Structural Final/MBLEX

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JennieF
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233669
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Structural Final/MBLEX
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2013-10-06 01:44:27
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Structural
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  1. Define Fleshing
    Putting the tissue into its optimal position on the body
  2. What is the name of the imbalance in the feet that we see a 'high arch' and the Achilles tendon bowing outwards
    Inversion
  3. Name 3 contraindications for Structural Bodywork and their exceptions
    • Inflammation: exception is in the joint - working above and below
    • Client suffering from a disease that is taxing on immune system: exception is getting a doctor's approval
    • Under the influence of drugs or alcohol: NO exception
    • Cancer: exception is doctor's approval
    • Pregnancy: exception is superficial work that does not change the position of the pelvis
  4. When using the midline tool, what action must occur at the wrist?
    Ulnar deviation
  5. Describe side-lying position as it is used in Structural bodywork
    • The client is lying on the side of the body with the ear, shoulder, and greater trochanter lined up.
    • A bolster/pillow can be placed under the head for support and spinal alignment.
    • The hip should be flexed between 45 and 90 degrees to stabilize the upper body or the bottom leg can be brought back straight with the top leg bent to 45 to 90 degrees while working on the lower extremities
  6. What is the least affected part of the body that is affected by gravity
    Feet
  7. What are the 2 lines we use to see imbalances in the body
    • horizontal
    • vertical
  8. How many vertebrae are there
    • 7 cervical
    • 12 thoracic
    • 5 lumbar
    • 5 sacral (fused)
  9. If there is a lateral 'S' shape in the spine, what is the name of the imbalance
    Scoliosis
  10. Name 3 chronic holding patterns and a cause for each of them
    • 1. elevated shoulder / guitar
    • 2. clenching / braces, anxiety
    • 3. Elevated hip / carrying something on the same side
  11. Finish the statement: "One part affects ____ _____"
    One part affects the whole
  12. What two places do we see lordotic curve
    • cervical spine
    • lumbar spine
  13. What two places do we see lkyphotic curve
    • thoracic spine
    • sacral spine
  14. Describe the anterior pelvic tilt
    • aka swayback
    • ASIS inferior PSIS
    • "gut falls out"
    • where there is stress in the body, there is tissue
  15. Define Movement Objective
    We can re-establish functional movement patterns in the body by combining re-patterning/awareness exercises and systematically lengthening tissue
  16. _______ is the ability to sense the position, location, orientation, posture, equilibrium, internal condition, and movement of the body and its parts
    proprioception
  17. If someone has an exaggerated kyphotic curve, we call it _____
    kyphosis
  18. To determine if a stance is too wide or too narrow, we compare which two landmarks?
    • tibial tuberosity
    • 2nd toe
  19. Define tensegrity
    • tension & integrity / it is a contraction of tensional integrity
    • ability to yield increasingly without ultimately breaking or coming asunder
    • a true tensegrity structure must be finitely closed
  20. _____ is the process of adding heat to a colloid, causing it to melt or liquefy
    thixotropy
  21. True or false: We don't have to change our pressure when working on a pregnant client
    FALSE
  22. Movement and structural bodywork is based on the original recipe of what famous bodyworker
    Ida P Rolf
  23. Practical Structural Bodywork requires you to acknowledge...
    that you are changing in the client's structure and function. Responsibility needs to be taken sincerely and with high degree of integrity
  24. Name 3 steps to creating a session IN ORDER
    • Primary Imbalance / Main Problem
    • Potential Causes: injury, pathology, chronic use or under use, chronic holding patterns, work related issues, lack of awareness, *genetics (do not confuse genetics with patterns/learned trait), *idiopathic conditions (unknown cause), psychological conditions (depression/anxiety/hypertension etc.)
    • Objective: goals, plans, what are you going to do about it
  25. Describe Zero-position
    • The client is lying on the dorsal side of the body with the knees up feet flat and together (no wider than hip width apart)
    • The knees should be together as well.
    • The arms should be down to the side palms with the elbows slightly bent out
  26. What is Movement Objective for the feet, ankles and knees?
    feet forward, back, heel, toe
  27. Name all the landmarks of the Vertical Line
    • Lateral malleolus (ankle)
    • Lateral side of the knees (mid-point)
    • Greater trochanter (hip)
    • Center of the head of the humerus (shoulder)
    • Ear (hole)
  28. Define Colloid & What is an example of a Colloid
    • a glue or gel-like substance that liquifies when heat is applied or created
    • wax, fat, plastic, chocolate, cheese, butter, motor oil, shortening
  29. 2 components to pain
    • Sensory Experience: what it feels like (physically)
    • Psychological Response: what it makes you think you feel (SER)
  30. Name all the landmarks of the horizontal line
    • Ankles
    • Knees
    • Hip (ASIS / PSIS)
    • Acromioclavicular joint (shoulder)
    • Ear (holes)
  31. Three disciplines based on Dr. Ida Rolf
    • 1. Rolfing
    • 2. Hellerwork
    • 3. Soma
  32. What is the term we use for the ideal position for the body
    Structural objective
  33. Where specifically is the thoracic lumbar vertebrae
    • floating ribs
