Soft Tissue & Myofascial Release

Question 1

Fascia

Answer 1

complete system with blood supply, fluid drainage, and innervations. composed of irregularly arranged fibrous elements of varying density. involved in tissue protection/healing

Question 2

Fascia is NOT

Answer 2

tendons, ligaments, aponeuroses

Question 3

continuity of fascia

Answer 3

perimysium–>peritendium–>periosteum of bone (no defined borders)

Question 4

Pannicular fascia

Answer 4

outermost layer, fat and CT

Question 5

axial & appendicular fascia (investing layer)

Answer 5

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

Question 6

meningeal fascia

Answer 6

surrounds nervous system, includes dura

Question 7

visceral fascia

Answer 7

surrounds body cavities. pleural, pericardial, peritoneum

Question 8

stress

Answer 8

force that attempts to deform a connective tissue structure

Question 9

strain

Answer 9

percentage of deformation of a connective tissue

Question 10

hysteresis

Answer 10

difference between loading and unloading characteristics represents energy that is lost in the connective tissue system, energy loss is hysteresis

Question 11

creep

Answer 11

CT under sustained, constant load will elongate in response

Question 12

bind

Answer 12

palpable restriction of connective tissue mobility

Question 13

Hooke’s Law

Answer 13

the strain placed on an elastic body is in proportion to the stress placed upon it

Question 14

Wolff’s Law

Answer 14

bone will develop according to the stresses placed upon it. concept extends to fascia too

Question 15

Transition Zones of the Spine

Answer 15

OA, C1, C2
C7, T1
T12, L1
L5, sacrum

Question 16

Transverse restrictors

Answer 16

Tentorium cerebelli
Thoracic inlet
thoracocolumbar diaphragm
pelvic diaphragm

Question 17

ST relative contraindications

Answer 17

severe osteoporosis, acute injuries

Question 18

ST absolute contraindications

Answer 18

fracture/dislocation, neurologic entrapment syndromes, serious vascular compromise, local malignancy, local infection, bleeding disorders

Question 19

ST technique continues until…

Answer 19

amplitude of excursion of the ST has reached a maximum and has plateaued at that level

Question 20

stretch (parallel traction)

Answer 20

increase distance between origin and insertion

Question 21

knead (perpendicular traction)

Answer 21

repetitive pushing of tissue perpendicular to muscle fibers

Question 22

inhibition

Answer 22

push and hold perp to fibers at the musculotendinous part of hypertonic muscle, hold until relaxation

Question 23

Sherrington’s Law

Answer 23

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

Question 24

Activating forces

Answer 24

Inherent: using body’s PRM
Respiratory cooperation: physician directed breathing
Patient cooperation: patient moves in specific directions

Question 25

MFR treatment endpoint

Answer 25

3D release: warmth, softening, increased compliance/ROM

continuous application no longer produces change