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20 Cards in this Set
- Front
- Back
T1 - T4
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head and neck
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T1- T6
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heart and lungs
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T2- T8
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upper extremity and esophagus
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T5- T9
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upper GI system
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T10
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kidneys
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T10- T11
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middle GI & gonads
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T11-L1
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upper ureter
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T11-L2
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lower extremity
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T12- L2
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lower GI
bladder uterus & prostate |
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Soft Tissue Contraindications
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skin disorders
acute muscle strains ligamentous or tendon inflamation bone fractures infections in organs deep vein thrombosis |
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HVLA Couterindications
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unstable anatomy at or near somatic dysfunction
patient refusal joint infections sever muscle spasm sprain osteoporosis |
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Muscle Energy Counterindications
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infections in muscle
tear in muscle fracture or dislocation of joint instability of cervical spine joint swelling unresponsive patient |
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direct technique
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restriction take TO restrictive barrier in one or more P of M
using activating forces to carry the dysfunction through the barrier Soft tissue, LVMA, Myofascial release, Muscle Energy, HVLA |
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indirect technique
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restriction taken AWAY FROM restrictive barrier
move joints in direction of ease, release due to inherent forces Muscle Counterstrain, Balanced ligamentous tension |
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Muscle Energy Indications
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specific motion restriction
joint motion loss muscle hypertonicity |
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Concentric contraction
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A concentric contraction is a type of muscle contraction in which the muscles shorten while generating force.
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Eccentric contraction
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During an eccentric contraction, the muscle elongates while under tension due to an opposing force being greater than the force generated by the muscle.
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Isometric contraction
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An isometric contraction of a muscle generates force without changing length. An example can be found when the muscles of the hand and forearm grip an object; the joints of the hand do not move, but muscles generate sufficient force to prevent the object from being dropped.
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HVLA Indications
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articular somatic dysfunction
firm distinct articular barrier, abrupt or hard end feel. |
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Dosing Guidelines
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“Find it, fix it, and leave it alone.” A.T. Still
Allow the patient time to respond The ability of patients to respond is variable 1. The sicker the patient, the less the dose 2. Caring compassionate novices often err on the side of overdose 3. Allow time for the patient to respond to treatment 4. Do not waste the dose on insignificant areas. Concentrate on key areas needing treatment. 5. Chronic disease requires chronic treatment 6. Acute cases should have a shorter interval between treatments; as they respond, the interval is increased 7. Pediatric cases can be treated more frequently 8. Geriatric patients need a longer interval to respond to treatment. For acute conditions they may need short treatments more frequently to support homeostasis |