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Which group of OMT techniques is the oldest?

soft tissue

What are the primary, secondary, and tertiary goals of STT?

1: relax hypertonic musculature; stretch shortened, inelastic fascia
2: increase circulation to an area; increase venous drainage and lymphatics
3: stimulate stretch reflex; decrease abnormal s-v and s-s reflexes

Myofascial techniques are based on:

local physical action, reflexes, and heat

What is "creep"?

while directing pressure, heat is generated, and a plastic change in fascia can occur

What are the three ways to stretch a muscle?

pull at either end, pull at both ends, pull/push toward the perpendicular axis

Myofascial techniques have no true contraindications, but what should you watch for?

acute strain/sprain
fx or dislocation
neurologic entrapment syndromes
vascular compromise
osteoporosis
malignancy
infx
breast implants

Direct techniques should be used for (acute/chronic injury).

chronic

Indirect techniques should be used for (acute/chronic injury).

acute

STT: dysfx, positions, area involved, procedure
cervical spine traction

cervical dysfx
pt supine; doc head of table, knees under table
OA-C7
hands at inion/jaw, pull head from body

STT: dysfx, positions, area involved, procedure
cervical spine cradling with traction

cervical/upper thoracic dysfx
pt supine; doc head of table
OA-T4
fingers along spine, anterior pressure bilaterally, moving up and down segments

STT: dysfx, positions, area involved, procedure
cervical spine contralateral traction

cervical spine and trapezoid
pt supine; doc standing side opposite dysfx
OA-C7 and trap
hand on frontal bone, drag muscles of opposite side

STT: dysfx, positions, area involved, procedure
cervical spine forearm fulcrum

cervical
pt supine; doc standing head of table
OA-C7
doc crosses arms, places on shoulders of patient, pushes forward into barrier

STT: dysfx, positions, area involved, procedure
cervical spine seated lateral traction

cervical dysfx
pt seated, head away from dysfx; doc behind and to the side
hypertonic lateral cervical muscles
cradle head in arm opposite dysfx, push down on shoulder with dysfx

DMR: dysfx, positions, area involved, procedure
suboccipital release

suboccipital dysfx
pt supine; doc head of table
hypertonic/contracted suboccipital muscles
fingers under pt head, pressure upwards for 90s

STT: dysfx, positions, area involved, procedure
thoracic prone paraspinal pressure

T/L spine
pt prone, head toward doc; doc standing opposite side dysfx
T1-S1
thumb/thenar eminence on far side of spine, bow-string stretch of muscle

STT: dysfx, positions, area involved, procedure
thoracic bilateral thumb pressure

upper, mid T spine
pt prone; doc standing head of table
T1-T8
thumbs lateral to SP, exert downward force, then inferior, then lateral

STT: dysfx, positions, area involved, procedure
thoracic prone pressure with counterpressure

mid T spine
pt prone; doc standing opposite side dysfx
T4-T8
thenar/hypothenar eminence pointed in opposite directions, thumbs on side of doc; anterior and longitudinal pressure

STT: dysfx, positions, area involved, procedure
thoracic lateral recumbent with shoulder block

upper, mid T spine
pt lat recumb, lying on opposite side of dysfx; doc head of table facing pt
T1-T8
caudad hand on muscles, cephalad hand on shoulder; hook muscles laterally away from spine

STT: dysfx, positions, area involved, procedure
thoracic supine extension

middle, lower T spine
pt supine; doc seated side table
T4-T12
hook fingers on muscles, forearm used as fulcrum, work up and down spine

STT: dysfx, positions, area involved, procedure
lumbar sacral rock

lumbosacral jx and SI joint
pt prone; doc side of table near pelvis
sacrum/coccyx
cephalad hand base at S1, fingers toward coccyx, pt inhale=pressure on coccyx end, pt exhale=pressure on lumbar end

STT: dysfx, positions, area involved, procedure
lumbar bilateral thumb pressure

L, lower T spine
pt prone; doc side of table near knees, facing patient head
T9-S1
thumbs on paravertebral muscles TP of L5, pressure anterior and cephalad, then lateral, reposition

STT: dysfx, positions, area involved, procedure
lumbar prone pressure with counterleverage

L, lower T spine
pt prone; doc side of table opposite dysfx
T9-S1
cephalad hand thenar just lateral to SP (anterior force), cauded hand on ASIS (posterior force)

STT: dysfx, positions, area involved, procedure
lumbar prone scissors

L, lower T spine
pt prone; doc side of table opposite dysfx
T9-S1
cephalad hand thenar just lateral to SP (anterior force), caudad hand pulling pt leg up and posterior

STT: dysfx, positions, area involved, procedure
lumbar lateral recumbent

L spine
pt lateral recumbent, on opposite side of dysfx, knees flexed to abd; doc standing side table w/ thigh against pt knee
L1-S1
lean over pt, hook muscles, lean back using knees

STT: dysfx, positions, area involved, procedure
lumbar supine extension

mid, lower T, L spine
pt supine; doc seated side of table
T4-sacrum
fingers hook hypertonic muscles, forearms used as fulcrum

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