FPR Flashcards
(16 cards)
1
Q
What is the definition of FPR?
A
- a modification of indirect myofascial release treatment
- The restricted region of the body is placed into a neutral position to diminish tissue and joint tension in all planes, then an activating force (compression or torsion) is added
2
Q
What is the primary goal of FPR?
A
-to reduce abnormal muscle hypertonicity (superficial and deep) and restore lost motion to a restricted articulation
3
Q
What are the basic steps to FPR?
A
- monitor
- modify the sagittal posture
- add facilitating force
- move into freedom of motion
- tissue relaxation
- return to neutral
- Reassess
4
Q
Hypertonic muscles of the cervical spine
A
- pt supine w/ head and neck off the table
- monitor hypertonic tissues with 3rd finger
- flex head to flatten cervical curvature
- axial compression (gentle)
- extend the head and neck and sidebend to the same side of the hypertonic muscles
- hold 3-4 seconds… wait for relaxation
- return to neutral
- reassess musclar tonicity
5
Q
Segmental dysfunction in cervical spine
A
- pt supine w/ head and neck off the table
- finger and thumb on articular pillars of affected segment
- With other hand, flatten the cervical curve (flexion)
- axial compression
- while maintaining flattened lordosis, move into ease of motion
- hold 3-4 sec
- return to neutral and release compression
- reassess segmental motion
6
Q
Hypertonic muscles in the thoracic spine
A
- pt seated, doc on side of dysfunction behind
- monitor at site of dysfunction with one hand
- other arm on pt’s shoulder on side of df, w/ forearm resting behind pt’s neck
- get them to sit up (flatten kyphosis)
- apply downward compression, sidebend around your finger
- hold for 3-4 sec, relax, neutral, reassess
7
Q
Segmental dysfunction seated for thoracic spine
A
- pt seate, doc behind on side of df, monitor PTP
- ask pt to sit up str8… flatten Kyphosis
- reach across the pt’s ant or post chest
- while maintaining flattened kyphosis, apply pressure, put them into ease of motion
- hold 3-4 sec, relax, neutral, reassess
8
Q
Segmental type 2 dysfunction prone technique
A
- pt. prone, doc opposite the df
- monitor w. cephalad hand on ptp
- w/ caudad hand, reach over and grab their acromion process, pull to induce sidebending and posteriorly to induce rotation
- 3-4 sec, relax, neutral, reassess
9
Q
hypertonic muscles int he lumbar spine
-torsion force instead of compressive
A
- pt prone, doc on same side as df
- put pillow under abdomen to flatten curvature
- monitor at hypertonic muscles with cephalad hand
- place knee by hip to use as fulcrum
- w/ caudad arm, pull legs towards you
- cross pt’s contralateral leg over the other to rotate
- hold 3-4 sec, relax, neutral, reassess
10
Q
Lumbar extension dysfunction, alternate technique
-torsional force
A
- PTP is always up for this one (so pt is on their side)
- monitor with cephalad hand
- reach over their leg, grab it, and extend it, then internally rotate
- 3-4 sec, relax, neutral, reassess
11
Q
In general, how do we take care of the lumbar lordosis when they are laying prone?
A
put a pillow under their head
12
Q
Lumbar flexion dysfunction Prone
-Torsional
A
- pt prone, doc seated at side of dysfunction
- monitor with one hand, flex the knee and hip with other
- abduct hip
- externally rotate
- add compression through the knee you’re holding
- 3-4 seconds, relax, neutral, reassess
13
Q
Piriformis muscle FPR
A
- pillow under belly
- go to side of df
- flex and abduct the hip (like flex the knee sideways), monitoring at the area of the greater trochanter
- and compression through the knee
- 3-4 sec, relax, neutral, reassess
14
Q
Gluteus Maximus Muscle FPR
A
- pillow under belly
- side of df
- flex knee up, then abduct the hip, externally rotate (point the knee externally)
- hold 3-4 sec, relax, neutral, reassess
15
Q
Anterior Rib cage and costochondral dysfunctions FPR
A
- pt. sits up, doc behind on opposite side of df
- reach arm over their shoulder onto the side of the df by the xyphoid process
- drape other arm over the neck
- lean on them (compression)
- rotate and sidebend to the side of df
- 3-4 sec, relax, neutral, reassess
16
Q
Posterior Rib dysfunctions, seated
A
- treatment position for anterior left is the same for posterior right
- just monitor at the posterior rib
- lean on them
- rotate and sidbend to the df
- 3-4 sec, relax, neutral, reassess
