127 Questions
The purpose of myofascial release is to reduce fascial restrictions by separating fascial tissue from adhered ______ fibres
muscle
Myofascial release is performed directly on the skin without the use of any ______
lotion
I will be pinning down your skin with my fingers just here next to your ______/breast bone
sternum
It can sometimes feel like a ______ burn
rug
I will be performing a myofascial release technique called anchor and spread on your upper ______
chest
I am going to start by placing my hand over your upper chest and assessing which ______ you are most restricted in
direction
After approximately 10 seconds, if the patient does not indicate that their pain has gone down, the candidate can verbally state that they would hold the compression until either the candidate feels the muscle release, the patient’s pain reduces, or they have held it for a maximum of ____ minutes.
2
After performing the ischemic compression a total of ____ times, the candidate must flush the area out with petrissage and effleurage.
THREE (3)
For the purpose of the exam, the candidate should state they would perform these techniques for THIRTY (30) seconds and only perform them for at least ____ to ____ seconds.
SEVEN (7) to TEN (10)
If heat or a representation of a hot pack is present, the candidate should place it over the area that was just treated and state that the heat should be applied for ____ (10) minutes.
TEN
If there is no heat or no representation of a hot pack, the candidate should state that they would apply heat to the area for ____ (10) minutes or instruct the patient to place heat on the area for ____ (10) minutes when they return home after the treatment.
TEN
The purpose of a Myo-Fascial Trigger Point Technique is to reduce the pain you have been feeling which could possibly be the result of a ____ point.
trigger
Explanation of Protocol: I will compress the area of the trigger point, this will start to recreate that referral pain you have had down to your ____.
knee
Perform the Technique: Identify a Taut Band. I have identified a taut band, I will now palpate cross fibre along the tight band of ____.
muscle
Perform the Technique: Identify a Tender Nodule. I feel a nodule that has resulted in a twitch sign in the muscle. Is this tender when I push on it? Can you describe where you feel the pain as I push on ____?
it
Perform the Technique: Apply an Ischemic Compression. I am now going to apply a firm compression over the trigger point. Where are you on the pain ____?
scale
The candidate should state that they are going to be performing a Myofascial Trigger Point Technique and to which ______.
muscle
The purpose of a Myofascial Trigger Point Technique is to reduce muscle pain and referral pain that comes as a result of trigger ______.
points
This is often a painful technique and so it is very important that the candidate establishes the pain scale with the patient and makes sure to not go over a FOUR (4) out of ______ on the pain scale while performing this technique.
TEN
The patient should be warned that the technique may recreate their referral pain but that the pain should start to dissipate with continued compression of the trigger ______.
point
The candidate should confirm patient consent for the ______.
technique
The procedure for myofascial trigger points techniques includes the following stages: Warm-Up Identify Trigger Points Apply Ischemic Compression Determine Pain Scale Flush Out ______.
Area
The candidate will need to find and identify the trigger point by observing at least 2 of the following key indicators while they are performing palpatory petrissage over the indicated ______.
muscle
The candidate should state which of the two indicators they have identified and be sure to elicit feedback from the ______.
patient
Once the candidate has identified the trigger point, they should apply an ischemic compression to the location of the trigger point and confirm with the patient that the area is tender or producing the pain referral ______.
pattern
The candidate must ask the patient where they feel they are on the previously established pain scale. If the patient is above a 4, then the candidate must reduce the pressure and reconfirm where the patient feels they are on the pain ______.
