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OPP III Exam 1 > Review III > Flashcards

Review III Flashcards

(64 cards)

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1
Q

direct technique

A

toward restrictive barrier

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2
Q

indirect technique

A

away from restrictive barrier

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3
Q

articulatory technique

A

aka springing or LVHA

  • direct
  • patient relax/comfort

engage restrictive barrier
> pressure against barrier to carry body past it
> maintain 1-2 seconds
> retreat from barrier 1-2 seconds
> reengage restrictive barrier (new position)
>repeat

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4
Q

absolute contraindications for articulatory technique

A 
lack of consent
no SD
fracture/dislocation
neuro entrapment
vascular compromise
local infection
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5
Q

indication for articulatory technique

A

SD in joint/periarticular tissue that increase joint ROM and decrease hypertonic muscle restriction

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6
Q

balanced ligamentous tension

A

uses reciprocal tension in ligament of joint

goal - rebalance ligaments and tighten loose ligament

effectiveness - ability to restore cranial rhythmic impulse

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7
Q

crimping

A

configuration of fibers that make up ligament

  • allow it to work as a spring
  • SD leads to straight ligament - lost crimp
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8
Q

BLT treatment

A

disengage/decompression area until motion felt
> exaggeration of dysfunction - return to injury position
> balance ligaments in position of equal tension until release or CRI is palpated

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9
Q

BLT indications

A

relax contracted muscles, release tethered structures, restore symmetry, increase arterial circulation and venous/lymph drainage

to obtain decrease in pain and edema

any dysfunctional or strained ligamenet

direct, indirect, or both

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10
Q

BLT absolute contraindications

A

lack of consent

no SD

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11
Q

strain/counterstrain

A

to relax intrafusal muscle and reset gamma gain

  • reduce afferent activity
  • in association with myofascial tenderpoint

move muscle origin and insertion closer around TP
> hold for 90 seconds
> slow return to neutral position

gamma gain now at new lower resting state

end of treatment - may feel therapeutic pulse

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12
Q

tenderpoints

A

tender with no radiation

inappropriate proprioceptive reflex - correlate with SD

rapid myofascial tisue lengthening
-reciprocal shortening reflex of antagonist muscle

initial muscle strain leads to reactive counterstrain

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13
Q

strain/counterstrain indications

A

when tenderpoint identified

-muscle lengthening and relaxation desired

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14
Q

trigger points

A

tender with radiation and muscle twitch

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15
Q

absolute contraindication for S/CS

A

absent of SD

lack of consent

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16
Q

facilitated position release

A

indirect technique

first allow neutrality in dysfunctional tissue
> activating force into tissue for 5-15 seconds
> causes immediate release of restriction
> release before returned to neutral position

treat superficial dysfunction first**

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17
Q

FPR diagnosis

A

three-plane diagnosis should be made before attempting FPR
-need to unload joint of all nociceptive and proprioceptive feedback

joint restriction - increase efferent gamma gain
-signals to shorten muscle even when relaxed

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18
Q

FPR indications

A

hypertonic muscles and restricted ROM

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19
Q

absolute contraindications for FPR

A 
lack of consent
no SD
hip prosthetic
shoulder pathology
acute/chronic joint dislocation
recent trauma
acute fracture
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20
Q

HVLA

A

direct technique

engage restrictive barrier
> altered afferent output of mechanoreceptors at joint when forced through barrier

quick thrust applied

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21
Q

no HVLA if..

A

setup uncomfortable
setup produces neuro sx
barrier is rubbery, rather than firm

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22
Q

HVLA indications

A

SD with firm, distinct barriers

goal - to restore motion and function

reduce muscle hypertonicity, stretch shortened muscles, increase fluid movement, reducing pain

