Intro to Manual Therapy Flashcards
What type of motion is described by the cardinal planes?
Osteokinematic
What type of motion is not controlled by the patient?
Arthrokinematic.
What type of motion is not directly functional?
Arthrokinematic
What type of motion is controlled by the patient?
Osteokinematic
What type of motion is functional?
Osteokinematic.
What is the goal of therapeutic exercise?
Restore normal osteokinematic motion/ function.
What is the goal of manual therapy?
- Restore normal arthrokinematic motion.
What type of therapy is generally active? Which is passive?
Ther Ex –> Active
Man Therapy –> Passive
What are 4 methods of deciding which school thought to use in treatment?
- Level of evidence
- Quality of theoretical construct
- Appropriateness of technique to PT
- APTA and CAPTE recommendations/ requirements
What is the main purpose of joint mobilization?
- Increase joint mobility by increasing joint play/ arthrokinematic motion
When do the normal rules of arthrokinematic motion not apply?
- In pathology
- Must assess arthrokinematics to see what works
What mobilization technique has 5 grades?
Maitland.
What mobilization technique has 3 grades?
Kaltenborn.
What mobilization technique is held?
Kaltenborn.
What mobilization technique oscillates?
Maitland.
Who feels the endfeel of joint?
The examiner.
What is a pure abnormal endfeel?
- Empty
What is a springy block endfeel?
- Reboud felt at end of range.
What can cause a springy block endfeel?
- Meniscal block
- Labral tear
What can cause a spasm endfeel?
- Muscle splints
- Usually involuntary
What are all 6 types of endfeel?
- Bony/ Hard
- Firm/ Capsular
- Tissue approximation/ Soft
- Empty
- Springy block
- Spasm
What is the treatment time for grade 1 - 4 mobilizations?
2 minutes
What is the treatment time of a grade 5 mobilization?
Short. Near instantaneous.
What are the 5 methods of pain reduction due to mobilization?
- Stimulate synovial fluid production
- Improve synovial fluid circulation
- Release pinches painful structures
- Stimulation of large diameter fibers
- Psychological/ placebo effects
