Week1 Flashcards by Paulo Son

In the 2005 study of lateral glide test the following is true EXCEPT:

a) Motion on the hypomobile side was 3.44 mm less than the contralateral side
b) C4-C5 motion is more prevalent than C3-C4 motion
c) Lateral gliding test is as good as Xray for diagnosis of intervertebral dysfunction in the lower cervical spine
d) Fernandes De Las Penas used AP Xray to measure hypomobiloty with ?R lateral flexion and compared it to lateral glide test

b) C4-C5 motion is more prevalent than C3-C4 motion

( Correct: C3-C4 has more motion than C4-C5)

How well did you know this?

Not at all

Perfectly

In cervical manipulation, how many degrees of rotation is needed?

a) Some
b) 20 deg
c) 30 deg
d) 40 deg

c) 30 deg

How well did you know this?

Not at all

Perfectly

During cervical manipulation how many degrees of side shift are needed?

a) 2 degrees
b) 4 degrees
c) 6 degrees
d) 5 degress

a) 2 degrees

How well did you know this?

Not at all

Perfectly

In cervical manipulation, how many degrees is needed for side bend?

a) 42 deg
b) 44 deg
c) 46 deg
d) 48 deg

C) 46 deg

How well did you know this?

Not at all

Perfectly

In cervical manipulation, what vertrebral level do you base it on when adding flexion or extension?

a) C3
b) C4
c) C5
d) C6

a) C3

How well did you know this?

Not at all

Perfectly

How many degrees of cervical flexion/ extension is added on manipulation , referencing C3?

a) 2 deg
b) 4 deg
c) 6 deg
d) 8 deg

a) 2 deg

How well did you know this?

Not at all

Perfectly

In pre-thrust, how many degrees do you come off the barrier?

a) 4 deg
b) 5 deg
c) 5.2 deg
d) 4.8 deg

d) 4.8 deg

How well did you know this?

Not at all

Perfectly

How many degress do you go past the barrier post-thrust?

a) 11.0 -11.8 deg
b) 11.4-12 deg
c) 11.6-11.9 deg
d) 11.4 -11.8 deg

d) 11.4 -11.8 deg

How well did you know this?

Not at all

Perfectly

How fast is SMT performed?

a) 135 ms or 1/10s
b) 120 ms
c) 2/10 ms
d) none of the above

a) 135 ms or 1/10s

How well did you know this?

Not at all

Perfectly

What velocity is needed for SMT?

a) 125 deg/s
b) 127 deg/s
c) 129 deg/s
d) 121 deg/s

b) 127 deg/s

How well did you know this?

Not at all

Perfectly

An acceleration of _____is needed for SMT:

a) 1,183/s
b) 2,183/s
c) 1,200/s
d) 2,200/s

b) 2,183/s

How well did you know this?

Not at all

Perfectly

Cavitations occur at what acceleration?

a) 75 seconds
b) 74 seconds
c) 73 seconds
d) 72 seconds

d) 72 seconds

How well did you know this?

Not at all

Perfectly

The speed of manipulation must exceed patient reaction time of ____.

a) 100 ms
b) 200 ms
c) 300 ms
d) 400 ms

b) 200 ms

How well did you know this?

Not at all

Perfectly

A force of ____ is needed to manipulate cervical spine:

a) 122 N
b) 238 N
c) 118 N
d) 230 N

c) 118 N

How well did you know this?

Not at all

Perfectly

A force of ____ is required to manipulate thoracic spine:

a) 118 N
b) 238 N
c) 116 N
d) 236 N

b) 238 N

How well did you know this?

Not at all

Perfectly

According to Herzog et al (1993), the duration of thrust in cervical spine lasts:

a) 80-110 ms
b) 100-110 ms
c) 80-100 ms
d) 110-115 ms

c) 80-100 ms

How well did you know this?

Not at all

Perfectly

According to Herzog et al (1993), the duration of thrust in thoracic spine or SIJ lasts:

a) 120-200 ms
b) 120 ms
c) 200 ms
d) 80-100 ms

a) 120-200 ms

How well did you know this?

Not at all

Perfectly

According to Herzog et al (1993), the duration of thrust in lumbar spine lasts:

a) 100 ms
b) 200 ms
c) 80-100 ms
d) 120-200 ms

b) 200 ms

How well did you know this?

Not at all

Perfectly

According to Reggars (1996), the average number of cavitations during C3-C4 SMT is :

a) 2.0
b) 2.5
c) 4.5
d) 3.0

b) 2.5 cavitations

How well did you know this?

Not at all

Perfectly

According to Ross (2004), the average error from the targeted lumbar segment is:

a) 5.29 cm
b) 5.30 cm
c) 5.28 cm
d) 5.31 cm

a) 5.29 cm

How well did you know this?

