Treatment And Remex Flashcards

1
Q

Ulnar Nerve Lesion

A

Cubital: Light Tapping over Cubital area, GTO Extensors, MM strip Extensors
Guyon: Light Tapping over Pisiform, Hook of Hamate, GTO Extensors, MM Strip Extensors
Hydro: Cool on medial forearm
Stretch: Lateral Wrist Extensors
Strengthen: Medial Wrist
PJM: Elbow

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2
Q

Carpal Tunnel Syndrome

A

Light Tapping over Thenar Eminence, Facial to Flexors, MM Strip Extensors
Hydro: Cool on wrist
Stretch: Flexors
Strengthen: Thenar mm - Abductor Pollicis Brevis
PJM: Wrist Distraction

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3
Q

Pronator Teres Syndrome

A
Light Tapping over heads of Pronator Teres, Facial over cubital tunnel, MM Strip Extensors
Hydro: Cool on wrist
Stretch: Extensors
Strengthen: Flexors and Thenar mm
PJM: Elbow Distraction
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4
Q
Dislocation
SC
AC
GH
Lunate
A

Facial, GTO, MM strip
Hydro: Hydrocollator
Stretch: SC-SCM, AC-Pec Major, GH-Pec Major, Lunate-Flexors
Strengthen: SC-Upper Traps, AC-Mid Deltoid, GH-Triceps, Lunate-Extensors
PJM: Not in direction of dislocation

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5
Q

Bells’ Palsy

A

Affected side: Light stroking or Tapotement - Chin-Ear-Forehead, GTO-Suboccipitals, MM strip-SCM
Hydro: Cool on affected, warm on unaffected
Stretch: SCM
Strengthen: Active assisted of Facial mm
PJM: Occiput traction

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6
Q

Trigeminal Neuralgia

A

GTO, MM Strip SCM, Occipital Release
Hydro: Heat on compensatory C/S and shoulders
Stretch: Suboccipitals
PJM: C/S Traction

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7
Q

TOS Anterior Scalene

A
Facial, MM strip, GTO Scalenes
Hydro: Warm compress on one side of neck only
Stretch: Anterior Scalene
Strengthen: Suboccipitals
PJM: C/S Distraction
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8
Q

TOS Pec Minor

A

Facial, MM strip, GTO-Pec’s, MLD-Hand,Arm
Hydro: Warm compress on 1 side of neck only, cool wash along arm if edema
Stretch: Pec Minor
Strengthen: Rhomboids
PJM: GH Posterior Glide

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9
Q

TOS Costoclavicular

A
Facial, MM strip, O and I - Rhomboids
Hydro: DMH on Rhomboids
Stretch: Rhomboids
Strengthen: Upper Traps
PJM: GH Posterior Glide
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10
Q

TMJ Dysfunction

A
Tapotement on Hypermobile side, GTO, MM Strip - Hypomobile side
Hydro: Warm to Hypomobile side
Stretch: SCM
Strengthen: Resist Jaw movement
PJM: Gr. 3 C/S Traction
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11
Q

Cruciate and Meniscal Injury

A

Menicus/ACL: Facial, GTO, MM strip-Quads
PCL: Facial, GTO, MM strip-Hamstrings
Hydro: Hydrocollator
Stretch: If strength is stable
Strengthen: Meniscus/ACL- Quad’s, PCL - Hamstrings
PJM: Meniscus/ACL - Anterior Glide, PCL - Posterior Glide

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12
Q

Intervertebral Disc Herniation

A
Facial, MM Approx, GTO, MM Strip
Hydro: Hydrocollator
Stretch: L/S-QL’s, C/S-SCM
Strengthen: L/S-Glut Max, C/S-Suboccipitals
PJM: Gr. 3 TVP, PACVP
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13
Q

Facet Joint Dysfunction

A

Facial, GTO-Suboccipitals, MM strip
Hydro: Warm on C/S, Hydrocollator on Back
Stretch: C/S-SCM, L/S-QL (Banana Stretch)
Strengthen: C/S-Posterior C/S mm, L/S-Multifidi
PJM: Positional Tractioning: Palpate segment to be distracted, Place neck in flexion, side bend away from injury and rotate toward injury and apply slight traction for 7-10 seconds

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14
Q

SI Joint Dysfunction

A

Sacral Release, Hypomobile Glutes, Piriformis Release, MM strip-Treat mm with direct attachments to SI
Hydro: Hydrocollator to Glut Max, Piriformis, Lats
Stretch: Hypomobile Glutes, Piriformis
Strengthen: Hypermobile Glutes, Piriformis
PJM: Gr. 3 Long Axis Hip Traction

