Lumbopelvic Intervention Flashcards
Use ice for acute:
muscle spasm, guarding
Use local heat for:
chronic, stiff, achy, min muscle guarding
Describe technique for lateral shift correction:
move pelvis under the trunk to correct symmetry
often followed by exercise into extension in either prone or standing.
When is lateral shift correction indicated?
Presents with a lateral shift on posture exam and improves with pelvic translocation (lateral shift correction)
With specific direction of exercise, what is the prescription?
Repeat exercise frequently throughout day
McKenzie recommends 10 reps 10x daily
What are the purposes of manipulation/mob techniques?
restore segmental or pelvic alignment
restore segmental mobility
pain relief
General contraindications to joint manipulation of the spine:
- Moderate-severe osteoporosis or osteopenia
- Neoplasms
- Cauda equina or spinal cord signs/symptoms
- Infection in the spine
- RA
- Pregnancy
- Recent fractures and/or dislocations
Precautions for joint manipulation of the spine:
- At a segmental level adjacent to a hypermobile segment
- Recent trauma (non-fracture) to the spine within 4-6 weeks
- H/o corticosteroid use
- severe nerve root signs/symptoms
- disc lesion
What are the mechanical effects of manipulation?
Increased tissue extensibility of joint capsules, ligaments within the segment
Stress-strain curve targets elastic/plastic zone
Slow application of force: creep
Fast application of force: targets plastic zone
What amplitude is a thrust?
low amp + high velocity at end of range = grade V
Neurophysiologic Effects Theories of manipulation are based on:
Pain relief
Inhibition of motor system
According to Flynn, what items are included in the CPR for manipulation of lumbopelvic area?
Sx duration 35
FABQ < 19
Describe how MET is applied:
Sub-maximal voluntary isotonic or isometric muscle contraction (7-10 sec ) 3-4 reps
What is the passive subsystem?
spinal column
What is the active subsystem?
spinal muscles
