Lumbopelvic manual techniques Flashcards
A manual therapy technique comprising a continuum of skilled passive movements to the joints and/or related soft tissue that are applied at varying speeds and amplitudes, including a small-amplitude/ high- velocity therapeutic movement
mobilization/ manipulation
high velocity, low amplitude therapeutic movements within or at end range of motion
thrust manipulation
Is there evidence to support manipulation in pts with LBP?
- strongest support for effective use with acute LBP
For MET, how many seconds should th elation contract isometrically?
3-5s
MET can use the contraction of the _____ muscle moving in the same direction that patient want to improve motion or the ____ muscles moving in the opposite direction as a _____ _____ technique
agonist; antagonist; reciprocal inhibition (created through GTO)
- after MET, PT should mobilize in direction they want to create more motion
What should your direction of force when performing a HVLA thrust for lumbar L4-5 opening manip?
anterior only
- same for neutral L spine gapping manip, but with J motion
What should your direction of force be when performing a HVLA thrust for SI region manip (L5-S1)?
Anterior to posterior
What should your direction of force be when performing a HVLA thrust for TL junction?
in the rotary direction of the limitation
What technique is indicated with radiating symptoms, +SLR, or + slump test?
Neuro PA mobilization with SLR in prone and sidling
What MET is used for correcting identified malalignments, which is useful as a reset for the pelvis?
Pubic clearing MET aka “shotgun” in hooklying
What ms would you contract for MET with R anterior innominate rotation and/or L posterior innominate rotation?
R LE – patient contracts hamstring
L LE – patient contracts hip flexor group
With an upslip, what would be the ipsilateral leg’s position during MET?
extended
- contralateral leg = 90/90
with an inflared ilium, what would the position be of the ipsilateral leg during MET?
Hip flexed, knee flexed in FABER fashion, ankle not on knee though
- contralateral leg extended
- pt pushes into PTs hand at knee to activate glut med
- stabilize opposite ASIS
with an outflared ilium, what would the position be of the ipsilateral leg during MET?
hip flexed, knee flexed in FADER fashion, foot on table
- contralateral leg extended
- pt adducts/ IR into PTs hand isometrically
- stabilize opposite ASIS
What should the mmHg be for lumbar spine during core stabilization exercises?
40 mmHg
- start with 30s holds progressing to 1 min
