Principles And Effectiveness Of Manual Therapy Flashcards
What is the primary theory proposed by the theorist Cyriax?
Pain is due to a lesion and treatment must reach the lesion
Evaluation involves searching for the type of tissue causing the complaint.
What are the key components of Cyriax’s evaluation process?
Search for the type of tissue causing the complaint
Employs strong movements including manipulation to return ROM.
What approach did Kaltenborn develop from?
Cyriax’s approach
Treatment focuses on the joint capsule.
What techniques does Kaltenborn use to increase joint mobility?
Traction and joint glide
Focuses on the lesion found in evaluation.
What is the focus of Maitland’s treatment approach?
Treats the symptom without confusion over diagnostic terminology
Examination focuses on function and study of all anatomical structures.
How does Maitland classify problems during examination?
Grouped into PAIN/stiff and Stiff/pain
Problems may change from one group to the other.
What types of joint motion does Maitland utilize in treatment?
Grades of motion, glide, and traction
Focuses on function and symptom treatment.
What evaluation tool did Mennell develop?
Joint play evaluation
Used as an evaluation tool for joint dysfunction.
What does Mennell’s approach to treatment involve?
Joint mobilization to treat joint dysfunction
Muscle pain is generally not assessed.
What is the assessment focus in Mennell’s theory?
To rule out contraindications to mobilization
Treatment involves sharp thrust to return normal range.
What is the purpose of the sharp thrust in Mennell’s treatment?
To return normal range
Includes muscle reeducation to maintain new range.
Manual therapy revolution - What does the mechanisms of manual therapy suggests in the case of treatment of msk pain?
- That a mechanical force from MT initiates a cascade of neurophysiological responses from peripheral and central nervous system => responsible for the clinical outcomes
What is MT according the the comprehensive model?
= an effective treatment contributing to the recovery of functional capabilities
- Should include a multimodal approach targeting the functional recovery of the paient.
What does a multimodal approach includes? What is best for the care of patient?
- Psychological and psychosocial aspect of the patient’s pain
- Physical management
=> Current evidence is suggesting that a
multimodal approach, including manual therapy, exercise and education, seems to provide better outcomes than manual therapy alone.
Definition of MT according to the MT revolution
Manual therapy (MT) is a passive, skilled movement applied by clinicians that directly or indirectly targets a variety of anatomical structures or systems, which is utilized with the intent to create beneficial changes in some
aspect of the patient pain experience.
On what is based the processed of MT?
- On clinical reasoning to enhance patient management for musculoskeletal pain
by influencing factors from a multidimensional perspective that have potential to positively impact clinical outcomes.
What factors influence the process of MT?
The influence of biomechanical, neurophysiological, psychological and nonspecific patient factors as treatment mediators and/or moderators provides additional information related to the process and potential mechanisms by which MT may be
effective.
End feel - What it is ?
The endpoint/barrier of the ROM of a joint can be described as ‘end-feel’.
- When a joint is actively or passively brought to its physiological limit, there is usually a definite, but not abrupt end-feel.
End feel - When do we feel it?
During joint mobilisation
End feel - What we should feel
When a joint is actively or passively brought to its physiological limit, there is usually a definite, but not abrupt end-feel.
- When the joint is brought to its anatomical limit, there is a stiffer sensation.
- However, if there is a restriction in the normal ROM of a joint, then there is a pathological barrier evident in active or
passive movement.
What do tissue adaptations result in according to kinesiological relationships?
Definable patterns
These patterns are related to the prevailing movement direction and associated pain.
What effect does the prevailing movement direction have on pain?
Induces pain related to impairments in the neuromusculoskeletal systems
This relationship contributes to a cycle of pain and movement adaptation.
What is the consequence of severe pain on movement?
Further adaptation of movement
This can lead to a cycle of increased pain and altered movement patterns.
What is the ‘Path of Least Resistance for Motion’?
A concept indicating that movement will occur in the direction that requires the least effort
This concept is crucial for understanding movement system impairment.
