Manual Therapy Terminology Flashcards
Physiological movements
Motion that you can see
Osteokinematics
Movement done voluntarily
Motion of the bones
Can be found out the amount of motion
Can be visualized
Can be measured
Accessory
Motion you feel
Arthrokinematics
Movement occurs inside the joint
Responsible for improving physiological movement
Restrictions in accessory motion results in decrease of physiological movement
Contractile structure
Muscle tendon and its attachment
We use resisted movement
Non contractile
Joint capsule
Ligaments
Fasciae
Bursae
Dura mater
Dural sheat
Nerve
We use passive movement
Passive movement
Patient relaxes her limb
Pt move it for her
Evaluation for intert structure
Inert structure are stretched at the joint extreme of range
If the patient feel any pain inert structure are faults
Resisted movement
Both patients and pt are active
Give resistance in the mid range position so that non contractile structures should not be stretched
Evaluation for contractile structure - muscles tendons bone attachment
Passive range of motion
Amount of range of motion
End feel
Pain = if positive it’s non contractile inert soft tissue lesion
Quality of resistance at end range
End feel
Soft = soft tissue approximation, feel at the end of the normal range
Firm springy= passive elastic tension of the muscles capsule ligaments
Hard= bone contracting bone
Abnormal end feel
Soft= edema synovit, ligaments stability and you can feel before ROM is completed
Firm springy = movement is stopped due to soft tissue tension. You can feel before ROM is completed. Increased tonus tension in capsules , connective tissues of muscle
Hard= movement is stopped due to bone contacting bone. Fracture, osteoarthritis, loose body
Resistive movement
Performed in the mid range position to minimize stress to the joint and not to stretch non contractile
Isometric muscles testing is performed = no motion
Pain and weakness are evaluated together
Result of resistive movement
Stronger and painless: normal soft tissue
Strong and painful; minor contractile lesion is present
Weak and painless: nerve problems
Weak and painful: severe conditions such as fracture
Treatment for resistive movement pain
Deep friction massage
Myofascial release
Soft tissue mobilization
Ischemic compression
Deep friction massage
Perpendicular to the tissue fibers for muscle and tendons
6-12 sessions
For acute 3-5 minute
For chronic 20 minute
Myofascial release
Parallel to fiber
relax if there’s pain
Structure; limitations of the end at the range
Functional: limitations of the soft tissue
Arthrokinematic
Roll
Glide
Spine
Compression
Distraction
Roll
Rotatory movement
One joint surface rolling on another
New point on one joint surface with new point on the other joint
Glide
Occurs when joint surface are congruent
Defined as a single point on one joint surface repeatedly contacting new points on the other joint surface
Spin
Is rotary movement
One joint surface spinning on another
Traction/ distribution
Pulling the joint surface apart from each other
Compression
Joint surface are pushed closer together
Arthrokinematic movement rule
Combined roll-gliding occurs within all joint during movement
If the joint is congruent glide occurs more
If the joint is incongruent roll occurs more
Concave- convex
Concave = hollowed or rounded inward
Convex = curved or rounded outward
Concave - convex rule kalrenborn
Is that when concave joints surface moves on fixed convex surface, the glide or mobilization should be performed in the same direction as the joint movement
When convex joints surface move on fixed concave surface, the glide or mobilization should be performed in the opposite direction of the joint movement
This rule principle that concave joints is more mobile and convex is more stable
Closed packed position
Max contact area the joint surface maximally congruent
Min mobility
Max stability
Tissues around the joint are under max tension
Min intercapsular space
The joint become losked no further movement is possible
