Term: Skilled hand movements to mobilize soft tissue and joints for the purpose of pain modulation, increase ROM, decrease soft tissue inflammation
Q: What are 3 reasons for using manual therapy?
1. Pain modulation 2. Increase ROM 3. Decrease soft tissue inflammation
Term: Manual therapy techniques comprised of skilled passive movements to joints that are applied at varying speed and amplitudes.
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
Term: A passive movement technique performed at the limit of the available passive range at a speed that is beyond the pt.'s control
Term: High velocity, low amplitude therapeutic movements applied within or at end ROM
Content: Two types of mobilization
1. Passive physiological movement (PPM) or osteokinetmatics
2. Passive accessory movement (PAM) or arthrokinematics or joint play
Content: limitation to motion - osteokinematics (3)
1. muscle or soft tissue
2. joint capsule
3. joint play
Content: limitation to motion - arthrokinematics (4)
2. Bone congruence
3. Intra-articular cartilage
4. Joint capsule
Q: What is are examples of PPM?
Flexion/extension, ABD/ADD, IR/ER
Q: What is are examples of PAM?
Roll, glide, spin, distraction/compression
T/F: Manipulation is within the scope of PT practice.
T/F: PT and Chiropractors are solely responsible for manual therapy.
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
T/F: PTs perform chiropractic manipulations.
Q: Which should you pay more attention to the broad, nationwide practice act or the state specific practice act?
State practice acts
T/F: Grade 5 manipulation is within KS state practice act
Q: Which 3 states do not allow grade 5 manipulation?
2. West Virginia
T/F: Students do not follow the practice pattern of their CIs and their decisions are not influenced by their CIs practice patterns.
Q: Manual therapy is ____________ for certain people when __________ with certain __________.
Beneficial, performed, exercises
Content: Possible mechanism for manual therapy (3)
Content: Neurophysiological mechanism (4)
1. descending pain inhibitory system
2. endogenous opioid release
3. gate control theory
4. change in reflex excitability
Content: Mechanical mechanism (3)
1. free up entrapped/torn meniscoid
2. mechanical disruption to intra-articular adhesion
3. stretching of joint capsule
Content: Absolute contraindications for manual therapy (8)
2. Neurological - cauda equina syndrome
4. Bone disease
5. Inflammatory conditions
7. Acute symptomatic disc herniation
8. Undiagnosed pain
Content: Relative contraindications for manual therapy (12 - general idea)
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
Q: How does the therapists perspective alter the placebo effect?
Communication, use the placebo effect to your advantage
Content: Precautions for manual therapy (5)
1. Recent trauma
2. Ligament injury
4. Empty end feel or muscle spasm
5. acute inflammation