STM

73問 • 1年前

問題一覧

STM is intended to be used as a component of a complete manual therapy program that includes evaluation and treatment of articular, neurovascular and neuromuscular dysfunctions

functional mobilizations

Goals of STM

Break down or reduce adhesions, Improve ROM, Lengthen muscles and tendons, Reduce swelling and edema, Decrease pain, Restore functionality

One benefit of STM is preventing basic treatment techniques

True

Primary components of soft tissue

Epithelia, Muscular, Nervous, Connective

Soft tissue pain and functional impairment

trauma

External macrotrauma

Blows, Falls, Improper heavy lifting, Surgery, Whiplash

Internal or external microtraumas

Faulty posture, Improper neuromuscular mechanisms, Poor body mechanics, Muscular imbalance, Improper foot wear, Repetitive stressful activities, Poorly organized work surfaces, Nonsupportive sitting and sleeping surfaces, Chronic anxiety or depression, Overweight

Basic inflammation cascade

Acute phase, Granulation, Remodeling

0-4 days after injury

Acute phase

Ruptured cells release debris and chemicals into the plasma; which attract leukocytes

Acute phase

WBC clean out bacteria and prevent infection

Acute phase

Arrival of macrophages

Granulation

Lasts for weeks

Remodeling

New collagen will be organized into the new ligament

Remodeling

Fibroblasts make single long molecules

Remodeling

Contraction of collagen fibers begin and the molecules become tighter and shorter

Remodeling

Components of connective tissue

Fibers, Proteoglycans, Glycoproteins

Collagen and elastin

Fibers

GAG side chain

Proteoglycans

Laminated sheaths of connective tissues of varying thickness and density

fascial system

Funtions of fascial system

unsheathes and permeates all tissues and structures, supplies the mechanical supportive framework that holds and integrates the body together and gives it form, provide passive support during lifting activities, provides for the space and lubrication between all bodily structures, creates pathways for nerves, blood and lymphatic vessels

Dysfunctional factors

Scar tissue adhesions, Lymphatic stasis and interstitial swelling, Ground substance dehydration and intermolecular cross-linking

What does the word stasis mean?

narrowing

Ground substance dehydration and intermolecular cross-linking is mostly common in?

geriatrics

Thixotropy

Ground substance dehydration and inermolecular cross-linking

Loss of critical fiber distance

Ground substance dehydration and inermolecular cross-linking

Connective-tissue fibers that are not managed properly

Scar tissue adhesions

Major factor is altering the biomechanics of the whole kinematic chain, placing abnormal strain or all related structures

Scar tissue adhesions

Response to treatment

Redistribution of interstitial fluids, Stimulation of GAG synthesis, Break restrictive intermolecular cross links, Mechanical and viscoelastic elongation, Neuroreflexive response related to immobility

Myofascial cycle dysfunction

degenerative cascade

From the patient

Subjective

From the physical therapist

Objective

Location and type of symptoms

Subjective

Course of symptoms and irritability

Subjective

Duration of symptoms

Subjective

Precipitating trauma or activity

Subjective

Previous traumas

Subjective

Previous surgeries

Subjective

Stressful environment, leisure and recreational activities

Subjective

Postural and sleeping habits

Subjective

Structural and postural analysis

Objective

Movement analysis

Objective

Palpation assessment

Objective

Functional compensations

Objective

Type of palpation assessment that assess the integrity and force attenuation capacity of the spine and extremities in WB positions

vertical compression test

Chronic or habitually held postures that alter the system’s structural and functional capacity

functional compensation

Uses skin gliding, rolling and finger sliding

Skin and superficial fascia assessment

Using either general or specific contacts

skin gliding

A manual contact point is fixed to the skin kver the region to be assessed

skin gliding

The skin is pulled to the end range, evaluating the functional excursion, quality of extensibility and end feel

skin gliding

The exact location of the adherence that is limiting ita mobility is found through tracing and isolating along the directiong of restriction

skin gliding

Lifting the skin between the thumb and the index and middle fingers to evaluate its ability to lift from underlying structures

skil rolling

Evaluates the ease with which the fingertips slide across the skin

finger sliding

Often used initially to trace and isolate regions of restriction

finger sliding

Provides a means to localize the precise location and direction of restriction

finger sliding

Sliding the fingers parallel at progressively deeper depths along the edges of the bone, noting any points of adherence and restricted mobility

Bony contours

Hypertonic muscles feel harder, denser, and often tender to normal palpation

Muscle tone

Quality of accessory mobility of a muscle in relation to the surrounding structures

Muscle play

Ability of the muscle belly to expand during contraction

Muscle play

Ability of the muscle cell bundles to slide in relation to each other

Muscle play

Muscle’s capacity both to lengthen and narrow and to shorten and broaden

Muscle functional excursion

Effectively evaluated and treated by using the principles and techniques of PNF

Neuromuscular control

Myofascial assessment

Muscle tone, Muscle play, Muscle functional excursion, Neuromuscular control

Principles of treatment application

Patient preparation, Soft tissue layer concept, Technique application, Progression of technique

Cascade of techniques for progressive treatment of specific soft tissue restrictions

True

Using one hand to apply pressure on the restriction

Treatment hand

Assists to facilitate a release

Assisting hand

Treatment techniques (treatment hand)

Sustained pressure, Unlocking spiral, Direct oscillation, Perpendicular mobilization, Parallel mobilization, Perpendicular strumming, Friction massage

Treatment techniques (assisting hand)

Placing tissues in slack, Placing tissues in tension

Adjusting the tissues surrounding the restriction in a shortened range to ease the tension on the restriction

Placing tissues in slack

First assisting tool to be used, especially if the symptoms are acute or easily excarbated

Placing tissues in slack

Involves adjusting the surrounding tissues in a lengthened range to place tension on the restriction

Placing tissues in tension

Chronic conditions and as a means to place more demand on a restriction

Placing tissues in tension

ROM

Kyla Rafols · 71問 · 2年前

ROM