Musculoskeletal Lab Exam 1 Flashcards
What are the indications for repeated movements?
Symptoms centralize and diminish with repeated movements and/or specific postures
Improved ROM and fxn w/repeated movement
What are the contraindications for repeated movements?
Worsening of distal symptoms
no response to repeated movement testing
What is centralization?
Where symptoms work back to where they came from. :)
monitor most distal symptoms
What is peripheralization?
Symptoms moving away from origin :(
What are the grades of Non-thrust manipulation (joint mobilization)
-Grade 1: Use very gentle force b/c
-pain early in the range
-Grade 2:
-Grade 3: To the point of tissue resistance
-Grade 4: Push to the point past tissue resistance
What are the sets and reps for Grade 1 & 2 in non-thrust manipulation?
1-2 sets 60s
What are the sets and reps for Grade 3 & 4 in non-thrust manipulation?
3-5 sets 3minutes minimum, 5mins max
When do you use (MWM) Mobilization with movement?
When patients don’t respond to non-thrust.
How does the patient symptoms present in MWM?
No pain
immediate change in ROM
long lasting changes
Describe how MWM is used? Sets and reps
10 reps
apply a direction of glide to align the joint around a instantaneous center of rotation.
active engagement w/patient
stabilize ulnar/radial glide
1)wrist extension
2) overpressure
How do you do PNF contract relax?
contract
hold 5 sec
relax
stretch further
How do you do PNF contract relax w/ agonist contraction?
contract
hold 5 sec
relax
stretch further
***patient is moving on their own
What is creep
apply static load to a tissue only rom to change
allowing gravity to help
ex: tke prone ankle weight let it fall
What is stress relaxation?
picking the point of the range to keep you there w/ maximal force. changing rom
the amount of time decrease when you progress
Do you use non-thrust manipulation with a patient that is hypermobile?
NO
What grade/s of non-thrust manipulation do you in a hypomobile patient?
Grade III, IV
How to you perform neural mobilization ULTT I? Which nerve is it?
Median N.
Waitress tray hold -> hand extended -> straighten arm
stabilize trap
head away from trap
How to you perform neural mobilization ULTT IIa? Which nerve is it?
Median N.
Iateral rotation -> wrist ext -> abduction
How to you perform neural mobilization ULTT IIb? Which nerve is it?
Radial N.
thumb in fist -> internal rotation -> abduction
How to you perform neural mobilization ULTT III? Which nerve is it?
Ulna n.
Wrist ext -> abduction -> external rot
What are the different soft tissue mobilization?
-Strain counterstrain
-active release
What is strain counterstrain?
Applying pressure on Trigger pt. shorten position
neuro reflex to shut off brain
What is active release?
pinning a muscle and moving it through a ROM
