MIDTERM - PBA

Question 1

SINUSITIS

Answer 1

TX MODS: do not exhaust clt with over Tx, time in prone may need to be reduced to avoid putting pressure on sinuses
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬇️ HT in [mm] to ⬆️ tiss. H
⬇️ TP in upper thoracic to ⬇️ pain
PROTOCOL:
-prone: allows sinus to drain, relaxation to shoulder & upper thoracic
-supine: swedish to NK & pecs, HT & TP, SCM, traction

Question 2

CHRONIC BRONCHITIS

Answer 2

TX MODS: do not exhaust clt with over Tx, time spent in supine reduced, pillow under hips in prone
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬇️ HT in [NK, pecs] to ⬆️ tiss. H
⬇️ TP/ fascial restrictions in BK to ⬇️ pain
PROTOCOL:
-prone: pillow under hips, fascial restrictions in lower intercostals & BK, HT & TP, soothing eff. & stroking
-supine: 5 min on NK & pecs

Question 3

EMPHYSEMA

Answer 3

TX MODS: do not exhaust clt with over Tx, have clt in semi-supine position
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬆️ thorax mobility to ⬇️ pain
⬇️ TP in upper thoracic to ⬆️ tiss. H
PROTOCOL:
-semi-supine: compresion to ribs, mobilize thorax, swedish on mm of respiration (NK, pecs), swedish to arms

Question 4

ASTHMA

Answer 4

TX MODS: do not exhaust clt with over Tx, avoid direct compression on xiphoid process & floating ribs
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬇️ HT in [mm] to ⬆️ tiss. H
⬇️ TP in [pecs] to ⬇️ pain
PROTOCOL:
-prone: fascial restrictions in posterior thorax, swedish to BK, HT & TP
-supine: swedish to chest & NK, stretch NK

Question 5

CONSTIPATION

Answer 5

TX MODS: no heat on abdomen during flare up, pillow under abdomen to reduce lordotic curve
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬆️ circ in abdomen to ⬇️ congestion
⬇️ HT/ TP in [BK] to ⬇️ pain
PROTOCOL:
-prone: pillow under abdomen, swedish to BK, glutes, LGS
-supine: 2x pillow under knees, eff to abdomen, clockwise techniques, work diaphragm, HT & TP in iliopsoas, hip ROM

Question 6

IBS

Answer 6

TX MODS: no heat on abdomen, abdominal massage CI’d if clt has diarrhea
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬆️ circ in abdomen to ⬇️ congestion
⬇️ HT/ TP in [BK] to ⬇️ pain
PROTOCOL: relaxation, same as constipation, slightly less pressure

Question 7

IBD (ulcerative & crohn’s)

Answer 7

TX MODS: no abdominal/ low back Tx during flare up, deep work to abdomen & back is CI’d
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬇️ tension in sacrum to ⬇️ SNS firing
⬇️ adhesions, HT/ TP in [BK, compensating] to ⬇️ pain
PROTOCOL: relaxation
-prone: vibrations, rocking to sacrum, relax upper BK
supine: lightly treat abdomen, swedish to NK & SH

Question 8

HYPERTENSION

Answer 8

TX MODS: semi-supine/ upper body elevated, short, segmental strokes
TX GOALS:
⬇️ SNS systemically to ⬇️ BP
⬆️ circ in limbs to ⬇️ load on heart
⬆️ relax systemically to ⬇️ stress
PROTOCOL:
-semi-supine: limbs to trunk, swedish to limbs, prox/ distal/ prox, swedish NK & SH

Question 9

CONGESTIVE HEART FAILURE

Answer 9

TX MODS: semi-supine position, short, segmental strokes, techniques directed toward heart
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬆️ circ in limbs to ⬇️ load on heart
⬇️ TP/ HT in NK to ⬇️ tension
PROTOCOL:
-semi-supine: limbs to trunk, swedish to limbs, short strokes, swedish NK

Question 10

RAYNAUD’S

Answer 10

TX MODS: no cold hydro on affected limbs, no deep techniques if tiss. H is poor
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬆️ circ in [limb] to ⬆️ tiss. H/ warmth
⬇️ HT/ adhesions in NK to ⬇️ pain/ ⬆️ ROM
PROTOCOL: relaxation
-prone: swedish to BK
-supine: swedish to unaffected side & proximal limb

Question 11

VARICOSE VEINS

Answer 11

TX MODS: elevate legs, direction of techniques toward core
TX GOALS:
⬇️ SNS systemically to ⬆️ relax
⬇️ edema in [leg] to ⬆️ tiss. H
⬆️ circ toward core of body to ⬆️ venous return
⬆️ ROM
PROTOCOL: unaffected leg first
-supine: legs elevated, light pressure, lymph drainage, light techniques proximal
*toward core