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Flashcards in Midterm Exam Deck (16)
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Theory that asymmetric position of the vertebra is maintained by the intrinsic muscles producing hypomobility of the functional or motor unit (two adjacent vertebrae)

Theory of Compressive Buckling


Theory that over time may lead to contractures, additional shortening and loss of elasticity

Theory of Joint Fixation - Myofacial Structures


Theory whose treatment is aimed at minimizing the extent of inflammatory response, decrease in pain and muscle spasms and decreased scar tissue formation and promote mobilization stress to injured area will increase strength of scar tissue; may take months therefore best to be aggressive early.

Theory of Joint Fixation Hypomobility


Theory whose belief is a result of pathophysiological changes associated with aging, degenerative disc disease and trauma.

Clinical intradiscal blocks produce episodes of acute mechanical back pain and joint locking. CMT is proposed a viable treatment for interrupting cycle of acute back pain and joint locking.

Theory of intradiscal block


Theory an error in neuromuscular control fails to provide stability or respond appropriately with muscle activation to perturbation (a change in the normal state or regular movement of something)

Theory of Compressive Buckling


Theory whose concept is of a misaligned (static) vertebrae causing limitation of movement, inflammation and pain.

Theory of Joint Malposition


Theory that as a result of a single or cumulative event a critical buckling load is reached leading to a concentration of forces on structural elements of the spine (disc, facet, ligament, nerve or muscle)leading to reduced function and production of symptoms specific to the tissue affected leading to local inflammatory and or biomechanical changes

Theory of compressive blocking


Theory that manipulation gaps the joint and allows the meniscoid to return to its neutral resting position.

Theory of Interarticular/Intermeniscoid Block



View 1 = repetitive rotation stress leads to injury to the outer annular fibers followed by radial fissuring and outward migration of nuclear material

Theory of Intradiscal Block



Injury>inflammation>extracellular accumulation of exudates/blood>formation of scar tissue

Theory of Joint Fixation - Hypomobility


Theory of derangement from entrapment of joint meniscoids or synovial folds.

Theory of Interarticular/Intermeniscoid Block


Theory that meniscoid entraps outside the joint cavity against the edge of the articular cartilage and buckles (space-occupying lesion) under the capsule.

Theory of Interarticular Derangement - Interarticular/Intermeniscoid Block


Theory whose concept is that dysfunction is the result of periarticular tissue injury results: fibrosis and loss of elasticity and strength.

May result from acute or chronic (repetitive) trauma to soft tissues (muscles, tendons, ligaments and mayo facial structures)

Immobilization slows the process of recovery leading to loss of strength/flexibility leading to interarticular adhesions then dehydration of tissue (proteoglycan approximate and stick together)

Theory of Joint Fixation - Hypomobility


Theory that painful conditions are capable of triggering persistent muscle hypertonicity, pain (loss of pain-inhibiting qualities of joint mechanoreceptors) and loss of joint movement.

Causes are trauma, structural defects (scoliosis, congenital anomalies of spine, visceral disease, psychological disease)

Theory of Joint Fixation - Myofacial Structures


What are the three theories of Interarticular Derangements?

Interarticular/Intermeniscoid block

Intradiscal Block

Compressive Buckling


Concept of static misalignment/spine is not symmetrical, SPs deviate, use of radiographs to support sublaxation. No longer supported; no evidence of change in alignment after adjustment.

Joint Malposition Theory