Manual Therapy Flashcards
Define manual therapy techniques
Skilled hand movements and passive movements of joints and soft tissue intended to improve tissue extensibility, increase ROM, induce relaxation, mobilize or manipulate soft tissues and joints, modulate pain, reduce swelling inflammation or restriction.
What is the difference between manipulation and mobilization?
Depends who you ask. Some people say no difference. In many parts of the US manipulation is high velocity and mobilization is low velocity.
T/F: Joint manipulation was invented by chiros?
False, began thousands of years ago
What is the osteopathic model of manual therapy?
Disturbed artery theory, causes disease and body dysfunction.
What is the chiropractic model of manual therapy?
Trapped nerve or disturbed nerve causes disease and body dysfunction.
What is the physical therapy model of manual therapy?
Combo of biomechanical and neurophysiological model to relieve pain, normalize joint mobility, reposition joint.
What is the pathological basis for the neurophysiological model
Not clearly defined reduced motion or pain
What is the pathological basis of the biomechanical model
Misalignment or stiffness of joints/tissues
What is does the examination consist of for the neurophysiological model
Subjective complaints, motion limitations, various pain measures
What does the examination consist of for the biomechanical model
Position testing, motion testing, imaging.
What are the interventions for the biomechanical model
Segmentally targeted, in specific directions.
What are the interventions for the neurophysiological model
Regionally targeted.
What are some issues with the biomechanical model?
Unreliable palpation, imaging for segmental alignment, tough to target specific segments or make permanent alterations at segments.
T/F: Manual Therapy can be segment specific
False, it has regional effects.
What supports the neurophysiologic model?
Local chemical changes, hypoalgesia, afferent discharge, changes in motorneuron activity, muscular activity, changes in autonomic function such as blood pressure.
