BLT/Stills/FPR

Question 1

The method involves the minimization of periarticular tissue load and placement of the affected ligaments in a position of equal tension in all appropriate plans so that the body’s inherent forces can resolve the somatic dysfunction.

Answer 1

BLT

Question 2

BLT indications

Answer 2

• SDs that involve ligamentous articular strains - areas of lymphatic congestion or local edema

Question 3

BLT relative contraindications

Answer 3

fractures, open wounds, bony infections, abscesses, DVT, anticoagulation, aortic aneurism

Question 4

A treatment method in which a dysfunctional body region is addressed with a combination of neutral positioning, application of an activating force (compression, torsion or distraction) and placement into a position of ease.

Answer 4

FPR

Question 5

FPR indications

Answer 5

myofascial or articular SD

Question 6

FPR absolute contraindications

Answer 6

unstable fracture, neurological sx manifest during tx, exacerbation of potentially life-threatening symptomatology by tx position

Question 7

FPR relative contraindications

Answer 7

tx not well tolerated, severe osteoporosis, malignancy, moderate to severe joint instability, spinal stenosis/nerve root impingement

Question 8

proposed mechanism of FPR

Answer 8

somatic dysfunction is initiated or maintained by increasing activity in the gamma motor neurons of the muscles which stimulate the muscle spindles

Question 9

inverse spindle output

Answer 9

proposed mechanism of FPR: - positioning the muscle in neutral position eliminates the afferent excitatory input to the spinal cord through group 1a and II fibers - tension and hypertonicity of extrafusal muscle fiber is reset

Question 10

initial response of FPR is ___ then ____

Answer 10

soft tissue articular

Question 11

The dysfunctional region is first placed in an indirect position, an axial force (compression, traction, torsion) is added then used to carry the region toward or through the restrictive barrier

Answer 11

Still’s

Question 12

Still’s indications

Answer 12

SDs in virtually all tissues of the body, including cranium, spine, sacrum, pelvis, limbs, muscles, tendons, ligaments, viscera

Question 13

Still’s contraindications

Answer 13

recent wounds or fractures less than 6 weeks old

Question 14

looking at a SD as an impediment to the flow of a river with the goal of treatment being to remove the stone and let the stream flow through unimpeded

Answer 14

BLT

Question 15

FPR suboccipital hypertonic muscles

Answer 15

• flex head and neck forward - apply gentle axial pressure - while compressing, extend head and neck and SB to side of hypertonic muscles - hold 3-5 seconds

Question 16

when in FPR do you begin to apply compression

Answer 16

before you put segment into ease

Question 17

when in Still’s do you begin to apply compression

Answer 17

after you put segment into ease

Question 18

what part of the vertebrae do you grab in BLT OA SD

Answer 18

the laminae on either side of midline of C1

Question 19

hand placement for BLT lower thoracic seated

Answer 19

thumb ipsilateral to PTP contacts TP of inferior vertebra

thumb contralateral to PTP contacts TP of superior vertebra

Question 20

hand placement in BLT thoracic/lumbar, prone

Answer 20

physician stands ipsilateral to PTP

thumbs on ipsilateral TPs and index finger over contralateral TPs

Question 21

Still’s lumbar spine, supine leg direction

Answer 21

physician moves ipsilateral lower extremity by external rotation, abduction