what is…. use manual application of force directed toward influencing specific tissues of the MSK system or, by peripheral stimulation, enhancing some form of reflex mechanism that alters biologic function… can prepare the tissues for additional specific joint mobs or can be a therapeutic end in themselves.
soft tissue procedures
what is… a specialized system of prolonged manual stretching of the fascial tissues of the body, to the point where there is a release of tension. this release of tension is felt by the therapist and implies a slight lengthening of the fascial tissues
myofascial release
what is…. a bodywork modality using passive positioning of bones and joints, intended to reset proprioceptors and establish a more functional level of tone and resistance
positional release
what is a synonym for positional release
strain-counterstrain
what is… skilled intervention that uses a thin filiform needle to penetrate the skin and stimulate underlying myofascial trigger points, muscular, and connective tissues for the management of MSK pain and movement impairments…
dry needling
what is the purpose of the fascia?
- connects all parts of the body together with a continuous web of tissue
- assists in maintaining muscle force
- enhances postural balance
- acts as shock absorber
- aids in venous and lymphatic circulation
what are the 3 layers of the fascia
- superficial
- deep
- deepest
what are causes of strain on the fascial system
- excessive strain
- poor ergonomics
- abnormal postural alignment
- trauma
strain -> contracture/tightness -> pain and restricted movement ->_________
seek PT treatment
myofascial release is obtained with a combination of what 3 things?
- tension
- traction
- twist
what are some contraindications of myofascial release?
- healing fracture
- sutures
- febrile state (localized heat)
- systemic/localized infection
- open wounds
what are some precautions of myofascial release?
- malignancy
- osteomyelitis (infection)
- acute circulatory conditions
- hematoma
- anticoagulant therapy
- skin hypersensitivity
- acute RA
positional release positions the body and tissue in positions of comfort, to interrupt the ______, and reset tissue
pain cycle
T or F: positional release is safe and effective in patients with acute and chronic pain
T
once positional release is complete you should follow with…
PT rehab
what is… a general term that describes procedures that relax tension and relieves pain in muscles that contain trigger points.
trigger point release
trigger point dry needling is a _________ approach while pain neuroscience education is _________ approach
bottom-up
top-down
*should combine these two approaches
what are some general guidelines for trigger point dry needling
- patient is always supine, prone or side lying
- use universal precautions
- identify taught band
- palpate trigger point
- needle is directed in and out of TP
- LTR should be elicited if possible
- the needle can be redirected by drawing it toward the skin
- eliminate all LTR
- provide post-treatment hemostasis by compressing the site
what are some contraindications and precautions to dry needling
- fear of needles
- significant cog impairment
- unable to communicate
- local skin lesions
- local or systemic infections
- local lymphedema
- abnormal bleeding conditions
- 1st trimester of pregnancy
- vascular disease
- lungs, heart, spine
- post op where joint capsule was opened or implant placed
- cosmetic implants
