Y1 S1 B1 Flashcards
(69 cards)
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Name the technique
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Scanning evaluation … body heat. A few cm above skin. Note areas of more warmth. Use dorsal hand and/or volar surface wrist.
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Name the technique
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Scanning evaluation … skin drag. More drag = may be fine moisture film over skin. Less drag = excessive moisture, oily skin, atrophic skin
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Name the technique …
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Scanning evaluation … red reflex/erythema friction rub. Palpated paraspinally. Use 2 fingers on either side of spinous process or both index fingers on either side of spinous process. 2-3 quick strokes. Normal: initial blanching, then reddening, then slow fading
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Name the technique …
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What does TART stand for?
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tissue texture abnormality, asymmetry, restriction of motion, tenderness
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Describe respiratory cooperation in MFR.
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How do you use respiratory cooperation with indirect thoracolumbar MFR prone?
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AROM
Active range of motion - voluntary movement by patient
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PROM
Passive range of motion - movement performed by practitioner while patient is relaxed
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Physiologic barrier
The end point of ACTIVE range of motion. Can be increased w/ warm-up exercises or stretches.
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Anatomic barrier
Limit of motion by anatomic structures
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Elastic barrier
Felt at end of ACTIVE range of motion - between physiologic and anatomic barriers. This is where ligaments stretch.
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Restrictive barrier
An obstacle to movement w/in the physiological ROM that reduces the amount of Active motion available
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Pathological barrier
Permanent restriction of active and passive range of motion with permanent changes to tissues (contractures)
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Somatic dysfunction
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Structural damage
Structural change in the tissues, disrupted tissue, fibroses or scarred tissue, deformed or malformed tissue
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Somatic dysfunction vs structural change
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TART Tissue Texture Abnormalities include
Temp., moisture, boggiest, ropiness, red reflex
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TART Asymmetry includes
Static, regional, segmental
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TART Restriction of Range of Motion (either active or passive) includes
Superficial fascia, muscles, deep fascia, joints
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Direct techniques
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Indirect Techniques
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What are soft tissues?
Tissues that connect, support, or surround the structures and organs of the body - muscles, nerves, blood vessels, connective tissue (ligaments, fascia, fibrous tissues, fat, synovial membranes)
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Examples of Indirect technique types
Counterstrain, Facilitated Positional Release (FPR), Functional MEthod
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Examples of direct techniques
Articulatory, muscle energy, HVLA (thrusting technique), soft tissue
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Soft tissue technique
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Absolute contraindications
Lack of patient cooperation or consent, inability to position patient appropriately, no somatic dysfunction identified, inability of patient to respond to treatment, malignancy
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Relative Contraindications
Acute injury, fracture or dislocation, neurological compromise, osteopenia or osteoporosis, malignancy, infection
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Indirect respiratory component
Look for portion of the breath cycle that eases the tissue tension
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Direct respiratory component
Look for the portion of the breath cycle that increases the tension in the tissues
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MFR directions of motion
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Elasticity
Ability of connective tissue to return to its resting sheep when forces are removed
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Plasticity
Ability of connective tissue to retain a shape by deformation when forces are removed - a stress load that is larger than the yield strength of a tissue will cause a plastic or permanent deformation
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Functions of Fascia
Packaging, protection, posture, passage ways, fascia continuity
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Hooke’s Law
Stresses and strains are directly proportional to the force applied (stretch, compression, etc.), provided the body’s limit of elasticity is not exceeded. Under these conditions, the object returns to its original shape and size upon removal of the load.
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Newton’s 3rd law
For every action, there is an equal and opposite reaction
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Davis’ law
Every change in form of soft tissue, or in its function alone, is followed by certain definite changes in its internal architecture, and secondary alterations in its external confirmations.
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Wolff’s Law
Bony structures will adapt (grow and remodel) to the load placed upon it.
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What are the ten basic coordinated body functions?
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ECOP 5 basic integrative and coordinated body functions and coping strategies.
