Myofascial Soft Tissue
Myofascial
Myo- musculotendinous Fascial- Fascia (connective and soft tissue) may include ligamentous and capsular tissues
What is the oldest style of OMM?
Myofascial Technique
Are there any contraindications to any of these techniques?
No Absolute Contraindications, however position may be altered, the physician may work above or below effected area or the style (direct/inderect), in the case of wounds, pregnancy, lesions etc.
The act of applying forces to the musculotendinous unit.
Soft Tissue Myofascial Technique (ST-MFT)
What direction is force applied in ST-MFT?
direct into the barrier or tension (Soft tissue)
What are the 4 fascial mechanoreceptors?
1) Golgi organs in myotendinous junctions 2) Lg. Pacini Corpuscles respond to rapid changes in pressure 3) Ruffini organs which do not adapt quickly to pressure 4) Interstitial myofascial receptors
What are the basic Steps of MFR?
1) Locate ease/bind 2) Take indirect or direct 3) A palpable release should be noticed 4) Follow Creep (use release enhancing techniques ie. deep breath, clench fist 5) Re-Check tissue Texture
What are the basic rules of ST-MFT?
1) Start Slow and Rythmically 2) It should be comfortable for patient 3) Never rub the patients skin 4) Never push directly into bone or belly of Muscle
What are some musculoskeletal findings that would pertain to a myofascial dysfunction?
Asymetry Reduced ROM (Big indicator) Tissue Texture Change (Big Indicator) Tenderness
Indirect Myofascial Technique
Away from Barrier, myofascial release unwinding and ligamentous articular strain
What are some less tangible benefits of MF techniques that improve Pt/Dr relationship?
Helps the Pt gain trust in ability Breaking down the Pt. Touch Barrier The technique "Feels Good" Pt. Likes
A Plastic Fascial Response is ______?
If a therapeutic stress is continued over a longer period of time (either duration or repeated treatments) a permanent change may occur
What effects may myofascial release have on a patient?
Improved range of motion, and increased efficiency of musculoskeletal work.
What are secondary goals of MFR?
Increase Circulation, venous drainage and lymphatic drainage
What direction is force applied in Balanced Ligamentous Tension?
Indirect
The effects of treatment using Myofascial Techniques are based on...
Local physical action, Reflex (stretching), and physical laws like thermodynamics
What are primary and secondary reasons for MFT?
Primary: Muscle and Fascial Dysfunction Secondary: Vascular, Neural and Lymphatic Improvement
What are the primary goals of Myofascial release
RELAX hypertonic. spastic or tense musculature STRETCH shortened fibrotic and inelastic fascia
What are tertiary goals of MFR?
Stimulate stretch reflex in HYPOtonic muscle, decrease somato-visceral reflexing, potentiate other techniques
How MFR (myofascial release) effect the autonomics?
Treating MF structures may result in afferent/efferent changes that affect muscular tone, vascular tone etc.
Thixotropic Reaction
Under pressure or stress a more viscous solution that becomes less viscous "GEL TO SOL"
How MFR (myofascial release) effect fluid distribution?
With application of pressure water and blood may be "squeezed" from fascial spaces and muscle
Caution should be taken when treating patients with ST-MFT or MFR if the patient has ______ in the immediate area or area secondarily effected by treatment.
an acute sprain, fracture, dislocation, Neuro ro vascular compromise, Osteoporosis, Infection, use common sense!
An elastic fascial response is______?
as pressure/stress is directed over a tissue (also converting it to heat) and stretching occurs, once the stress is removed it can recoil immediately to its original shape
What forces can be applied in ST-MFT?
linear pull is applied to either end of the muscle (Traction) linear pull is applied to both ends of the muscle pulling or pushing perpendicular to the long axis
What effect does HEAT have on MFR?
may have effect on collagen structure, helping with the Thixotropic Reaction, as this occurs you may feel a stretch or CREEP.
Direct Myofascial Technique
toward barrier elicits soft tissue effect and myofascial unwinding
