Manual therapy

Question 1

used to produce a number of therapeutic alterations in pain and soft tissue extensibility through the application of specific external forces

Answer 1

manual therapy

Question 2

General indications for manual therapy (4)

Answer 2

1. pain
2. soft tissue tightness
3. trigger point
4. edema

Question 3

Transverse Friction Massage TFM indications (3)

Answer 3

1. acute/subacute tendon/lig/mm injury
2. desensitize tissue
3. chronic inflamed bursae

Question 4

Myofascial release indications (4)

Answer 4

1. short fascia
2. limited ROM
3. trigger pt
4. mm spasm
5. posture

Question 5

Joint mobilization indications (4)

Answer 5

1. mm guarding
2. mm spasm
3. jt hypomobility (reversible)
4. jt pain

Question 6

General contraindications for manual therapy (5)

Answer 6

1. malignancy
2. infection
3. fracture
4. infection
5. cellulitis

Question 7

Transverse Friction Massage TFM contraindications (3)

Answer 7

1. acute inflammation
2. hematoma
3. decreased sensation

Question 8

Myofascial release contraindications (2)

Answer 8

1. same as general

2. aneurysm

Question 9

Precautions for manual therapy (2)

Answer 9

1. RA

2. Osteoporosis

Question 10

Joint mobilization contraindicaitons (5)

Answer 10

1. hypermobile
2. jt swelling
3. necrosis of jt
4. malignancy
5. fracture

Question 11

TFM phys effects

Answer 11

cross-grain massage to increase blood and decrease edema

Question 12

how does TFM reduce scar tissue? (subacute)

Answer 12

1. minimizes cross-linking

2. enhances extensibility

Question 13

myofascial release phys effects

Answer 13

release fascial restrictions to restore comfort and movement

Question 14

joint mobilization phys effects

Answer 14

restore physiologic articular relationship

Question 15

trigger point manual therapy phys effects

Answer 15

ischemic pressure deprives TP of O2

Question 16

Trigger point parameters

Answer 16

steady pressure 8-12 secs

Question 17

myofascial techniques (2)

Answer 17

1. vertical stroke

2. cross hand

Question 18

cross hand parameters

Answer 18

hold for 90-120 secs

Question 19

Transverse Friction Massage TFM parameters
rate:
duration:
number of sessions:
change intervention:

Answer 19

rate: 2-3 cycles/sec
duration: 3-5 min (desensitize) (chronic +5min)
number of sessions: 6-10 over 2-8 wks
change intervention: after 3 sessions if no change