Manual Therapy

Question 1

Patella femoral joint - ways to gain general motion

Answer 1

1. Accessory motions PF joint
2. Patella mobilizations
3. Medial tilt
4. Patella inf glide

Question 2

Ways to gain flexion

Answer 2

1. Patella inf glide
2. AP glide
3. Physiological flexion combined motion
4. MET

Question 3

Patella inf glide

Answer 3

To gain flexion
Place patient in knee flexion with foot flat on table
Stabilize at the ankle and then apply a force on the patella in an inferior direction

Question 4

AP Glide

Answer 4

to gain flexion
Place knee into flexion with foot flat on table (supine)
Stabilize above the knee and apply a force in the AP direction
Can also do in sitting with knee flexed and stabilize at the ankle

Question 5

AP glide with fractured tibia?

Answer 5

Can move the femur anteriorly

Question 6

Physiological flexion combined motion

Answer 6

can do like an AP to gain flexion but add in add/abd or IR/ER to it also

Question 7

MET to gain flexion - autogenic inhibition

Answer 7

Place them supine with their knee flexed and foot on the table - have them push into you and then as they relax, push them further into knee flexion

Question 8

MET to gain flexion - reciprocal inhibition

Answer 8

Place them supine with knee flexed and foot flat on table - apply resistance to post lower leg and have them push into you - as they relax push them further into flexion

Question 9

Ways to gain extension

Answer 9

1. PA
2. Physiological extension combined motion
3. MET

Question 10

PA

Answer 10

to gain extension
Place the patient in prone with some hip extension and slight knee flexion (maybe towel under thigh) - apply a PA force while stabilizing at the ankle

Question 11

Physiological extension combined motion

Answer 11

can do the same PA but add abd/add or IR/ER

Question 12

MET to gain extension - autogenic inhibition

Answer 12

patient in supine with towel under thigh in their full range extension
Need to rock tibia into ext and ER
“dont let me lift your heel”
As relax move them further into ext

Question 13

Treating the superior tibia-fibular joint

Answer 13

PA and AP

Question 14

Superior Tibia-fibular joint PA

Answer 14

Patient in sidelying with pillow btw thighs
You stand behind them
Move soft tissue out of the way - drop down slightly from head of fibula and push with PA force

Question 15

Superior tibia-fibular joint AP

Answer 15

Patient in sidelying with pillow btw thighs
You stand in front of them
Move soft tissue out of the way - drop down slightly from head of fibular and push with AP force