Techniques indications/contraindications Flashcards
articulatory technique indications
dysfunction in joint or periarticualr tissues
increase ROM and decrease hypertonicity
articulatory technique relative contraindications
repetitive rotation and extension due to risk of arterial or neurological compromise
malignancy
articulatory technique absolute contraindications
lack of patient consent absence of somatic dysfunction fracture or dislocation neurological entrapment syndromes serious vascular compromise local infections (cellulitis, abscess, septic arthritis, osteomyelitis)
BLT indications
relax contracted mm, release tethered structures, restore symmetry, increase circulation and lymph flow
commonly used with ligament dysfunction
BLT relative contraindications
acute fractures open wounds acute thermal injury soft tissue or boney infections DVT disseminated or focal neoplasm recent surgery in area aortic aneurism
BLT absolute contrainidcations
lack of patient consent
absence of somatic dysfunction
Strain/counterstrain indications
anywhere there is a TP
good for patients who cannot tolerate more direct techniques
increases relaxation, circulation, and nervous function
stain/counterstrain relative contraindications
cannot voluntarily relax severely ill patient vertebral a disease severe osteoporosis pathological limitations to movement
stain/counterstrain absolute contraindications
absence of SD
lack of consent/cooperation
Facilitated positional release (FPR)
hypertonicity, restricted ROM
FCR relative contraindications
joint prosthetic degenerative joint disease radicular pain osteoporosis malignancy stenosis rheumatilogical disorder congenital malformation
FCR absolute contraindications
lack of consent lack of SD hip prosthetic shoulder pathology any acute or chronic joint dislocations or separation recent trauma acute fracture
HVLA indications
SD with firm distinct barriers
restores motion and function
HVLA relative contraindications
acute herniated nucleus pulposus acute radiculopathy acute whiplash/severe m spasm/strain/sprain osteopenia/osteoarthritis/osteoporosis spondylolisthesis metabolic bone disease hyper-mobility sndromes
HVLA absolute contraindications
lack of patient consent
absence of SF
rheumatoid arthritis
Lymph technique indications
edema, tissue congestion, lymph stasis, infection, inflammation
lymph technique relative contraindications
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
lymph techniques absolute contraindications
lack of consent
lack of SD
aneuresis if not on dialysis
necrotizing fasciitis
MET physiologic principles of treatment
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
MET indications
SD
MET relative contraindications
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)
MET absolute contrainidcations
absence of SD
lack of patient consent/cooperation
young child who cannot comprehend or cooperate
coman/unresponsive patient
MFR indications
relax contracted mm, fascia, tendons, scars, internal organs, visceral suspensor ligaments
MFR relative contraindications
soft tissue or boney infection DVT disseminated or focal neoplasm recent post-op at site of infection aortic aneurism
MFR absolute contraindications
absence of SD lack of consent acute fractures open wounds dermatitis acute thermal injury
soft tissue indications
hypertonic mm
excessive tension in fascial strucutes
abnormal somato-somatic and somato-visceral reflexes
soft tissue relative contraindications
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
soft tissue absolute contraindications
absence of SD
lack of patient consent
still technique indications
hypertonicity and restricted ROM
still techniques relative contraindications
joint prosthetic degenerative joint disease radicular pain osteoporosis malignancy stenosis rheumatological disorder congenital malformation
stills technique absolute contraindications
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
