Principles of Manual Spinal therapy

Question 1

believes some symptoms are generated by joint positional faults

Answer 1

Mulligan

-snags, nags, MVM

Question 2

tissue symptoms and accompanying tender points based on resetting of muscle spindle nervous elements

Answer 2

staring counterstrain

Question 3

how do you treat a strain counterstrain

Answer 3

positions of ease

Question 4

indications for manual therapy

Answer 4

• pain
• hypomobility (joint)
• hypermobility (stabilization)

Question 5

Absolute contraindications:

Answer 5

• bacterial infection
• malignance
• systemic localized infection
• cellulitis
• fever
• acute circulatory condition
• open wound at treatment site
• osteomyelitis
• advanced diabetes
• hypersensitive skin
• inappropriate end feel (spasm, body, empty)
• constant sever pain
• extensive pain radiation
• pain unrelieved by rest
• sever irritability

Question 6

Relative contraindications

Answer 6

-joint effusion/inflammation
-rheumatoid arthritis
-presence of neurological signs
-osteoporosis
-spondylolisthesis
-hypermobility
- pregnancy
d
-dizziness
-steroid/anticoagulant therapy

Question 7

when is a manipulation (thrust) best indicated?

Answer 7

when pain is present or mobility it restricted

Question 8

examples of LBP for thrust

Answer 8

< 16 days

• low FABQ score
• no pain below the knee
• Good hip IR
• lumbar stiffness