Manual Therapy

Question 1

Skilled hand movements and skilled passive movements of joints and soft tissue

Answer 1

manual therapy definition from the guide to PT practice

Question 2

CPT _____: Manual Therapy techniques

Answer 2

97140

Question 3

CT massage, joint mobilization and manipulation, and manual traction are part of what?

Answer 3

CPT 97140 Manual Therapy techniques

Question 4

If you touch a patient does that mean you did manual therapy?

Answer 4

NO

Question 5

T/F manual lymphatic drainage is part of manual therapy

Answer 5

T

Question 6

T/F PROM is part of manual therapy

Answer 6

T

Question 7

T/F AROM is part of manual therapy

Answer 7

F

Question 8

T/F resistance training is part of manual therapy

Answer 8

F

Question 9

T/F Neural mobilization is part of manual therapy

Answer 9

T

Question 10

T/F MMT is part of manual therapy

Answer 10

F

Question 11

T/F mobilization/manipulation is part of manual therapy

Answer 11

T

Question 12

T/F Connective tissue massage is part of manual therapy

Answer 12

T

Question 13

T/F manual traction is part of manual therapy

Answer 13

T

Question 14

Where do the following goals of manual therapy fall within the ICF?

improve tissue extensibility, increase ROM, induce relaxation, modulate pain, reduce soft tissue swelling or restriction

Answer 14

body structure and function

Question 15

Where do the following goals of manual therapy fall within the ICF?

enhance health, wellness & fitness, enhance or maintain physical performance, increase the ability to move, improve physical function

Answer 15

activity limitations and participation restrictions

Question 16

What is another name for the patient response model?

Answer 16

test - treat - retest - instruct

Question 17

What model considers pain reproduction and reduction occurring with positioning or movement?

Answer 17

patient-response model

Question 18

Patient response during and after intervention _______

Answer 18

guides treatment

Question 19

Does the patient-response model rely on the biomechanical model?

Answer 19

No

Question 20

When I assess a patient I need to identify signs and symptoms deemed to be comparable to the ____ and relevant to _____

Answer 20

patient’s complaint

patient’s outcomes

Question 21

What is a subjective asterisk?

Answer 21

Something that the patient tells you

Ex. pain scale 3/10

Question 22

What is an objective asterisk?

Answer 22

Something I would choose that is quantifiable

EX. reaching distance, ROM

Question 23

What is a functional asterisk?

Answer 23

the ability of the patient to complete a task

Ex. quality of gait

Question 24

What is a comparable sign?

Answer 24

when you are somewhere else and you reproduce other pain

Ex. patient comes in with hip pain. You mobilize hip but are unable to reproduce symptoms. So, you mobilize the back. This causes symptoms and would be considered a comparable sign

Question 25

When you instruct the patient in the test - treat - retest - instruct model you are...

Answer 25

teaching them how to do a similar movement so they can do it at home

Question 26

The advantages of the patient response model are

Answer 26

- intuitive and easy to learn - minimize therapist bias - respects diagnosis, but guides treatment based on impairments - not overly reliant upon diagnostic or biomechanical models - facilitates specificity of treatment - encourages patient buy in

Question 27

The disadvantages of the patient response model are

Answer 27

- time and energy intensive - initially assumes relevance of all findings - within-session or between-session changes do not always equate to long term changes - requires concerted communication between PT and patient - possibility of epic failure

Question 28

force applied away from treatment plane

Answer 28

distraction pulling 2 joint surfaces apart

Question 29

force applied toward treatment plane

Answer 29

compression bringing 2 joint surfaces together

Question 30

force applied in treatment plane

Answer 30

glide aka slide

Question 31

______ improves general joint ROM and assists with pain modulation

Answer 31

Distraction

Question 32

______ promotes stability and assists with pain modulation

Answer 32

compression

Question 33

______ improves specific joint ROM and assists with pain modulation

Answer 33

Glide

Question 34

multiple points on one rotating articular surface contact multiple points on another articular surface

Answer 34

roll (rock) Analogy: A tire rotating across a stretch of pavement

Question 35

A single point on one articular surface contacting multiple points on another articular surface

Answer 35

slide (glide) Analogy: a nonrotating tire skidding across a stretch of icy pavement

Question 36

a single point on one articular surface rotates on a single point on another rotating surface

Answer 36

spin Analogy: a top rotating on one spot on the floor

Question 37

If a convex surface is moving on a concave surface the roll & slide accessory motions occur in the ______

Answer 37

opposite directions If you were to see your EX you would walk away (convEX on concave)

Question 38

The movement of bone occurs in the ____ direction to the slide in the situation of convex on concave

Answer 38

opposite

Question 39

the movement of bone occurs in the _____ direction as the roll in the situation of convex on concave

Answer 39

same

Question 40

T/F Convex on concave, the roll occurs in the same direction as the overall movement

Answer 40

T Ex. arm abduction - the roll occurs in the superior direction and the arm moves in the superior direction

Question 41

pressure applied in manual therapy affects the _______ in arthrokinematics

Answer 41

Slide

Question 42

small amplitude, out of resistance (beginning of range)

Answer 42

Grade I

Question 43

large amplitude, out of resistance (beginning of range)

Answer 43

Grade II

Question 44

Large amplitude, into resistance (end of range)

Answer 44

Grade III

Question 45

small amplitude, into resistance (end of range)

Answer 45

Grade IV

Question 46

high velocity, low amplitude into resistance (thrust)

Answer 46

Grade V

Question 47

point in PROM at which the therapist senses resistance from a stretch on the noncontractile structures of a joint

Answer 47

Resistance 1 (R1) Ex. thumb on treatment table, feel the cushioning and slight stretch

Question 48

resistance felt at the end of available PROM

Answer 48

Resistance 2 (R2) Ex. thumb on treatment table, now feel the basewood

Question 49

What rhythm is associated with - stretching a stiff joint, painful at limit - hold stretch until pain has subsided, then move to new barrier

Answer 49

stationary hold

Question 50

What rhythm is associated with - painful disorders, usually for Grades I & II - imperceptible changes in movement direction

Answer 50

slow, smooth, rhythmic

Question 51

What rhythm is associated with - stiff joints, usually Grade III & IV - speed into range quicker than return movement

Answer 51

staccato type rhythm

Question 52

Which grades treat pain prior to resistance?

Answer 52

Grade I & II

Question 53

Which grades treat resistance when pain is not a limitation?

Answer 53

Grades III & IV