Exam 1: Manual Therapy Flashcards

1
Q

What are the earliest accounts of manual therapy?

A

Hippocrates and Galen

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2
Q

What are bonesetters?

A

lay people without formal training; some religious orders; use manipulation to set fx, reduce dislocation, increase jt mobility, and treat disease

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3
Q

17-19th centuries and manual therapy

A

bonesetters, separated from main stream medicine-considered quacks

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4
Q

Who is the father of ostepathy?

A

Andrew Taylor Still

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5
Q

What was AT Still’s big revelation?

A

Law of the artery: any interference with circulation can affect health; vertebral alignment

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6
Q

more modern osteopaths

A

have incorporated more traditional medical thought, more like allopaths now

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7
Q

Father of chiropracty

A

Daniel David Palmer

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8
Q

DD Palmer’s big event

A

manipulated Henry Lillard’s neck and restored his hearing

developed laying on of hands (magnetic healing)

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9
Q

DD Palmer’s law of the nerve

A

vital life forces blocked as a result of vertebral positional faults; diseases are caused by impinged nerves

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10
Q

20th century manual therapy important people

A
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)
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11
Q

Guide to PT practice definitions of mob/manip

A

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

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12
Q

Mobilization and speed

A

slow speed so the patient can stop the movement; non-thrust techniques

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13
Q

Manipulation and speed

A

high velocity, low amplitude-pt can’t stop it

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14
Q

manipulation and range

A

within ROM or at end range

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15
Q

Chiropracty definition

A

direct thrust to a joint past physiologic ROM, without exceeding joint limit

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16
Q

ovoid joint

A

surfaces entirely convex or concave in all directions

17
Q

sellar joint

A

each surface is both convex and concave at right angle to each other
ex-CMC, sternoclavicular joint

18
Q

planar joint

A

both surfaces are flat

19
Q

treatment plane

A

plane perpendicular to a line extending from axis of rotation in the convex to the middle of the concave articular surface
-2D plane imposed over the concave articular surface

20
Q

tx plane and gliding, traction, compression

A

gliding is parallel to tx plane

traction/compression perpendicular

21
Q

anatomic ROM

A

absolute end of range, injury if you move past this barrier

22
Q

physiologic ROM

A

ROM actively available to pt

23
Q

pathologic ROM

A

restricts motion before normal physiologic barrier

24
Q

indications for manual therapy

A

MS pain that has a mechanical nature; passive mobility impairment; muscle guarding/spasm; non-irritable condition

25
Q

BRAIN BREAK

A

go look at page 7 of the handout for contraindications & precautions

26
Q

oscillatory mobilization grading

A
I-small amplitude, beginning of range
II-larger amp into mid-range
III-large amp, mid to end range
IV-small amplitude at end range
V: high velocity thrust (manipulation)
27
Q

sustained translation grading

A

I-very small movement into range
II-movement into available range without going to end range
III-end range hold

28
Q

traction

A

movement at right angle to treatment plane

29
Q

traction grading

A

I=small movement, no appreciable jt separation; nullifies compressive forces on joint
II-into available range w/o going to end range
III-end range hold, significant joint separation

30
Q

suggested mobilization dosage for painful joint

A
  • grade I-II oscillatory or sustained
  • loose-packed position
  • if they can’t tolerate at the joint, do a joint around it
  • hold sustained or oscillate 30-90 sec, 2-3 times
31
Q

suggested mobilization dosage for hypomobile joint

A
  • III-IV oscillatory
  • III sustained
  • jt at or near restricted range
  • hold 30 sec, 3-5x
32
Q

mobilization and pain

A

grades I and II oscillatory and sustained activate I/II pain receptors

33
Q

mechanical effects of mobilization

A
  • increased collagen (Type 3>1)
  • scar formation (collagen organization & cross-links)
  • elastic/plastic tissue deformation on collagenous tissues (capsule, ligaments, fascia, tendons)
  • III/IV os and III sus are necessary