M3 quizzes

Question 1

you finish your pt exam and your findings suggest your pt, Manuel,, belongs in the Mob/Manip classification. Before you begin Manuel’s treatment, explain what you believe is wrong and how you plan to treat it.

Answer 1

Have a back model You back is made out od a series of bone that look like this. Sometimes the joints get stiff and don’t move enough, which can lead to pain. We are going to work on loosing up those joints.

Ben’s answer

Question 2

Add to or alter your previous statement (about Maneul’s treatment/ being in the Mob/Manip classification) in a way that will maximize the placebo effect.

Answer 2

I have done this with other pts and the literature shows that this increase movement while decreasing the pain.

“Motion is lotion, rest is rust.”

Question 3

Tell Manuel what he can do to assist in his recovery. (he is in the mob/manip classification.)

Answer 3

I will tell you some things to keep that movement by teaching you some exercises
*Ant/Post Tilts, etc

Question 4

Manuel comes back to visit 2 and says that he read on the internet about some people had died or been paralyzed by manipulations and he is worried about letting you do that to him. Respond to his concerns with at least two type of reassurances.

Answer 4

~Manipulations are 37,000x safer than taking asprin.

~We have a list of precautions (clues) and you do not have any of them.

Question 5

Your pt, Libby, has limited painful flexion and hypomobility L>R at L4,5 and L5,S1. S/S indicate that she belongs in the mob/manip classification. Which of the following is the best approach for initial treatment?
A. L SI manip
B. L lumbar sidelying rotation manip
C. Central PA mob
D. Unilateral PA non-thrust

Answer 5

D. Unilateral PA non-thrust

SI manips are more for SI problems.

L lumbar sidelying rotation manip is for a R side problem.

Question 6

Assuming you only have time to add one exercise (to be done in clinic initallym then will be her initial HEP) to Libby;s initial treatment, which of the following would be the best choice?
(((Libby has limited painful flexion and hypomobility L>R at L4,5 and L5,S1 and just had unilateral PA non thrust)))
A. Muscle energy for flexion deficit
B. Pain-free Ant/Post tilts
C. Abdominal drawing in maneuver
D. Quadruped cat/cow to end range

Answer 6

B. Pain-free Ant/Post tilts

Question 7

Which of the following pts (all of the following are IR ROM measurements) has the best chance of responding to mob/manip, assuming all other s/s are equal? (choice all that apply)
A. L 38* R 18*
B. L 38* R 41*
C. L 28* R 45*
D. L 28* R 28*

Answer 7

A. L 38* R 18*
AND
C. L 28* R 45*

Question 8

Shania’s S/S indicate she is appropriate for mob/manip but she seems anxious about some of the more vigorous exam techniques. She says she’s had relative joke with her about “pain and torture” being what PT stands for and she keeps asking how much things are going to hurt. Does this affect your initial treatment plan? If so, how?

Answer 8

Start easy and educate!

Start with mobs, maybe G2 and ease into G3. Eventually get to G4 if she is comfortable with it. While reassessing make sure the pt is ok.