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MSK 1 > Manual Therapy > Flashcards

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
Q

PNF techniques

A

active muscle contractions into stretching
reciprocal inhibition

26
Q

dynamic stretching done to

A

improve functional performance

27
Q

loaded ROM

A

performing ROM with a load
- improved collagen deformity
decreased gaurding

28
Q

grade 1 mobilization

A

small amplitude
early ROM

29
Q

grade 1 mobs are done for

A

pain

30
Q

grade 2 mobilizations

A

large amplitude
mid range of movement

31
Q

grade 2 mobilizations are done for

A

pain

32
Q

grade 3 mobilizations

A

large amplitude
point of limitation in ROM

33
Q

grade 3 mobilizations are done for

A

increased ROM

34
Q

grade 4 mobilizations

A

small amplitude
end ROM

35
Q

grade 4 mobilizations are done for

A

motion

36
Q

grade 5 mobilizations

A

small amplitude
quick thrust at end ROM

37
Q

grade 5 mobilizations are done for

A

pain

38
Q

how long does it take to deform collagen

A

15 sec minimum

39
Q

what mobilization grades are done at open packed positions

A

1,2
testing ranges

40
Q

what mobilization grades are done at closed packed positions

A

3,4,5
where you do interventions

41
Q

for grade 5 mobilizations, what is the protocol for doing them

A

1-2 times
- pop of joint is not necessary (cavitation)

42
Q

purpose of muscle energy techniques

A

lengthen shortened muscles
mobilize area with limited mvmt
strengthen muscles
reduce edema

43
Q

autogenic inhibition

A

focus on agonist muscles
GTO activation relaxed muscles being stretched

44
Q

major difference between autogenic and reciprocal inhibition

A

auto = agonists
recipro = antagonist

45
Q

post-isometric relaxation goal

A

reduce hypertonicity

46
Q

technique of post-isometric relaxaion

A

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
Q

post-facilitation stretch goal

A

reduce hypertonicity

48
Q

post-facilitation stretch techniques

A

Shortened muscle is placedbetween 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
Q

mobilization with movement

A

concurrent application of sustained accessory mobilization applied by therapist with active movement of patient to end range

  • passive overpressure applied
50
Q

NAGS vs SNAGS vs MWMS

A

NAGS - natural apophyseal glides
SNAGS - sustained natural apophyseal glides
MWMS - mobilization with movements

MSK 1 (12 decks)

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