Term
| what is the process of a monosynaptic stretch reflex |
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Definition
| fibers stretch > 1A/2A afferent neuron depolatization > AP passes dorsal root ganglion > to dorsal horn > ventral horn > synapses > efferent nerve > extrinsic fibers/muscle spindle > contraction |
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Term
| what happens to the antagonist muscle in the monosynaptic stretch reflex |
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Definition
| interneuron sends signal > synapse in ventral horn > relaxation |
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Term
| what conditions does the monosynaptic reflex respond to |
|
Definition
| amplitude and rapidness of stretch |
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Term
| what are gamma motor neurons produce |
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Definition
|
|
Term
| what fibers do gamma motor neurons innervate |
|
Definition
| intrafusal fibers, the spindle |
|
|
Term
| what fibers to alpha motor neurons innervate |
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Definition
|
|
Term
| what information is gamma fibers sensitive to |
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Definition
|
|
Term
| what do gamma fivers get imput from, what does thos coordinate |
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Definition
|
|
Term
| what is the function of gamma fibers |
|
Definition
| prevent tears to muscle bodies by limiting or preventing too rapid stretching, stretching too far |
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Term
| what is the definition of strain counterstrain |
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Definition
| system of diagnosis and treatment that considers the dysfunction to be continuing, inapproporate strain reflex, which is inhibited by applying a position of mild strain in the direction exactly opposite to that of the reflex accompanied by specific directed positioning about the point of tenderness to achieve desired theraputic response |
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Term
| how long should you hold the treatment in strain counterstrain |
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Definition
|
|
Term
| why was 90s determined to be the best time for strain counterstrain |
|
Definition
| because more or less did not produce better results |
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|
Term
|
Definition
| in contractile part of muscle, tendon, origin/insertion, or dermatome. pain does not radiate, size of thumb pad, very tender |
|
|
Term
|
Definition
| pain radiates from point to somewhere else |
|
|
Term
| what information do muscle sensory fibers communicate |
|
Definition
| fiber length (contraction magnitude) in respect to stretch, rate of stretch |
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|
Term
|
Definition
|
|
Term
|
Definition
| reflex contraction in agonist and relaxation in antagonist |
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|
Term
| in general what is the doctor trying to do during strain counter strain |
|
Definition
| shorten length of muscle intil pain is reduced |
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|
Term
| in strain counterstrain how should the patient be positioned if the tender point is on the front |
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Definition
|
|
Term
| in strain counterstrain how should the patient be positioned if the tender point is on the back |
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Definition
|
|
Term
| in strain counterstrain how should the patient be positioned if the tender point is on the side |
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Definition
|
|
Term
| after holding for 90s in strain counterstrain, what does the physician do |
|
Definition
| slowly return the patient back to normal |
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|
Term
| what are alpha fibers associated with |
|
Definition
| innervation or contractile unit, motor neurons, extrafusal |
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|
Term
| to be a dysfunction, what does there need to be |
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Definition
|
|
Term
| what are tender points associated with |
|
Definition
|
|
Term
| is patient moved to or away from the position of injury in strain counterstrain |
|
Definition
|
|
Term
| what level of tenderness (after we set the initial pain as 10) is acceptable for finishing treatment |
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Definition
|
|
Term
| for lateral points, in what direction do you need to sidebend or rotate |
|
Definition
| away from the tender point |
|
|
Term
| why might it not be good to do strain counterstrain on |
|
Definition
| patients who cannot voluntarily relax, severly ill, hyperextension and rotation of the C spine puts vertebral arteries at risk of compormise |
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|
Term
| where is A1T located, in what position is the patient |
|
Definition
| juggular foramen, seated, hands on head |
|
|
Term
| where is A2T located, in what position is the patient |
|
Definition
| angle of louie, seated, hands on head |
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|