scale
The candidate will quickly tap all of their fingertips at the same time from each hand, alternating hands. This technique is called ______
percussion
The candidate will perform a slapping or patting motion using their full open and flat hand on the indicated area. This technique is known as ______
clapping
The candidate will cup their hands and perform a patting motion over the indicated area. They should feel a sensation of their hands lightly suctioning to the patient’s skin to ensure that they are performing the technique correctly. This technique is called ______
cupping
The candidate will use the ulnar border of their hand to perform a chopping motion over the indicated area. For loose hacking, it is important that the candidate keeps their fingers separated so that as they contact the patient’s skin their fingers get pushed together by the impact and gravity. This technique is known as ______
loose hacking
The candidate will use the ulnar border of their hand to perform a chopping motion over the indicated area. For hard hacking, it is important that the candidate keeps their fingers together so that the contact with the patient’s skin is solid and firm. This technique is called ______
hard hacking
The candidate will form a loose fist and ‘knock’ along the indicated area ensuring that the dorsal aspect of their middle and distal phalanges and thenar and hypothenar eminences are what makes contact with the patient’s skin. This technique is known as ______
knuckle percussion
The purpose of ______ is dependent on the type that is being performed and where on the body it is being performed. Pain reduction, Stimulatory (if performed for less than 30 seconds), Sedative (if performed for 30 seconds to 3 minutes), Increase airway clearance, Stimulate or maintain tone in hypotonic muscles, Atonic constipation. Regardless of the type of ______ indicated, the technique should not cause any pain or extreme discomfort. The expected sensation will be dependent on the type of ______ being performed. Front of card Light Tapotement Click to flip Back of card Pincement: The patient will feel a very light quick nipping or pinching sensation over the area. Fingertip tapping: The patient will feel light quick tapping of individual fingertips over the indicated area. Click to flip Front of card Moderate to Heavy Tapotement Click to flip Back of card Cupping: The patient will feel a hollow patting and ‘suction-like’ sensation over the indicated area. Loose Hacking: The patient will feel a soft ‘chopping’ sensation over the indicated area. Click to flip Front of card Light to Moderate Tapotement Click to flip Back of card Point percussion: The patient will feel light to moderate tapping of all of the fingertips of each hand. Clapping: The patient will feel light to moderate quick patting of the indicated area with the candidate’s full flat palm and fingers. Click to flip Front of card Heavy Tapotement Click to flip Back of card Hard Hacking: The patient will feel a solid ‘chopping’ sensation over the indicated area. Knuckle Percussion: The patient will feel a rapping or ‘knocking-like’ sensation by the candidate’s knuckles over the indicated area. Pounding: The patient will feel a beating or pounding sensation over the indicated area. Click to flip The candidate should be prepared for the possibility of their patient coughing if they are performing moderate to heavy ______ on the patient’s back. This should be addressed when the candidate is telling the patient about the expected sensation. The candidate should also be prepared to offer a tissue or even bucket to the patient. The candidate should confirm patient consent for the technique. All ______ techniques should be performed with quick and rhythmic movements of the candidate’s hands. The procedure will depend on the type of ______ indicated. If no specific ______ technique is indicated, the candidate should begin with one light technique, progress to a moderate technique, and then to a heavy technique. They should complete the sequence by returning to a moderate technique and then light technique. This transition should be smooth with no break or stopping between the light, moderate, and heavy ______. The candidate should dedicate at least FIVE (5) seconds to each ______ stage and continuously check in with the patient before progressing to a heavier ______. It is imperative that once the candidate’s pressure increases from light to moderate or more that they DO NOT make contact with any bony prominences or perform the techniques over the kidney area. Numbered divider 1 Procedure for Performing Light Tapotement Click through for the general procedure and a video demonstration. START Protocol 1 General Procedure Pincement: The candidate will perform quick, gentle pinching-like movements with their thumb and fingertips over the area indicated. Fingertip Tapping: The candidate will perform quick and light individual fingertip tapping (one finger from each hand at a time) over the indicated area. The candidate must ensure to use their fingertip pads and not the very tips of their fingers where their fingernail may be felt by the patient. 1 2 Protocol 2 Video Demonstration Play Video Use the video controls to expand the display. 1 2 START AGAIN 1 2 Numbered divider 2 Procedure for Performing Light to Moderate Tapotement Click through for general procedure and a video demonstration.
tapotement
The candidate should be prepared for the possibility of their patient coughing if they are performing moderate to heavy ______ on the patient’s back.
tapotement
The candidate should also be prepared to offer a tissue or even bucket to the patient. The candidate should confirm patient consent for the ______.
technique
The procedure will depend on the type of ______ indicated.
tapotement
If no specific ______ technique is indicated, the candidate should begin with one light technique, progress to a moderate technique, and then to a heavy technique.
tapotement
They should complete the sequence by returning to a moderate technique and then light ______.
