Manual Therapy Flashcards

1
Q

manual therapy should be done

A

with other evidence based treatments

part of the plan as well as active exercises and education

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2
Q

high irritability and MT appropriate

A

low-intensity JT mob
pain free accessory ranges

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3
Q

MT and moderate irritability appropriateness

A

mod intensity JT mob
progressing amplitude and duration into tissue resistance without producing symptoms

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4
Q

MT and low irritability appropriateness

A

end-range jt mobilization
high amp and long duration into tissue resistance

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5
Q

role of MT

A

improve body/structure impairment
psychosocial context

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6
Q

bone disorder contraindications of MT

A

recent fracture
osteopenia/perosis
suspected fx

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7
Q

vascular contraindications of MT

A

hematoma
clotting disorders
anomalies/vessel path changes

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8
Q

active infection contraindications of MT

A

acute local infection
bacterial infection
RA
systemic infection

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9
Q

collagen disorders contraindications of MT

A

RA
EDS
Marfans
congenital abnormalities

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10
Q

skin condition contraindications of MT

A

sutures
open wound
hypersensitivity of skin

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11
Q

accessory contraindications of MT

A

advanced diabetes
congenital disorders
malignancy
severe joint disease

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12
Q

biomechanical effects of MT

A

improved mvmt
improved position

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13
Q

neurophysiological effects of MT

A

spinal cord mediated
central mediated
peripheral inflammatory

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14
Q

spinal cord mediated effects of MT include

A

hypoalgesia
sympathoexcitatory
muscle reflexogenic

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15
Q

central mediated effects of MT include

A

alterations in pain “experience”

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16
Q

soft tissue/joint mobilization effects

A

decrease afferent nociceptive info
peripheral gating
promote peripheral blood flow
non-specific treatment effects

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17
Q

manipulation effects

A

descending pain inhibition
promote PSNS activity
peripheral gating
decreased motor pool excitability, resting muscle activity, muscle spindle activity

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18
Q

autonomic response in spinal cord to MT

A

skin temp
skin conduction
cortisol levels
heart rate

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19
Q

neuromuscular response in spinal cord to MT

A

motorneuron pool
afferent discharge
muscle activity

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20
Q

pain inhibition is facilitated by

A

decreased pain sensitivity
enhanced pain inhibition
decreased pain facilitation

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21
Q

mobilization definiton

A

passive technique for restoration of full painless joint function by rhythmic, repeated passive movements within patient’s range

22
Q

manipulation definition

A

accurately localized/global applied single, quick and small amplitude in proper patient positioning

23
Q

muscle energy technique definiton

A

manually assisted method of stretching where patient actively uses muscles on request while maintaining position against a counterforce

24
Q

role of static stretching

A

placing a muscle at its maximal length and holding it for a sustained period of time

improve ROM when no joint involvement

25
PNF techniques
active muscle contractions into stretching reciprocal inhibition
26
dynamic stretching done to
improve functional performance
27
loaded ROM
performing ROM with a load - improved collagen deformity decreased gaurding
28
grade 1 mobilization
small amplitude early ROM
29
grade 1 mobs are done for
pain
30
grade 2 mobilizations
large amplitude mid range of movement
31
grade 2 mobilizations are done for
pain
32
grade 3 mobilizations
large amplitude point of limitation in ROM
33
grade 3 mobilizations are done for
increased ROM
34
grade 4 mobilizations
small amplitude end ROM
35
grade 4 mobilizations are done for
motion
36
grade 5 mobilizations
small amplitude quick thrust at end ROM
37
grade 5 mobilizations are done for
pain
38
how long does it take to deform collagen
15 sec minimum
39
what mobilization grades are done at open packed positions
1,2 testing ranges
40
what mobilization grades are done at closed packed positions
3,4,5 where you do interventions
41
for grade 5 mobilizations, what is the protocol for doing them
1-2 times - pop of joint is not necessary (cavitation)
42
purpose of muscle energy techniques
lengthen shortened muscles mobilize area with limited mvmt strengthen muscles reduce edema
43
autogenic inhibition
focus on agonist muscles GTO activation relaxed muscles being stretched
44
major difference between autogenic and reciprocal inhibition
auto = agonists recipro = antagonist
45
post-isometric relaxation goal
reduce hypertonicity
46
technique of post-isometric relaxaion
Take up muscle slack to point of resistance. ​ Ask patient to hold isometric contraction for 5-10 seconds. ​ Patient then relaxes and slack of muscle is taken up to new barrier.​ Process is repeated 2-3  times. 
47
post-facilitation stretch goal
reduce hypertonicity
48
post-facilitation stretch techniques
Shortened muscle is placed between a fully relaxed and fully stretched state.​ Patient maximally contracts muscle against PT’s force for 5-10 seconds. ​ Patient relaxes as PT provides quick, static stretch to new barrier, holding for 10 seconds.​ Patient relaxes for 20 seconds, and the process begins again for 3-5 reps. 
49
mobilization with movement
concurrent application of sustained accessory mobilization applied by therapist with active movement of patient to end range - passive overpressure applied
50
NAGS vs SNAGS vs MWMS
NAGS - natural apophyseal glides SNAGS - sustained natural apophyseal glides MWMS - mobilization with movements