Maitland Appraoch

Question 1

True or False: The Maitland Approach is based on biomechanical or pathoanatomical theory.

Answer 1

FALSE

Maintland is NOT based on biomechanical or pathoanatomical theory

DOES NOT attempt to arrive at PT diagnosis at the pathology level

Question 2

The Maitland approach is an approach to problem solving based on the use of ________.

Answer 2

CLINICAL EVIDENCE

Question 3

The Maitland approach focuses on primarily identifying the _____, _______, and ________ that reproduce and alleviate symptoms.

Answer 3

Positions
Movements
Movement combinations

Question 4

List 6 things to ask about during the examination according to the Maitland approach.

Answer 4

1. Chronological history of the condition
2. Location and nature of symptoms
3. Behavior of symptoms (time of day, position, movement, activity)
4. Are symptoms located in or multiple areas?
5. If more than one area, are the symptoms linked?
6. Presence of any contraindications/precautions to treatment

Question 5

What 6 things should the PT focus on assessing during the physical examination as per the Maitland approach?

Answer 5

Posture
Palpation
PROM
Accessory motion
Compression testing 
Special tests

Question 6

A comparable sign is also known as a ________.

Answer 6

Asterisk sign

Question 7

What is structural differentiation?

Answer 7

Varying the test position or movement in such a way that one structure is incriminated as a source of symptoms while another is eliminated from contention

Question 8

What 4 criteria are used to determine the irritability of the soft tissue if injury is present?

Answer 8

1. How much activity can the patient perform before being stopped by symptoms?
2. Severity of symptoms
3. Distribution of symptoms
4. How long it takes for symptoms to subside to original level

Question 9

If pain is produced before the end feel, the condition is _________, but if pain is reached after the end feel the condition is ______.

Answer 9

Irritable = pain before end feel 
Stiff = pain after end feel

Question 10

Relative to the Maitland approach, treatment is directed into the position, movement, or movement combination that _______ symptoms.

Answer 10

PRODUCE

The goal is to restore normal movement.

Question 11

What is the difference between techniques that are used to treat irritable vs stiff conditions?

Answer 11

Irritable conditions should be treated with techniques that do not take the structure to the end range position for that patient and do not provoke pain

Stiff conditions can be treated with techniques that take the structure through the end range position for that patient