Term
| where is A3T-A4T located, in what position is the patient |
|
Definition
| sternum, seated, arms pulled back |
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|
Term
| where is A5T-A6T located, in what position is the patient |
|
Definition
| sternum, seated or supine |
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|
Term
| where is A7T located, in what position is the patient |
|
Definition
| between tip of xyphoid and umbilicus 1/4 the distance divided into quarters, supine, rotate torso away or rotate pelvis towards with flexion and sidebending to the tender point |
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|
Term
| where is A8T located, in what position is the patient |
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Definition
| half way beterrn xyphoid and umbilicus divided into quarters, supine, rotate torso away or rotate pelvis towards with flexion and sidebending to the tender point |
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|
Term
| where is A9T located, in what position is the patient |
|
Definition
| 3/4 distance between xyphoid and umbilicus divided into quarters, supine, rotate torso away or rotate pelvis towards with flexion and sidebending to the tender point |
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|
Term
| where is A10T located, in what position is the patient |
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Definition
| 1/4 between umbilicus and pubic symphysis divided into quarters, supine,rotate torso away or rotate pelvis towards with flexion and sidebending to the tender point |
|
|
Term
| where is A11T located, in what position is the patient |
|
Definition
| half way between umbilicus and pubic symphysis divided into wuarters, supine, rotate torso away or rotate pelvis towards with flexion and sidebending to the tender point |
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|
Term
| where is AT12 located, in what position is the patient |
|
Definition
| midaxillary line on inneriliac crest and pubic symphysisrotate torso away or rotate pelvis towards with flexion and sidebending to the tender point |
|
|
Term
| what what anterior point do abdominal musces become involved |
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Definition
|
|
Term
| how many points do AT1-6 have |
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Definition
|
|
Term
| how many points does AT7-12 have |
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Definition
|
|
Term
| how many points to PT1-12 have, what do they correspond with |
|
Definition
| spinous process and transverse process |
|
|
Term
| what is a trick for finding C7 |
|
Definition
| you cannot palpate C6 into extension |
|
|
Term
| if the tenderpoint is on the transverse process what motion do you induce |
|
Definition
| sidebend away and rotate towards tenderness |
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|
Term
| when 2 spinoous processes are close together which part will be tender |
|
Definition
| inferior part of one on top |
|
|
Term
| what is the landmark for finding PT1 |
|
Definition
|
|
Term
| what is the landmark for finding PT7 |
|
Definition
| inferior angle of scapula |
|
|
Term
| what is the landmark for finding PT12 |
|
Definition
|
|
Term
| what is the landmark for finding AL2 |
|
Definition
| two inches lateral to umbilicus |
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|
Term
| what is the landmark for finding AL1 |
|
Definition
| inferomedial to ASIS and superior to AIIS |
|
|
Term
| what is the landmark for finding AL3 |
|
Definition
|
|
Term
| what is the landmark for finding AL4 |
|
Definition
|
|
Term
| what is the landmark for finding AL5 |
|
Definition
| anterior pubic bone, 1 cm lateral to symphysis |
|
|
Term
| why position is the patient in when treating AL1 |
|
Definition
| supine, legs crossed, sidebend towards, rotate towards |
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|
Term
| what position is the patient in for AL2-4 |
|
Definition
| supine, legs crossed, sidebend away, rotate away |
|
|
Term
| what position is the patient in for AL5 |
|
Definition
| supine, legs crossed, sidebend away, rotate towards |
|
|
Term
| how many points does PL1-4 have |
|
Definition
|
|
Term
|
Definition
| patient prone, lift thigh with ASIS on side of tenderpoint causing extension, sidebend and rotate pelvis towards |
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|
Term
|
Definition
| patient prone, hip extension with adduction and internal or external rotation |
|
|
Term
|
Definition
| lateral aspect of transverse process |
|
|
Term
|
Definition
| upper pole superior medial aspect of PSIS |
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|
Term
|
Definition
| on ileum just inferior to PSIS pressing superiorly |
|
|
Term
|
Definition
| patient prine, leg on side of tender point is tropped off table with hlp flexed at 90 deg adduction and slight internal rotation |
|
|
Term
| how do you treat PT spinous process 1-12 |
|
Definition
| extension with rotation and or sidebending AWAY |
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|
Term
| how do you treat PT lateral transvers process 1-12 |
|
Definition
| extension, sidebending away and rotation towards |
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