Manual Therapy Flashcards Preview

PTRS 745 Exam 1 > Manual Therapy > Flashcards

Flashcards in Manual Therapy Deck (98)
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1

Term: Skilled hand movements to mobilize soft tissue and joints for the purpose of pain modulation, increase ROM, decrease soft tissue inflammation

Manual therapy

2

Q: What are 3 reasons for using manual therapy?

1. Pain modulation 2. Increase ROM 3. Decrease soft tissue inflammation

3

Term: Manual therapy techniques comprised of skilled passive movements to joints that are applied at varying speed and amplitudes.

Mobilization/manipulation

4

Term: a passive movement technique performed by an operator in a manner that is at all time within the ability of the pt. to prevent the movement

Mobilization

5

Term: A passive movement technique performed at the limit of the available passive range at a speed that is beyond the pt.'s control

Manipulation

6

Term: High velocity, low amplitude therapeutic movements applied within or at end ROM

Thrust manipulation

7

Term: speed

Velocity

8

Term: Distance

Amplitude

9

Term: force

Thrust

10

Content: Two types of mobilization

1. Passive physiological movement (PPM) or osteokinetmatics

2. Passive accessory movement (PAM) or arthrokinematics or joint play

11

Content: limitation to motion - osteokinematics (3)

1. muscle or soft tissue

2. joint capsule

3. joint play

12

Content: limitation to motion - arthrokinematics (4)

1. Ligaments

2. Bone congruence

3. Intra-articular cartilage

4. Joint capsule

13

Q: What is are examples of PPM?

Flexion/extension, ABD/ADD, IR/ER

14

Q: What is are examples of PAM?

Roll, glide, spin, distraction/compression

15

T/F: Manipulation is within the scope of PT practice.

True

16

T/F: PT and Chiropractors are solely responsible for manual therapy.

True

17

Q: What is the difference between PT and Chiropractors?

1. Philosophy is different

  - Chiropractor - manipulation can treat and cure any aliment

  - PT - use manipulation to decrease pain and increase mobility

2. Technique is different

  - Chiropractor = long levers

  - PT = short levers

18

T/F: PTs perform chiropractic manipulations.

False

19

Q: Which should you pay more attention to the broad, nationwide practice act or the state specific practice act?

State practice acts

20

T/F: Grade 5 manipulation is within KS state practice act

True

21

Q: Which 3 states do not allow grade 5 manipulation?

1. Arkansas

2. West Virginia

3. Washington

22

T/F: Students do not follow the practice pattern of their CIs and their decisions are not influenced by their CIs practice patterns.

False

23

Q: Manual therapy is ____________ for certain people when __________ with certain __________.

Beneficial, performed, exercises

24

Content: Possible mechanism for manual therapy (3)

1. Neuorphysiological

2. Mechanical

3. Psychological/placebo

25

Content: Neurophysiological mechanism (4)

1. descending pain inhibitory system

2. endogenous opioid release

3. gate control theory

4. change in reflex excitability

26

Content: Mechanical mechanism (3)

1. free up entrapped/torn meniscoid

2. mechanical disruption to intra-articular adhesion

3. stretching of joint capsule

27

Content: Absolute contraindications for manual therapy (8)

1. Malignancy

2. Neurological - cauda equina syndrome

3. Vascular

4. Bone disease

5. Inflammatory conditions

6. Infection

7. Acute symptomatic disc herniation

8. Undiagnosed pain

28

Content: Relative contraindications for manual therapy (12 - general idea)

1. RA

2. Osteoporosis

3. Spondylolisthesis

4. Hypermobility/instability

5. Pregnancy

6. Previous malignant disease

7. Acute trauma 

8. Protectice spasm

9. Gross degenerative changes

10. Psychological pain

11. Steroid or anitcoagulant

12. Severe nerve root pain

29

Q: How does the therapists perspective alter the placebo effect?

Communication, use the placebo effect to your advantage

30

Content: Precautions for manual therapy (5)

1. Recent trauma

2. Ligament injury

3. Post-op

4. Empty end feel or muscle spasm

5. acute inflammation