Exam 1: Manual Therapy Flashcards
What are the earliest accounts of manual therapy?
Hippocrates and Galen
What are bonesetters?
lay people without formal training; some religious orders; use manipulation to set fx, reduce dislocation, increase jt mobility, and treat disease
17-19th centuries and manual therapy
bonesetters, separated from main stream medicine-considered quacks
Who is the father of ostepathy?
Andrew Taylor Still
What was AT Still’s big revelation?
Law of the artery: any interference with circulation can affect health; vertebral alignment
more modern osteopaths
have incorporated more traditional medical thought, more like allopaths now
Father of chiropracty
Daniel David Palmer
DD Palmer’s big event
manipulated Henry Lillard’s neck and restored his hearing
developed laying on of hands (magnetic healing)
DD Palmer’s law of the nerve
vital life forces blocked as a result of vertebral positional faults; diseases are caused by impinged nerves
20th century manual therapy important people
James Mennell (taught PT's manipulation) John Mennell (orthopedist, linked CT and arthrokinematics, taught PTs and surgeons) James Cyriax (diff. dx, end feel, advocated for PTs and man therapy) Freddy Kaltenborn (concave/convex rule) Geoffrey Maitland (mob grading, co-founder of IFOMT) Stanley Paris (first APTA ortho section president)
Guide to PT practice definitions of mob/manip
A manual therapy technique comprised of a continuum of skilled passive movements to joints and/or related soft tissues that are applied at varying speeds and amplitudes, including a small amplitude/high velocity therapeutic movement
Mobilization and speed
slow speed so the patient can stop the movement; non-thrust techniques
Manipulation and speed
high velocity, low amplitude-pt can’t stop it
manipulation and range
within ROM or at end range
Chiropracty definition
direct thrust to a joint past physiologic ROM, without exceeding joint limit