SMT4 Numbers Flashcards

1
Q

Rate force application for HVLAT

A

1368 N/sec

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2
Q

How much preload mean force for thoracic HVLAT

A

24N

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3
Q

Mean peak force for T-spine HVLAT

A

248 N - Herzog

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4
Q

Average peak thrust velocity

A

127°/sec

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5
Q

What acceleration is needed for HVLAT

A

2183°/sec2

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6
Q

What is the mean peak force of C-Spine HVLAT

A

118N

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7
Q

Force required to break the “fixation” of a joint after it is focused in CS/TS

A

150N CS

500N TS

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8
Q

What % Of dissections had a Hx of minor mechanical neck trauma 3 weeks prior

A

64%

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9
Q

What percent of agreement of normal joint as painless in Jull et al 1994

A

98%

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10
Q

What was the percent agreement in Smedmark et al study

A

77%

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11
Q

When did mechanical failure of the vertebral artery occur?

A

139-162% greater than at rest

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12
Q

What was the kappa coefficient of Smedmatk et al 2000 study

A

0.28 & 0.43

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13
Q

According to Lee et al 1995, what % of neurologists reported at least one case of stroke

A

21%

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14
Q

During Cs HVLAT, what % of strain is found on vertebral artery

A

6.2% greater than at rest

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15
Q

During CS HVLAT, what percentage of strain is noted on the vertebral artery

A

6.2% greater than at rest

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16
Q

What % of ICA dissection patients is Horner’s syndrome present in

A

82%

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17
Q

What did the 16.4% of minor events consist of according the Theil et al 2007

A

HA and neck pain

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18
Q

What was the reported estimate of CVA’s from Danish Chiros

A

1 in 1.3,000,000 CS Treatments

19
Q

What were the results of Carlesso et al 2010 systematic review of adverse events after cervical manipulation or mobilization?

A

Theil et al 2008 reported no major or catastrophic outcomes in CS HVLAT. Average 16.3 of minor events across all studies

20
Q

According to Ernst 2019, how many Chiro SMT’s have resulted in death?

A

26

21
Q

In cadavers, Symons et al 2002 found what % of strain from CS ROM testing of vertebral artery?

A

1.2-12.5% greater than at rest

22
Q

What percent of Australian PT’s use pre-manipulation stress test according to Osmotherly & Robert 2011

A

Rarely 54.5%

Never 62.4%

23
Q

Gal et al 1997 mvmts in TS

A

Sagittal 6-12 mm
Lat 3-6mm
Axial .4-1.2%
Sagittal rot 0.8-1.5%

24
Q

What year did the international headaches Society diagnose CGH

A

1988, 2004

25
Q

According to Nilsson et al & Pfaffenrath & Kaubel 1990, what is the prevalence of CGH

A

15 to 20% of all chronic and recurrent HA’s

26
Q

Oliphant found what ratio of worsening of lumbar spine with SMT

A

1 in 3.7 million

27
Q

What is the difference in mm between sub adjacent transverse processes in the Fernandez de las Pẽnas 2005

A

3.44mm less on the hypomobile side

28
Q

In Fernandez de las Peñas et al 2005 what were the overall results

A

84% had TrPs

29
Q

In Fernandez de las Penas wt al 2005 what Percent were the ipsilateral joint dysfunction

A

97%

30
Q

In Fernandez de las Penas wt al 2005 what Percent had dysfunction at C3

A

61%

31
Q

In Fernandez de las Penas et al 2005 what Percent had dysfunction at C4

A

74%

32
Q

In Fernandez de las Penas et al 2005 what Percent were active TrPs

A

28%

33
Q

In Fernandez de las Penas et al 2005 what Percent were latent TrPs

A

56%

34
Q

Laslett 2003

A

Sensitivity 91%

Specificity 87%

35
Q

Laslett 2005

A

Sensitivity 94%

Specificity 78%

36
Q

Van dur Wuff

A

Sensitivity 85%

Specificity 79%

37
Q

Treatment duration, child’s versus Hancock

A

2 vs 8-12

38
Q

Difference between child, versus Hancock duration of symptoms

A

27 vs 5

39
Q

Loss of follow up child’s versus Hancock

A

30% vs 2%

40
Q

Danneels —> 10 weeks stabilization program O’Sullivan versus concentric/eccentric versus concentric/eccentric/isometric (need 70% MVC)

A

Results: needs 70% MVC to see changes in LM

41
Q

Myers —> contrast T2 MRI with GHD trunk extension 40/50/60% MVC

A

Results: need 70% MVC to see changes in LM

42
Q

Koumantakis -> drawing in maneuver versus TrA & LM cocontraction (specific stabilization VS general exercises)

A

Results: no difference between the two groups

43
Q

Absolute contraindications of SMT

A

Vascular - aneurism, CAD

Bone - tumor, osteomalacia, long term, cortical, steroid use, fracture

Neurological – Cauda equina, CS myelopathy

44
Q

Relative contraindications of SMT

A

Pregnant, herniated disc, osteoporosis, RA, Spondy, DDD