Principles of Manual Therapy Flashcards
(true/false) No deaths have been attributed to PTs providing cervical spine manipulation
True
What is the needed force of a PA thoracic thrust?
145 N (32.5 pounds)
What is the force needed to fracture a cadaveric T-spine with osteoporosis?
479 N (107.5 pounds)
Which is more fragile when discussing joint mobilizations? Ligaments or articular sites?
ligaments
In literature comparing aggressive mobilization to conservative mobilization, greater effectiveness and improvement was seen with (aggressive/conservative) techniques).
aggressive
Mobilization with (compression/distraction) is better based on mobilization to a largely geriatric population.
compression
(True/false) Mobilization may make the patient feel worse.
True
Stretching requires a (greater/lesser) amount of force within the joint compared to mobilization.
greater
Passive hamstring stretching uses about __-__ N of force
600-800 N(135-180 pounds)
What are the neurophysiological effects of manual therapy?
- changing of the muscle tone
- release of chemicals
Grade V mobilizations (do/do not) need to be at the end of range
do not
How does a PT determine the grade of mobilization they should use on a joint?
They determine the amount of joint restriction
A PT should mobilize/manipulate a joint when it is ___.
hypomobile
(true/false) A PT should use aggressive manipulation/mobilization when treating a hypermobile patient
False (only gentle mobilization)
What method of manual therapy is usually better for a joint with a capsular pattern of restriction?
Mobilization or traction
What is it called when a joint has restriction in ONE direction?
non-capsular pattern
Non-capsular patterns normally respond well to Grade __ mobilization.
Grade V
(true/false) You CAN manipulate a joint if it is inflamed
FALSE!!!!
If you identify an abnormal boney end-feel during ROM, how should you proceed with mobilization?
Mobilization is NOT indicated
If you identify an empty end-feel, How should you proceed with mobilization?
You can use mobilizations for pain relief (Grades I and II)
If you identify a capsular end feel, how should you proceed with mobilization?
Mobilization is indicated
Use grades __ and __ when treating acute cases.
I and II
Use grades __ and ___ when treating a subacute condition.
II and III
Use grades __ and ___ when treating chronic conditions.
III and IV
What are ABSOLUTE contraindications for manual therapy?
- evidence of something other than soft tissue or joint lesion exists
- evidence of acute trauma (Fx, dislocation, ligament rupture)
- acute inflammation
- infection
- worsening neuro compromise
- spinal cord involvement
- neuro or vascular compromise
- bony end feel
What type of end-feel is a contraindication for using manual therapy?
bony
What are RELATIVE contraindications to manual therapy?
- Osteoporosis
- RA (unless the patient has no acute inflammation and danger of ligamentous changes)
- spondylolisthesis
- hypermobility
- pregnancy (after 6-8 months)
- dizziness
- previous malignant disease (unless possibility of metastasis is ruled out)
(speed/force) is the effective part of the HVLAT technique
speed
In the body, junctions tend to be ___ and mid-regions tend to be ___.
stiff, hypermobile
(true/false) Hypermobile areas are often painful. Stiff areas are NOT painful.
true
