Written Exam 2 Flashcards
What happens when there is a dysfunction of the left?
The neutral point is shifted to the right
Is soft tissue a direct of indirect technique?
Direct technique
What are three mechanisms of treatment for soft-tissue techniques?
Traction
Kneading
Inhibition
What are the indications for somatic dysfunction of soft tissues?
Tissue texture change
Asymmetry
Restriction
Tenderness
Is counterstrain direct or indirect?
Indirect technique
What causes a counter strain point?
Proprioceptive imbalance due to abnormal neurophysiologic activity between agonist and antagonist muscles including abnormal muscle spindle activity
What is proprioceptive theory?
Tenderpoints develop when muscle fibers are maintained in a hypertonic state due to an inappropriate proprioceptive reflex
What is the abnormal metabolism theory?
Tissue injury alters local body position, affecting local microcirculation and tissue metabolism
What is the impaired ligamento-muscular reflex theory?
Same as proprioceptive except dysfunction may result from protective reflex that occurs when a ligament is placed under strain
What is the maximum number of counterpoints to treat in one session?
6
Direct myofascial release can include what four mechanisms?
Shearing force
Pressure
Heat
Electric fields
What is HVLA classified as?
Direct, passive
What is muscle energy techniques classification?
Direct, active
What causes the relaxation of agonist muscle fibers in post-isometric relaxation?
Golgi tendon organs
What is the ratio between humeral abduction and scapular rotation?
2:1
Example: 15 degree abduction of shoulder is 10 degrees humerus and 5 degrees scapula
How many degrees can the shoulder flex forward? Extend back?
180
50
How many degrees can the shoulder internally/medially rotate? Externally/laterally rotate?
70
90
What does the drop arm test test for?
Supraspinatus tears
What are tender points?
Hypersensitive areas within myofascial structures that result in localized pain
What are trigger points?
Hypersensitive areas within myofascial structures in which palpitation causes referred pain away from site to distant zone
What are Chapman’s points?
Neurolymphatic and reflect specific visceral organ involvement
What muscle does counterstrain treat?
Antagonist
What muscle does muscle energy treat?
Agonist
Why are counterstrain treatments returned to neutral slowly?
To avoid reactivation of gamma receptor