Techniques indications/contraindications

Question 1

articulatory technique indications

Answer 1

dysfunction in joint or periarticualr tissues

increase ROM and decrease hypertonicity

Question 2

articulatory technique relative contraindications

Answer 2

repetitive rotation and extension due to risk of arterial or neurological compromise
malignancy

Question 3

articulatory technique absolute contraindications

Answer 3

lack of patient consent
absence of somatic dysfunction
fracture or dislocation
neurological entrapment syndromes
serious vascular compromise
local infections (cellulitis, abscess, septic arthritis, osteomyelitis)

Question 4

BLT indications

Answer 4

relax contracted mm, release tethered structures, restore symmetry, increase circulation and lymph flow
commonly used with ligament dysfunction

Question 5

BLT relative contraindications

Answer 5

acute fractures
open wounds
acute thermal injury
soft tissue or boney infections
DVT
disseminated or focal neoplasm
recent surgery in area
aortic aneurism

Question 6

BLT absolute contrainidcations

Answer 6

lack of patient consent

absence of somatic dysfunction

Question 7

Strain/counterstrain indications

Answer 7

anywhere there is a TP
good for patients who cannot tolerate more direct techniques
increases relaxation, circulation, and nervous function

Question 8

stain/counterstrain relative contraindications

Answer 8

cannot voluntarily relax
severely ill patient
vertebral a disease
severe osteoporosis
pathological limitations to movement

Question 9

stain/counterstrain absolute contraindications

Answer 9

absence of SD

lack of consent/cooperation

Question 10

Facilitated positional release (FPR)

Answer 10

hypertonicity, restricted ROM

Question 11

FCR relative contraindications

Answer 11

joint prosthetic
degenerative joint disease
radicular pain
osteoporosis
malignancy
stenosis
rheumatilogical disorder
congenital malformation

Question 12

FCR absolute contraindications

Answer 12

lack of consent
lack of SD
hip prosthetic
shoulder pathology
any acute or chronic joint dislocations or separation
recent trauma
acute fracture

Question 13

HVLA indications

Answer 13

SD with firm distinct barriers

restores motion and function

Question 14

HVLA relative contraindications

Answer 14

acute herniated nucleus pulposus
acute radiculopathy
acute whiplash/severe m spasm/strain/sprain
osteopenia/osteoarthritis/osteoporosis
spondylolisthesis
metabolic bone disease
hyper-mobility sndromes

Question 15

HVLA absolute contraindications

Answer 15

lack of patient consent
absence of SF
rheumatoid arthritis

Question 16

Lymph technique indications

Answer 16

edema, tissue congestion, lymph stasis, infection, inflammation

Question 17

lymph technique relative contraindications

Answer 17

cancer
osseous fracture or crushed tissue
bacterial infections w/risk of dissemination
chronic infections w/risk of reactivation
diseased organ
pregnancy
circulatory disorders
coagulopathies/patients on anticoagulants
unstable cardiac conditions
CHF
COPD

Question 18

lymph techniques absolute contraindications

Answer 18

lack of consent
lack of SD
aneuresis if not on dialysis
necrotizing fasciitis

Question 19

MET physiologic principles of treatment

Answer 19

Crossed extensor reflex
reciprocal inhibition
oculoephalogyric reflex
respiratory assistance
joint mobilization using m force
isokinetic strengthening
isolytic lengthening
post isometirc relaxation
m force of one region to move another

Question 20

MET indications

Answer 20

SD

Question 21

MET relative contraindications

Answer 21

infection, hematoma, tear in involved m
fracture or dislocation of involved joint
rheumatological conditions leading to instability in spine
undiagnosed joint swelling of involved joint
positioning that compromises vasculature
patient w/low vitality who could be further compromised (post MI)

Question 22

MET absolute contrainidcations

Answer 22

absence of SD
lack of patient consent/cooperation
young child who cannot comprehend or cooperate
coman/unresponsive patient

Question 23

MFR indications

Answer 23

relax contracted mm, fascia, tendons, scars, internal organs, visceral suspensor ligaments

Question 24

MFR relative contraindications

Answer 24

soft tissue or boney infection
DVT
disseminated or focal neoplasm
recent post-op at site of infection
aortic aneurism

Question 25

MFR absolute contraindications

Answer 25

absence of SD
lack of consent
acute fractures
open wounds
dermatitis
acute thermal injury

Question 26

soft tissue indications

Answer 26

hypertonic mm
excessive tension in fascial strucutes
abnormal somato-somatic and somato-visceral reflexes

Question 27

soft tissue relative contraindications

Answer 27

disorders or preclude skin contact
acute fasciitis
acute fascial tears
acute m strains
acute myostis
m neoplasms
acute ligamentous sprain 
acute ligamentous inflammatory disorders
septic arthritis
primary or secondary joint neoplasms
acute fracture
osteomyelitis
primary or secondary bone tumors
osteoporosis
infectious or neoplastic enlargement or oragns 
gastric or bowel obstruction or distention
acute organ pain
undiagnosed abdominal or pelvic pain
hematoma
DVT
uncontrolled bleeding disorders

Question 28

soft tissue absolute contraindications

Answer 28

absence of SD

lack of patient consent

Question 29

still technique indications

Answer 29

hypertonicity and restricted ROM

Question 30

still techniques relative contraindications

Answer 30

joint prosthetic
degenerative joint disease 
radicular pain
osteoporosis
malignancy
stenosis
rheumatological disorder
congenital malformation

Question 31

stills technique absolute contraindications

Answer 31

lack of consent 
absence of SD
shoulder injury
hip prosthetic
acute or chronic joint dislocation or separation
recent trauma
fracture less then 6 weeks old
recent wound 
lack of patient consent
absence of SD