Introduction to Manual Therapy Flashcards
manual therapy
use of hands to mobilise, adjust, manipulate, apply traction, massage, stimulate, or otherwise influence joints and muscles.
manipulation
high-velocity, low amplitude joint thrust, outside patient’s control.
mobilisation
application of force within passive range of joint, without a thrust
mechanoreceptors of skin
hair follicle receptor pacinian corpuscle ruffini organ merkel disc free nerve ending
location and stimulation pacinian corpuscle responds to
Subcutaneous layers
Deep pressure
High Freq vibration
location and stimulation meissners corpuscle responds to
Superficial dermal layers
Light touch
Low Freq vibration
regional sensitivity
Spine vs. periphery
Pain Pressure Threshold
L vs. R
cultural sensitivity
Multi-cultural Ireland
Vulnerable pt. groups
palpatory skill
patient aware!
learning process
take your time!
dynamic tissue
examples of correct ergonomics
stance, bed height, adequate lighting, ventilation
visual examination
look for skin lesions, abnormalities
how is palpatory technique for diagnosis
Palpate with finger & thumb pads
larger SA - more info / feedback
- more comfort
poking -> ↑ muscle reaction
physical examination
Subjective component Questioning of patient Objective / Physical component palpation as part of PE Clinical Reasoning / Assessment formulate hypotheses based on exam e.g. Diagnosis, Prognosis
treatment planning
set goals / targets with timeframe
consider treatment options
Manual therapy - mobilisations etc.
Exercise
plan technique progressions / regressions
consult with patient: Shared Decision-making
importance of palpatory skill
examining tissues
recognising end-feel of tissue (end of available ROM)
modifying Rx. techniques to different tissues & layers
adapting techniques appropriately to different pathology / stages of healing of normal tissue
-> understanding of pathology essential
