Y1 S1 B1 Flashcards
Name the technique
Scanning evaluation … body heat. A few cm above skin. Note areas of more warmth. Use dorsal hand and/or volar surface wrist.
Name the technique
Scanning evaluation … skin drag. More drag = may be fine moisture film over skin. Less drag = excessive moisture, oily skin, atrophic skin
Name the technique …
Scanning evaluation … red reflex/erythema friction rub. Palpated paraspinally. Use 2 fingers on either side of spinous process or both index fingers on either side of spinous process. 2-3 quick strokes. Normal: initial blanching, then reddening, then slow fading
Name the technique …
What does TART stand for?
tissue texture abnormality, asymmetry, restriction of motion, tenderness
Describe respiratory cooperation in MFR.
How do you use respiratory cooperation with indirect thoracolumbar MFR prone?
AROM
Active range of motion - voluntary movement by patient
PROM
Passive range of motion - movement performed by practitioner while patient is relaxed
Physiologic barrier
The end point of ACTIVE range of motion. Can be increased w/ warm-up exercises or stretches.
Anatomic barrier
Limit of motion by anatomic structures
Elastic barrier
Felt at end of ACTIVE range of motion - between physiologic and anatomic barriers. This is where ligaments stretch.
Restrictive barrier
An obstacle to movement w/in the physiological ROM that reduces the amount of Active motion available
Pathological barrier
Permanent restriction of active and passive range of motion with permanent changes to tissues (contractures)
Somatic dysfunction
Structural damage
Structural change in the tissues, disrupted tissue, fibroses or scarred tissue, deformed or malformed tissue
Somatic dysfunction vs structural change
TART Tissue Texture Abnormalities include
Temp., moisture, boggiest, ropiness, red reflex
TART Asymmetry includes
Static, regional, segmental
TART Restriction of Range of Motion (either active or passive) includes
Superficial fascia, muscles, deep fascia, joints
Direct techniques
Indirect Techniques
What are soft tissues?
Tissues that connect, support, or surround the structures and organs of the body - muscles, nerves, blood vessels, connective tissue (ligaments, fascia, fibrous tissues, fat, synovial membranes)
Examples of Indirect technique types
Counterstrain, Facilitated Positional Release (FPR), Functional MEthod
Examples of direct techniques
Articulatory, muscle energy, HVLA (thrusting technique), soft tissue
Soft tissue technique
Absolute contraindications
Lack of patient cooperation or consent, inability to position patient appropriately, no somatic dysfunction identified, inability of patient to respond to treatment, malignancy
Relative Contraindications
Acute injury, fracture or dislocation, neurological compromise, osteopenia or osteoporosis, malignancy, infection
Indirect respiratory component
Look for portion of the breath cycle that eases the tissue tension
Direct respiratory component
Look for the portion of the breath cycle that increases the tension in the tissues
MFR directions of motion
Elasticity
Ability of connective tissue to return to its resting sheep when forces are removed
Plasticity
Ability of connective tissue to retain a shape by deformation when forces are removed - a stress load that is larger than the yield strength of a tissue will cause a plastic or permanent deformation
Functions of Fascia
Packaging, protection, posture, passage ways, fascia continuity
Hooke’s Law
Stresses and strains are directly proportional to the force applied (stretch, compression, etc.), provided the body’s limit of elasticity is not exceeded. Under these conditions, the object returns to its original shape and size upon removal of the load.
Newton’s 3rd law
For every action, there is an equal and opposite reaction
Davis’ law
Every change in form of soft tissue, or in its function alone, is followed by certain definite changes in its internal architecture, and secondary alterations in its external confirmations.
Wolff’s Law
Bony structures will adapt (grow and remodel) to the load placed upon it.
What are the ten basic coordinated body functions?
ECOP 5 basic integrative and coordinated body functions and coping strategies.
