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Clinical Interventions > NAGS and SNAGS > Flashcards

NAGS and SNAGS Flashcards

1
Q

What does NAGS mean?

A

Natural Apophyseal Glides

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2
Q

Definition: oscillatory weight-bearing mobilizations which can be applied to facet joints between C2 and T3; gliding a facet on its neighbor

A

NAGS

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3
Q

NAGS are (passive/active) accessory movements.

A

passive

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4
Q

What does SNAGS mean?

A

Sustained natural apophyseal glides

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5
Q

definition: Glides that are used for treatment on ALL spinal segments, rib cage, and SI joints

A

SNAGS

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6
Q

definition: The patient ACTIVELY moves through the previously painful or restricted ROM while an accessory glide is performed

A

SNAGS

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7
Q

What does MWMS mean?

A

mobilizations with movements

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8
Q

definition: a combination of SUSTAINED accessory mobilizations with physiologic movement used with the ribs, SI joint, and extremities

A

MWMS

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9
Q

(true/false) MWMS are used with the spine.

A

FALSE

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10
Q

What does SMWLMS mean?

A

Spinal mobilizations with limb movements

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11
Q

definition: SUSTAINED transverse glide to the spinous process of a vertebra is applied while the restricted peripheral joint is mobilized actively OR passively.

A

SMWLMS

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12
Q

definition: indication of a disturbed proprioceptor being misinterpreted by an agitated CNS and made worse by ACTIVE movement

A

mild resting aches

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13
Q

Painful restrictions of spinal and peripheral joint mobility is sometimes accompanied by ____ and ____.

A

weakness and tracking problems

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14
Q

What does SINS factor stand for?

A

Severity
Irritability
Nature of Presenting condition
Stage

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15
Q

What are indications for mulligan techniques?

A
  • mild resting aches
  • painful or restricted joint mobility
  • orthopedic conditions (lateral epicondylitis)
  • SINS factor
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16
Q

What are contraindications for using the mulligan techniques?

A
  • hypermobility
  • degenerative joint disease
  • RA
  • osteoporosis
  • pregnancy
  • excessive pain
  • infection
  • neoplasm
  • recent Fx
17
Q

In what situations are the mulligan concept techniques not effective?

A

They are not effective with chronically adaptive shortened tissues or where serious pathology exists

18
Q

What are the physiological effects of mobilizations?

A
  • mobilization induced analgesia
  • recruitment of downward inhibitory modulation
19
Q

What are the mechanical effects of mobilizations?

A
  • increased pain-free ROM including increased joint mobility
  • proper/improved joint tracking
20
Q

Mulligan concept techniques have (immediate/non-immediate) results.

A

immediate

21
Q

(true/false) Techniques of the mulligan concept are pain-free and safe.

A

true

22
Q

What are the cons of the mulligan concept techniques?

A
  • does not identify anatomic cause of impairment
  • may not adhere to the biomechanics of a joint
23
Q

What does it mean if symptoms remain or become worsened when using mulligan techniques?

A
  • The glide may be in the wrong direction
  • The problem is unsuitable for the technique chosen
24
Q

Perform ___ reps of the _____ movement

A

10 reps, asymptomatic

25
Q

What part of ROM are NAGS performed in?

A

mid to end range

26
Q

oscillatory accessory glides in NAGS are done in a ___ to ___ direction.

A

posterior to anterior

27
Q

NAGS are used to treat problems originating from segments __-__.

A

C2-T3

28
Q

SNAGS should not be performed for more than ___ SUCCESSFUL repetitions in the cervical spine

A

3

29
Q

What patient position is recommended when performing lumbar SNAGS?

A

seated

30
Q

Where should you exert pressure while performing SNAGS?

A

spinous processes ot unilaterally on articular pillars

31
Q

When doing reverse NAGS, pain in the neck/upper trap indicates a ___ problem.

A

upper cervical spine

32
Q

When doing reverse NAGS, pain in the neck and down to the shoulder indicates a ___ problem.

A

lower cervical spine

33
Q

SNAGS are a ____ range mobilization

A

End of range

34
Q

NAGS or SNAGS? Which is least likely to provoke a latent pain?

A

NAGS

35
Q

NAGS or SNAGS? Preferred if MULTIPLE joints of the cervical spine are involved.

A

NAGS

36
Q

NAGS or SNAGS? Preferred if only ONE joint is involved or if symptoms are present at ONLY the END RANGE.

A

SNAGS

37
Q

When are MWMS mobilizations indicated?

A
  • When a patient presents with a history that is appropriate for manual therapy
  • When there is only complain of symptoms when moving
38
Q

The direction of the accessory technique of MWMS must follow the _____ line.

A

joint line

39
Q

Perform hinge joint mobilizations for ___-___ reps.

A

3-4 reps

Clinical Interventions (25 decks)

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