Not at all

Perfectly

According to Ross (2004), the average error from the targeted thoracic segment is:

a) 3 3 cm
b) 3.4 cm
c) 3.5 cm
d) none of the above

c) 3.5 cm

Beffa and Mathews 2004 demonstrated a significant difference in target joint cavitation for L5/S1 or SIJ.

True or False

False/No

No, L5/S1 cavitated L3-L4 and SIJ cavitated L4/L5

According to Bolton et al 2007, performing C3-4 SMT with rotation caused cavitations on which side?

a. Ipsilateral to the applicator
b. Both sides of the applicator at the C5 level
c. Contralateral to the applicator
d. Ipsilateral to the applicator at C5 level

c. Contralateral to the applicator

According to Bolton et al 2007, performing C3-4 SMT with sidebending thrust caused cavitations on which side?

a) contralateral side
b) ipsilateral side
c) No more likely to occur on ispilateral vs contralateral to applicator
d) Inconclusive ispilateral vs contralateral to applicator

c) No more likely to occur on ispilateral vs contralateral to applicator

Gal et al 1997 found how many mm of movement to occur at T10, T11, T12 with prone PA thrust to right TP? a) 6-12 mm anteriorly, 3-6 mm in left lateral translation b) 3-6 mm anteriorly, 6-12mm in left lateral translation c) 6.12 mm anteriorly, 3-6mm in right lateral translation d) 3.6 mm posteiorly, 6.12 mm in left lateral translation

a) 6-12 mm anteriorly, 3-6 mm in left lateral translation

Gal 1997 found that axial rotation of vertebrae during manip thrust is: a) Axial rot of .6-1.2 deg b) Axial rot of .4 -.8 deg c) Axial rot of .4-1.2 deg d) Axial rot of 1-1.2deg

c) Axial rot of .4-1.2deg

Gal 1997 found that sagittal rotation of vertebrae during manip thrust is: a) .4- 1.2 deg b) 0.5-1.8 deg c) .5 - 1.2 deg d) .4- 1.8 deg

b) 0.5-1.8 deg

What study published twice noted that the “cracking” sound was NOT necessary? a) Gal 1997 and 2007 b) Beffa and Mathews 2004 c) Fernades de las Penas 2003 and 2005 d) Flynn 2003 and 2006

d) Flynn 2003 and 2006

According to Mansilla Ferragut et al 2009, mouth opening increased by how many mm after 1 OA b/l HVLAT: a) 2.0 mm b) 2.5 mm c) 3.5 mm d) 3.7 mm

c) 3.5 mm

According to Mansilla Ferragut et al 2009, a single session of R/L HVLAT increased PPT at: a) Temporal bone b) Occipital bone c) Sphenoid bone d) Mastoid bone

c) Sphenoid bone

Acoording to Mansilla Ferragut et al in 2009, after a single R/L HVLA OA , the immediate significant increase in mouth opening was due to: a) New position of craniocervical junction may have modified jaw position and ROM b) OA manip may have increased cervical ROM, facilitating an increase in mouth opening c) Reduction of reflex inhibition, allowing masseter to relax and increase mouth opening because nociceptive input from the upper cervical spine may cause reflex contraction to masticatory muscles. d) All of the above

d) All of the above

According to Koppenhaver et all 2011, TrA and IO muscle thickness changed after Chicago technique. True or False

True

According to Koppenhaver et all 2011, TrA and IO muscle thickness occured _____ after 2 sessionf of SMT. a) 1 week b) 1- 2 days c) 2 weeks d) 3-4 days

d) 3-4 days

According to Koppenhaver et all 2011, the TrA and IO muscle thickness a) Remained permanent b) Sustained with periodic HVLA c) Temporary only d) During HVLA only

c) Temporary only

According to Koppenhaver et all 2011, the TrA and IO muscle thickness correlated with ODI Scores. True or False

False Thickness change occurred REGARDLESS of improved disability or not.

According to Koppenhaver et all 2011, the TrA and IO muscle thicknes occure at what level; a) L5-S1 b) L1-L2 c) L2-L3 d) L3-L4

a) L5-S1

According to Bale and Newell 2005, acute neck pain (\<7 weeks) required how many sessions of SMT? a) 2 SMT over 2 weeks b) 3 SMT over 4 weeks c) 4 SMT over 3 weeks d) 3 SMT over 2 weeks

b) 3 SMT over 4 weeks

According to Bale and Newell 2005, chronic neck pain required ____ weeks of SMT with 62% treated 5-10x. a) 10 b) 9 c) 11 d) 8

a) 10 ## Footnote 31% treated 4 times, 62% treated 5-10 times, 7% required 10 times

