MSK- Manual Therapy

Question 1

The three planes

Answer 1

Sagittal
Coronal
Transverse

Question 2

Component motions

Answer 2

Motions that accompany an active motion (but not under voluntary control)

Question 3

Joint play

Answer 3

Distensibility (amount of give) in a joint

Question 4

Osteokinematics

Answer 4

Movement of two bones and how that relates to the cardinal planes
End feel

Question 5

End feels

Answer 5

Normal end feels:
- bone to bone
- soft tissue approximation
- tissue stretch

Abnormal end feels
- muscle spasm
- empty (too painful to reach endfeel)
- springy block (meniscus tear)
- Abnormal bone to bone (osteophytes)
- Abnormal capsular (firm feeling with a little give at an earlier range than expected- frozen shoulder)

Question 6

Arthrokinematics

Answer 6

Accessory mvmts that occur b/w the bone surfaces of each joint

Question 7

Direction of mvmt

Answer 7

Periphery- mvmts named after the direction of motion of the distal bone on the proximal bon
Spinal- named by the motion of the superior segment to the inferior segment

Question 8

Concave on Convex rule

Answer 8

If the surface of the distal segment (moving bone) is concave, sliding is in the same direction of the angular mvmt of the bone

Question 9

Convex on concave rule

Answer 9

If the surface of the distal segment (moving bone) is convex, sliding is in the opposite direction of the angular mvmt of the bone.

Question 10

Indications for mobilization’s

Answer 10

Pain , muscle guarding and spasm
Reversible joint hypo mobility
Positional faults[ subluxation
Progressive limitation
Functional immobility

Question 11

Contraindications

Answer 11

Hyper mobility
Joint effusion
Inflammation

Question 12

precautions

Answer 12

Malignancy
Bone disease
Unsealed fracture
Excesssive pain
Hyper mobility in accosiaet joints
Total joint replacements
Weakened connective tissue
Systemi connective tissue diseases (ie. RA)
Elderly individual w/ weakened connective tissues

Question 13

Types of mobs

Answer 13

Freddy Kaltenborn (sustained glides 1,2,3)
Maitland (oscillatory glides 1, 2, 3, 4, 5)- probs what is on the PCE
Mulligan (mobs with movement - sustained glides with movement)

Answer 14

1: pain
2: pain and maintain joint plane
3: increase joint plane

Question 15

Maitand

Answer 15

1: pain and spasm- small amplitude before resistance
2: pain and spasm- large amplitude before resistance
3: increase joint play- large amplitude through resistance
4: increase joint play- small amplitude through resitance

Question 16

Comparable sign for Mulligans

Answer 16

A positive sign that can be repeated after treatment to determine the effectiveness of the treatment
Accessory glide
- pain free
- failure to improve comparable sign shows its the therapists fault