Intro Flashcards
Define orthopedic manual therapy
Skilled hand movements intended to improve tissue extensibility, ROM, relaxation, mobilize or manipulate soft tissues or joints, modulate pain, reduce swelling.
Explain the ICF
International Classification of Function.
- Body Functions and Structures:
This includes the physiological functions of body systems and anatomical parts of the body. - Activities and Participation:
This refers to the execution of tasks and involvement in life situations. - Environmental Factors:
These are the physical, social, and attitudinal environments in which people live and conduct their lives. - Personal Factors:
These include the individual’s background, lifestyle, and personal characteristics.
Given that a resistive isometric test is strong and painless, what 4 options would you expect you might see?
- No lesion
- Lesion not involving contractile structure
- lesion not involving MSK system
- referred pain
Given that a resistive isometric test is strong and painful, what would you expect is the cause?
Minimal/minor damage to tendon or muscle (Grade 1).
Given that a resistive isometric test is weak and painful, what would you expect is the cause?
Partial to full tear (Grade 2)
Given that a resistive isometric test is weak and painless, what would you expect is the cause?
Complete tear and/or entrapment of nerve (Grade 3)
Historical perspective:
- Resisted testing
- Contractile vs non-contractile
- Active vs passive movement
- Assessment criteria
James Cyriax
Historical perspective:
- Joint play changes may lead to dysfunction
- Mobilization restores joint play
Mennel
Historical perspective:
- Convex-concave rule
- Close packed and loose packed positions
- Open pack in midrange
- 5x5 scheme (more holistic approach)
Kaltenborn
Historical perspective:
- SINS(s)
- severity
- irritability
- nature
- stage
- (stability)
- Comparable sign (THE pain)
Maitland
Historical perspective:
- 3 diagnostic categories
- posture
- dysfunction (loss of joint play)
- derangement (disc involvement)
- Peripheralization (increasing symptoms)
- Centralization (decreasing symptoms)
McKenzie
Physiologic movements are movements done ________.
Voluntarily
Accessory movements are movements within ___________ and _________that are NECESSARY/UNNECESSARY for normal ROM, but cannot be voluntarily performed.
Within the joint and surrounding tissues; Necessary
Accessory movements that can be passively produced at a joint but cannot be isolated actively.
Joint play
Joint play performed parallel to the treatment plane
Translatoric glide
List the components of the 5x5 scheme
History: Current, past, social hx, medical hx, family hx.
Physical exam: Inspection, function, palpation, neuro, special tests.
Define traction
Movement at a right angle and away from the treatment plane.
Define compression
Moving a bone perpendicular and towards the treatment plane.
Identify two purposes of joint play:
- To determine the amplitude of a joint play movement.
- To determine whether the movement causes pain or spasm.
What is the normal reaction of a joint to muscle contraction? Adds stability to the joint.
Compression
What is often used in combination with joint mobilizations to separate joint surfaces?
Distraction
Concave joint surfaces slide in the SAME/OPPOSITE direction as the bone movement.
Same
Convex joint surfaces slide in the SAME/OPPOSITE direction as the bone movement.
Opposite
Physiologic range is another term for ________.
Mobility
A specific pattern of restriction of passive movements. Has been largely debunked except for in the case of OA.
Capsular patterns
What scale is used to measure generalized joint laxity?
Beighton scale
What does a joint need to be considered instable rather than hypermobile?
Production of symptoms. i.e. pathologic
What does MWM stand for?
Mobilization with movement
Involves positioning a restricted muscle joint complex at its restricted barrier and utilizes muscle force to free restricted motion.
Muscle energy (MET)
What does OMPT stand for?
Orthopedic manual therapy
