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545 > Intro to MT > Flashcards

Intro to MT Flashcards

1
Q

Is inert related to passive or active tests

A

passive

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2
Q

Where does joint capsule have greatest capacity for passive separation

A

Resting position

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3
Q

What is position of maximal joint congruency , minimal accessory movement

A

Close pack position

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4
Q

Capsular pattern?

A

pattern of ROM restriction

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5
Q

Open pack position?

A

greatest mobility between surfaces

aka resting position

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6
Q

osteokinematic movement?

A

gross movement of limb, voluntary

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7
Q

arthokinematic?

A

relative motion not voluntary (roll, glide, spin)

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8
Q

Convex moves on fixed concave, what happens to bone

A

opposite direction as bone displacement

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9
Q

concave moves on fixed convex called, what happens to bone

A

same direction as bone displacement

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10
Q

Distraction / traction

A

force perpendicular and away from treatment plane

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11
Q

What does distraction do

A

unweights
reduce sublimation
joint nutrition
relaxation before or after other techniques

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12
Q

Glide

A

force parallel to treatment plane

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13
Q

Which grade for pain relief (irritable)

A

Grade I, II

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14
Q

Which grade for stiffness (non irritable)

A

Grade III, IV V

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15
Q

Three effects of joint mobilization

A

neuro , mechanical , psych

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16
Q

Neuro effects of MT

A

firing of articular mechanoreceptors, proprioceptors, muscular receptors
altered nociception

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17
Q

mechanical effects of MT

A 
stretching of joint restriction 
breaking adhesions 
alter position (sublax)
reduce barriers to normal motion
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18
Q

psych effects of MT

A

confidence through movement
positive effects from manual contact
response to joint sounds

19
Q

Indications for MT

A 
Improve accessory or physiological movement
Reduce positional faults
Relive pain
Improve nutrition to structure
reduce guarding
20
Q

5 contraindications to Joint Mobilization

A 
spinal cord lesion 
recent fraction
Vertebral artery disease
bone disease
inappropriate end feel
21
Q

5 precautions to Joint mobilization

A 
acute signs
neurological signs 
severe movement loss
upper respiratory tract infection 
dizziness / undiagnosed cardinal signs
diabetics, kids
22
Q

how long to oscillate at grade I-II compared to III and IV Maitland

A

10-30 seconds

30-60 seconds

23
Q

how long to oscillate at grade I-III Kaltenborn

A

6-10 second holds on all

24
Q

Maitland when?

A

glides

25
Q

Kaltenborn when?

A

when providing separation between surfaces

26
Q

P>R

A

acute, traction grade I

27
Q

P=R

A

sub acute, chronic - traction or glides neutral to mid range Grade I-II

28
Q

R>P

A

chronic , glides, Grade III -IV

29
Q

R no P

A

stiff, glides stretch or manipulated grade IV or V

30
Q

Purpose Deep transverse friction massage

A

prevent adhesions
optimize scar quality
normal healing

31
Q

contraindications deep transverse friction massage

A

infection / skin breakdown
inflammatory disease
ossification
bursitis

32
Q

precautions deep transverse friction massage

A

kids, elderly

diabetes

33
Q

spinal traction

A

longitudinal force to separate verts

34
Q

effects of spinal traction

A 
separate vert bodies
increase IVF
pain inhibition 
change piston of nucleus 
decrease mm spasm 
improve circulation
35
Q

indication for spinal traction

A

joint dysfunction
spinal degeneration
nerve compression
pain

36
Q

contraindication spinal traction

A 
spinal malignancy 
inflammatory arthritis
S/S of spinal cord
pain during manual traction
acute fraction

vascular pathology
severe cardio / resp disease

37
Q

precautions of spinal traction

A

osteoporosis
hypermobility
prego
claustrophobia

38
Q

C spine spinal traction questions

A

5 D, rheumatoid arthritis, symptoms of cord compression, upper respiratory tract infection

39
Q

T spine spinal traction questions

A

visceral problems, symptoms cord compression, pain on breath / cough, cancer, osteporosis

40
Q

L spin spinal traction tractions

A

symptoms of cord compression

41
Q

Active MTP

A

refer pain at rest, with mm activation or palpation

42
Q

latent MTP

A

trigger only w direct pressure

43
Q

effects of trigger points

A

motor, sensory, autonomic

44
Q

consequences of MTP

A

motor dysfunction (flex, weakness, imbalance)

dec ROM

545 (34 decks)

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