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15
Q

ITB Friction Syndrome

A
Fascial, MM Strip, Vibes over ITB attachment
Hydro: Hydrocollator to thigh
Stretch: ITB/TFL
Strengthen: Vastus Medialis, Adductors
PJM: Gr. 3 Long Axis Hip Traction
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16
Q

Piriformis Syndrome

A
Facial, MM strip, Vibes-Glutes
Hydro: Heat on Piriformis, Cool on referral pattern
Stretch: Piriformis
Strengthen: TFL, Adductors
PJM: Hip
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17
Q

Frozen Shoulder

Thawing Stage

A
Facial, GTO, MM Strip- Rotator Cuff MM & Biceps
Hydro: Hydrocollator
Stretch: Pec’s
Strengthen: Deltoids
PJM: Gr. 3 GH Distraction
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18
Q

Epicondylitis

A

Facial, GTO, MM Strip
Hydro: Hydrocullator on affected tendon
Stretch: Medial-Flexors, Lateral-Extensors
Strengthen: Medial-Extensors, Lateral-Flexors
PJM: Gr. 3 Distractions to Humeroulnar Joint (Increase general mobility)

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19
Q

Patellofemoral Syndrome

A
Facial, GTO, MM Strip-Quads
Hydro: Hydrocollator to ITB, Vastus Lateralis
Stretch: ITB/TFL
Strengthen: Adductors
PJM: Gr. 3 Anterior Drawer of Knee
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20
Q

Tendinitis

Bicep’s or Supraspinatus

A

Facial, GTO, MM Strip
Hydro: Hydrocollator
Stretch: Biceps-Biceps, Supraspinatus-Supraspinatus
Strengthen: Biceps-Triceps, Supraspinatus-Teres Major
PJM: Gr. 3 Distraction to GH (increase general mobility)

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21
Q

Dupuytren’s Contracture

A

Facial- Palmar Aponeurosis, GTO-CFT, MM Strip-Flexors and Lumbricals
Hydro: Hydrocollator to Hand
Stretch: Flexors
Strengthen: Extensors
PJM: Gr. 3 Wrist Traction to Radiocarpal Joint

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22
Q

Rheumatoid Arthritis

Between Flare-Ups

A
Light Fascial and MM Approx-Forearm Extensors, Tapotement or Vibes - Intrinsic Hand mm
Hydro: Cool on affected
Stretch: Extensors
Strengthen: Intrinsic Hand mm
PJM: Gr. 1-2 Radiocarpal Distraction
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23
Q

Osteoarthritis

Early Stage

A

Facial, GTO, MM Strip - Surrounding involved joint
Hydro: Hydrocullator
Stretch: P.A.S - MM crossing affected joint
Strengthen: AR- MM that opens joint
PJM: Gr. 3

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24
Q

DeQuervain’s Tenosynovitis

A

Fascial-Extensors, GTO-CET, MM Strip-Extensors
Hydro: Hydrocollator on Extensors
Stretch: Abductor Pollicis Longus and Extensor Pollicis Brevis (Finkelstein Stretch)
Strengthen: Hand mm
PJM: Gr. 3 Thumb Traction

25
Q

Radial Nerve Lesion

A
Light Tapping-Posterior Brachium, Fascial, GTO, MM Strip-Anterior Brachium
Hydro: Cool on Extensors
Stretch: Pec’s
Strengthen: Triceps
PJM: GH Anterior Glide
26
Q

Erb’s Palsy

A

Fascial and GTO-Pec’s, Tapotement- Biceps, Forearm Extensors
Hydro: Heat on Flexors, Pec’s, Tricep’s, Cool on Forearm Extensors
Stretch: Pec’s
Strengthen: Extensors
PJM: GH Anterior Glide to help with External Rotation

27
Q

Klumpke’s Paralysis

A

Fascial and MM Strip-Extensors, Tapoetment-Flexors
Hydro: Warm on Contractures, cool on atrophied
Stretch: Extensors
Strengthen: Flexor Carpi Ulnaris
PJM: Long Axis Traction Thumb

28
Q

Hyperlordosis

A
Fascial, MM Strip-QL’s, Vibes
Hydro: Hydrocullator
Stretch: Rectus Femoris
Strengthen: Glutes
PJM: Gr. 3 Hip
29
Q

Rib Subluxation and Intercostal Neuralgia

A
Fascial, O and I - QL’s, MM Strip-Back
Hydro: Cool along Nerve distribution
Stretch: Banana Stretch, Rhomboids
Strengthen: Neck, Shoulder Girdle
PJM: PACVP, TVP
30
Q

Ankylosing Spondylitis

A
Treat Forward Head Carriage
Fascial, GTO, MM Strip
Hydro: Hydrocullator
Stretch: Pec’s
Strengthen: Rhomboids
PJM: SC Distraction
31
Q

