Myofascial Release

Question 1

What plane is Flexion/Extension around?

Answer 1

Saggital Plane

Question 2

What plane is Sidebending around?

Answer 2

Coronal Plane

Question 3

What plane is Rotation around?

Answer 3

Transverse Plane

Question 4

What does INR stand for?

Answer 4

Integrated Neuromuscular Release

Question 5

What are the 3 activating forces (neuromuscular releases) for a Thoracolumbar INR Prone procedure?

Answer 5

Inhalation/Exhalation
Leg Extension/Flexion
Arm Abduction

Note that for MFR, use inhalation/exhalation
For INR use Leg extension/flexion and Arm abduction

Question 6

What is the Vertebral Artery Provocative test?

Answer 6

When the patient is standing or seated, the patient will turn their head to look over their shoulder and up

If the patient becomes dizzy or nauseated, then this is a positive test

If none of the above, then this is a negative test

Question 7

What are the 3 activating forces for a cervical MFR/INR test?

Answer 7

Inhalation/Exhalation (MFR)

Eye and Tongue (INR)
Arm abduction (INR)

Question 8

Describe the position of the patient during a cervical MFR/INR. What are you assessing?

Answer 8

Patient is supine

We are assessing the 3 areas of the cervical muscles for any TART findings

Question 9

What are the 3 activating forces for a Hip MFR/INR test?

Answer 9

Inhalation/Exhalation (MFR)
Knee/hip Flexion/Extension (INR)
Knee Abduction (INR)

Question 10

For the Hips, describe the positions the patients are in to assess for MFR/INR procedures.

Note that this is for the ROM’s and there are 7 of them (2 flexions)

Answer 10

Supine:
Flexion- patient is supine and their knee is locked. Bring each leg as high as it will go (90˚)
Flexion- same as above, but bend the knee

Abduction- self explanatory
Adduction- Take each leg and cross them at the ankles to see how far they will go (20-30˚)

External Rotation- twist the patients thigh outwards at the knee
Internal Rotation- twist the patients thigh inwards at the knee

Prone:
Extension- While the patient is prone, extend each leg. Make sure to grab the knee with your inferior hand and with your superior hand make a fist and inhibit their gluteus maximus

Question 11

Describe the knee MFR/INR.

Answer 11

slide 24

Question 12

Describe the Ankle MFR/INR. What are the 2 activating forces?

Answer 12

Slide 27

Inhalation/Exhalation- MFR
Dorsiflexion/Plantarflexion- INR

Question 13

Describe the Plantar Fascia MFR/INR procedure.

Answer 13

With the patients foot in your hands, make an X with your thumbs and move each thumb upwards and out

Question 14

Describe the Glenohumeral and Scapular MFR/INR procedure.

Answer 14

Grab the proximal humerus inferiorly nead the axilla and superiorly placing your thumb and 5th digit on the humerus and digits 2-4 on the scapula

Question 15

What are the 4 activating forces for the glenohumeral and scapular MFR/INR procedure?

Answer 15

Inhalation/Exhalation (MFR)

Flexion/Extension (INR)
Internal Rotation/External Rotation (INR)
Abduction/Adduction (INR)

Question 16

Describe the Elbow MFR/INR procedure.

Answer 16

Grasp the radioulnar area near the radiohumeral joint with the one hand positioned inferiorly to the joint and the other superiorly

Question 17

What are the 2 activating forces for the Elbow MFR/INR procedure?

Answer 17

Inhalation/Exhalation (MFR)

Pronation/Supination (INR)

Question 18

Describe the wrist MFR/INR procedure.

*Note this is called the sunburn wrist procedure

Answer 18

Grasp the wrist proximal to the wrist joint with the superior hand and grasp the wrist distal to the joint with the inferior hand

Twist the wrist joint

Question 19

What are the 4 activating forces for MFR/INR?

Answer 19

Inhalation/Exhalation (MFR)

Wrist Flexion/Extension (INR)
Radioulnar Deviation (INR)
Clenching and Unclenching Fists (INR)

Question 20

Describe Still’s Wrist MFR/INR procedure.

Answer 20

Grasp the wrist anteriorly/posteriorly using the thenar and hypothenar eminences

Question 21

What are the activating forces for Still’s Wrist MFR/INR?

Answer 21

Inhalation/Exhalation (MFR)

Wrist Flexion/Extension (INR)
Radioulnar Deviation (INR)
Clenching and Unclenching Fists (INR)

Question 22

Describe the Popliteal Space MFR/INR procedure.

Answer 22

Physician uses finger pads to grasp the medial and lateral aspects of the hamstrings, which create the popliteal space

Question 23

What are the 2 activating forces for the popliteal space MFR/INR?

Answer 23

Inhalation/Exhalation (MFR)

Knee flexion/Relaxation (INR)
Internal and External Rotation (INR)