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ECOS I Exam 1 > BLT, FPR And Still's Techniques > Flashcards

BLT, FPR And Still's Techniques Flashcards

1
Q

What is a direct technique?

A

Method of action engage the restrictive barrier directly

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2
Q

What is an indirect technique?

A

Method of action involve positioning away from the restrictive barrier

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3
Q

Why use indirect?

A

Pt/practitioner preference
Direct tx contraindicated
Direct tx just isn’t working

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4
Q

Still’s technique is a combination of what?

A

Direct and indirect technique

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5
Q

BLT/LAS and FPR are both

A

Indirect techniques

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6
Q

History of indirect techniques

A

Dr. W Sutherland - cranial techniques (BMT)
Dr. Harold Hoover - dynamic neutral point of joint motion
Dr. Anne Wales - first used term BLT*
Dr. Lawrence Jones - strain counterstrain
Dr. Schiowitz and DiGiovanna - faciliated positional release*

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7
Q

What is balanced ligamentous tension (BLT)?

A 
Diagnose somatic dysfunction 
Place in indirect position 
Utilize activating force 
Hold until “air hunger” 
Reassess
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8
Q

What are the three principles of BLT?

A

Disengagement of the dysfunctional area
Exaggeration of dysfunctional pattern
Balanced tension of ligaments

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9
Q

Explain the steps of BLT

A
  1. Position the segment in an indirect manner (position at shifted neutral position)
  2. Utilize activating force: inherent respiration
  3. Return to neutral
  4. Reevaluate for TART findings
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10
Q

Explain respiratory assist during the second step of BLT

A

Breathing/respiratory phase associated with greatest ease
Inhalation flattens the spine in the A-P direction
Exhalation increases AP spinal curves
Instruct pt to hold until air hunger

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11
Q

What is the goal of BLT?

A

Balance the articular surfaces’ direction of physiologic motion that are common to that articulation
Physician helps the body help itself (2nd tenet)
Little to no pressure is exerted into the body to accomplish the technique
Generally very tolerable to pts

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12
Q

What is facilitated positional release?

A 
Make diagnosis 
Flatten (neutralize) the curve 
Add compression 
Indirect positioning 
Hold 3-5 seconds 
Return to neutral 
Reassess
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13
Q

Explain the mechanism for FPR

A

Pt-passive, indirect technique
Interaction between 1 alpha afferent and gamma efferent activity
Intrafusal fibers allowed to return to normal length (1-alpha afferent signals decrease)
Decreases tension in extrafusal fibers
Muscles achieve normal length and tone

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14
Q

What are the secondary effects of FPR?

A

Improved lymphatic drainage, venous drainage, and improved fluid dynamics

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15
Q

What are the steps for FPR?

A
  1. Neutralize/flatten spinal curve
  2. Utilize compression
  3. Place pt in shifted neutral (hold for 3-4 seconds)
  4. Return to neutral
  5. Reassess for TART findings
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16
Q

What are the indications for FPR?

A

Muscle hypertonicity, virtually all SD and time crunch

17
Q

What are the contraindications for FPR?

A

Unstable fracture, manifestation of neurologic sx, life threatening sx, wounds <6 weeks, joint instability

18
Q

What is Still’s technique? (Her fave)

A 
Diagnose SD 
Move to position of ease 
Apply force vector 
Articulatory movement 
Release force vector 
Return to neutral 
Reassess for TART findings 
Pt passive, combined technique (indirect and direct)
Named by Dr. Buskirk (not published til 2000)
19
Q

What are the steps for Still’s technique?

A
  1. Place dysfunctional segment in shifted neutral position
  2. Add localizing force (<5 lbs of compression/traction)
  3. Move through the restrictive barrier while maintaining localizing force (“bump” or click may be heard or felt)
  4. End in direct position (anatomical barrier is attained)
  5. Return to neutral
  6. Reassess for TART findings
20
Q

What are the indications for these techniques?

A

SD, muscle hypertonicity, time crunch, pt request and lymphatic congestion or local edema

21
Q

What are the contraindications for these techniques?

A 
Fracture, dislocation, instability 
Wounds <6 weeks 
Soft tissue/bony infections, abscesses 
DVT/malignancy 
Manifestation of neurologic sx
Life threatening sx
22
Q

Which two techniques end in a neutral position?

A

BLT and FPR

23
Q

Which two techniques use compression as their activating force?

A

FPR and St’ll’s

24
Q

What is the end position for Still’s technique?

A

Direct

25
Q

What is the start position for BLT?

A

Indirect

26
Q

What is the set up position during FPR?

A

Flatten + indirect

27
Q

What is the set up position for Still’s?

A

Indirect

28
Q

What is the activating force for BLT?

A

Respiratory assist

ECOS I Exam 1 (26 decks)

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