tapotement
The candidate should dedicate at least FIVE (5) seconds to each ______ stage and continuously check in with the patient before progressing to a heavier ______.
tapotement
It is imperative that once the candidate’s pressure increases from light to moderate or more that they DO NOT make contact with any bony prominences or perform the techniques over the kidney ______.
area
Numbered divider 1 Procedure for Performing Light ______ Click through for general procedure and a video demonstration.
tapotement
The candidate will perform quick, gentle pinching-like movements with their thumb and fingertips over the ______ indicated.
area
The candidate must ensure to use their fingertip pads and not the very tips of their fingers where their fingernail may be felt by the ______.
patient
The purpose of ______ release is to reduce fascial restrictions by separating fascial tissue from adhered muscle fibres and increasing circulation to your upper chest region.
myofascial
Myofascial release is performed directly on the skin without the use of any ______.
lotion
I am going to start by placing my hand over your upper chest and assessing which ______ you are most restricted in.
direction
It can sometimes feel like a ______ burn.
rug
The candidate will cup their hands and perform a patting motion over the indicated area. They should feel a sensation of their hands lightly suctioning to the patient’s skin to ensure that they are performing the technique correctly. This technique is called ______.
cupping
The candidate should dedicate at least FIVE (5) seconds to each ______ stage and continuously check in with the patient before progressing to a heavier ______.
technique
The candidate will quickly tap all of their fingertips at the same time from each hand, alternating hands. This technique is called ______
fingertip tapping
After performing the ischemic compression a total of ____ times, the candidate must flush the area out with petrissage and effleurage.
three
The candidate will need to find and identify the trigger point by observing at least 2 of the following key indicators while they are performing palpatory petrissage over the indicated ______.
area
It can sometimes feel like a ______ burn.
hot
The purpose of myofascial release is to reduce fascial restrictions by separating fascial tissue from adhered ______ fibres
muscle
The patient should be warned that the technique may recreate their referral pain but that the pain should start to dissipate with continued compression of the trigger ______.
point
The candidate should state that they are going to be performing a Myofascial Trigger Point Technique and to which ______.
muscle
The candidate should confirm patient consent for the ______.
technique
The patient should be warned that the technique may recreate their referral pain but that the pain should start to dissipate with continued compression of the trigger ______.
point
Perform the Technique: Apply an Ischemic Compression. I am now going to apply a firm compression over the trigger point. Where are you on the pain ____?
scale
The purpose of a Myofascial Trigger Point Technique is to reduce muscle pain and referral pain that comes as a result of trigger ______.
points
The candidate should dedicate at least FIVE (5) seconds to each ______ stage and continuously check in with the patient before progressing to a heavier ______.
technique
The patient should be warned that the technique may recreate their referral pain but that the pain should start to dissipate with continued compression of the trigger ______.
point
I am going to start by placing my hand over your upper chest and assessing which ______ you are most restricted in.
muscle
Perform the Technique: Identify a Tender Nodule. I feel a nodule that has resulted in a twitch sign in the muscle. Is this tender when I push on it? Can you describe where you feel the pain as I push on ______?
it
Explanation of Protocol: I will compress the area of the trigger point, this will start to recreate that referral pain you have had down to your ______.
limb
The candidate must flush the area out with petrissage and effleurage after performing the ischemic compression a total of THREE (3) ______.
times
The candidate should state they would perform these techniques for THIRTY (30) seconds and only perform them for at least ______ (7) to TEN (10) seconds.
SEVEN
If heat or a representation of a hot pack is present, the candidate should place it over the area that was just treated and state that the heat should be applied for TEN (10) ______.
minutes
The purpose of a Myo-Fascial Trigger Point Technique is to reduce the pain you have been feeling which could possibly be the result of a __________ point.
trigger
The candidate should state they are going to be performing a Myofascial Trigger Point Technique and to which __________.
muscle
The candidate should perform these techniques for THIRTY (30) seconds and only perform them for at least ______ (7) to TEN (10) seconds.
SEVEN
The candidate will perform quick, gentle pinching-like movements with their thumb and fingertips over the __________ indicated.
area
After approximately 10 seconds, if the patient does not indicate that their pain has gone down, the candidate can verbally state that they would hold the compression until either the candidate feels the muscle release, the patient’s pain reduces, or they have held it for a maximum of __________ minutes.
