HVLA

Question 1

HVLA

Answer 1

Direct (through barrier)
Passive (physician does everything)
HVLA = HALD

Question 2

Barriers

Answer 2

Physiological: restriction under active motion
Anatomical: restriction under passive motion
Pathological: before physiological barrier causing restrictive motion

Question 3

Types

Answer 3

Direct: toward restrictive barrier, 1-2 axes of motion
Indirect: away from restrictive barrier, improves one plane of motion

Question 4

Relative CI

Answer 4

Strain, sprain, osteopenia, osteoarthritis, osteoporosis, rheumatoid arthritis, disc bulge or herniation, congenital abnormalities, hypermobility

Question 5

Absolute CI

Answer 5

Joint instability, osteoporosis (severe), metastasis, osteoarthritis with ankylosis, osteomyelitis, infection, joint replacement, Downs, dwarfism

Question 6

Tart

Answer 6

Tissue texture abnormality
Asymmetry
Restriction of motion
Tenderness

Question 7

Rules

Answer 7

Warm up (prevent injury and need less force)
Everyone comfortable