Term
| FPR: classification of the treatment, what makes it different from functional |
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Definition
indirect and passive
treatment is fast
activating force needed |
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Term
| what are the uses of FPR (3) |
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Definition
superificial large muscles to treat tissue texture changes
special somatic dysfunctions maintained by small short rstrictor msuscles
acute pain after trauma |
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Term
| explain the theory of FPR, how does it work |
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Definition
hypertonic muscle causes somatic dysfunction due to increased gamma motor neuron activity of the muscle spindle
shorten the muscle decreases output from the spindle and lowers afferent input to the spinal cord through 1a or 2a fibers
gamma gain decreaes and lowers tension in extrafusial muscle fibers
muscle hypertonicity relaxes |
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Term
| what is the function of the muscle spindle |
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Definition
modify small motions
respond to proprioceptive information
prevent tears to muscle bodies by limiting too rapid movement or far stretching |
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Term
| how can muscles cause somatic dysfunction |
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Definition
| over excitement, underprepared for activity, protection from sprains strains splinting acute or chronic injury |
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Term
| explain the procedure for FDR soft tissue |
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Definition
place joint in neutral and saggital position
add activating force (compression or torsion)
put tissue in position of ease via sidebending and rotation
wait 3-5 seconds
recheck
apply again or use another technique |
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Term
| explain the procedure for FDR segmental |
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Definition
begin in neutral
add more flexion or extension localized to a segment
add sidebending and rotation
add facilitating force
wait 3-5 sec |
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Term
| what are three ways to treat the lower back with FPR |
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Definition
prone by lifting hip with leg in triangle and pillow under belly to flaten curve
pt on side with legs in full extension, use leg to cause sidebending and rotation
patient prone with pillow under belly, let knee hang off table, use it to flex and rotate |
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Term
| how does FPR treat diskogenic pain syndrome |
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Definition
| pillow under abdomen, monitor herniation, flex hip and led off table, move to sidebend, rotate, flex, push knee lateral creating torsion |
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Term
| what is the FPR diskogenic syndrome treatment good to treat |
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Definition
| stenosis, bulfing disc, disk herniation, residuial pain after laminectomy |
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Term
| how is FPR used to treat first rib |
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Definition
| arm in chicken wing on boop, put hands in akward position, push down on elbow, internal rotation if needed, monitor movement of first rib, with compression adduct arm toward midline and circumduct down to the table until arm is along pt side |
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Term
| what is the still technique classified as, what the general motion |
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Definition
indirect but finishes as direct
localize all planes of motion to a balance point
create activating vector force through affected tissue coming from the body used as a lever for the tissue |
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Term
| what is the significance of the vector force in the still technique (3) |
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Definition
vector force takes tissue motion past restriction giving a release
one force is released and is returned to the start position
if forse is articulatory it takes tissue through the motion but is not a repetitive articulation |
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Term
| what is the theory behind still technique |
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Definition
gets rid of nocioception so you can put the tissue into its barrier by doing...
put into position of ease
force vector unloads sensory receptor (golgi tendon bodies and spindles) and spinal reflexes
joint compression stimulates mechanoreceptors which inhibits muscles that cross the joint
distraction stretches the capsule inhibiting reflexes
vector is used to move tissues through neutral |
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Term
| what are the uses and advantages of the still technique (6) |
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Definition
almost any dusfunction
quick
efficient
few complications
gentile
treat seated or supine |
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Term
| what is the process of the still technique |
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Definition
dinf dysfunction
localize pathological neutral
induce force vector through the tissue
move the tissue to its point of restriction
passively return the pt to normal
relax vector |
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Term
| explain how to treat thoracic, cervical and lumbar with still |
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Definition
| put into position of ease, vector force, then move to position of restriction |
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Term
| how is the first rib inferior and superior treated with still |
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Definition
index finger on head of first rib, hand on top of head, sidebend to the same side, vertical vector towards rib head, push head into opposite side bend
superior; start with opposite side bend and push head to same side bend |
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Term
| inhaled and exhaled rib treatment with still |
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Definition
thumb on angle or rib, hand on elbow bring arm into adduction posteriorly, compression through elbow, move to abduction and extension in an arch
exhaled: start in abduction and extension and move to adduction in an arch so opposite |
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Term
| how is the psoas treated with still |
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Definition
patient dysfunction up knees and hips flexed
monitor L2
compression through knee toward L2
abduct hip and take inferior then extend |
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Term
| how is the piriformis treated with still |
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Definition
| pt supine, monitor sciatic foramen, abduct hip until relaxed, compress through knee toward foramen, lead leg across opposite thigh, adduct and rotate at hip |
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