2
The candidate should state which of the two indicators they have identified and be sure to elicit feedback from the __________.
patient
The candidate will need to find and identify the trigger point by observing at least 2 of the following key indicators while they are performing palpatory petrissage over the indicated __________.
area
The purpose of tapotement is dependent on the type that is being performed and where on the body it is being performed. Pain reduction, Stimulatory (if performed for less than 30 seconds), Sedative (if performed for 30 seconds to 3 minutes), Increase airway clearance, Stimulate or maintain tone in hypotonic muscles, Atonic constipation. Regardless of the type of tapotement indicated, the technique should not cause any pain or extreme discomfort. The expected sensation will be dependent on the type of tapotement being performed. Front of card Light Tapotement Click to flip Back of card Pincement: The patient will feel a very light quick nipping or pinching sensation over the area. Fingertip tapping: The patient will feel light quick tapping of individual fingertips over the indicated area. Click to flip Front of card Moderate to Heavy Tapotement Click to flip Back of card Cupping: The patient will feel a hollow patting and ‘suction-like’ sensation over the indicated area. Loose Hacking: The patient will feel a soft ‘chopping’ sensation over the indicated area. Click to flip Front of card Light to Moderate Tapotement Click to flip Back of card Point percussion: The patient will feel light to moderate tapping of all of the fingertips of each hand. Clapping: The patient will feel light to moderate quick patting of the indicated area with the candidate’s full flat palm and fingers. Click to flip Front of card Heavy Tapotement Click to flip Back of card Hard Hacking: The patient will feel a solid ‘chopping’ sensation over the indicated area. Knuckle Percussion: The patient will feel a rapping or ‘knocking-like’ sensation by the candidate’s knuckles over the indicated area. Pounding: The patient will feel a beating or pounding sensation over the indicated area. Click to flip The candidate should be prepared for the possibility of their patient coughing if they are performing moderate to heavy ______ on the patient’s back. This should be addressed when the candidate is telling the patient about the expected sensation. The candidate should also be prepared to offer a tissue or even bucket to the patient. The candidate should confirm patient consent for the technique. All ______ techniques should be performed with quick and rhythmic movements of the candidate’s hands. The procedure will depend on the type of ______ indicated. If no specific ______ technique is indicated, the candidate should begin with one light technique, progress to a moderate technique, and then to a heavy technique. They should complete the sequence by returning to a moderate technique and then light technique. This transition should be smooth with no break or stopping between the light, moderate, and heavy ______. The candidate should dedicate at least FIVE (5) seconds to each ______ stage and continuously check in with the patient before progressing to a heavier ______. It is imperative that once the candidate’s pressure increases from light to moderate or more that they DO NOT make contact with any bony prominences or perform the techniques over the kidney area.
tapotement
The candidate must ensure to use their fingertip pads and not the very tips of their fingers where their fingernail may be felt by the ______.
patient
It is imperative that once the candidate’s pressure increases from light to moderate or more that they DO NOT make contact with any bony prominences or perform the techniques over the kidney ______.
area
The candidate will need to find and identify the trigger point by observing at least 2 of the following key indicators while they are performing palpatory petrissage over the indicated ______.
area
It can sometimes feel like a ______ burn.
deep
The procedure will depend on the type of ______ indicated.
tapotement
I will be pinning down your skin with my fingers just here next to your ______/breast bone.
sternum
The patient should be warned that the technique may recreate their referral pain but that the pain should start to dissipate with continued compression of the trigger ______.
point
The purpose of ______ is dependent on the type that is being performed and where on the body it is being performed.
tapotement
The candidate will cup their hands and perform a patting motion over the indicated area. They should feel a sensation of their hands lightly suctioning to the patient’s skin to ensure that they are performing the technique correctly. This technique is called ______.
cupping
What is the correct procedure for cupping in the context described?
Cup the hands and pat over the indicated area
Which technique involves using the ulnar border of the hand for a chopping motion?
Loose Hacking
What should the candidate ensure while performing loose hacking?
Keep their fingers separated
Which action is essential to ensure the correct performance of cupping?
