Soft Tissue & Myofascial Release Flashcards
Fascia
complete system with blood supply, fluid drainage, and innervations. composed of irregularly arranged fibrous elements of varying density. involved in tissue protection/healing
Fascia is NOT
tendons, ligaments, aponeuroses
continuity of fascia
perimysium–>peritendium–>periosteum of bone (no defined borders)
Pannicular fascia
outermost layer, fat and CT
axial & appendicular fascia (investing layer)
surrounds all muscles, periosteum of bone, and peritendon of tendons
meningeal fascia
surrounds nervous system, includes dura
visceral fascia
surrounds body cavities. pleural, pericardial, peritoneum
stress
force that attempts to deform a connective tissue structure
strain
percentage of deformation of a connective tissue
hysteresis
difference between loading and unloading characteristics represents energy that is lost in the connective tissue system, energy loss is hysteresis
creep
CT under sustained, constant load will elongate in response
bind
palpable restriction of connective tissue mobility
Hooke’s Law
the strain placed on an elastic body is in proportion to the stress placed upon it
Wolff’s Law
bone will develop according to the stresses placed upon it. concept extends to fascia too
Transition Zones of the Spine
OA, C1, C2
C7, T1
T12, L1
L5, sacrum
Transverse restrictors
Tentorium cerebelli
Thoracic inlet
thoracocolumbar diaphragm
pelvic diaphragm
ST relative contraindications
severe osteoporosis, acute injuries
ST absolute contraindications
fracture/dislocation, neurologic entrapment syndromes, serious vascular compromise, local malignancy, local infection, bleeding disorders
ST technique continues until…
amplitude of excursion of the ST has reached a maximum and has plateaued at that level
stretch (parallel traction)
increase distance between origin and insertion
knead (perpendicular traction)
repetitive pushing of tissue perpendicular to muscle fibers
inhibition
push and hold perp to fibers at the musculotendinous part of hypertonic muscle, hold until relaxation
Sherrington’s Law
when a muscle receives a nerve impulse to contract, its antagonists receive, simultaneously, an impulse to relax
Activating forces
Inherent: using body’s PRM
Respiratory cooperation: physician directed breathing
Patient cooperation: patient moves in specific directions
MFR treatment endpoint
3D release: warmth, softening, increased compliance/ROM
continuous application no longer produces change