Pregnancy

1st Trimester

A
Fascial- Pec’s, Head, Neck and Shoulder’s
Hydro: Cool
Stretch: SCM
Strengthen: Suboccipitals
PJM: Gr. 1-2  C/S traction
32
Q

Women’s Health Condition’s

Dysmenorrhea, Pelvic Inflammatory Disease, Endometriosis

A
MLD, Fascial, Vibe’s - Abdomen
Hydro: Cool compress
Stretch: Psoas
Strengthen: Kegal’s?
PJM: Gr. 1-2 Long Axis Hip Traction
33
Q

Constipation

A

Fascial-Opening 4 corner’s, full sun, half moon, Vibes-Abdomen, P.A.S- Psoas
Hydro: Heating compress on abdomen
Strengthen: Transverse Abdominis- Client supine with knee’s and hips flexed to 90 degrees, arms crossed in front of body, therapist applies mild pulling force over patients knees into rotation
PJM: Gr. 3 Long Axis Hip Traction

34
Q

Sacral Plexus Injury

A
Fascial, MM Strip, Vibe’s - L/S
Hydro: Heat on L/S
Stretch: Hamstrings
Strengthen: Glutes
PJM: L/S PACVP
35
Q

Degenerative Disc Disease

Late: Affected Joint Hypomobile

A
Light Facial, Vibes, GTO
Hydro: Warm
No Stretch
Strengthen: MM setting
PJM: Gr. 1-2 TVP
36
Q

Scoliosis

A
Concave - Fascial, MM Strip, Convex - Tapotement
Hydro: Heat on Concave, Cool on Convex
Stretch: Banana Stretch
Strengthen: Convex Glutes
PJM: TVP on Concave side
37
Q

Common Fibular Nerve Lesion

A

Light Tapping, Fascial - Tibialis Anterior and Fibularis Longus, MM Strip-Gastroc’s
Hydro: Heat on Posterior, Cool on Anterior and Lateral
Stretch: Gastrocnemius
Strengthen: Tibialis Anterior - Dorsiflex and Invert
PJM: Gentle 1-2 Anterior Glide on Ankle

38
Q

Multiple Sclerosis

A
Vibes over injection site, GTO, O and I, MM Approx
Hydro: Warm to cool
Stretch: Gastroc’s
Strengthen: Tibialis Anterior
PJM: Hip Distraction
39
Q

Plantar Fascitis

A

Fascial, GTO, MM Strip - Gastrocs, Frictions - Calacaneous attachments
Hydro: Hydrocullator
Stretch: Gastrocnemius
Strengthen: Tibialis Anterior
PJM: Gr. 3 Anterior Glide to increase Plantarflexion

40
Q

Compartment Syndrome

Anterior or Posterior

A

Anterior-Fascial, Tapotement on Tib Ant, MM Strip on Gastrocnemius, Posterior - Fascial and Tapotement on Gastrocnemius, MM Strip - Anterior Leg
Just lighter techniques for Subacute
Hydro: Anterior-Heat to Gastroc’s, Posterior-Heat to Tib. Ant
Stretch: Anterior-Gastroc, Posterior-Tib Ant
Strengthen: Ant-Tib Ant, Post.-Gastroc
PJM: Ant-Post. Glide to increase Dorsiflexion, Post.-Ant. Glide to increase Plantarflexion

41
Q

Pes Planus

A

Fascial, MM Strip-Gastroc’s, Tapoetment- Tibialis Anterior and Instrinsic foot mm
Hydro: Hydrocollator to Gastroc’s
Stretch: Gastrocnemius
Strengthen: Tibialis Anterior - Dorsiflex and Invert
PJM: Gr. 3 Posterior Glide to increase Dorsiflexion

42
Q

C.O.P.D’s

Chronic Bronchitis, Emphysema, Asthma, Cystic Fibrosis

A

Acute- MLD, Light Fascial, Vibes
Chronic-GTO, MM Strip-Head, Neck and Shoulder’s, Diaphragm Release
Hydro: Heat over Pec’s if no Hypertension
Stretch: Scalenes or Pec’s
Strengthen: Abdomen
PJM: SC Joint

43
Q

Fibromyalgia Syndrome/Chronic Fatigue Syndrome

A
Gentle Fascial, GTO, Vibes-Neck, Upper Traps
Hydro: Warm compress
No Stretch
Strengthen: Mild
PJM: Gentle and Mild
44
Q

Headaches
Tension or Migraine
During or In-Between

A

During: Diaphragm release, O and I-SCM. Between: GTO-Suboccipitals, B/W-More vigorous techniques, MM strip and Fascial
Hydro: During: Cool on neck/head. Between: Contrast
Stretch: SCM
Strengthen: Posterior C/S
PJM: Gr. 1-2 C/S Traction