Feeling a sensation of suction on the patient's skin
In which technique should the candidate ensure that contact with bony prominences is avoided?
Heavy Tapotement
What distinguishes loose hacking as described in the text?
'Chopping' motion with ulnar border of hand
What is the purpose of performing the anchor and spread myofascial release technique on the upper chest region?
To reduce fascial restrictions and increase circulation
Which statement accurately describes the expected sensation during the anchor and spread myofascial release technique?
It should not exceed the pain tolerance level
During the assessment phase of myofascial release, what is the primary action taken by the practitioner over the patient's upper chest?
Determining fascial restrictions
What does the myofascial release technique called 'anchor and spread' involve?
Stretching the skin towards a specific direction
Why is it crucial to avoid making contact with bony prominences during myofascial release techniques?
To avoid causing pain or injury
What should be the main concern of a practitioner when performing myofascial trigger point techniques such as 'anchor and spread'?
Staying within the patient's pain tolerance level
What sensation will the patient feel during cupping tapotement?
A hollow patting and 'suction-like' sensation
How should the candidate progress through tapotement techniques if no specific technique is indicated?
Begin with a light technique, progress to a moderate technique, and then to a heavy technique
What should the candidate do if the patient coughs during tapotement on the back?
Offer a tissue or bucket to the patient and address the coughing
What is the expected sensation during hard hacking tapotement?
A solid 'chopping' sensation
What is the main purpose of performing tapotement?
To reduce pain and discomfort
During point percussion tapotement, what will the patient feel?
Light to moderate tapping of all fingertips
Why is it important for the candidate not to make contact with bony prominences during tapotement?
To avoid causing discomfort and potential harm
What type of tapping will the patient experience during clapping tapotement?
'Quick patting' with full flat palm and fingers
'Pounding' in tapotement will give the sensation of:
'Beating or pounding' on the area
'Loose Hacking' in tapotement produces what kind of sensation?
'Soft chopping' feeling
What should the candidate state they would do if the patient's pain does not decrease after 10 seconds of compression?
Hold the compression for 2 minutes
What is the purpose of the Myo-Fascial Trigger Point Technique?
To reduce pain by targeting trigger points
How long should the candidate apply heat to the area after performing a Segmental Stretch?
10 minutes
What does the Myo-Fascial Trigger Point Technique aim to reduce?
Referral pain
What is the expected sensation when performing Pincement in Tapotement techniques?
Nipping or pinching sensation
How many times should the candidate flush the area out with petrissage and effleurage after performing ischemic compression three times?
Once
What should the candidate do if a hot pack is not present after a treatment?
Instruct the patient on at-home heating
What should the candidate state they would do if a specific type of tapotement is not indicated?
Demonstrate a variety of tapotement types
'Cupping' in Tapotement techniques gives a sensation similar to:
'Suction-like' sensation
'Hard Hacking' in Heavy Tapotement techniques mimics a:
'Beating or pounding' sensation
What is the main purpose of a Myofascial Trigger Point Technique?
To improve joint and muscle mobility
Why is it important for the candidate to establish a pain scale with the patient?
To avoid exceeding a certain pain level during the technique
What should the candidate do if the patient indicates their pain has reduced during compression?
Flush out the area briefly with local effleurage
Which technique involves using fingertip compression during a Myofascial Trigger Point Technique?
Point percussion
What should the candidate ensure when performing Ischemic Compression during the technique?
Apply gentle pressure to the trigger point
How does Ischemic Compression differ from other stages of a Myofascial Trigger Point Technique?
It involves applying pressure directly on the skin
What sensations should be felt by the patient when Ischemic Compression is applied correctly?
Burning or tingling sensation
What should be done if the patient's pain does not reduce after holding Ischemic Compression for approximately 10 seconds?
'Hold' until muscle release or maximum time of compression
Why should the candidate avoid making contact with bony prominences during Myofascial Trigger Point Techniques?
'Reduce pain intensity'
'Sweating, tearing up, or increased respiration' are examples of what in identifying trigger points?
'Autonomic phenomenon pattern'
Learn about the steps required to perform an anchor and spread myofascial release technique on the upper chest. Understand the purpose of myofascial release and how it helps in reducing fascial restrictions and increasing circulation in the body.
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