Techniques Overview Flashcards
Articulatory technique
Direct treatment
Carries the body through the restrictive barrier to achieve a more relaxed state and increased motion
AT Indications
SD which lie in the joint and/or tissues around joint
Increase ROM and decrease hypertonic muscle restriction
AT Contraindications
Fracture or dislocation
Neurological entrapment syndromes
Serious vascular compromise
Local infection
Balanced ligamentous tension/ligamentous articular strain
Direct or Indirect
Rebalance ligaments -> tighten loose ligament
Disengagement, exaggeration, balancing
BLT/LAS Indications
Relax contracted musculature, release tethered structures, restore symmetry, and increase arterial circulation and venous/lymphatic drainage
Can be applied to dislocation or strained ligament
Strain/Counterstrain
Indirect technique
Tissue balancing -> Shorten the muscle and allow gamma gain to reset
S/CS Indications
Presence of TP
Facilitated Positional Release
Put the joint in neutral, then compress it axially, then position it into the position of ease
FPR Indications
SD that have caused muscle hypertonicity and restricted range of motion
Tx both superficial and deep restrictions that affect joint motion
FPR Contraindications
Hip prosthetic Shoulder pathology Any acute or chronic joint dislocation or separation Recent trauma Acute fracture
HVLA
Direct technique
Rapid, localized and corrective force
Can increase sympathetics
HVLA Indications
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
HVLA Contraindications
Fracture
CHF
Rheumatoid arthritis
Lymphatic technique
Remove barriers central to peripheral
Improve circulation distal to proximal
LT Indications
Edema, tissue congestion, lymphatic stasis, infection and inflammation
LT Contraindications
Aneuresis if not on dialysis
Necrotizing fasciitis
Cancer
Severe infection
Muscle Energy
Direct technique with active patient involvement
Push to restrictive barrier and patient moves away from barrier 3-5 seconds at a time
ME Indications
Increase ROM
Enhance lymphatic and venous circulation, thereby reducing edema and tissue congestion
ME Contraindications
Young child that cannot comprehend tx instructions
Coma/unresponsive pt
Myofascial release
Direct and Indirect
Maintain position of restriction or ease in myofascial plane
MFR Indications
Relax contracted musculature, release tethered structures, restore symmetry, and increase venous/lymphatic drainage
MFR Contraindications
Acute fractures
Open wounds
Dermatitis
Acute thermal injury
History of DVTs
Soft Tissue
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
Soft Tissue Indications
Relax hypertonic muscles and reduce muscle spasms
Hypertonic msk, excessive tension in fascial structures and abnormal somato-somatic and somato-visceral reflexes
Still Technique
- place the dysfunctional tissues into the position of ease
- add a force vector through the dysfunctional tissue
- then position it into the barrier while maintaining the vector force
Still Indications
SD associated with muscle hypertonicity and restricted ROM
Still Contraindications
Hip prosthetic Shoulder injury Acute or chronic joint dislocation or separation Recent trauma Fracture less than 6wk old Recent wound