    • L1, T11, T12
  34. 3 functions of fascia
    • pull things together
    • conduit for emotions
    • thermoregulator
    • reduces friction
    • limits the spread of disease
  35. When using the soft fist tool, which hand do we predominately use?
    outside hand
  36. When using the olecranon tool, which arm do we predominately use?
    Inside arm
  37. Landmark if out of line do we compare the humerus to...
    lateral malleolus
  38. What arch is in charge of support
    lateral side
  39. Define & given an example of a colloid
    • are glue or gel like substances that liquifies when heat is applied or created
    • Example: wax, fat, plastic, chocolate, cheese, butter, motor oil, shortening
  40. Define structural objective
    where you want your body to be
  41. Which arch of the foot is responsible for balance
    lateral
  42. Body's ability to sense itself in space is known as what
    proprioception
  43. If your client's arches are fallen and their Achilles tendon bows medially, is this inversion or eversion
    eversion
  44. Swayback = what tilt
    Hunchback = what tilt
    • Swayback = Anterior Tilt
    • Hunchback = Posterior Tilt
  45. Thixotropy that is not massage
    • hydrotherpy
    • sauna
    • exercise
    • *anything that creates heat
  46. Dr. Rolf developed a ten session system that she called "____ _____" and was later coined "_____".
    • "Structural Integration"
    • "Rolfing"
  47. Structural Objective
    • 1. Ideal position for the body
    • 2. A different way to look at the body
    • 3. A journey not a destination - it's all about balance -
  48. What body part is the least affected by gravity
    feet
  49. Where is the thoracic lumbar hinge
    the floating ribs
  50. Repatterning exercises for the spine
    • Coming up from the top of the head
    • Spinal Roll
    • Spine "roll up/roll down"
    • Spine "Stacking"
  51. The basic premise of Structural Bodywork is that as a result of ___ ____ ____, tissue can be restored to ____ ____ and ____.
    • slow deep strokes
    • proper position and length
  52. The anatomical metaphor for Structural Bodywork is the
    tensegrity model
  53. Peeling the "onions" is accomplished by what
    • working superficial layers with broad tools first
    • then deeper structures with specific tools
  54. Fascia Characteristics
    • Connects, supports, organizes, and compartmentalizes
    • Influences both muscle and joint acting to allow, guide, or limit movement (to prevent injury)
    • Reduces friction at joint surfaces
    • The fascial planes may contain the spread of injury and disease (1st line of defense of pathogens, sickness, and disease)
    • Is strong in all directions
    • Is the organ of posture
    • Believed to be the medium which emotions travels
    • SER's work through fascia - transfers & holds it
    • Allows or restricts movement
  55. How can fascia be lengthened
    • movement --> heat / warm up (friction) to loosen up
    • fascia is a colloid
  56. True or False: there is no beginning and no ending to this connective tissue
    True
  57. Define Thixotropy and give an example
    • the process of adding heat to a colloid
    • Example: massage, stretch, hot tub, hydrotherapy, exercise, saua
    • it is therapeutic inflammation
  58. What are the steps you should take if your client has an SER
    • 1. Acknowledge it
    • 2. Validate the release - create space for them to release it - don't think, just be
    • 3. Ask permission to continue
  59. What are the 5 key relationships to view
    • front to back balance: compare anterior to posterior tissues
    • side to side balance: compare left to right
    • top to bottom balance: upper body matches bottom body
    • ROM and quality of motion: resting structure vs. moving structure - functional, not just pretty
    • core & sleeve: initiator of movement vs. follow through
  60. Three Arch Anatomy of the Foot and function
    • Medial Arch: main wight bearing arch
    • Lateral Arch: stability and balance
    • Transverse Arch: Allows for spring in step / shock absorption all the way around foot (top to bottom)
  61. Discoloration in tissue is
    fascial pull
  62. Pelvis aka is
    bony basin
  63. If stress is to be relieved, it is important that no ________ component contributing to the pelvic imbalance be overlooked
    myofascial
  64. Posterior Torso Fleshing
    Strokes should go inferior and towards the midline (bringing the shoulders back)
  65. Posterior Leg Fleshing
    Most of the time, strokes will go inferior, though not exclusively. Length is the goal.
  66. Anterior Torso Fleshing
    Strokes should go superior and towards the midline (lifting the ribcage)
  67. Side Position Torso Fleshing
    Strokes should go towards the midline and way from the pelvis
  68. Side Position Shoulder Fleshing
    Strokes should go towards the midline and away from the joint (spreading the tissue away from the shoulder)
  69. Side Position Legs Fleshing
    Strokes should go towards the midline and/or away from the pelvis
  70. Calling for movement (CFM) accomplishes the following:
    • Increases a stroke's effect by accessing more layers of tissue
    • Increases ROM
    • Increases metabolic exchange due to muscle contraction
    • Supports joints
    • Facilitates re-patterning of joints
  71. How to Call for MovementMuscle Emphasis (increases strokes effect, ROM, and metabolic exchange)
    • increase stroke's effect by accessing more layers of tissue
    • Increase ROM
    • Increase metabolic exchange due to muscle contraction
    • support joints
    • facilitates re-patterning of joints
  72. 3 Fascial Relationship Patterns used in assessment/viewing the body
    1. fascial connections between the right and left lateral planes in the body. Comparing the symmetry of horizontal points

