Week 4: Manual therapy for spinal pain

Question 1

What are the manual therapies for jj.?

Answer 1

• J. mobilisations
• J. manipulations
• Traction

Question 2

What are the manual therapies for soft tissues?

Answer 2

• massage
• myofascial release
• trigger point therapy

Question 3

What is the manual therapy for neural structures?

Answer 3

Neural mobilisation

Question 4

What are the neurophysiological mechanisms of j. mobilisations?

Answer 4

• Activate descending inhibition from the brain –> reduces gain setter –> decreases pain by gate-control mechnsim –> :. turns down amplifier

Question 5

What are the biomechanical mechanisms of j. mobilisation?

Answer 5

• restore normal j. ROM and mm.recruitment patterns

- decrease peripheral nociceptive signal

Question 6

What are the important components to consider when deciding what manual therapy to use?

Answer 6

1. desired response
2. Pt. pos.
3. technique direction
4. vigour and amplitude
5. PPIVM, PAIVM or neural mobilisation?
6. dosage