09-01 Manipulation/Mobilization Flashcards
1
Q
Definition of Manual Physical Therapy
A
- Skilled hand movements intended to improve tissue extensibility; increase ROM; induce relaxation; mobilize or manipulate soft tissue and joints; modulate pain; reduce soft tissue swelling, inflammation, or restriction
- Hands-on; doing something with hands
2
Q
Manual Physical Therapy - Procedures/Modalities
A
- Manual lymphatic drainage
- Manual traction
- Massage
- Mobilization/manipulation
- Passive ROM
3
Q
Definition of Mobilization
A
- “A skilled passive movement of a joint” [Stanley Paris, Pres/Founder of USA]
- Continuum of skilled passive movements to the joints and/or related soft tissues that are applied at varying speeds and amplitudes, including a small amplitude/high velocity therapeutic movement
- Amplitude = Size/motion
- Velocity = Speed
4
Q
Somatic Dysfunction
A
- Impairment or altered function of the related components of the somatic system
- Skeletal
- Arthrodial
- Myofacial structures
- Related vascular, lymphatic, and neural elements
5
Q
Classical [Physiological] Movements
A
- Active and passive
- Osteokinematics: Cardinal plane movements
- ROM and muscle function/end range
6
Q
Accessory movements
A
- Component motions [Accompany active motion but not under voluntary control]
- Joint play [Motions occur between joint capsules; the “give” that causes bones to move]
- Arthrokinematics: Necessary to complete Roll, Glide, Spin, Distraction, Sliding, Compression
- Facilitates movement
- Cannot be actively performed by the patient
- Relieves and absorbs extrinsic forces
7
Q
Joint play
A
- Extra bit of motion outside of volutional control
- Protects joint at end range
- Mobilization restores joint play
8
Q
Manipulation movements
A
- Non-thrust [Distraction and glides]
- Thrust
- Muscle energy
9
Q
Non-thrust manipulation
A
- Distraction and glides
- Elongates connective tissue including adhesions, neurophysiologically to fire cutaneous muscular and joint receptor mechanisms [adhesions occur after 10 days]
10
Q
Distraction vs Traction
A
- Distraction: Application of a force with joint separation
- Traction: Application of a force with NO joint separation
11
Q
Thrust
A
- Sudden high velocity, short amplitude motion
- Delivered at the pathological limit [end of available ROM when there is restriction] of an accessory motion
- Grade 5, can cavitate [POP!] joint
12
Q
Muscle Energy
A
- Active isometric muscle contraction alters positional relationships or mobilizes joints
- Different approach to contract/relax
- Muscle contraction moves joint using reversed origin/insertion
13
Q
Self-mobilization
A
- Teach patient to enhance what is done in-clinic and maintain goals
- Self-stretching techniques specifically use joint traction or glides to direct the stretch force to the capsule
14
Q
Mobilization with Movement (MWM)
A
- Developed by Brian Mulligan
- Combination of active physiological movement by the patient and passive accessory movement by the therapist
- Passive stretching delivered without pain as a barrier
15
Q
Mobilization Under Anasthesia (MUA)
A
- Medical procedure
- Patient is manipulated while anesthetized
- Restores full ROM by breaking adhesions around a joint
- Uses rapid thrust or passive stretch using physiological or accessory movements
16
Q
Goals of manipulation
A
- Restore normal, pain-free movement of the musculoskeletal system in postural balance
- Restore joint play and ROM
- Even distribution of loads