    2. Overall side to side patterns used to compare each section between joint junctions throughout the body from the ground up. / Imbalance jumping from L to R

    3. fascial connections between the front and back planes of the boyd comparing each section between joint junctions
    1. Side-to-side/left to right anterior comparison

    2. Lateral Criscross Pattern

    3. Front to back Zig-Zag pattern
  73. How to call for movement
    Muscle Emphasis
    Joint Emphasis
    • Muscle: increases strokes effect, ROM, and metabolic exchange
    • Joint: supports joints and facilitates re-patterning
  74. Creator of Rolfing and Sructural Integration
    Ida P. Rolf
  75. Define Structural Objective
    • Ideal position for the body
    • A different way to look at the body
    • A journey not a destination
    • - it's all about balance -
  76. Anatomical Landmarks for Viewing the Body
    The Vertical Line
    • Lateral malleolus
    • Lateral side of the knees
    • Greater trochanter
    • Head of the humerus
    • Ear
  77. Anatomical Landmarks for Viewing the Body
    The Horizontal Lines
    *all about pairs
    • Ankles
    • Knees
    • Hip - ASIS / PSIS
    • Acromioclavicular joint
    • Ear
  78. Define re-patterning
    continuously fashioning according to a pattern
  79. Re-patterning supports the changes achieved through structural bodywork by educating the client about
    • chronic holding patterns
    • chronic patterns of movement that contribute to pain, dysfunction, and imbalance
    • new possibilities of posture and movement that will add to vitality, grace, and sense of well-being
  80. Five key relationships to view
    • Front to back balance: compare anterior to posterior tissues
    • Side to side balance: compare left to right
    • Top to bottom balance: upper body matches bottom body
    • ROM and Quality of Motion: resting structure vs. moving structure. functional, not just pretty
    • Core and sleeve: initiator of movement vs. follow-through
  81. Three Arch Anatomy of the Foot
    Medial Arch
    Lateral Arch
    Transverse Arch
    • Medial: Main weight bearing arch
    • Lateral: Stability & balance
    • Transverse: Allows for the spring in step, shock absorption all the way around foot (top to bottom)
  82. Describe a posterior tilt
    • aka hunchback
    • PSIS inferior ASIS
  83. Pelvis also means
    bony basin
  84. Define Intrinsic
    • Belonging to the essential nature or constituition of a thing. Originating and included wholly within an organ or art.
    • Intuition, withing, learned, easy, inside, learned, smooth, patterned, effortless etc.
  85. Define Extrinsic
    • Not forming part of or belonging to a thing. Originating from or on the outside; especially originating outside a part and acting upon the part as a whole
    • outside, difficult, awkward, exaggerated, huge, not smooth etc.
  86. Define Economy of Motion
    Balance between intrinsic & extrinsic muscle or movement
  87. If I have an anterior tilt, which muscles could you work that could help fix the dysfunction
    • Quads
    • Glutes
    • Hamstrings
    • Psoas
  88. Define "peeling the onion"
    • 1st stroke @ a 5
    • Working from the outside in, then inside out
    • If you work against the tissue, you can drive the imbalance deeper
    • Deeper you go, the slower you go
  89. True or False: The sphenobasilar fascial band is located at the junction of C7 and T1
    FALSE
  90. Sphenobasilar :: AKA & where is it located
    • Eye Band
    • Sphenoid & Occiput
  91. Craniocervical :: AKA & where is it located
    • Chin Band
    • CO or Occiput & C1
  92. Cervicothoracic :: AKA & where is it located
    • Collar Band
    • Junction between C7 & T1
  93. Dorsal Hinge :: AKA & where is it located
    • Chest Band
    • @ T6
  94. Thoracolumbar :: AKA & where is it located
    • Belly Band
    • Junction between T12 and L1
  95. Sacrolumbar :: AKA & where is it located
    • Inguinal Band
    • Junction between L5 & S1
  96. Sacrococcygeal :: AKA & where is it located
    • Groin Band
    • Junction between S5 & Coccyx
  97. What re-patterning exercises would you use for the FOOT
    • Toes-up/Foot-up
    • Knee Bends
    • Rock & Roll
  98. What re-patterning exercises would you use for the SPINE
    • Coming up from the top of the Head
    • Spinal Roll
    • Table Top
    • Roll-up/Roll-down
    • Stacking
  99. What re-patterning exercises would you use for the PELVIS
    • Pelvic Clock
    • Deep Hip Rotator Stretch
    • Psoas Stretch
    • Wall Squat
    • Peanut Butter Jar - Pelvic Rotations
  100. What re-patterning exercises would you use for the CORE
    • Spinal Imprint
    • The Plank
    • Lateral Plank
    • The String
  101. What re-patterning exercises would you use for the SHOULDERS
    • Rhomboid Activation
    • Shoulder Re-patterning - Arm Circles
    • Ribcage Re-patterning
  102. What re-patternings would you suggest for a a client with Ventral Drag?
    • Spinal Rolling
    • Core
  103. Short tissue is defined as the inability of muscle fibers to fully _____ extend due to adhesion's, gluing, and dysfunctions in the surrounding fascial structures
    EXTEND
  104. When we use the Soft Fist Tool, most of the strokes are done with the (inside or outside) hand?
    OUTSIDE
  105. In eversion, what muscle group is locked short?
    Peroneals
  106. What repatternings would you suggest for someone with inversion?
    Rock & Roll
  107. What structure do we refer to as 'the keystone of the body?'
    PELVIS
  108. Name all 5 Guywires of the back and classify them as Core or Sleeve muscles

