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AASM 2022sep-2023aug cohort > Fundamentals, ch10 MT Techniques > Flashcards

Fundamentals, ch10 MT Techniques Flashcards

1
Q

active joint movement

A

active assisted movement = client and therapist move together

active resistive movement = client moves against resistance, usually thereapist

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2
Q

anatomical barriers

A

determined by shape and fit of bones at a joint

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3
Q

approximation

A

technique of pushing fibers together in the belly of the muscle

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4
Q

bending

A

stress combining compression and tension
effective for connective tissue pliability and affecting proprioceptors in teh tendons and belly of muscles

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5
Q

comfort barrier

A

first point of resistance short of client discomfort

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6
Q

compression

A

pushing into tissue without directional movement along the surface of the body
affects local circulation, sensory and ANS, neurochemicals, and connective tissue pliability

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7
Q

concentric isotonic contraction

A

a MET via contraction
application of counterforce while client moves attachments of the target muscle(s) closer together

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8
Q

depth of pressure

A

measure of the amount of pressure applied while using a technique

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9
Q

direction of application

A

physical direction of applied technique
centrifugal = from midline to lateral AND from appendicular body towards axial body

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10
Q

direction of ease

A

position the body assumes w postural changes depending on how it has balanced against gravity

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11
Q

drag

A

amount of tensile stress on the tissue under applied pulled force

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12
Q

duration

A

length o ftime the technique is applied

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13
Q

eccentric isotonic action

A

a MET via contraction
applicaion of counterforce while client moves the jointed area so that the attachments of target muscl(s) move apart resulting in lengthening

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14
Q

effleurage

A

“to skim”
a gliding stroke that follows direction of superficial muscle

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15
Q

elongation

A

stretching
force applied as push or pull paired with traction

longitudinal = techanique applied parallel to fiber direction

cross-direcxtional = technique applied perpendicular to fiber direction

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16
Q

fascia rolling

A

deep kneading to lift muscle from bone

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17
Q

frequency

A

rate of repetitive application of manipulation

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18
Q

friction

A

force of 2 surfaces moving across one another in targeted localized area

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19
Q

holding

A

provides time for client to become acclimated, adds warmth

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20
Q

intention of outcome

A

from treatment plan, MT goals to achieve within in a session and thus with each manipulation therein

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21
Q

isometric contraction

A

a MET via contraction
contraction whereby the effort of the target muscle(s) is exactly matched by the counterforce so that no movement occurs

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22
Q

isotonic contration

A

a MET via contraction
contraction whereby the effort of the target muscle(s) is partly matched by the counter force so that there can be a degree of resisted movement

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23
Q

joint end-feel

A

when a joint is taken to its physiological limit
soft-end feel = a sort of springyness at this limit
hard-end feel = bumpy or binding at this limit

24
Q

joint movement

A

articulation, in degrees of an arc

hip abduction = 0-45
hip adduction = 45-0
hip lateral extended rotation = 0-45
hip medial internal rotation = 0-45

knee flexion = 0-130

ankle plantar flexion = 0-50
ankle dorsiflexion = 0-20
foot inversion = 0-35

shoulder flexion = 0-90
shoulder abduction = 0-90
shoulder lateral medial rotation = 0-90
shoulder medial internal rotation = 0-90
combined shoulder & scapular
forward flexion = 0-180
forward extension = 180-0
backward hyperextension = 0-50

elbow flexion = 0-160
elbow extension = 180-0
elbow hyper extension = 0-10

wrist flexion = 0-60
wrist extension = 0-70
wrist abduction = 0-20
wrist adduction = 0-30

25
Q

laxity/joint play

A

allows for ends of bones to slide, roll, or spin smoothly on one another

26
Q

magnitude

A

intensity of applied technique

27
Q

manipulation

A

to use the hands by mechanical means as anatomic tools to apply technique for treatment

28
Q

multiple isotonic contractions

A

clients moves joint throught full ROM against partial resistance

29
Q

muscle energy techniques (MET)

A

techniques to increase tolerance to stretch, such as
resistance
contraction
pulsed

30
Q

oscillation

A

vibration, rocking, shaking are all forms thereof
applied force in repetitive springs, swings, bounces

rocking = rhythmical and slow back and forth movement affecting an area of the body

shaking = rapid back and forth movement within an area of the body

percussive = rhythmical bouncing movement

vibration = micro rapid back and forth movement within specified target area

31
Q

pacing

A

process of regulating or changing the timing, intensity, or rate of movement.
a technique to match client’s ease of movement, respiration, mood
may be altered during a session

32
Q

passive joint movement

A

therapist moves client’s joint

33
Q

pathological barrier

A

adaptation in a physiological barrier that limits ROM as protective measure rather than in support of optimal function

34
Q

petrissage

A

“to knead”
to lift, twist, pin, and squeeze soft tissue
creates ease between skin and fascial layer

35
Q

physiological barriers

A

results of limits in ROM imposed by protective nerves and sensory function in support of optimal function

36
Q

physiological movements

A

osteokinematic/voluntary joint movements = flexion, extension, abduction, adduction, rotation

arthroknematic/accessory movements = inherent in joint play

37
Q

point of application

A

loci and breadth of applied technique

38
Q

positional release technique (PRT)

A

technique of moving the body in the driection of ease

39
Q

postisometric relaxation (PIR)

A

a neurophysiological principles explain MET

40
Q

pressure

A

measure of force of applied technique

41
Q

reciprocal inhibition (RI)

A

a neurophysiological principles explain MET

42
Q

resting position

A

holding, static

43
Q

rhythm

A

regularity of application

44
Q

sequencing

A

sequence of the applied techniques in the session in its entirety

45
Q

shear

A

applied force causing tissues to slide in against other tissues

46
Q

skin rolling

A

a rolling kneading to lift skin and activate underlying fascia membrane

47
Q

speed

A

rate of technique application

48
Q

strain and counter-strain

A

use of tender points to guide the positioning of the body into a space where the muscle tension can release on its own

49
Q

tapoment/percussive

A

repetitive applied force down and allowing rebounding up
ex drumming, chopping, rapping

50
Q

technique

A

way a person performs basic physical movements
skills, methods used in any specific profession
manner of accomplishing defined set of tasks

51
Q

tensile stress

A

stretch applied to tissue

52
Q

theories of effect

A

compression
for softening connective tissue

gliding
for relaxation, warmth

kneading
for reducing motor neuron tone (CNS responsiveness, as in pain)
affecting the spindle cell proprioceptors in the muscle belly, increasing pliability and decreasing density

squeezing
for increasing fluid exchange
affecting capillary beds in muscle tissue

friction
has analgesic effect via counterirritation and hyperstimulation

elongation
for increasing flexibility and reaching anatomical ROM

vibration
thought to stimulate neuromuscular function by affecting the tendons

shaking
effective for relaxing a group of muscles

rocking
calming

percussion
stimulating nerve response; can loosen for movement

53
Q

torsion

A

pushing and pulling forces that load tissues causing them to twist

54
Q

traction

A

pulling on part of the body to separate two or more parts

55
Q

transitioning

A

technique of moving from applied manipulation to applied manipulation within a session

56
Q

Taylor’s PRinciples for Joint Movement

A

1) be specific and know whether intention is to: lengthen or shorten; strengthen or weaken; stimulate or calm
2) be mindful of too much or too little
3) position client purposefully and stabilize
4) movement may be passive or active
5) apply force gradually and regulate
6) repetition 2-3x

57
Q
A

AASM 2022sep-2023aug cohort (12 decks)

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