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
