1B Flashcards
Which has an active component:
Manipulation
Mobilization
Muscle Energy Technique
Muscle energy technique
Passive technique with rythmic repetitive movements is called
Mobilization
Passive technique with one small amplitude quick and decisive movement is called
manipulation
What is osteokinematic motion
ROM that you can see (example: elbow flexion)
Arthokinematic motion is what
Motion inside the joint capsule that might not be visible. (example: joint play)
Who said that all pain has an anatomical source
James Cyrax
Who invented the joint play assessment
John Mennell
What PTs introduced Response based treatment
Geoffery Maitland and Robin Mckenzie
A biomechanical approach works best for what
post-op
What is the patient-based response method
Relies on assessment findings to determine treatment
apply movement to decrease symptoms and improve ROM
What is the best method of treatment
Combination of Biomechanical and Response-based
T or F: An audible pop is not necessary to acheive neurophysiological changes
T
How long do the temporal effects of a manipulation or mobilization last
20-30 mins, so you need to do exercise right after to maintain the improvements
A displaced meniscus might cause what kind of abnormal endfeel?
Springy
What kind of endfeel will swelling/hemarthrosis cause?
Boggy
Grade 2 muscle tears, or recent trauma hypermobility might cause what kind of abnormal endfeel
Spasm
What kind of endfeel is it when a patient will not let you complete the movement due to severe pain
Empty
What level of mobilizations are needed for pain dominant patients?
grade 1 and grade 2
What kind of mobilizations are best for sub-acute injuries?
Grade 2-3
What level of mobilization is used for chronic problems?
3-4
______ is strongly indicated for acute and subacute injuries
MET (Muscle energy technique)
T or F: HVLAT are indicated for Acute injuries
F they are rarely indicated
A grade 1 mob uses how much of the available ROM
first 25%
A grade 2 mob uses how much of the available ROM
Middle 50%
A grade 3 mob uses how much of the available ROM
Last 50%
A grade 4 mob uses how much of the available ROM
Last 25%
A grade 5 mob uses how much of the available ROM
AKA a manipulation, it goes past the available ROM but NOT to the anatomical limit
Generalized vs Target-Specific HVLAT
Generalized affects more than one structure/joint
Contraindications to manual therapy
Infection
Febrile state
Acute circulatory condition
Malignancy
Open Wound
Recent Fracture
Hematoma
Advanced DM
Hypersensitive skin
Inappropriate endfeel
RA (during exacerbation)
Cellulitis
Extension Radiation of pain
ANY CONDITION THAT HAS NOT BEEN FULLY EVALUATED
Prior to application of any intervention what should the physical therapist do
Rule out any contraindications and screen for precuations
What is adverse neural tension
Lacking of sufficient mobility of nerve in the sheath
Where are 3 places in the spine where the dura is tethered to a bony canal?
C6
T6
L4
Left off on 46/60
