Manip/mob Contraindications (absolute and relative) Flashcards Preview

Mincer - Spine Exam 2 > Manip/mob Contraindications (absolute and relative) > Flashcards

Flashcards in Manip/mob Contraindications (absolute and relative) Deck (39)
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1

vertebrobasilar insufficiency

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip/Mob

2

acute nerve root irritation or irritability

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

3

spinal fusion

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip/Mob

4

significant segmental stiffness

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

5

advanced degenerative changes such as severe foraminal encroachment

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

 

Absolute Manip (probably relative mob)

 

6

systemic disease

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

7

immediate post-partum for lumbar, t-spine, and pelvic girdle

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

8

osteoporosis depending on intent and direction of movement

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

9

What is frank spinal deformity?

Don't know. We should ask. I think Dr. Mincer said it in class, but I don't remember. - Sara

10

condition is worsening with present treatment

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

11

radiculopathy involving more than one nerve root ipsilaterally

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip/Mob

12

oral contraceptives if c-spine is area of interest

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

13

person presenting with red flags such as cancer, fracture, systemic dz

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip/Mob

14

neurological deterioration

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

15

severe nerve root pain, acute radiculopathy

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

 

Absolute Manip (probably relative mob)

 

16

children/teenagers

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

 

Absolute Manip (probably relative mob)

 

17

What are 4 examples of bone diseaase, when bone disease is listed as an absolute contraindication for manips and mobs?

Osteoporosis

osteomyelitis

tuberculosis

Paget's disease

18

bone disease such as osteoporosis, osteomyelitis, TB, paget’s disease

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip/Mob

19

rheumatoid collagen necrosis

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip/Mob

20

active acute inflammatory condition

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

21

congenital hypomobility

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

 

Absolute Manip (probably relative mob)

 

22

malignancy of region of interest- rule out metastasis

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip/Mob

23

irritable disorder and protective guarding

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip (probably relative mob)

24

long term corticosteroid use if c-sine is area of interest

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

25

irritable disorder

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Relative Manip/Mob

26

pregnancy and immediate post-partum

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

 

Absolute Manip (probably relative mob)

 

27

What may indicate VBI? (15)

What is another way we preveiously learned to ID VBI?

5 D's

  • Dizziness (vertigo, light headedness)
  • Driop Attacks (sudden numbness/weakness)
  • Diploplia (double vision or other vision problems)
  • Disarthria (difficulty speaking)
  • Dysphagia (difficulty swallowing)

Or the book:

  1. drop attacks
  2. blackouts
  3. loss of consciousness,
  4. nausea
  5. vomiting
  6. poor general health
  7. dizziness
  8. vertigo
  9. disturbance of vision including diplopia
  10. unstady gait
  11. general feeling of weakness
  12. dysarthria or swallowing difficulty
  13. hearing disturbances,
  14. headache of undetermined origin
  15. facial numbness or tingling

VBI = vertebrobasilar insufficency

Commentary from Journal of Manual and Manipulative Therapy article: Manual Therapy and Cervical Arterial Dysfunction, Directions for the Future: A Clinical Perspective: "Traditionally, VBI was said to result in transient episodes of hindbrain ischemia manifesting in a number of cardinal signs conventionally referred to as Coman's 5 Ds19. However, clinical presentations of transient hindbrain ischemia are more diverse than these classically quoted cardinal signs." http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2565074/

28

unstable upper c-spine

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip/Mob

29

spondylolisthesis or other segmental instability

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

Absolute Manip/Mob

30

advance diabetes

Absolute Manip/Mob

Absolute Manip (probably relative mob)

Relative Manip/Mob

 

Absolute Manip (probably relative mob)