Thoracic I And Direct I Flashcards
Direct technique
. Initial positioning by the physician is in the direction of restrictive barrier (if it won’t go left take it left)
Indirect techniques
. Initial positioning by physician is away from restrictive barrier and toward position of ease
Final activating force
. Force that makes the technique work
. Generated by physician or patient
Inherent forces
. Innate forces w/in body which drive body toward homeostasis
Soft tissue treatment
. Direct technique involving lat. stretching, deep pressure, traction, and/or separation of muscle origin and insertion while monitoring tissue response and motion changes via palpation
. Final corrective force is physician induced
Articulately treatment (ART)
. Low velocity/moderate to high amplitude technique where joint is carried through full motion
. Therapeutic goal of inc. freedom in range of motion
Myofasicial release treatment (MFR)
. Final corrective force is inherent force
. Direct or indirect
Direct MFR
. Restrictive barrier engaged for myofascial tissue, constant force until tissue releases
. Force applied and held
Combined technique
Start with indirect technique for muscles to relax then finish w/ direct technique
Single segment dysfunctions (fryette’s type II mechanics)
. Can be related to injury, postural strain and repetitive activity
. Develop in response to nociceptive input from visceral organs
. Assoc. w/ crossover points of group lat. curves
Flat upper thoracic kyphosis implications
. Predisposes patients to extended dysfunctions
. Extended dysfunctions painful and persistent unless treated
Lateral curve
. Paravertebral humping from scoliosis or functional group curve (type 1)
. Type 1 can be related to short leg mechanics or pelvic side shift
. Seen in idiopathic scoliosis
. Seen in postural patterns from repetitive activity
. Seen in long standing viscerosomatic reflexes
Positions to examine thoracic spine
. Seated (most common)
. Supine: hospitalized patient
. Prone: diagnose as doing soft tissue treatment
What level of spine is eternal notch and xipho-sternal area?
T2 and T9 anteriorly
Where do viscerosomatic tissue texture changes commonly occur in thoracic regions?
Rib angles and costotransverse joints
What can you find by palpating subQ
Viscerosomatic reflexes
FasciaL tissue tension issues
. Envelopes all tissues of body
. Tension in one region can contribute to tension and restrictions in adjacent regions
. Tight fascial bands develop from repetitive activity and poor posture or micro trauma
Tight fascial elements are codependent w/ ___
Articular dysfunction
