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DPT 751 - Musculoskeletal III > Manual Therapy (Cervical) > Flashcards

Manual Therapy (Cervical) Flashcards

1
Q

What are invasive soft tissue techniques used for cervicothoracic regions?

A

Dry Needling (Deep/Superficial).

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2
Q

What is the ‘Bend and Stretch’ technique?

A

A noninvasive soft tissue technique used to improve myofascial mobility and decrease myofascial pain.

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3
Q

What is the purpose of ischemic compression?

A

To release myofascial trigger points by applying sustained pressure.

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4
Q

What is sub-occipital release?

A

A technique to relieve tension in the sub-occipital muscles by applying sustained pressure under the occiput.

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5
Q

What are trigger points?

A

Hyperirritable spots in the fascia surrounding skeletal muscle that can cause referred pain.

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6
Q

How is ischemic compression performed?

A

By applying sustained pressure to a trigger point until the pain decreases.

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7
Q

What comes next after soft tissue techniques?

A

Additional mobilization or therapeutic exercises.

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8
Q

What is the purpose of upper cervical joint-specific distraction?

A

To improve upper cervical segmental mobility and decrease pain from the upper cervical joints.

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9
Q

How is the patient positioned for upper cervical joint-specific distraction?

A

Supine with the head in slight ipsilateral side-bend and contralateral rotation.

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10
Q

How is the mobilizing hand positioned for upper cervical joint-specific distraction?

A

The radial border of the 2nd finger applies pressure to the occiput with a cranial and slightly medial force.

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11
Q

What is C0-1 dorsal capsule mobilization?

A

A technique to improve mobility and decrease pain in the C0-1 joint.

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12
Q

What indicated the need for upper cervical techniques?

A

Upper cervical hypomobility or pain, cervicogenic headaches.

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13
Q

What is C1-2 dorsal capsule mobilization?

A

A technique to mobilize the dorsal capsule of the C1-2 joint.

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14
Q

What is C1-2 ventral capsule mobilization?

A

A technique to mobilize the ventral capsule of the C1-2 joint.

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15
Q

What is the purpose of lower cervical posterior-to-anterior mobilization?

A

To decrease cervical joint pain and improve generalized cervical joint mobility.

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16
Q

How is the patient positioned for lower cervical posterior-to-anterior mobilization?

A

Supine or prone, with finger-over-finger contact on the spinous process or articular pillar.

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17
Q

What is uncovertebral joint side-bending mobilization?

A

A technique to improve cervical side-bending mobility by applying medial force to the articular pillar.

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18
Q

How long is uncovertebral joint side-bending mobilization performed?

A

For 30-45 seconds, 4 times or until capsular change.

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19
Q

What is the purpose of lower cervical extension mobilization?

A

To reduce cervical facet pain and improve cervical ipsilateral rotational mobility.

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20
Q

How is the patient positioned for lower cervical extension mobilization?

A

Supine with the head in rotation and side-bend towards the mobilization hand.

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21
Q

What is the direction of force for lower cervical extension mobilization?

A

Posterior-inferior-medially towards the patient’s upper back.

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22
Q

What is the purpose of lower cervical flexion mobilization?

A

To reduce cervical facet pain and improve cervical contralateral rotational mobility.

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23
Q

How is the patient positioned for lower cervical flexion mobilization?

A

Supine with the head in rotation and side-bend away from the mobilization hand.

24
Q

What is the direction of force for lower cervical flexion mobilization?

A

Anterior-superior-medially towards the patient’s eye.

25
Q

What is cervical axial separation?

A

A technique to relieve pressure on the cervical spine by applying traction.

26
Q

What is the intent of lower cervical techniques?

A

To address pain and hypomobility in the lower cervical spine.

27
Q

What indicated the need for lower cervical techniques?

A

Cervical pain and/or hypomobility.

28
Q

What comes next after lower cervical techniques?

A

Further mobilization or therapeutic exercises.

