Thoracic & Lumbar: BLT, FPR, Stills Flashcards Preview

ECOS Midterm Exam > Thoracic & Lumbar: BLT, FPR, Stills > Flashcards

Flashcards in Thoracic & Lumbar: BLT, FPR, Stills Deck (12)
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1
Q

Definition of BLT

A

method that involves the minimization of peri-articular tissue load and the placement of the affected ligaments in a position of equal tension in all appropriate planes so the body’s inherent forces can resolve the SD

2
Q

3 Principles of BLT

A
  • Disengagement of the dysfunctional area
  • Exaggeration of the dysfunctional pattern
  • Balanced tension of ligaments
3
Q

Steps of BLT

A

Ex. L1 E SL RL
(1) patient lies prone
(2) place first fingers and thumbs on the transverse processes of the affected vertebra and the one below (ex. L1, L2)
(3) address the sagittal plane (ex. if extended then press on finger and thumb of inferior hand)
(4) side-bend by approximating the transverse processes on the same side (ex. L)
(5) rotate by adding pressure to the appropriate opposite finger and thumb (ex. rotate by pressing superior thumb and inferior 1st finger)
(6) test respiratory phases and instruct patient to accentuate cycle with greatest ease; make minor adjustments in patients position to maintain tissue balance
(7) Repeat step 6 until best motion obtained
(8) reassess TART

4
Q

FPR Definition

A

treatment method in which a dysfunctional body region is addressed with a combination of neutral positioning, application of an activating force (compression, torsion, distraction), and placement into position of ease

5
Q

Mechanism of FPR

A
  • interaction between 1 alpha afferent and gamma efferent activity
  • intrafusal fibers allowed to return to normal length
  • 1 alpha afferent signals DECREASE
  • DECREASES tension in extrafusal fibers
    -secondary effects: improved lymphatic drainage, venous drainage, and improved fluid dynamics
6
Q

FRP: Flatten the Curve

A
  • Lordotic regions should be slightly flexed (patient slouch)
  • Kyphotic regions should be slightly extended (patient sit up straight)
7
Q

Steps of FPR

A

Ex. T7 E RR SL
(1) Neutralize sagittal curve: monitor segment and instruct pt to extend spine to straighten the curve
(2) Activating force: add compression of <1lb localized to the segment
(3) Indirect positioning: triplanar indirect positioning
(4) hold for 3-5 sec
(5) return to neutral
(6) reassess TART

8
Q

Still’s Method Definition

A

combined manipulative method utilizing both indirect and direct components; dysfunctional region first placed in an indirect position and axial force (compression, traction, torsion) is added and then used to carry the region directly past neutral toward or through its restrictive barrier

9
Q

Steps of Still Technique

A

Ex. T1 E RR SR (end position: T1 F RL SL)
(1) Initial Positioning: place articular dysfunction to the shifted neutral position (ex. extend to localize to T1 then add rotation right and side-bending right); monitor at TP for tissue texture normalization
(2) Activating Force: add compression of <5lbs
(3) Motion: move patient through the direct barrier after compression or traction force
(4) Remove compression and return to neutral
(5) Recheck TART findings

10
Q

BLT
(1) Set-Up Position:
(2) Activating Force:
(3) End Position:

A

(1) Set-Up Position: Indirect
(2) Activating Force: Respiratory Assist
(3) End Position: Neutral

11
Q

FPR
(1) Set-Up Position:
(2) Activating Force:
(3) End Position:

A

(1) Set-Up Position: Flatten the curve & Indirect
(2) Activating Force: Compression or Traction
(3) End Position: Neutral

12
Q

Stills
(1) Set-Up Position:
(2) Activating Force:
(3) End Position:

A

(1) Set-Up Position: Indirect
(2) Activating Force: Compression or Traction
(3) End Position: Direct