Final Practical

Question 1

Question for capsulitis synovitis

Answer 1

Do you clench or grind your teeth?
Do you chew gum?
Do you chew the ends of your pencils or pens?
Any trauma or surgery?

Question 2

Objective for capsulitis synovitis

Answer 2

Tender to palpation at lateral condyle
Pain with biting on opposite side
Pain with retrusive overpressure

Question 3

Treatment for capsulitis synovitis

Answer 3

Rocobado’s 6x6

Proprioception

Question 4

Question for capsular fibrosis

Answer 4

Any trauma?

Any prolonged immobilization of the mouth?

Question 5

Objective for capsular fibrosis

Answer 5

Opening of less than 40
Mandible deviates toward side of restriction
Lateral excursion to CL side is limited
Hypomobility

Question 6

Treatment for capsular fibrosis

Answer 6

Joint mobs
Proprioception
Stretching

Question 7

Questions for masticatory muscle disorders

Answer 7

Do you chew gum regularly?
Age?
Stress level?

Question 8

Objective for masticatory muscle disorders

Answer 8

Listen for joint sounds - none present
Palpation of muscles should be tender
Pain with biting on the same side

Question 9

Treatment for masticatory muscle disorders

Answer 9

Robobado 6x6
Soft tissue
Proprioception

Question 10

Questions for hypermobility

Answer 10

Do you feel unstable?

Any clicking?

Question 11

Objective for hypermobility

Answer 11

ROM greater than 40
Joint sounds at end range opening
Joint play (hypermobile)
Chin deviation away from hypermobility with opening

Question 12

Questions for Anterior disc with reduction

Answer 12

Does your mouth click with opening or closing?

Question 13

Objective for anterior disc with reduction

Answer 13

Clicking heard with stethoscope

Deviation of mandible to same side

Question 14

Treatment for anterior disc with reduction

Answer 14

Rocobado x6

Proprioception

Question 15

Questions for Anterior disc without reduction

Answer 15

History of popping and clicking? Yes
Did the clicking and popping disappear when you lost your ROM? Yes
Currently having joint sounds? No

Question 16

Objective for anterior disc without reduction

Answer 16

Opening less than 25 mm (if actue)
End range deviation toward affected side
Limited CL excursion

Question 17

Treatment for anterior disc without reduction

Answer 17

Rocobado’s 6x6

Joint mobilization

Question 18

Questions for osteoarthritis

Answer 18

Age?

X-ray?

Question 19

Objective for osteoarthritis

Answer 19

Grinding (crunching) throughout motion
Pain with loading
AROM limited

Question 20

Treatment for osteoarthritis

Answer 20

Rocobado 6x6

Joint mobs

Question 21

Questions for cervical hypomobility

Answer 21

Do certain positions cause you pain?

Any limitations to your movement?

Question 22

Objective for cervical hypomobility

Answer 22

Cervical ROM (including AA and AO)
Joint play (hypomobile)

Question 23

Treatment for cervical hypomobility

Answer 23

MET
Mob
Stretch
Thoracic manipulation

Question 24

Questions for cervical radiculopathy

Answer 24

Does the pain radiate?
Any N/T?
Weakness?

Question 25

Objective for cervical radiculopathy

Answer 25

ULTT A Spurlings Distraction Rotation ROM

Question 26

Treatment for cervical radiculopathy

Answer 26

Nerve glides Postural exercises Thoracic mob/manip

Question 27

Questions for cervical instability

Answer 27

Any recent trauma? Symptoms worse after prolonged sitting or standing? Symptoms better when lying down?

Question 28

Objective for cervical instability

Answer 28

Stability checks: vertebral artery, alar, transverse ligament, sharp purser Cervical joint play (hypermobile) Deep neck flexor endurance test (less than 27 seconds) Cervical AROM in supine and standing

Question 29

Treatment for cervical instability

Answer 29

DNF exercises | Posture

Question 30

Questions for acute neck pain

Answer 30

Any trauma? Pain level? Disability score? Does the pain radiate?

Question 31

Objective for acute neck pain

Answer 31

Cervical AROM (guarded)

Question 32

Treatment for acute neck pain

Answer 32

AROM within pain tolerance | Soft tissue

Question 33

Questions for cervicogenic headache

Answer 33

Where is the pain? (symptoms on one side and non continuous) Any movements make the headache worse? Yes

Question 34

Objective for cervicogenic headache

Answer 34

Palpation of top three cervical vertebrae Cervical ROM - including AO and AA Deep neck flexor endurance

Question 35

Treatment for cervicogenic headache

Answer 35

Suboccipital inhibition MET or mob for restrictions DNF

Question 36

Questions for lumbar manipulation

Answer 36

Any symptoms below the knee? No When did your symptoms begin? Less than 16 days FABQ score? Less than 19

Question 37

Objective for lumbar manipulation

Answer 37

Joint play of lumbar spine (hypomobile) | Hip IR ROM (>35 for at least one hip)

Question 38

Treatment for lumbar manipulation

Answer 38

Chicago Roll | AROM

Question 39

Questions for lumbar stabilization

Answer 39

Age? Less than 40 | Aberrant movements during bending?

Question 40

Objective for lumbar stabilization

Answer 40

``` ROM (Increased ROM, SLR >91) Prone instability test Thigh thrust Active SLR (ask difficulty of task) Modified trendelenburg Provocation of long dorsal SI and pubic symphasis ```

Question 41

Treatment for lumbar stabilization

Answer 41

Hick's protocol | Posture

Question 42

Questions for extension bias

Answer 42

Symptoms extend past buttock? Yes | Better or worse with bending forward? Bending backward? Should have preference for backward bending

Question 43

Objective for extension bias

Answer 43

Repeated movements - flexion (peripheralization) and extension (centralization)

Question 44

Treatment for extension bias

Answer 44

Extension progression | PA over spinous process

Question 45

Questions for flexion bias

Answer 45

Age - Greater than 50 Better or worse with forward flexion? Better Imaging? Presence of lumbar spinal stenosis

Question 46

Objective for flexion bias

Answer 46

Repeated movements - flexion (centralization) and extension (peripheralization)

Question 47

Treatment for flexion bias

Answer 47

Flexion mobility progression Hip joint mobilization Manipulation