manual therapy and exercise

Question 1

what is the dosage for nerve treatment eg flossing

Answer 1

5-8 reps
3 times a day

Question 2

what is the dosage for a stretch

Answer 2

15 -30 secs
make up a minute (4x15/ 2x30)

Question 3

what is the dosage for manual therapy eg ppivms, paivms, accessory mobilisations

Answer 3

1 set of 30
reassess and then 2-3 more sets

Question 4

what is the dosage for snags

Answer 4

3 sets of 6 reps
1st rep of 6 then reassess

Question 5

what is the dosage for exercise

Answer 5

6-8 reps of 3 sets

Question 6

manual therapy for cervical spine

Answer 6

PAIVM (only if we have values0
PPIVM (if we have values)
Nerve therapy: glossing and gliding

Question 7

manual therapy for the shoulder

Answer 7

passive physiological mobilisation for all flexion, extension, abduction and adduction

passive accessory mobilisations: posterior glide aids flexion, anterior glide aids extension

Question 8

manual therapy for the lumbar spine

Answer 8

SNAG 3 sets of 6 reps
1st session do one set and reassess

PPIVM for overall movement

Nerve therapy: Slump test and gloss and slide

Question 9

manual therapy for the knee

Answer 9

passive accessory mobilisation: aids knee flexion
Passive physiological mobilisayion: prone and extend to full flexion

Question 10

benefits of manual therapy

Answer 10

• increase range
• decrease pain
• increase function
• promote tissue healing

Question 11

benefits of neurodynamic treatment

Answer 11

• achieve a balance in the nervous system
• restores balance to dynamic neural structures and surroundings. there is a pressure relief
• normalises intranueral environmemt

Question 12

exercises for C spine

Answer 12

Stretch:
Active assisted: hand on neck and help push neck into deep stretch
Active: neck movements without hand
Passive: Physio moves neck and holds.
Other neck stretches include all fours and performing a chin tuck to stretch spinalis cervices and multifiduis.

Strengthen:
Movement against gravity
Regress: isometric
Progress: Use a theraband.

Nerve- glossing arm out and neck bent ect.

educate: Desk yoga for neck pain

Question 13

exercises for shoulder

Answer 13

Strengthen:
Movements against gravity.
Regress: isometric against the wall.
Progress: use resistance bands

Stretching:
1. Active Assissted: wall slide goes through full range
2. Active: hands on wall as far as can go and stretch (15-30 secs)
3. Passsive; lying on plinth supine and physio stretches out arm to max range.

educate: inflammatory meds, ice application, rest and activity mobilisation

Question 14

exercises for lumbar spine

Answer 14

Strenghten:
Normal bridge
Regress: hands down to help push up.
Progress: one leg, increase lever, hands crossed over chest.

Stretching:
Active assisted: Sphinx pose and use hands to help lean backwards as far as you can/ hold legs as if trapped widnd.
Active: stretch yourselev
Passive: standing and physio helps person lean forward or backward
Nerve: slump test treatment

Question 15

exercises for knee

Answer 15

Strengthening muscles around knee joint, provides increased stability and strength.
On chair and flex and extend the knee.
Regress: isometric against the wall.
Progress: add a resistance band for flexion and extension.
Stretching:
1. Active assisted: flex foot and put hand on knee to stretch hamstring
2. Active: flex foot and straight leg but don’t put hand on knee
3. Passive: straight leg raise by physio

1. Active assisted: bend leg and hold ankle standing up
2. Active: kneel down and lean back to stretch quads
3. Passive: prone on bend and physio stretches quads

Question 16

what is the pain gate theory

Answer 16

• nerve gate located in dorsal horn
• nocicepetos activated, 2nd order neurones activated and inhibit inhibitory neurones. Gate opened - pain
• larger diamter AB fibres are non painful
• include skin rub, hot, cold packs
  -they reactivate inhibitory neurones and STOP pain signal transmission

Question 17

reference for neck pain exercises

Answer 17

Strengthening exercises are an effective way of improving neck pain lo et al 2017.