What does BLT stand for?
Balanced Ligamentous Tension (BLT)
The method involves the minimization of periarticular tissue load and the placement of the affected ligaments in a position of equal tension in all appropriate planes so that the body's inherent forces can resolve the somatic dysfunction
Somatic dysfunctions that involve ligamentous articular strains
Areas of lymphatic congestion or local edema
BLT Relative Contraindications?
-Soft tissue or bony infections
-Recent post-op conditions over the site of proposed treatment
BLT Saftey and Efficacy:
Safe and well tolerated
No known reports of complications arising
Steps in BLT?
2. Positioning (shifted neutral)
3. Activating Force: Respiratory assist
4. Reevaluate for motion improvement
C. Extended, rotated left, sidebent left
A treatment method in which a dysfunctional body region is addressed with a combination of neutral positioning, application of activating force (compression, torsion or distraction) and placement into a position of ease
Advantages of using FPR?
-Easily applied, effective and time efficient
-Good patient satisfaction
Myofascial or articular somatic dysfunction
FPR Absolute Contraindications?
2. Neurological symptoms (brought on by the treatment position)
3. Life-threatening symptomatology (EKG changes, drop in O2 sat)
FPR Relative contraindications?
1. Treatment not well tolerated
2. Comorbidities that place the patient at risk for fracture
3. Moderate to severe joint instability
4. Spinal stenosis/nerve root impingement
FPR proposed mechanism?
Increases activity of gamma motor neurons
Stimulates muscle spindles
Result = increased tension in the muscle
Inverse spindle output
Steps in FPR?
1. Setup: Neutral position
2. Activating force, add facilitating force
3. Positioning: indirect for greatest ease, hold for 3-5 seconds
4. Return and re-evaluate
C. T2 Neutral, rotated left, sidebent right
Still technique definition?
Combined manipulative method using both indirect and direct components
"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"
Advantages of Stills?
SAME AS FPR
-Easily applied, effective, time efficient
-Good patient satisfaction
Indications for Stills?
Somatic dysfunction in virtually all tissues of the body
Safe for all ages
Contraindications for Stills?
Steps to the Stills Technique?
2. Initial treatment position of ease
3. Add localizing force
4. Move through the restrictive barrier while maintaining the localizing force
5. Final treatment position at attaned anatomic barrier
6. Return the patient to neutral and reassess for TART
D. Extended, rotated right, sidebent right