Soft Tissue Techniques

Question 1

stretching

Answer 1

pulling tissues along long axis

Question 2

kneading

Answer 2

pressing perpendicular to axis (bowstring)

Question 3

inhibition

Answer 3

forces superficial to deep over an area to reset tension

Question 4

effleurage

Answer 4

lymphatic treatment

pressure/ light stroking distal to proximal and periphal to central

Question 5

petrissage

Answer 5

aka skin rolling

deep pressure or squeezing muscle tissue to break adhesions

Question 6

tapotement

Answer 6

karate chop!

Question 7

absolute contraindications to soft tissue

Answer 7

absences SD

lack of consent

Question 8

goals of soft tissue treatment

Answer 8

relax hypertonic muscles
stretch passive fascial structures
increase circulation
identify SD
improve reflexes
prepare tissue for OMT
observe response to OMT
improve local immune responsiveness
general relaxation

Question 9

stretch reflex?

Answer 9

can be stimulated by soft tissue to increase tonicity of hypotonic muscle

Question 10

cervical spine kneading

Answer 10

from side of neck

Question 11

condylar decompression/OA decompression

Answer 11

occipital condyles from behind

Question 12

crossed arm cervical oscillation

Answer 12

from behind arms crossed under head onto shoulder

Question 13

prone thoracic kneading

Answer 13

from patients side while they are prone

heels of hand kneed paravertebral muscles to opposite side

Question 14

seated upper thoracic traction

over under method

Answer 14

patient arm crossed while seated

put arms through patients and onto the shoulders

Question 15

on side thoracic paravertebral kneading

Answer 15

patient on side from patients side grab paravertebral and pull toward you (up)

Question 16

rhomboid release

Answer 16

patient on side

grab rhomboid and elevate (protract)

Question 17

on-side paravertebral lumbar kneading

Answer 17

patient on side

grab paravertebral and pull up (in lumbar region)

Question 18

prone lumbar traction

Answer 18

patient prone

cross hands in front up and down lumbar
-spread hands apart

Question 19

plantar fascia kneading

Answer 19

knead bottom of foot with knuckles

Question 20

pectoral traction

Answer 20

patient supine

from behind head, grab pectoralis major and bring toward you

Question 21

C spine soft tissue

Answer 21

cervical spine kneading
condylar/OA decompression
crossed arm cervical oscillation

Question 22

T spine soft tissue

Answer 22

prone thoracic kneading
seated upper thoracic traction (over under method)
on-side thoracic paravertebral kneading
rhomboid release

Question 23

L spine soft tissue

Answer 23

on-side paravertebral lumbar kneading

prone lumbar traction

Question 24

lower extremity soft tissue

Answer 24

plantar fascia kneading

Question 25

upper extremity soft tissue

Answer 25

pectoral traction