MISC Final (Manual Therapy And Cervical Traction

Question 1

Mechanical STATIC traction is an ideal treatment for _ _ with patient’s spine in _. Start with a _ _ up to - _.

Answer 1

Mechanical traction is ideal treatment for DISC HERNIATION with patients’ spine in NEUTRAL.

Start with a FEW MINUTES up to 10-15 MINUTES

Question 2

_ _ _ is good for treatment with goals of increasing mobility that would assist with joint mobilization or manual stretching. 4 examples?

Answer 2

MECHANICAL INTERMITTENT TRACTION is good for . . .

Ex: Facets, generalized tightness, pain and Hypomobility

Question 3

What is the patient position for mechanical intermittent traction: depends on? The more _ the _ _ the spine the traction will be _ _.

Answer 3

Depends on TREATMENT GOAL

The more FLEXION the FURTHER DOWN the spine the traction will BE FOCUSED ON.

Question 4

Duration that can be used for mechanical intermittent traction: start with _ to _ _ and can up to - _

Answer 4

Start with 5 TO 10 MINUTES and can go up to 15-25 MINUTES

Question 5

On/ Off time parameter suggestions: Muscle- _ seconds pull, _ second rest; Facet- _ seconds pull, _ seconds rest; Pain _ seconds pull, _ seconds rest

Answer 5

Muscle: 60 seconds pull, 30 seconds rest

Facet: 30 seconds pull, 15 second rest

Pain: 30 seconds pull, 15 second rest

Question 6

Hypermobility, Pregnancy (1st and 2nd trimester), Bony pathology (bone disease, spondylolisthesis, early stage osteoporosis (less 40% bone loss), osteoarthritis), connective tissue pathology, neurological signs are all _ for _ _

Answer 6

PRECAUTIONS FOR JOINT MOBILIZATIONS (GRADES III AND IV)

Question 7

Hypermobility, Inflammatory joint disease (RA especially at C1-C2 joint), compromised/ post-op soft tissue, bony pathologies (Paget’s disease, spondylolisthesis, osteoporosis (greater than 40% bone loss), Spina Bifida Occulta, ankylosing spondylitis), vascular pathologies (DVT, thrombus, bleeding disorders, VBI insufficiency), Nerve pathology, malignant disease, and 3rd trimester of pregnancy are all _ for _ _

Answer 7

CONTRAINDICATIONS FOR JOINT MOBILIZATION

Question 8

All precautions and contraindications for Grades III and IV joint mobilization apply to?

Answer 8

Grade V

Question 9

The PT takes up the skin-myofascial space (skin lock) before applying a _ _ _ _ to the thoracic spine.

Answer 9

Before applying a PURE PA THRUST FORCE

Question 10

What are the names of the 2 thoracic manipulation techniques we learned in class and general description?

Answer 10

Thoracic screw- Gapping technique (force applied to vertebrae above and opposite side of vertebrae below)- no skin lock

Thoracic screw- PA technique (force applied on opposite sides of the SAME vertebrae)

Question 11

With thoracic screw technique (gapping) use pisiform/ hypothenar eminence with _ hand on the _ _ (in relation to patients body) of the _ side of the patients spine and the same on the _ hand on the _ _ (in relation to patients body) of the _ side of the patients spine

Answer 11

With OPPOSITE (of patients side) hand on the SUPERIOR VERTEBRAE of the CLOSEST side of the patients spine . . .

Same on the OPPOSITE (of patients side) hand on the INFERIOR VERTEBRAE of the FARTHEST side of the patients spine

Question 12

With the gapping technique the force is applied at an _ _ (approx. - degrees)

Answer 12

Applied at an OBLIQUE DIRECTION (approx. 30-45 degrees)

Question 13

With either thoracic manipulation technique you should avoid putting force on ribs?

Answer 13

Avoid applying force to ribs 10-12