Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Therapeutic Interventions Part 2 > Myofascial Techniques > Flashcards

Myofascial Techniques Flashcards

1
Q

What is the goal of myofascial techniques?

A

Maintain or restore the functional capacity of the integrated myofascial network

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are some indications for myofascial work?

A

Restricted ROM c or w/o specific injury
Decreased power or strength
Visible scars in the area of complaint
Painful movement (passive/active) w/ or w/o specific injury
Tenderness in muscles or fascial zones w/o specific injury
Palpable thick, adhered, and/or fibrous fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the absolute contraindications for myofascial techniques?

A 
Malignancy
Cellulites
Fever
Systemic infections
Aneurysm
Lymphedema
Acute RA
Advanced osteoporosis
Advanced diabetes
Hemophilia or anticoagulant therapy
Hyperesthesia/hypersensitive of skin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some regional contraindications for mysofascial techniques?

A 
Sever hematoma
local infection
traumatic edema
open wounds or fractures
degenerative joint disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are some assessment techniques for myofascial restrictions?

A

Postural assessment and visual inspection
Palpation
ROM and movement assessment (muscle length tests)
Contract relax neuromuscular techniques

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some techniques for palpation assessment?

A

Tissue excursion

Skin rolling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When do you use tissue excursion?

A

Assesses broad areas
Use both hands
Stretch tissue to it’s limit in each directions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where do you mostly do the skin rolling technique?

A

Lumbosacral
Abdominal
IT band
Erector spinae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How can you tell if it’s a fascial restriction and not a neuromuscular dysfunction after a contract-relax treatment for muscle tightness?

A

ROM stays the same or has little improvement after stretching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are some site-specific techniques for myofascial?

A

Deep Transverse Friction - applied to connective tissue (helps normalize lines of stress during tissue repair, releases histamine)
Scar Release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the difference between indirect and direct myofascial techniques?

A

Direct - applied over the area of complaint

Indirect - applied in an area outside the area of complaint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the guidelines for Deep Transverse Friction (DTF)?

A

Pain and tissue resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which direction do you want to stretch the tissue in DTF?

A

Perpendicular to fiber alignment (breaks up cross-links and disorganized repair fibers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How can you make DTF more effective?

A

No emollient
Broad strokes that stretches and separates fibers
Muscle/tendon is in relaxed position
Start perpendicular to fibers
Frequency is enough to cause permanent change (can’t do it just once)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does DTF do and when don’t you want to do it?

A

Facilitates proper alignment of the repair fibers

  • Shouldn’t cause sharp pain greater than 5/10
  • Never use directly over edematous tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Do you use lubrication with a scar massage?

A

Small amount

17
Q

What are some broad plane myofascial techniques?

A

Pin-and-stretch
Linear Shifts/Cross hand
Traction releases

18
Q

What are linear shifts/Cross Hand Release?

A

Shifts and stretches in superficial fascia will be transmitted to deeper layers of tissue

19
Q

How long can the linear shift/cross hand technique take?

A

Can take several minutes. Hold until you feel the letting go or release of the fascia

20
Q

How do you perform the traction release?

A
  1. PT maintains good body mechanics
  2. hold extremity w/ your arms fully relaxed and extended
  3. Hold the patient distally (hand/foot)
  4. Provide traction to the extremity
  5. Slowly move the extremity until a barrier is felt in each plane of motion
  6. Hold the position until the barrier is released
  7. Repeat technique through the whole arc of available motion
21
Q

What are macrophages?

A

Acts as a phagocyte

22
Q

What do plasma cells do?

A

Produce antibodies

23
Q

What are Mast Cells?

A

Most abundant around blood vessels. Produce these 2 chemicals

  • Histamine: vasodilation and increased capillary permeability
  • Heparin: Anticoagulant
24
Q

What are fibroblast key for?

A

tissue regeneration and repair

25
Q

What are the types of connective tissue fibers?

A

Collagen-thickest, strongest, and most abundant
Reticular-
Elastic

26
Q

What are some characteristics of collagen fibers?

A

Very strong, resistant to stretch (tendons, ligaments, bone, cartilage)
Spiral arrangement provides ability to lengthen
Resists sudden application of force (lengthens with gradual tension)
Myofascial techniques use slow and gradual stretching to lengthen

27
Q

What are some characteristics of reticular fibers?

A

Similar to collagen but thinner and more delicate
surrounds and gives support to muscle cells
Inelastic
Tolerate moderate to high levels of tensile stress

28
Q

What are some characteristics of elastic fibers?

A

Made up of elastic
Smaller, but more stretchy
Can stretch up to 150% of normal length
More flexible and resilient (skin, lungs, blood vessels)

29
Q

What is ground substance?

A

Intercellular fluid in all connective tissues
Acts as a spacer and lubricant for connective tissue
Composed chiefly of a group of substances called proteoglycans and water

30
Q

What is fibrous connective tissue?

A

Thicker and more densely packed collagen fibers and less ground substance

  • strong resistance to stretch
  • collagen runs parallel in tendons and ligaments that stabilize joints
31
Q

What are the 3 layers of connective tissue?

A

Epimysium- outside of whole muscle, separates muscles from each other
Perimysium - divides the muscle into internal compartments, gives msucle it’s shape
Endomysium - covers the outside of each individual fiber

32
Q

What can muscle shapes tell us?

A 
Tells us likely stress points
Fiber direction
Fascial divisions (probable sites for restrictions, adhesions, and lesions to develop)
33
Q

What are transition points int he body?

A

Areas of high stress (common sites of injury)
Musculotendinous junction - Muscle transitions to the fibrous connective tissue of the tendon (tendon to muscle)
Tenoperiosteal junction - fibrous connective tissue of the tendon weaves into the periosteum (tendon to bone)

34
Q

What does viscoelastic mean?

A

Changes based on temperature/movement (Fasica is viscoelastic)

35
Q

What are the layers and patterns of fascia?

A

Superficial - anchors dermis to underlying structures
Deep - Surrounds muscles, bones, and organs
Pattern - organized into fascial chains (provide tension, counterbalances, and directed force to the body)

36
Q

What are the superficial body bands?

A

7 horizontal lines of superficial fascia that functions as a large retinaculum. It can restrict fat deposition

37
Q

What are the deep horizontal planes?

A

Connects the periosteum, joint capsule, and articular cartilage in a continuous fascial sheet. (ex-diaphragm)

  • increases pressure within the body cavities
  • provides structural strength
  • surrounds supports blood vessels, nerves, and organs
38
Q

What are myofascial chains?

A

Anatomic connective tissue links

  • vertically aligned
  • pathway for mechanical communication of tension and compression
39
Q

What are functional myofascial chains?

A

Complex movements occur through functional lines of muscle fascia
Often diagonal lines
connect the importance of the whole body movement

Therapeutic Interventions Part 2 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions