Lab 1 Flashcards
How many conditions is it recommended to have in their diferential diagnosis
top 3 most likely
Before you test PROM and resisted testing what should you test?
AROM first!
At what point in your exam should you preform tests most likely to cause the patient pain
last!
W/ myotome testing how long should we hold the contraction
5 seconds
repeat 3-5 times if necessary
When a convex surface moves on a concave in what direction does the roll and glide happen?
Opposite
Example:
Humeral head ROLLS up with abduction
Humeral head GLIDES down with abduction
When a concave surface moves on a convex surface, in what direction do the roll and slide occur?
Same direction
joint manipulations are focused on moving a joint through which arthrokinematic motion?
The slide
working on the slide will also hopefully improve how it rolls
How long should you hold a sustained mob for?
At least 6 seconds
A distraction mob helps with what motions at that joint?
All available motions that the joint normally does
How do you know if a joint mob worked?
reassess the ROM to see
What kind of technique is most tolerated and more well tolerated by chronic patients due to the neuromuscular component
Muscle energy technique
Precautions for manual therapy
Joint effusion or inflammation
RA (not during exacerbation)
Presence of neurological signs
osteoporosis
Pregnancy
Dizzines
Steroid or anti-coag therapy
Almost always a Hard-NO, treat as a contraindication unless you’re out of all other options
What are the 3 signs of a positive neurodynamic mobility test
Differences side to side
Reproduces concordant pain
Test response is altered by movement of distant bodyparts
What is the least aggressive neurodynamic mobilization technique
Tension
Gliding
Stretching
Gliding
What is the most aggressive neurodynamic mobilization
Stretching
What is it called when a patient loads the opposite ends of a nerve at the same time in an oscillatory fashion
Tension technique
What is it called when you load a nerve on both sides for a sustaned period 7-30 seconds
stretching
What is it called when you load one side of a nerve and unload the opposite side, and continue to alternate this pattern
Gliding
Indications for neurodynamic mobilization
Neurological symptoms
Antalgic postures
Active or passive movement dysfunctions
Tenderness to palpation over superficial neural tissues
T or F: you can glide a compressed nerve
F!
Don’t use glides or any other neuro-mob for nerve compression
What are contraindications for neuromobilizations
recent nerve repair
malignancy (or other compression)
active inflammatory conditions
neurologic: Acute inflammatory demyelinating diseases
Precautions for neurodynamic mobilization
Irritable Conditions
Spinal Cord signs
Nerve root signs
Unremitting night pain w/o diagnosis
Recent parethesias or anesthesia
Mechanical spine pain w/ peripheralization of symptoms
How intense should patients be preforming nerve mobilization
gently as to not irritate their symptoms even more
