Flashcards in definition and classification of manual therapies Deck (24):
-therapeutic application of manual force
-procedures w/r hands directly contact body to treat articulations and/or soft t.
spinal manual (manipulative) therapy
therapeutic application of manual force
-procedures w/r hands directly contact body to treat articulations and/or soft t. of the spine
manual procedure involves directed thrust to move joint past the physiological ROM w/out exceeding anatomical limit
difference b/w manual therapy and spinal manual therapy?
spinal manual therapy will incorporate joint manipulation
limitations to the term joint manipulation
-limits manipulation to thrust procedures
-limits joint manipulation to moving joint past physiologic range
substitute joint thrust manipulation when it is associated with...
high velocity low amplitude thrust (HVLA)
common procedures to influence joint and neurophysiological function
chiropractic therapeutic procedures that:
utilize controlled force, leverage, direction,amplitude and velocity
which are directed at joints or anatomical regions
limitations of term, adjustmnet
-covers wide range of manual therapy procedures (mobilization, massage, etc.)
- not limited to joints
specific form of long and short-lever techniques w/ specific contacts.
characterized as dynamic thrust of controlled velocity, amplitude and direction
chiropractic adjustment features
-thrust (ballistic force
-applied to joint
limitation of term, chiropractic adjustments
-number of chiro. procedures not classified as adjustments (limit reimbursement)
Classification of adjustments
-manual vs instrument
-leverage (direct, semidirct, indirect)
-patient position,anatomical reign, contact points
movement applied singularly or repetitively w/in or at physiological rang of joint motion, w/out imparting thrust/impulse, with goal of restoring joint mobility.
can mobilization produce cavitation?
yes, deep mobilization into paraphysiologic space can produce a cavitation
manipulation applied w/in physiologic range
movement w/in joints anatomical limit
manipulation applied w/in physiologic range of joint motion characteristics
non-thrust passive joint manipulation of graded force
motion assisted adjustments (or mobilization)
use mechanical motorized table, for prepositioning/counter resistance during app. of adjustment/mobilization
(any adjusting method)
flexion distraction adjustment
lumbar ROM exercise and mobilization (extension)
muscle energy techniques
incorporates patients muscular effort in application procedure.
soft t. manipulative procedures
hands used to massage, traction, mobilize, manipulate or stimulate soft t. of the body