45
Q

Torticollis

A

Aquired- MLD, Vibes, GTO-SCM, Congential- Fascial, GTO-SCM, MM Strip
Hydro: Aquired-cool, Congential-warm
Stretch: Aquired- No Stretch, Congential-SCM
Strengthen: Aquired-Unaffected SCM, Congential-Unaffected SCM
PJM: Aquired-Gr. 1-2 C/S Traction, Congential-Gr. 2 C/S Distraction

46
Q

Cerebral Palsy

A
Vibes, O and I, MM Strip-SCM, Scalenes
Hydro: Depends
Stretch: Slow gentle P.A.S-SCM, Scalenes
Strengthen: Forearm Extensors
PJM: C/S Traction
47
Q

C.V.A and Hemiplegia

A
Hyperkyphotic Posture
GTO, O and I, Vibes, MLD
Hydro: Heat for spasticity, Contractures,
Stretch: Pec’s
Strengthen: Triceps
PJM: Avoid placing GH Inferior
48
Q

Parkinson’s

A
Anterior Head Carriage
Fascial, GTO, MM Strip
Hydro: Hydrocullator
Stretch: Pecs
Strengthen: Suboccipitals
PJM: Gr. 1-2 C/S Traction
49
Q

Whiplash

A

Subacute: Light Fascial, Vibes, GTO. Chronic: Fascial, GTO, MM strip
Hydro: Warm compress
Stretch: Extension-Chin tuck, Flexion-SCM, Side Impact-Contralateral side mm
Strengthen: Extension-SCM, Flexion-Upper Traps, Side Impact-Ipsilateral side mm
PJM: Subacute: Gr. 1-2 C/S Traction. Chronic: Gr. 3 C/S Traction

50
Q

Hyperkyphosis

A
Fascial, GTO-Pec’s, Tapotement-Rhomboids
Hydro: Hydrocullator
Stretch: Pecs
Strengthen: Rhomboids
PJM: Rib springing
51
Q

Strain

A
Quad or Hamstring
Fascial, GTO, MM Strip
Hydro: Hydrocullator
Stretch: Quad-Stretch Hamstring, Hamstring-Stretch Quad
Strengthen: Affected Muscle
PJM: Gr. 3 Long Axis Hip Traction
52
Q

Fracture

A

Colle’s, Scaphoid, Femoral Neck, Pott’s
Fascial, MM Approx, GTO
Hydro: Warm
Stretch: After 80% of strength is back
Strengthen: Colle’s/Scaphoid-Extensors, Femoral Neck-Glutes, Pott’s-Fib Long
PJM: After consolidation, Gr. 1 distraction

53
Q

Contusion

A

Quad or Bicep’s
Fascial, GTO, MM Strip
Hydro: Hydrocullator
Stretch: Quad Contusion- Hamstrings, Hamstring Contusion- Quad’s
Strengthen: Quad Contusion- Quad’s, Hamstring Contusion- Hamstring’s
PJM: Gr. 3 Distractions

54
Q

Bursitis

A

Subdeltoid, Olecranon, Patellar
Fascial, GTO, MM Strip
Hydro: Hydrocullator
Stretch: Subdeltoid-Biceps, Olecranon-Bicep’s, Patellar-Quad’s
Strengthen: Subdeltoid-Mid Deltoid, Olecranon-Triceps, Patellar-Hamstrings
PJM: Gr.3 Distractions

55
Q

Osteoarthritis

Late Stage

A

Light Fascial, Vibes, GTO
Hydro: Cold with inflammation, or DHM/Contrast
Stretch: Avoid stretch, just maintain ROM
Strengthen: MM Setting
PJM: Gr. 1-2

56
Q

Frozen Shoulder

Freezing Stage

A
Light Fascial, MLD, Vibes
Hydro: Cold
No Stretch
Strengthen: MM setting
PJM: Gr. 2 GH Distraction
57
Q

Frozen Shoulder

Frozen Stage

A
Light Fascial, Vibes, GTO
Hydro: Contrast
Stretch: Pec’s
Strengthen: Deltoids-Abduction
PJM: Gr. 2 GH Distraction
58
Q

ITB Friction Syndrome

Subacute

A

TFL and Proximal thigh - Light fascial, Vibes, GTO
Hydro: Contrast
Stretch: If not inflamed-ITB/TFL or Quads
Strengthen: If not inflamed - Vastus Medialis
PJM: Gr. 1-2 Long Axis Hip Traction

59
Q

DDD

Early

A
Fascial, GTO, MM Strip - L/S
Hydro: Hydrocullator
No Stretch
Strengthen: Glutes
PJM: Gr. 3