Maitland

Question 1

what is a comparable sign?

Answer 1

• an objective finding that reproduces a patients sxs and demonstrates an abnormality

Question 2

describe the pain, resistance, spasm concept

Answer 2

there are three primary groups of patients with regards to mobs: pain dominant, pain before or after resistance, and resistance dominant

Question 3

summarize the Maitland approach

Answer 3

1. for every subjective complaint, ideally there is a physical finding
2. pt centered approach based on sxs

Question 4

What are PPIVMs

Answer 4

sidelying test for spine instability

Question 5

define grade 3

Answer 5

R1 to 50% R2

Question 6

what is the goal of the reassessment

Answer 6

to modify or confirm your hypothesis

Question 7

define grade 2

Answer 7

movement free of stiffness or spasm (

Question 8

describe a pain before/after resistance pt (5)

Answer 8

1. most common
2. pain 3-7
3. variable aggs
4. variable waking at night
5. variable medication

Question 9

what is the goal of the body chart?

Answer 9

establish several hypotheses

Question 10

describe a resistance dominant pt (6)

Answer 10

1. nusiance (non severe or irritable)
2. STIFFNESS
3. pain 0-3
4. does not wake at night
5. no medication usually
6. no pain provocation during mobs usually

Question 11

what is the goal of the SE

Answer 11

to modify and narrow the differential

Question 12

What is the seven step Maitland examination

Answer 12

1. body chart
2. clinical findings
3. SE
4. OE
5. Problem ID (tx goals, implementation, technique selection and Rx)
6. Reassess and Response to Tx
7. Progress Tx data or collect more data

Question 13

what are on both sides of the permeable brick wall?

Answer 13

1. the clinical (hx and sxs)

2. the theoretical (dx)

Question 14

what is a “symptom”; give two examples

Answer 14

any subjective, pt complaint; pain, NT

Question 15

what does it mean for a joint to be “clear?” (2 conditions)

Answer 15

• pain free movement within range

- must apply overpressure

Question 16

define grade 4

Answer 16

small amplitude movement usually within stiffness/spasm/R2

Question 17

what is the theory behind the permeable brick wall?

Answer 17

frees the PT from prejudice and allows problem solving based on emerging data

Question 18

What are PAIVMs

Answer 18

CPAs and UPAs: nondiagnostic but useful tool to identify an impaired segment

Question 19

define grade 1

Answer 19

small amplitude oscillations that move the soft tissue around the joint

Question 20

give an example of a normal abnormal

Answer 20

• pain free movement, but restricted ROM

Question 21

what is a “sign”; give two examples

Answer 21

any objective finding; stiffness, hypermobility

Question 22

what is SINSS

Answer 22

severity, irritability, nature, stage, stability

Question 23

define grade 5

Answer 23

HVLA at R2

Question 24

what is the goal of the OE

Answer 24

to weigh the + and - findings

Question 25

describe a pain dominant pt (6)

Answer 25

1. pain is 7+ 2. irritable with many aggs 3. distal pain worse than proximal 4. wakes at night 5. takes meds 6. unstable or progressive pathology