    - Core: initiators of movement
    - Sleeve: follow through of movement
    • Rectus Abdominis: SLEEVE
    • Thoracolumbar Fascia (TLF): CORE & SLEEVE
    • Transversus Abdominis: CORE
    • Psoas Major: CORE
    • Quadratus Lumborum: CORE
  109. Name 2 alternate assessment techniques
    • Gait
    • Eflleurage (feel how body is placed)
  110. Other than repatternings, what homework would you give someone to assist in bringing the shoulder girdle back into the vertical line?
    Pec Stretch
  111. Key points of Intrinsic
    *Belonging to the essential nature or constituion of a thing. Originating and included wholly within an organ or part.
    • Intuition
    • Learned
    • Within
    • Easy
    • Smooth
    • Patterned
    • Effortless
  112. Key points of Extrinsic
    *Not forming part of our belonging to a thing. Originating from or on the outside; especially originating outside a part and acting upon the part as a whole.
    • Outside
    • Difficult
    • Awkward
    • Originates without
    • Exaggerated
    • Huge
    • Not Smooth
  113. Balance between INTRINSIC & EXTRINSIC muscle or movement is
    Economy of Movement
  114. Used to designate a tense muscle held in a state shorter than its usual efficient length, a bunched or shortened muscle is called -
    LOCKED SHORT
  115. Used to designate a tense muscle held in a state longer than its usual efficient length, a muscle under strain.
    LOCKED LONG
  116. FORM AFFECTING FUNCTION
    • Height
    • Genetics
    • Injury
    • Weight
    • Compensation
  117. FUNCTION Key Points
    • What it does
    • Intention
    • The purpose
    • Movement
    • Action
    • How you do it
  118. FORM Key Points
    • Foundation Forms
    • Purpose
    • Pattern
    • How you do something
    • Example
    • Reproducible
    • How something is built
  119. FUNCTION AFFECTING FORM
    • Body Mechanics
    • Chronic Holding Patterns
    • Fitness Level
    • Hobbies
    • Job Related Issues

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