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STM Final Exam Questions And Correct Answers

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©SIRJOEL EXAM SOLUTIONS 10/14/2024 11:14 PM STM Final Exam Questions And Correct Answers Myofascial manipulation: autonomic or reflexive approach - answer-attempt to exert effect through skin & superficial connective tissues -ex: soft tissue mobs: stimulates sensory receptors in the skin & s...

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stm final exam questions and correct answers

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©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM

STM Final Exam Questions And Correct
Answers

Myofascial manipulation: autonomic or reflexive approach - answer✔-attempt to exert effect

through skin & superficial connective tissues

-ex: soft tissue mobs: stimulates sensory receptors in the skin & superficial fascia

-ex: TENS - direct stimulation of large myelinated large fibers overrides noxious stimuli

traveling to higher centers of the CNS

-ex: connective tissue massage (bindegewebsmassage) & Hoffa massage

myofascial manipulation: mechanical approach - answer✔-seek to make mechanical, or

histological, changes in the myofascial structures

-ex: superficial tissue rolling to mobilize adhesions, elongation of a superficial fascial plane,

stretching hamstrings

-ex: Rolfing, Trager, Myofascial release

-should be performed following some form of autonomic technique

-begin with gentler techniques then progress to more aggressive

myofascial manipulation: movement approach - answer✔-pt actively participates

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
-clinician guides pt through a series of mvmts to change aberrant patterns & retrain into more

efficient mvmts & postures

-ex; PNF, Alexander technique, Feldenkrais method

what is the cutivisceral reflex described by Elizabeth Dicke - answer✔-used to describe effects

of CTM

-CTM can release nerve impulses along quite specific paths by means of reflexes that are locked

into the CNS & create reactions in distant organs

-ex: application of mother's warm hand to alleviate child's stomachache

Hoffa massage techniques & potential benefits - answer✔-effleurage: when performed w/ mod

pressure, slowly & smoothly on the back, it may stimulate the PNS & evoke the relaxation

response

-petrissage: may help separate mm fibers & evoke muscular relaxation

-tapotement

-vibration

Ida Rolf's concept of "fascial sweater" - answer✔-fascial restriction in one area will strain areas

away from the restriction & cause abnormal mvmt patterns

-based on the idea that the fascial network is continuous throughout the body

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
basic premises of Rolfing - answer✔-belief that myofascial component determine adequacy of

the jt & that by integrating the myofascial to normal or more toward normal, the pt would have

"normal" mvmt

-tissue of focus is fascia (constantly reorganizes & responds to stress)

-person's psychological components are manifested in structure & that changing the structure can

change the psychological component

Goal for human body that all Rolfer's are striving - answer✔-balance & harmony of mvmt

basic premise of Tragering - answer✔-mechanical soft tissue & neurophysiological reeducation

approach (uses NERVOUS SYSTEM to make changes)

-directed towards unconscious mind

-uses gentle passive motions that emphasize mobilization techniques (traction, rotation &

mentastics)

direct myofascial release - answer✔-intent: to improve mobility of soft tissues through

application of a slow, controlled mechanical stress directly into a restriction

-pressure gradually increased or repeated until mobility of tissue is felt to improve

-tissue may be manipulated while pt is either passively or actively moving (depends on pt

tolerance)

indirect myofascial release - answer✔-applied similarly to direct

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
-amt of force is lower in intensity but much longer in duration (gives tissues an opportunity to

release)

-often used when pt's are tender or extremely guarded (pt feedback essential!)

movement approach: PNF (basic principles) - answer✔1) always keep treatment approach

positive, reinforcing what pt can do on both physical & psychological levels

2) help pts achieve their highest level of function

3) direct the entire human being in each treatment & not a specific problem or body segment

-use diagonal mvmts based on synergistic patterns

-ex: rhythmic initiation, rhythmic stabilization, contract relax, hold relax

movement approach: Alexander technique - answer✔-based on theory that in each human there

exists an integration mechanism that produces more optimal coordination & functioning

-cornerstone of this technique: position of head & neck (pt learns to activate primary locus of

control here)

-palpatory & verbal feedback given as new positions & mvmt patterns are learned

-best learned slowly & w/ positive reinforcement

-often used w/ TMJD

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