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23
Q

absolute contraindications HVLA

A

lack of consent
no SD
rheumatoid arthritis

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24
Q

lymphatic technique

A

restore homeostasis and improving lymph circulation while removing barriers to lymph flow

free restrictions centrally then peripherally
-treat major diaphragms first

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25
sibsons fascia
thoracic inlet | -drainage point for thoracic duct
26
lymphatic principles of treatment
1 - remove barriers to flow 2 - enhance mechanisms involved in resp/circ homeostasis 3 - augment lymph flow and other immune system elements 4 - mobilize lymph fluid from other regions of body to decrease congestion
27
lymphatic indications
edema, tissue congestions, lymph stasis, infection and inflammation
28
absolute contraindications for lymphatic
no consent no SD aneuresis if not on dialysis necrotizing fasciitis
29
muscle energy technique
direct treatment -goal to obtain muscle relaxation and increase mobility position patient against feather edge of barrier > patient force in opposition 3-5 seconds > pause few seconds - neuromuscular adaptation > barrier re-engaged, repeat
30
principles of MET
dysfunction due to increased gamma gain increased efferent gamma motor neuron activity
31
muscle spindle
control muscle length, motion, and position -proprioception 2-12 intrafusal fibers group Ia and II afferent fibers
32
golgi tendon organs
type Ib afferent fibers at tendonous attachments fire during muscle contraction - info about stretch and tension
33
primary annulospiral endings
length and rate of stretch info
34
secondary flower spray endings
relative muscle length info - but no rate of change
35
isometric
no length change
36
isotonic
muscle length change
37
concentric
muscle contracts | physician force < patient force
38
eccentric
muscle lengthens | physician force > patient force
39
isolytic
forced lengthening of shortened, fibrotic muscles
40
isokinetic
constant velocity
41
crossed extensor reflex
flexor group contracts | -contralateral flexor relaxes and contralateral extensor tightens
42
reciprocal inhibition
agonist contraction produces antagonist relaxation because of CNS patterning
43
oculocephalogyric reflex
eye motion to stimulate contraction of cervical and truncal muscle groups
44
respiratory assistance
muscles or resp to engage muscles directly or transmit motion to rest of body
45
post-isometric relaxation
period after controlled muscle contraction where proprioception and nociceptive feedback is absent -allows muscle to be passively stretched without stimulating myotatic reflex
46
MET indications
SD is sufficient indication
47
absolute contraindications for MET
lack of consent no SD young child cannot comprehend coma/unresponsive
48
MFR
continual palpatory feedback to release tissues - fascia can change length - plasticity/elasticity - indirect or direct
49
MFR indications
contracted muscle, release tethered structures, restore symmetry, increase circulation and venous/lymph drainage fascia, tendons, scars, internal organs, visceral suspensory ligaments
50
absolute contraindications for MFR
``` absence of SD lack of consent acute fracture open wound dermatitis acute thermal injury ```
51
soft tissue technique
direct to relax hypertonic muscles and reduce muscle spasm create tonic stimulation in hypotonic muscles by stimulating stretch reflex
52
traction
pressing tissue along long axis - parallel
53
kneading
pressing tissue along latidudinal axis - perpendicular
54
inhibition
forces superficial to deep into dysfunctional tissue
55
effleurage
superficial lymph treatment | -stroking tissues lightly from distal to proximal
56
petrissage
deep pressure/squeezing to break down adhesions between skin and muscle
57
tapotement
rapid striking of muscle belly with hypothenar eminence
58
indication for soft tissue
hypertonic muscles tension in fascial structures abnormal somato-somato and somato-visceral reflexes
59
stretch reflex
myotatic, knee jerk, or deep tendon reflex
60
absolute contraindication for soft tissue
lack of consent | no SD
61
still technique
place dysfunction tissue into position of ease > adding a force vector through dysfunction tissue > maintain force and move through barrier place of ease - neuro feedback neutralized tissues released from restriction without triggering reactive firing from NS
62
indications for still technique
muscle hypertonicity and restricted ROM
63
absolute contraindications for still
``` lack of consent no SD hip prosthetic shoulder injury acute/chronic dislocation recent trauma fracture less than 6 weeks old recent wound ```
64
FPR vs. Still
Still - originally places body into exaggerated position of ease (position of SD) -requires joint be carried through restrictive barrier FPR - sets up body in position of neutrality

OPP III Exam 1 (7 decks)

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