Techniques Overview

Question 1

Articulatory technique

Answer 1

Direct treatment

Carries the body through the restrictive barrier to achieve a more relaxed state and increased motion

Question 2

AT Indications

Answer 2

SD which lie in the joint and/or tissues around joint

Increase ROM and decrease hypertonic muscle restriction

Question 3

AT Contraindications

Answer 3

Fracture or dislocation
Neurological entrapment syndromes
Serious vascular compromise
Local infection

Question 4

Balanced ligamentous tension/ligamentous articular strain

Answer 4

Direct or Indirect
Rebalance ligaments -> tighten loose ligament

Disengagement, exaggeration, balancing

Question 5

BLT/LAS Indications

Answer 5

Relax contracted musculature, release tethered structures, restore symmetry, and increase arterial circulation and venous/lymphatic drainage

Can be applied to dislocation or strained ligament

Question 6

Strain/Counterstrain

Answer 6

Indirect technique

Tissue balancing -> Shorten the muscle and allow gamma gain to reset

Question 7

S/CS Indications

Answer 7

Presence of TP

Question 8

Facilitated Positional Release

Answer 8

Put the joint in neutral, then compress it axially, then position it into the position of ease

Question 9

FPR Indications

Answer 9

SD that have caused muscle hypertonicity and restricted range of motion

Tx both superficial and deep restrictions that affect joint motion

Question 10

FPR Contraindications

Answer 10

Hip prosthetic
Shoulder pathology
Any acute or chronic joint dislocation or separation
Recent trauma
Acute fracture

Question 11

HVLA

Answer 11

Direct technique
Rapid, localized and corrective force

Can increase sympathetics

Question 12

HVLA Indications

Answer 12

Tx of SD with firm, distinct barriers to restore motion and function

Reduce muscle hypertonicity, stretching of shortened musculature, increasing fluid movement and reducing pain

Question 13

HVLA Contraindications

Answer 13

Fracture
CHF
Rheumatoid arthritis

Question 14

Lymphatic technique

Answer 14

Remove barriers central to peripheral

Improve circulation distal to proximal

Question 15

LT Indications

Answer 15

Edema, tissue congestion, lymphatic stasis, infection and inflammation

Question 16

LT Contraindications

Answer 16

Aneuresis if not on dialysis
Necrotizing fasciitis

Cancer
Severe infection

Question 17

Muscle Energy

Answer 17

Direct technique with active patient involvement

Push to restrictive barrier and patient moves away from barrier 3-5 seconds at a time

Question 18

ME Indications

Answer 18

Increase ROM

Enhance lymphatic and venous circulation, thereby reducing edema and tissue congestion

Question 19

ME Contraindications

Answer 19

Young child that cannot comprehend tx instructions

Coma/unresponsive pt

Question 20

Myofascial release

Answer 20

Direct and Indirect

Maintain position of restriction or ease in myofascial plane

Question 21

MFR Indications

Answer 21

Relax contracted musculature, release tethered structures, restore symmetry, and increase venous/lymphatic drainage

Question 22

MFR Contraindications

Answer 22

Acute fractures
Open wounds
Dermatitis
Acute thermal injury

History of DVTs

Question 23

Soft Tissue

Answer 23

Involve the use of stretching, deep pressure, traction and/or separation of muscle origin and insertion while monitoring tissue response with palpation

Maybe avoid with vonWillebrand disease

Question 24

Soft Tissue Indications

Answer 24

Relax hypertonic muscles and reduce muscle spasms

Hypertonic msk, excessive tension in fascial structures and abnormal somato-somatic and somato-visceral reflexes

Question 25

Still Technique

Answer 25

1. place the dysfunctional tissues into the position of ease
2. add a force vector through the dysfunctional tissue
3. then position it into the barrier while maintaining the vector force

Question 26

Still Indications

Answer 26

SD associated with muscle hypertonicity and restricted ROM

Question 27

Still Contraindications

Answer 27

Hip prosthetic
Shoulder injury
Acute or chronic joint dislocation or separation
Recent trauma
Fracture less than 6wk old
Recent wound