Lecture 1B Flashcards
mobilization and manipulation are both ____ while muscle energy technique is _____
passive; active
the goal of mobs and manipulation is to
restore full, pain-free joint motion
3 philosophical analysis of manual therapy
- biomechanical
- patient-based response method
- hybrid of both (need)
neuro changes with manual therapy
autonomic (BP, HR, skin)
SC
CNS
PNS
Temporal so you need to back up with exercises to maintain / improve strength (move or lose it)
placebo
remember u don’t need to hear an audible “pop” to achieve neuro changes
ABNORMAL endfeels
springy
boggy
spasm
empty
what type of end feel is caused solely by pain
acute subdeltoid bursitis or sign of buttock
empty (may be due to fracture, NO TECHNIQUE)
spasm end feel
can be d/t joint distraction or mm tear or trauma grade II mm tears.
“twangy”
hypermobile: felt at end of the range
jonit inflammation: felt at beginning
boggy end feel
produced by viscous fluid “blood”
“squishy”
springy end feel
articular surface rebounding from intra-articular mensicus or disk
rebound sensation
NO TECHNIQUE when pain is caused by??
Spasm
Empty end feel
pain due to capsular end feel will lead PT to do which types of techniques?
oscillatory (Grades I-II)
joint adhesions
end feel?
technique?
early capsular
Sustained mobs (III)
Oscillation mobs (III-V)
muscle adhesions
end feel?
technique?
early elastic
passive physiologic motion stretch
what type of technique should PT perform for bony end feels?
NONE
Acute stage technique recommendation (<3 days)
- MET strong indicated
- Grade I-II joint mobs
- HVALT rare
subacute stage technique recs (3 days - 3 months)
- MET strong indicate
- grade II-III joint mobs
- HVLAT mod if MET unsuccessful
chronic (>3 months)
- MET to prepare tissue for HVALT
- Grade III-IV joint mobs
- HVLAT highly indicated if MET unsuccessful
recommended joint mobs based on irritability of condition
- pain —-> lower grades (Oscillatory grades I-II)
- stiff dominant —-> higher grades (Sustained grade or oscillatory grades)
3 goals for manual therapy
- reduce pain
- alteration of stiffness
- patient education
3 tension sites where dura tethered to bony canal
C6
T6
L4
ULTT 1 and 2a
ULTT 2b
ULTT 3
1- median n
2- radial n
3- ulnar n
