcards
What are the components of fascia?
Fascia, organs, muscles, nerves, vasculature, lymphatic vessels
What are the components of soft tissue?
Tendons, ligaments, aponeuroses, & fascia, organs, muscles, nerves, vasculature, lymphatic vessels
What type of technique is soft tissue?
Direct
What are the mechanisms of action for soft tissue omt?
Relaxes muscles, reduces spasms, improves local tissue circulation, oxygenation, waste removal and increases elasticity of fascia
What are the indications for soft tissue?
TART findings, hypertonic muscles and tension in fascial structures
What are some (not all) contraindications for soft tissue?
No consent, tissues not intact, skin absesses, open wounds, fractures etc. and absence of somatic dysfunction
What can soft tissue cause?
Ecchymosis (bruising), muscle spasm and muscle soreness post omt
What are the 3 types of soft tissue techniques?
Traction/stretching, kneading, inhibition
Describe the traction/stretching technique
The origin and insertions of myofascia are stretched longitudinally
Describe the kneading technique
The central portion of the myofascia is stretched laterally and rhymically
Describe the inhibition technique
Sustained deep pressure over hypertonic myofasical structure
Generally, how is soft tissue OMT performed?
Press down into the myofascia, stretch for 1-2 seconds and relax for 1-2 seconds and then repeat!
Do you slide over the skin for soft tissue technique?
NO
What type of technique is myofascial release (MFR)
Can be direct OR indirect
What is the MOA for MFR?
Interacts with fascia and surrounding tissues to improve homeostasis and innate healing – must wait for tissue creep!!
What are indications for MFR?
Normalize motion, relieve edema and pain, aid in circulatory and lymphatic function
What are contraindications for MFR?
Fractures, open wounds, infections, DVT, and those with autoimmune disease may experience flare-ups
What planes of motion does MFR engage?
Flexion/extension, rotation to the right/left, side bending to the right/left
If you are doing direct MFR and the somatic dysfunction is rotated right, which way do your hands move?
To the right = left rotation
You continue to hold MFR until what?
Relaxation or creep is sensed
What can be used as release enhancing maneuvers for MFR?
Breathing or INR
What is INR (Integrated Neuromuscular Release)
Activating the musculature below where your hands are treating myofascia can untether the dysfunction and release it
When should you used INR?
It can be used with direct MFR
ex. lifting leg to engage muscles in back
