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25 terms

OMM: STT Cervical, Thoracic, Lumbar

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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