29
Q

What is the purpose of thoracic posterior-to-anterior mobilization?

A

To improve thoracic joint mobility and decrease thoracic joint pain.

30
Q

How is the patient positioned for thoracic posterior-to-anterior mobilization?

A

Prone, with arms oriented at 60 degrees to the curvature of the thoracic spine.

31
Q

What is the direction of force for thoracic posterior-to-anterior mobilization?

A

Anterior and caudal.

32
Q

What is thoracic extension mobilization?

A

A technique to improve thoracic joint mobility in extension.

33
Q

How is the patient positioned for thoracic extension mobilization?

A

Sitting or in hands-and-knees position with arms propped up.

34
Q

What is the direction of force for thoracic extension mobilization?

A

Anterior and slightly caudal.

35
Q

What is thoracic axial separation?

A

A technique to relieve thoracic pain suggestive of discogenic involvement by applying force caudally and cranially.

36
Q

How long is thoracic axial separation performed?

A

Up to 5 minutes or to patient tolerance.

37
Q

What is the purpose of cervical manipulation for neck pain?

A

To improve neck mobility and pain relief for patients with certain criteria.

38
Q

What are the criteria for cervical manipulation according to Puentedura 2012?

A

Symptom duration < 38 days, difference in cervical rotation side to side > 10°, pain with PA spring testing in the mid-cervical spine, belief that manipulation will help.

39
Q

What is the purpose of thoracic manipulation for neck pain?

A

To improve neck mobility and pain relief for patients with certain criteria.

40
Q

What are the criteria for thoracic manipulation according to Cleland 2007?

A

Symptom duration < 30 days, no symptoms distal to the shoulder, looking up does not aggravate symptoms, cervical extension ROM < 30°, FABQPA score < 12, diminished upper thoracic spine kyphosis.

41
Q

What is the purpose of lumbar manipulation for back pain?

A

To improve lumbar mobility and pain relief for patients with certain criteria.

42
Q

What are the criteria for lumbar manipulation according to Flynn 2002?

A

Symptom duration < 16 days, no symptoms distal to the knee, FABQ < 19, one or more hypomobile lumbar segments, hip IR > 35° on one or both sides.

43
Q

What is the manipulation take away?

A

Spinal manipulation is most appropriate for acute spine-related pain that is non-radicular in nature in a patient who isn’t overly fearful or catastrophizing.

44
Q

What is lower cervical opening manipulation?

A

A technique to improve neck mobility and pain relief by applying HVLA thrust toward the eyes.

45
Q

What is thoracic anterior-to-posterior manipulation?

A

A technique to improve thoracic and shoulder mobility by applying HVLA thrust through the patient’s arms.

46
Q

How is the patient positioned for thoracic anterior-to-posterior manipulation?

A

Supine in the hook-lying position with arms pre-positioned.

47
Q

What is the direction of force for thoracic anterior-to-posterior manipulation?

A

A-to-P through the patient’s arms with the therapist’s chest.

48
Q

What indicated the need for thoracic techniques?

A

Thoracic back pain and/or hypomobility.

49
Q

What comes next after thoracic techniques?

A

Further mobilization or therapeutic exercises.

50
Q

What is the purpose of 1st rib mobilization?

A

To improve rib mobility, decrease cervical pain, and decrease strain on the brachial plexus.

51
Q

How is the patient positioned for 1st rib mobilization?

A

Supine with the head rotated away from the side of treatment.

52
Q

What is the direction of force for 1st rib mobilization?

A

Inferior and medial toward the opposite side hip.

53
Q

What is the purpose of 2nd-10th rib costotransverse mobilization?

A

To improve rib mobility and modulate sympathetic excitation.

54
Q

How is the patient positioned for 2nd-10th rib costotransverse mobilization?

A

Prone with the head rotated away and arm off the table.

55
Q

What is the direction of force for 2nd-10th rib costotransverse mobilization?

A

Towards the armpit.

DPT 751 - Musculoskeletal III (15 decks)

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