Intro to MT

Question 1

Is inert related to passive or active tests

Answer 1

passive

Question 2

Where does joint capsule have greatest capacity for passive separation

Answer 2

Resting position

Question 3

What is position of maximal joint congruency , minimal accessory movement

Answer 3

Close pack position

Question 4

Capsular pattern?

Answer 4

pattern of ROM restriction

Question 5

Open pack position?

Answer 5

greatest mobility between surfaces

aka resting position

Question 6

osteokinematic movement?

Answer 6

gross movement of limb, voluntary

Question 7

arthokinematic?

Answer 7

relative motion not voluntary (roll, glide, spin)

Question 8

Convex moves on fixed concave, what happens to bone

Answer 8

opposite direction as bone displacement

Question 9

concave moves on fixed convex called, what happens to bone

Answer 9

same direction as bone displacement

Question 10

Distraction / traction

Answer 10

force perpendicular and away from treatment plane

Question 11

What does distraction do

Answer 11

unweights
reduce sublimation
joint nutrition
relaxation before or after other techniques

Question 12

Glide

Answer 12

force parallel to treatment plane

Question 13

Which grade for pain relief (irritable)

Answer 13

Grade I, II

Question 14

Which grade for stiffness (non irritable)

Answer 14

Grade III, IV V

Question 15

Three effects of joint mobilization

Answer 15

neuro , mechanical , psych

Question 16

Neuro effects of MT

Answer 16

firing of articular mechanoreceptors, proprioceptors, muscular receptors
altered nociception

Question 17

mechanical effects of MT

Answer 17

stretching of joint restriction 
breaking adhesions 
alter position (sublax)
reduce barriers to normal motion

Question 18

psych effects of MT

Answer 18

confidence through movement
positive effects from manual contact
response to joint sounds

Question 19

Indications for MT

Answer 19

Improve accessory or physiological movement
Reduce positional faults
Relive pain
Improve nutrition to structure
reduce guarding

Question 20

5 contraindications to Joint Mobilization

Answer 20

spinal cord lesion 
recent fraction
Vertebral artery disease
bone disease
inappropriate end feel

Question 21

5 precautions to Joint mobilization

Answer 21

acute signs
neurological signs 
severe movement loss
upper respiratory tract infection 
dizziness / undiagnosed cardinal signs
diabetics, kids

Question 22

how long to oscillate at grade I-II compared to III and IV Maitland

Answer 22

10-30 seconds

30-60 seconds

Question 23

how long to oscillate at grade I-III Kaltenborn

Answer 23

6-10 second holds on all

Question 24

Maitland when?

Answer 24

glides

Question 25

Kaltenborn when?

Answer 25

when providing separation between surfaces

Question 26

P>R

Answer 26

acute, traction grade I

Question 27

P=R

Answer 27

sub acute, chronic - traction or glides neutral to mid range Grade I-II

Question 28

R>P

Answer 28

chronic , glides, Grade III -IV

Question 29

R no P

Answer 29

stiff, glides stretch or manipulated grade IV or V

Question 30

Purpose Deep transverse friction massage

Answer 30

prevent adhesions optimize scar quality normal healing

Question 31

contraindications deep transverse friction massage

Answer 31

infection / skin breakdown inflammatory disease ossification bursitis

Question 32

precautions deep transverse friction massage

Answer 32

kids, elderly | diabetes

Question 33

spinal traction

Answer 33

longitudinal force to separate verts

Question 34

effects of spinal traction

Answer 34

``` separate vert bodies increase IVF pain inhibition change piston of nucleus decrease mm spasm improve circulation ```

Question 35

indication for spinal traction

Answer 35

joint dysfunction spinal degeneration nerve compression pain

Question 36

contraindication spinal traction

Answer 36

``` spinal malignancy inflammatory arthritis S/S of spinal cord pain during manual traction acute fraction ``` vascular pathology severe cardio / resp disease

Question 37

precautions of spinal traction

Answer 37

osteoporosis hypermobility prego claustrophobia

Question 38

C spine spinal traction questions

Answer 38

5 D, rheumatoid arthritis, symptoms of cord compression, upper respiratory tract infection

Question 39

T spine spinal traction questions

Answer 39

visceral problems, symptoms cord compression, pain on breath / cough, cancer, osteporosis

Question 40

L spin spinal traction tractions

Answer 40

symptoms of cord compression

Question 41

Active MTP

Answer 41

refer pain at rest, with mm activation or palpation

Question 42

latent MTP

Answer 42

trigger only w direct pressure

Question 43

effects of trigger points

Answer 43

motor, sensory, autonomic

Question 44

consequences of MTP

Answer 44

motor dysfunction (flex, weakness, imbalance) dec ROM