Intro to HVLA and ME

Question 1

What are the contraindications to ME?

Answer 1

OBUUS

Open Wounds, Broken bones, Uncooperative Patient, Unresponsive patient, Severe pain in the muscle group utilized

Question 2

Describe the flow of information from a golgi tendon organ to the affected muscle

Answer 2

1) Golgi tendon –> afferent neuron (1b group) –> gray matter of spinal cord –> synapse with inhibitory interneurons –> synpase with large alpha motor neurons in the anterior gray horn of the spinal cord –> inhibitory message to the muscle

Question 3

How is HVLA classified in terms of a technique?

Answer 3

Direct & Passive

Question 4

What is something that one should consider prior to applying a HVLA treatment?

Answer 4

Consider relaxing surrounding soft tissues first

Question 5

What does a spinal somatic dysfunction involve?

Answer 5

A vertebral segment (consists of; vertebra above and below the segment along with the disc between the two)

Question 6

What is the neurophysiology component behind HVLA?

Answer 6

A sudden change in length/tension is applied to the tissue, activating the golgi tendon organ, allowing the muscle tensions to equalize proper functional position and motion; thus normalizing, imbalanced afferent input

Question 7

What are two complications that may arise if HVLA is performed on those with Down’s syndrome and/or RA?

Answer 7

Dens fracture or dislocation

Question 8

What are some contraindications to HVLA?

Answer 8

Osseous or ligamentous damage, pathologic fractures (osteoporosis, metastatic disease, arthritic spurs), Psychological contraindications (patient apprehension)