lab 1: Orthopaedic Exam, Manual Therapy & Neuroprovocation Testing

Question 1

what side do you test first

Answer 1

uninvolved side

Question 2

if AROM and PROM is limited what is probality the problem

Answer 2

joint capsule or ligament

Question 3

if AROM is okay but PROM is decrease what is the problem

Answer 3

mm prob

Question 4

how long should u hold contractions w myotome testing

Answer 4

5 seconds

Question 5

what kind of test is the SI joint compression and distraction test for LQ scanning exam

Answer 5

both are provaction so they both should reproduce pain

Question 6

are manips and mobs active or passive

Answer 6

passive

Question 7

if a convex surface is moving on a concave surface what direction is the roll and glide ? what about concave on convex

Answer 7

opposite
same

Question 8

how do u grade joint play assessment

Answer 8

hypo mobile
normal
hyper mobile

Question 9

describe doing an wrist anterior to posterior oscillatory mods

Answer 9

so anterior to posteior is giving a posterior glide for flexion

have paitent palm up and place ur hands along the 1st rows of carpals

stabilize at the radial and ulnar styloid process

Question 10

are the first row of carpal bones convex or concave

Answer 10

convex which they move on concave radius and ulna

Question 11

what is the amplitude for oscillatory mobs grade 1-4

Answer 11

grade 1: small amp (1st 25% to 1st TR)
grade 2: large amp (mid 50%)
grade 3: large amp (last 50% to 2nd TR)
grade 4: small amp (last 25% to 2nd TR)

Question 12

what are the 3 things to reassess after treatment

Answer 12

symptoms , ROM and mobility

Question 13

what is the difference between a sustained mob and an oscillatory mob

Answer 13

from sustained mobs you are not moving you are placing a distraction and holding it there

a oscillatory mob invovles rhythmic , repetitive movements

Question 14

what is grade 1-3 from sustained mobs

Answer 14

grade1: light distraction force (NO CAPSULAR STRESS)
grade 2: take up slack in capsule / move thru available range to 2nd TR
grade 3: large distraction force , past the point of 2nd TR and hold for 6 secs

Question 15

how long do u hold a sustained mob

Answer 15

6 secs

Question 16

what are the baseline assessments for using manual therapy techniques

Answer 16

pain/S&S
rom and strength
concordant signs

Question 17

what is the nerve tissue provaction (tension) test (NTPT) designed to assess

Answer 17

the contribution of spinal nerve roots and peripheral nerves to extremity pain

Question 18

nerve tissue provaction (tension) test (NTPT) is used to employ a sequential and progressive stretch to the ___-

Answer 18

dura

Question 19

what are the 3 signs of a (+) NTPT and do they all need to be positive to be a positive test ?

Answer 19

1. reproduce pt symptoms
2. pateint has symptoms by movements of distant body part (IE: lifting up head in slumps test)
3. test is different on R and L sides

and yes they ALL ahve to be postoive

Question 20

what is an sensitizer

Answer 20

maneuvers that increase neural tension on spinal cord , dura , nerve root or along peripheral nerve pathway

Question 21

SOOOO for example you have ur pateint do the slump test and they don’t have pain until u have then DF what would be the sensitizer

Answer 21

DF bc it is causing the pateitns pain to arise

Question 22

how can u sensitize the tibial nerve in SLR if there is no pain with sciatic

Answer 22

DR > eversion > toe extension

Question 23

how can u sensitize the sural nerve in SLR if there is no pain with sciatic

Answer 23

DF> Inversion

Question 24

how can u sensitize the common fibular nerve in SLR if there is no pain with sciatic

Answer 24

PF > Inversion

Question 25

what are the 3 techniques used for neuro dynamic mobilization techniques

Answer 25

tension
gldiding
stretching

Question 26

describe doing tension for neurodynamic mobilization technique

Answer 26

u want to load opposite ends of a nerve so if the pateitns sensitizer was DF u would want their head down and them to DF at the same time

Question 27

describe doing gliding for neurodynamic mobilization technique

Answer 27

you want to load 1 end of nerve while relieving opposite end SOOOOOO if the sensitizer for the patient is DF for slump test .. you would have pateint DF adn lift their head (tension w DF and reliving w head looking uP)

Question 28

describe doing stretching for neurodynamic mobilization technique (DF is the sensitizer for slump)

Answer 28

you want to load the nerve and hold for 7-30 seconds soooooo you would hold DF with head down if DF was the sensitizer

Question 29

what are the 4 contraindications for neurodynamic mobilizations

Answer 29

-recent repaired nerves
-cancer
-active inflammatory conditions
- acute inflammatory demyelinating diseases

Question 30

neural glides are a part of the ___ , NOT the ___

Answer 30

tx 2x