Therapeutics Of Pain Practice Exam

Mechanical-effect techniques are hands-on approaches that directly alter tissue mechanics—changing the length, elasticity, and glide of fascia, muscle, tendons, and even neural tissue. The best-fitting group includes methods that aim to remodel connective tissue and improve mechanical mobility: myofascial release targets fascial restrictions; cross friction (deep friction) helps break down adhesions and realign scar tissue; the Trager method uses gentle, rhythmic, soft-tissue movements to release restrictions; rolfing (structural integration) works through deep, global fascial manipulation to promote long-term realignment; and neural tension techniques address the mechanical path of nerves to improve sliding and reduce tension along neural pathways. Hoffa refers to the fat pad behind the knee and isn’t a manual technique. Cultivisceral response isn’t a standard mechanical tissue technique. Effleurage is a superficial stroke used mainly for relaxation and circulation, not to induce deep mechanical changes in tissue structure.