Soft Tissue, MFR, INR OMT

Question 1

What are the components of fascia?

Answer 1

Fascia, organs, muscles, nerves, vasculature, lymphatic vessels

Question 2

What are the components of soft tissue?

Answer 2

Tendons, ligaments, aponeuroses, & fascia, organs, muscles, nerves, vasculature, lymphatic vessels

Question 3

What type of technique is soft tissue?

Answer 3

Direct

Question 4

What are the mechanisms of action for soft tissue omt?

Answer 4

Relaxes muscles, reduces spasms, improves local tissue circulation, oxygenation, waste removal and increases elasticity of fascia

Question 5

What are the indications for soft tissue?

Answer 5

TART findings, hypertonic muscles and tension in fascial structures

Question 6

What are some (not all) contraindications for soft tissue?

Answer 6

No consent, tissues not intact, skin absesses, open wounds, fractures etc. and absence of somatic dysfunction

Question 7

What can soft tissue cause?

Answer 7

Ecchymosis (bruising), muscle spasm and muscle soreness post omt

Question 8

What are the 3 types of soft tissue techniques?

Answer 8

Traction/stretching, kneading, inhibition

Question 9

Describe the traction/stretching technique

Answer 9

The origin and insertions of myofascia are stretched longitudinally

Question 10

Describe the kneading technique

Answer 10

The central portion of the myofascia is stretched laterally and rhymically

Question 11

Describe the inhibition technique

Answer 11

Sustained deep pressure over hypertonic myofasical structure

Question 12

Generally, how is soft tissue OMT performed?

Answer 12

Press down into the myofascia, stretch for 1-2 seconds and relax for 1-2 seconds and then repeat!

Question 13

Do you slide over the skin for soft tissue technique?

Answer 13

NO

Question 14

What type of technique is myofascial release (MFR)

Answer 14

Can be direct OR indirect

Question 15

What is the MOA for MFR?

Answer 15

Interacts with fascia and surrounding tissues to improve homeostasis and innate healing – must wait for tissue creep!!

Question 16

What are indications for MFR?

Answer 16

Normalize motion, relieve edema and pain, aid in circulatory and lymphatic function

Question 17

What are contraindications for MFR?

Answer 17

Fractures, open wounds, infections, DVT, and those with autoimmune disease may experience flare-ups

Question 18

What planes of motion does MFR engage?

Answer 18

Flexion/extension, rotation to the right/left, side bending to the right/left

Question 19

If you are doing direct MFR and the somatic dysfunction is rotated right, which way do your hands move?

Answer 19

To the right = left rotation

Question 20

You continue to hold MFR until what?

Answer 20

Relaxation or creep is sensed

Question 21

What can be used as release enhancing maneuvers for MFR?

Answer 21

Breathing or INR

Question 22

What is INR (Integrated Neuromuscular Release)

Answer 22

Activating the musculature below where your hands are treating myofascia can untether the dysfunction and release it

Question 23

When should you used INR?

Answer 23

It can be used with direct MFR

ex. lifting leg to engage muscles in back