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Musculoskeletal I > Intro to Manual Therapy > Flashcards

Intro to Manual Therapy Flashcards

1
Q

What type of motion is described by the cardinal planes?

A

Osteokinematic

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2
Q

What type of motion is not controlled by the patient?

A

Arthrokinematic.

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3
Q

What type of motion is not directly functional?

A

Arthrokinematic

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4
Q

What type of motion is controlled by the patient?

A

Osteokinematic

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5
Q

What type of motion is functional?

A

Osteokinematic.

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6
Q

What is the goal of therapeutic exercise?

A

Restore normal osteokinematic motion/ function.

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7
Q

What is the goal of manual therapy?

A
  • Restore normal arthrokinematic motion.
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8
Q

What type of therapy is generally active? Which is passive?

A

Ther Ex –> Active

Man Therapy –> Passive

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9
Q

What are 4 methods of deciding which school thought to use in treatment?

A
  • Level of evidence
  • Quality of theoretical construct
  • Appropriateness of technique to PT
  • APTA and CAPTE recommendations/ requirements
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10
Q

What is the main purpose of joint mobilization?

A
  • Increase joint mobility by increasing joint play/ arthrokinematic motion
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11
Q

When do the normal rules of arthrokinematic motion not apply?

A
  • In pathology

- Must assess arthrokinematics to see what works

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12
Q

What mobilization technique has 5 grades?

A

Maitland.

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13
Q

What mobilization technique has 3 grades?

A

Kaltenborn.

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14
Q

What mobilization technique is held?

A

Kaltenborn.

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15
Q

What mobilization technique oscillates?

A

Maitland.

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16
Q

Who feels the endfeel of joint?

A

The examiner.

17
Q

What is a pure abnormal endfeel?

A
  • Empty
18
Q

What is a springy block endfeel?

A
  • Reboud felt at end of range.
19
Q

What can cause a springy block endfeel?

A
  • Meniscal block

- Labral tear

20
Q

What can cause a spasm endfeel?

A
  • Muscle splints

- Usually involuntary

21
Q

What are all 6 types of endfeel?

A
  • Bony/ Hard
  • Firm/ Capsular
  • Tissue approximation/ Soft
  • Empty
  • Springy block
  • Spasm
22
Q

What is the treatment time for grade 1 - 4 mobilizations?

A

2 minutes

23
Q

What is the treatment time of a grade 5 mobilization?

A

Short. Near instantaneous.

24
Q

What are the 5 methods of pain reduction due to mobilization?

A
  • Stimulate synovial fluid production
  • Improve synovial fluid circulation
  • Release pinches painful structures
  • Stimulation of large diameter fibers
  • Psychological/ placebo effects
25
Q

By what 5 methods do joint mobilizations increase joint ROM?

A
  • Rupture joint adhesions
  • Stretch periarticular structures
  • Decrease muscle spasm
  • Improve joint alignment
  • Restore arthrokinematic motion
26
Q

What are the 4 joint position variables that can be adjusted while using mobilizations?

A
  • Close packed vs loose packed joint position
  • Neutral vs endrange (irritability dicates)
  • Straight plane vs out of plane
  • Additional planar motions
27
Q

What determines the choice of mobilization variables?

A
  • Patient response
28
Q

How should the patient be positioned during mobilizations?

A
  • Safely
  • Supported
  • Comfortable
  • So that joint can be properly positioned
29
Q

What are 3 aspects of a proper grip for joint mobilizations?

A
  • Hands close to joint line, and contoured along body part
  • Large contact area
  • One hand stabilizes; One hand mobs
30
Q

How should the therapist’s forearms be positioned for mobilizations?

A
  • Parallel to force
31
Q

What biomechanics should the PT keep in mind while performing mobilizations?

A
  • BOS
  • Spine position kept towards neutral
  • No end range joint positions
  • Use large muscles
  • Relaxed
32
Q

How aggressive of technique should be used when providing mobs?

A

Least aggressive technique that will work.

33
Q

How does the therapist determine if the mobilization is appropriate? (protocol)

A
  • Apply for 1 -2 minutes
  • Reassess joint
  • Try at least twice to determine if it is effective

Musculoskeletal I (8 decks)

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