Intro Flashcards

1
Q

Define orthopedic manual therapy

A

Skilled hand movements intended to improve tissue extensibility, ROM, relaxation, mobilize or manipulate soft tissues or joints, modulate pain, reduce swelling.

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2
Q

Explain the ICF

A

International Classification of Function.

  1. Body Functions and Structures:
    This includes the physiological functions of body systems and anatomical parts of the body.
  2. Activities and Participation:
    This refers to the execution of tasks and involvement in life situations.
  3. Environmental Factors:
    These are the physical, social, and attitudinal environments in which people live and conduct their lives.
  4. Personal Factors:
    These include the individual’s background, lifestyle, and personal characteristics.
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3
Q

Given that a resistive isometric test is strong and painless, what 4 options would you expect you might see?

A
  • No lesion
  • Lesion not involving contractile structure
  • lesion not involving MSK system
  • referred pain
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4
Q

Given that a resistive isometric test is strong and painful, what would you expect is the cause?

A

Minimal/minor damage to tendon or muscle (Grade 1).

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5
Q

Given that a resistive isometric test is weak and painful, what would you expect is the cause?

A

Partial to full tear (Grade 2)

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6
Q

Given that a resistive isometric test is weak and painless, what would you expect is the cause?

A

Complete tear and/or entrapment of nerve (Grade 3)

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7
Q

Historical perspective:
- Resisted testing
- Contractile vs non-contractile
- Active vs passive movement
- Assessment criteria

A

James Cyriax

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8
Q

Historical perspective:
- Joint play changes may lead to dysfunction
- Mobilization restores joint play

A

Mennel

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9
Q

Historical perspective:
- Convex-concave rule
- Close packed and loose packed positions
- Open pack in midrange
- 5x5 scheme (more holistic approach)

A

Kaltenborn

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10
Q

Historical perspective:
- SINS(s)
- severity
- irritability
- nature
- stage
- (stability)
- Comparable sign (THE pain)

A

Maitland

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11
Q

Historical perspective:
- 3 diagnostic categories
- posture
- dysfunction (loss of joint play)
- derangement (disc involvement)
- Peripheralization (increasing symptoms)
- Centralization (decreasing symptoms)

A

McKenzie

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12
Q

Physiologic movements are movements done ________.

A

Voluntarily

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13
Q

Accessory movements are movements within ___________ and _________that are NECESSARY/UNNECESSARY for normal ROM, but cannot be voluntarily performed.

A

Within the joint and surrounding tissues; Necessary

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14
Q

Accessory movements that can be passively produced at a joint but cannot be isolated actively.

A

Joint play

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15
Q

Joint play performed parallel to the treatment plane

A

Translatoric glide

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16
Q

List the components of the 5x5 scheme

A

History: Current, past, social hx, medical hx, family hx.

Physical exam: Inspection, function, palpation, neuro, special tests.

17
Q

Define traction

A

Movement at a right angle and away from the treatment plane.

18
Q

Define compression

A

Moving a bone perpendicular and towards the treatment plane.

19
Q

Identify two purposes of joint play:

A
  • To determine the amplitude of a joint play movement.
  • To determine whether the movement causes pain or spasm.
20
Q

What is the normal reaction of a joint to muscle contraction? Adds stability to the joint.

A

Compression

21
Q

What is often used in combination with joint mobilizations to separate joint surfaces?

A

Distraction

22
Q

Concave joint surfaces slide in the SAME/OPPOSITE direction as the bone movement.

A

Same

23
Q

Convex joint surfaces slide in the SAME/OPPOSITE direction as the bone movement.

A

Opposite

24
Q

Physiologic range is another term for ________.

A

Mobility

25
Q

A specific pattern of restriction of passive movements. Has been largely debunked except for in the case of OA.

A

Capsular patterns

26
Q

What scale is used to measure generalized joint laxity?

A

Beighton scale

27
Q

What does a joint need to be considered instable rather than hypermobile?

A

Production of symptoms. i.e. pathologic

28
Q

What does MWM stand for?

A

Mobilization with movement

29
Q

Involves positioning a restricted muscle joint complex at its restricted barrier and utilizes muscle force to free restricted motion.

A

Muscle energy (MET)

30
Q

What does OMPT stand for?

A

Orthopedic manual therapy