Myofascial Release Flashcards

(55 cards)

1
Q

What is fascia

A

ubiquitous connective tissue enrobing the body in a big bandage contributing to form and function

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2
Q

What results from the derangement of fascia

A

somatic dysfunction

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3
Q

What is somatic dysfunction

A

It is an impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial, and myofascial structures, and related vascular, lymphatic and neural elements

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4
Q

What are the signs of somatic dysfunction

A
TART changes
tissue texture
assymmetry
restricted ROM
tenderness
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5
Q

What is the goal of OMT

A

restore homeostasis

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6
Q

What is homeostasis

A

both a state of equilibrium and the process by which balance is maintained. It is a dynamic, ever adapting and changing series of events responding to internal and external environmental changes

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7
Q

What are the osteopathic principles

A
  1. the body is a unit
  2. structure and function are interrelated
  3. the body possesses self regulatory mechanisms
  4. the body has the inherent capacity to defend and repair itself
  5. Abnormal pressure in one part of the body produces abnormal pressures and strains upon other parts of the body
  6. When normal adaptability is disrupted, or when environmental changes overcome the body’s capacity for self-maintenance, disease may ensue
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8
Q

What are the functions of fascia

A

packaging
protection
posture
passageway

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9
Q

How does fascia aid in protection

A

establishes limits by stabilizing joints, bony tissue, and body area

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10
Q

How does fascia aid in posture

A

sense of body movements

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11
Q

How does fascia aid is passageway

A

for somatic and autonomic n, arteries, veins, and lymphatics

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12
Q

What are the physical properties of muscle

A
irritability
contractility
relaxation
distensibility
elasticity
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13
Q

What is the physical property of irritability

A

ability of the muscle fiber to react to stimulation

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14
Q

What is the physical property of contractility

A

ability to actively create tension between its origin and insertion

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15
Q

What is the physical property of relaxation

A

ability to reduce tension between origin and insertion

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16
Q

What is the physical property of distensibility

A

ability of the associated CT to be stretched or deformed by and outside force and if the force does not exceed the tensile strength of the CT, the muscle will not be injured

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17
Q

What is the physical property of elasticity

A

ability of the CT to return to its original resting shape when forces are removed

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18
Q

Chart the force effects in CT

A
Plastic deformation
elastic deformation
viscosity
stress
strain
creep
hysteresis or stress strain
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19
Q

What is plastic deformation

A

a stressed, formed, or molded tissue preserves its new shape

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20
Q

What is elastic deformation

A

a stressed, formed, or molded tissue recovers its original shape

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21
Q

What is viscosity

A

capability of a solid to continually yield under stress with a measurable rate of deformation

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22
Q

What is stress

A

effect of force normalized over an area

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23
Q

What is strain

A

a change in shape as a result of stress

24
Q

What is creep

A

continued deformation of a viscoelastic material under constant load over time

25
What is hysteresis or stress-strain
a ct response to unloading and loading where the restoration of the final length of the tissue occurs at a rate and to an extent less than during deformation, representing energy loss in the CT
26
What is Hooke's Law
stress applied to stretch or compress a body is proportional to the strain, or change in length thus produced, so long as the limit of elasticity of the body is not exceeded
27
What will result from edema caused by trauma
fibrin and collagen to be deposited in a thick and haphazard scar, these thickened areas impede normal function of the linear sheets of fascia causing stiffness, change in ROM, pain, and further edema
28
What will result from trauma
trauma patterns affect the whole system
29
What will result from mechanical tension
creates bioelectric current changes that guide the orientation of the fibrin and collagen
30
What substance within the body is piezoelectric
collagen
31
What is the largest collagen pool in the body
fascia
32
What is the function of fibroblasts
prepare and secrete collagen, elastin, and other proteoglycans
33
What is ground substance
all CT have a spatial fill-in-material, ground substance, which is a mixture macromolecules, proteoglycans, and glycoproteins
34
What is Wolff's law of bone transformation
every change in the function of bone is followed by certain definite changes in internal architecture and external conformation in accordance with mathematical laws
35
What is the charge of GAGS and what do they bind
large net negative charge and can bind large amounts of water
36
What is myofascial release
engages continual palpatory feedback to achieve release of myofascial tissues
37
What are soft tissue techniques
inhibitory pressure, stretching, kneading, petrissage, skin rolling, deep friction, tapotment, and effleurage
38
Describe the type of palpation used in myofascial release
asymmetric motion and position of components of the musculoskeletal system are readily identified through palpation layered palpation with minimal to moderate pressure
39
What is direct technique of myofascial release
restrictive barrier is identified, engaged with a loaded constant directional force until the tissue releases and motion is restored
40
What is indirect technique of myofascial release
tissue position of ease is identified, engaged with a directed pressure guided the tissues along the line of least resistance until free movement of all tissues is achieved
41
What are release enhancing mechanisms
activating forces
42
What is inherent (intrinsic) force
using the body's natural tendency to seek homeostasis, rhythmic activity in all tissues that works to improve the hydrodynamics and bioenergetic factors around restricted tissues and articulations
43
What is respiratory force? (cooperation/assist)
full cycle respiratory effort, particular phase of respiration, breath holding, coughing/sniffing
44
What are the different types of activating forces
``` inherent force respiratory force patient cooperation physician guided force spring/vibration ```
45
What is patient cooperation activating force
patient requested to move in specific directions
46
What is physician guided force
physician sequentially guides the tissue/joint through various positions following a shifting pattern of easy motion - neutral point used in function techniques
47
What is springing/vibration activating force
applying variable degrees of pressure and or frequency of force with the hands or percussion hammer
48
What are the goals of MFR
relaxation of contracted muscles increase circulation to area of ischemia increase venous and lymphatic drainage thereby decreasing local swelling and edema a stimulatory reflex on the stretch reflex in hypotonic muscles
49
What are the different models of MFR
biomechanical fascial continuum bioenergetic
50
What is the proposed mechanism of action of MFR
muscle spindle golgi tendon organ reflex reciprocal inhibition crossed extensor reflex
51
What are the patterns of fascial strain
80% of patients follow common compensatory pattern | Most frequently affected areas of restriction found at transition zones and alternate from side to side
52
What type of patient will have a tissue reaction and what is the treatment
tissue reaction post treatment is possible especially in non-active patient and uncontrolled diabetic, usually treated with increasing water and applying ice
53
What are the contraindications for MFR
absolute and relative
54
What are the absolute contraindications for MFR
absence of somatic dysfunction, lack of patient consent or cooperation
55
What are the relative contraindications for MFR
open wounds, fractures, dislocations, recent surgery's cute sprain/strain, DVT, malignancy, osteoporosis, infection