Vertebral Mobilisation Techniques and their Uses Flashcards
Posterior-Anterior (PA) Central Vertebral Pressure:
Bilaterally distributed symptoms.
Posterior-Anterior (PA) Unilateral Vertebral Pressure:
Unilaterally distributed symptoms particularly if middle or upper lumbar in origin.
Transverse Vertebral Pressure:
Unilaterally distributed symptoms. More useful for upper lumbar spine than lower.
Rotation:
Often the first technique used. Unilaterally distributed symptoms (rotate pelvis forwards on the side of pain).
Longitudinal Movement.
One Leg:
Two Leg:
- Unilaterally distributed symptoms of lower lumbar origin.
- Bilaterally distributed symptoms of lower lumbar origin.
Flexion:
Bilaterally distributed symptoms of a chronic nature in the presence of flexion restriction.
Traction:
Helps increase the space within Intervertebral bodies and release stress on the discs.
Intermittent Variable Traction:
Gross radiological degenerative changes.
Straight Leg Raise (SLR):
Unilateral limitation of SLR without extreme pain.
For symptoms of chronic or stable Nature arising from the nerve root.
Lumbar Technique Applied if Unilateral Symptoms:
Rotation = Posterior Anterior Central Vertebral Pressure.
Lumbar Technique Applied if Bilateral Symptoms:
- Posterior-Anterior Central Vertebral Pressure.
- Rotation.
Lumbar Technique Applied if Unilateral Symptoms and Upper Lumbar Region:
- Transverse Vertebral Pressure.
- Traction.
Lumbar Technique Applied if Unilateral Symptoms and Lower Lumbar Region:
- Traction.
- Longitudinal Movement.
Lumbar Technique Applied if Bilateral Symptoms and Upper Lumbar Region:
- Transverse Vertebral Pressure.
- Traction.
Lumbar Technique Applied if Bilateral Symptoms and Lower Lumbar Region:
- Traction.
- Longitudinal Movement.
What does PPIVM stand for?
Passive Physiological Intervertebral Movements
When are PPIVMS used?
- In an Assessment Capacity rather than as a Treatment therapy.
What Information is Gained from PPIVMs
- Determine Spinal Movement to Aid Manual Therapy.
- Note ROM, Muscle Spasm or provocation of pain.
- Identify Hyper Mobility, Location, Nature, Severity and Irritability.
What does NAGS stand for within the Mulligan Concept.
Natural Apophyseal Glides.
What does SNAGS stand for within the Mulligan Concept.
Sustained Natural Apophyseal Glides.
What does MWMS stand for within the Mulligan Concept.
Mobilisation With Movements.
What does PAIVM stand for?
Passive Accessory Intervertebral Movement.
What does MWM stand for?
Mobilisation With Movement.
