Intro to BLT, Still's and FPR OMT Techniques Flashcards Preview

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Flashcards in Intro to BLT, Still's and FPR OMT Techniques Deck (21)
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1

What does BLT stand for?

Balanced Ligamentous Tension (BLT)

2

BLT Definition:

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

3

BLT indications?

Somatic dysfunctions that involve ligamentous articular strains

 

Areas of lymphatic congestion or local edema

4

BLT Relative Contraindications?

-Fractures

-Open wounds

-Soft tissue or bony infections

-Abscesses

-DVT

-Anticoagulation 

-Recent post-op conditions over the site of proposed treatment

-Aortic aneurysm

5

BLT Saftey and Efficacy: 

 

Describe

Safe and well tolerated 

 

No known reports of complications arising 

6

Steps in BLT?

1. Diagnose 

 

2. Positioning (shifted neutral)

 

3. Activating Force: Respiratory assist 

 

4. Reevaluate for motion improvement

7

C. Extended, rotated left, sidebent left

8

FPR Definition?

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 

9

Advantages of using FPR?

-Easily applied, effective and time efficient

 

-Good patient satisfaction

 

-Thorough

10

FPR indications?

Myofascial or articular somatic dysfunction

11

FPR Absolute Contraindications?

1. Fracture 

 

2. Neurological symptoms (brought on by the treatment position)

 

3. Life-threatening symptomatology (EKG changes, drop in O2 sat)

12

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

13

FPR proposed mechanism?

Increases activity of gamma motor neurons 

 

Stimulates muscle spindles 

Result = increased tension in the muscle

 

Inverse spindle output

14

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

15

C. T2 Neutral, rotated left, sidebent right

16

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"

 

 

17

Advantages of Stills?

SAME AS FPR

 

-Easily applied, effective, time efficient

-Good patient satisfaction

-Thorough

18

Indications for Stills?

Somatic dysfunction in virtually all tissues of the body

 

Safe for all ages 

19

Contraindications for Stills?

Recent wounds 

 

Fractures

20

Steps to the Stills Technique?

1. Evaluate 

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

21

D. Extended, rotated right, sidebent right