Intro to MT Flashcards
Is inert related to passive or active tests
passive
Where does joint capsule have greatest capacity for passive separation
Resting position
What is position of maximal joint congruency , minimal accessory movement
Close pack position
Capsular pattern?
pattern of ROM restriction
Open pack position?
greatest mobility between surfaces
aka resting position
osteokinematic movement?
gross movement of limb, voluntary
arthokinematic?
relative motion not voluntary (roll, glide, spin)
Convex moves on fixed concave, what happens to bone
opposite direction as bone displacement
concave moves on fixed convex called, what happens to bone
same direction as bone displacement
Distraction / traction
force perpendicular and away from treatment plane
What does distraction do
unweights
reduce sublimation
joint nutrition
relaxation before or after other techniques
Glide
force parallel to treatment plane
Which grade for pain relief (irritable)
Grade I, II
Which grade for stiffness (non irritable)
Grade III, IV V
Three effects of joint mobilization
neuro , mechanical , psych
Neuro effects of MT
firing of articular mechanoreceptors, proprioceptors, muscular receptors
altered nociception
mechanical effects of MT
stretching of joint restriction breaking adhesions alter position (sublax) reduce barriers to normal motion
psych effects of MT
confidence through movement
positive effects from manual contact
response to joint sounds
Indications for MT
Improve accessory or physiological movement Reduce positional faults Relive pain Improve nutrition to structure reduce guarding
5 contraindications to Joint Mobilization
spinal cord lesion recent fraction Vertebral artery disease bone disease inappropriate end feel
5 precautions to Joint mobilization
acute signs neurological signs severe movement loss upper respiratory tract infection dizziness / undiagnosed cardinal signs diabetics, kids
how long to oscillate at grade I-II compared to III and IV Maitland
10-30 seconds
30-60 seconds
how long to oscillate at grade I-III Kaltenborn
6-10 second holds on all
Maitland when?
glides
Kaltenborn when?
when providing separation between surfaces
P>R
acute, traction grade I
P=R
sub acute, chronic - traction or glides neutral to mid range Grade I-II
R>P
chronic , glides, Grade III -IV
R no P
stiff, glides stretch or manipulated grade IV or V
Purpose Deep transverse friction massage
prevent adhesions
optimize scar quality
normal healing
contraindications deep transverse friction massage
infection / skin breakdown
inflammatory disease
ossification
bursitis
precautions deep transverse friction massage
kids, elderly
diabetes
spinal traction
longitudinal force to separate verts
effects of spinal traction
separate vert bodies increase IVF pain inhibition change piston of nucleus decrease mm spasm improve circulation
indication for spinal traction
joint dysfunction
spinal degeneration
nerve compression
pain
contraindication spinal traction
spinal malignancy inflammatory arthritis S/S of spinal cord pain during manual traction acute fraction
vascular pathology
severe cardio / resp disease
precautions of spinal traction
osteoporosis
hypermobility
prego
claustrophobia
C spine spinal traction questions
5 D, rheumatoid arthritis, symptoms of cord compression, upper respiratory tract infection
T spine spinal traction questions
visceral problems, symptoms cord compression, pain on breath / cough, cancer, osteporosis
L spin spinal traction tractions
symptoms of cord compression
Active MTP
refer pain at rest, with mm activation or palpation
latent MTP
trigger only w direct pressure
effects of trigger points
motor, sensory, autonomic
consequences of MTP
motor dysfunction (flex, weakness, imbalance)
dec ROM