According to Martinez-Segura et al 2006, a single C3-5 SMT compared to sham pre-SMT hold for 30 sec resulted to: a) VAS score change of 3.5/10 for SMT vs .4/10 for sham b) Decrease in neck pain at rest and increase in AROM for SMT than sham c) Both A and B d) Inconclusive results

c) Both A and B

Fernandez de las Penas et all 2007, C5-C6 HVLA immediate effect on lateral epicondyle is: a) PPT inc 35.5% ipsilaterally b) PPT inc 24.8% contralaterally c) PPT dec 35.5% contrallaterally d) Both A and B

d) Both A and B PPT inc 35.5% ipsilaterally; 24.8% contralaterally

According to Ernst and Carter 2006, what systematic review is the most authoritative for treatment of LBP? a) Assendelft et al 2004 b) Gross 2004 c) Bale and Newell 2005 d) Fernandez de las Penas et all 2007

a) Assendelft et al 2004 SMT is superior to sham and to ineffective/harmful interventions but not other treatments

According to Ernst and Carter 2006, what systematic review is the most authoritative for treatment of neck pain? a) Assendelft et al 2004 b) Gross 2004 c) Bale and Newell 2005 d) Fernandez de las Penas et all 2007

b) Gross 2004 SMT is not effective as a singluar tretment for neck pain but is effective ONLY when COMBINED with exercise

According to Gross 2004, SMT is not effective as a singluar tretment for neck pain but is effective ONLY when combined with exercise. True or False

True

According to Gross Cochrane Review in 2004 on effect of Manipulation or Mobilization alone on pain, function and disability: a) Ideal dose could not be determined from existing trials b) No existing trials have focused on the ideal dose c) Ideal dose is 2 x week d) Ideal dose is 2 x month

a) Ideal dose could not be determined from existing trials

According to Gross Cochrane Review in 2004 on the effect of Manipulation or Mobilization alone on pain, function, and disability; there is \_\_\_\_\_\_\_\_\_\_\_\_\_\_evidence that cervical manipulation produces similar changes in pain and disability when compared to cervical mobilization for subacute or chronic pain at the short term. a) Moderate to low quality b) Low quality c) Moderate quality d) Very low quality

a) Moderate to low quality

According to Gross Cochrane Review in 2004 on the effect of Manipulation or Mobilization alone on pain, function, and disability; there is \_\_\_\_\_\_\_\_\_\_\_\_\_\_evidence that cervical HVLAT alone may provide immediate and short term pain relief but not long term pain relief following 1-4 sessions in patients with acute or chronic neck pain. a) Moderate to low quality b) Low quality c) Moderate quality d) Very low quality

b) Low quality

According to Gross Cochrane Review in 2004 on the effect of Manipulation or Mobilization alone on pain, function, and disability; there is \_\_\_\_\_\_\_\_\_\_\_\_\_\_evidence that favoring single Tsp HVLAT session for immediate pain reduction when compared to placebo for chronic neck pain a) Moderate to low quality b) Low quality c) Moderate quality d) Very low quality

b) Low quality Single thoracic VS Placebo

According to Gross Cochrane Review in 2004 on the effect of Manipulation or Mobilization alone on pain, function, and disability; there is \_\_\_\_\_\_\_\_\_\_\_\_\_\_evidence for Tsp HVLAT as adjunct to individualized PT care for pain in acute/subacute WAD a) Moderate to low quality b) Low quality c) Moderate quality d) Very low quality

d) Very low quality Thoracic SMT on WAD

According to Gross Cochrane Review in 2004 on the effect of Manipulation or Mobilization alone on pain, function, and disability; there is \_\_\_\_\_\_\_\_\_\_\_\_\_\_evidence that AP mob is more effective than transverse oscillatory or rotational mob immediately post treatment for acute/subacute neck pain a) Moderate to low quality b) Low quality c) Moderate quality d) Very low quality

d) Very low quality

Did Beffa and Mathews 2004 demonstrate a significant difference in target joint cavitation for L5/S1 or SIJ: True or False

False

According to Gross Cochrane Review in 2004 on the effect of Manipulation or Mobilization alone on pain, function, and disability; there is \_\_\_\_\_\_\_\_\_\_\_\_\_\_evidence that there is no difference in pain reduction for chronic neck pain when comparing unilateral to central PA mob a) Moderate to low quality b) Low quality c) Moderate quality d) Very low quality

d) Very low quality Unilateral vs central PA mob on Neck pain

According to Gross Cochrane Review in 2004 on the effect of Manipulation or Mobilization alone on pain, function, and disability; there is \_\_\_\_\_\_\_\_\_\_\_\_\_\_evidence that certain mobilization techniques are superior to others. a) Moderate to low quality b) Low quality c) Moderate quality d) Very low quality

d) Very low quality no technique is superior to others for neck

Week1 Flashcards

SMT Overview