EVMM Manipulation

Question 1

The 5 components of the set-up

Answer 1

1. Dr. position
2. Patient position
3. Dr. contact point
4. Patient contact point
5. Line of Drive

Question 2

Importance of the line of drive

Answer 2

Correct line of drive is along the planes of the joint

Question 3

3 Dr contact points

Answer 3

Calcaneal, Pisiform, V-trough

Question 4

Importance of correct Dr position, how to protect your wrists and shoulders

Answer 4

Protect wrist by wrapping other hand around wrist to prevent hyperextension, shoulders square, flex abdominals, keep back straight, keep hands lower than shoulders

Question 5

Muscles Dr uses to make an HVLA thrust

Answer 5

Triceps and pectorals

Question 6

Recoil: is it good or bad and why

Answer 6

Recoil occurs in patient, do not transfer to Dr. as can harm Dr.

Question 7

Importance of “bringing the joint to tension”

Answer 7

The end of the paraphysiologic range is where the adjustment should occur

Question 8

Difference between short lever and long lever manipulation

Answer 8

• Short – patient contact point is close to the joint

- Long – patient contact point is further from the joint

Question 9

**The basis of manipulation, the diagnosis **

Answer 9

Motion palpation

Question 10

When to reconsider manipulation

Answer 10

• Muscles that are tense or in spasm
• Neurologic signs
• History of trauma w/ possible fracture
• Severe DJD
• Joint Laxity