phys med wk 3

Question 1

HVLA

Answer 1

High Velocity Low Amplitude

Question 2

joint manipulation procedures

Answer 2

mobilization
adjustments
manual traction distraction

Question 3

soft tissue manipulation procedures

Answer 3

point pressure techniques
massage
visceral manipulation
therapeutic muscle stretching

Question 4

examine

Answer 4

gait
posture

Question 5

possible postural faults

Answer 5

• Head Tilt, Head Rotation
• Shoulder Level Discrepancies
• Lateral Curves of the Spine (Functional) * Pelvic Tilt or Hiking
• Pelvic Rotation

** These are all suspected to be a result of muscle hypertonicity, injury, or unbalancing**

Question 6

indications for thoracic mobilization

Answer 6

Indications
* Decreased ROM in the thoracic spine (Flexion, Extension, Rotation, Lateral Flexion) resulting in;
* Pain in the upper or lower spine
* Decreased sport performance such as; throwing, golfing,
rowing, etc
* Postural Issues (Upper Cross Syndrome, Forward Head Posture,
etc)
* Compromised chest expansion and thus lung expansion

Question 7

problems in thoracic spine

Answer 7

over kyphosis
postural syndrome

• Juvenile Kyphosis (Scheuermann Disease) * Osteoporosis
• Pott Disease
• Ankylosing Spondylitis
• Stress Fractures

Question 8

fixation

Answer 8

An articulation has become temporarily immobilized in a position that it may normally occupy during any phase of physiological movement. The immobilization of an articulation in a position of movement when the joint is at rest or in a position of rest when the joint is in movement.

Question 9

subluxation

Answer 9

The alteration of the normal dynamic, anatomic, or physiologic relationships of contiguous (touching) articular structures. A motion segment in which alignment, movement integrity, or physiologic function is altered, although the contact between the joint surfaces remains intact.

Question 10

manipulable lesion (side of causative muscle restriction)

Answer 10

A disturbance in musculoskeletal structure or function, causing the subluxation, that is capable of inducing chronically altered nociceptive and proprioceptive inputs, thus causing mechanical alterations, pain, and potential local inflammation.

Question 11

anti- guarding technique

Answer 11

• Patient, whether consciously or subconsciously, will tense up or guard, prior to an adjustment.
• To ensure that the patient is fully relaxed and thus increase your chances at a successful manipulation, distraction techniques should be used to help facilitate relaxation