MPT 2 MDT

Question 1

McKenzie method

Answer 1

a classification system used for both eval and treatment of a patient according to the mechanical and symptomatic response to mechanical loading

Question 2

what are 3 types of LBP impairments that MDT works best on

Answer 2

1 - acute LBP w/ mobility deficits
2 - acute LBP w/ radiating pain
3 - chronic LBP w/ radiating pain

Question 3

T or F: MDT and manual therapy both have strong evidence for treating LBP with referred pain and or mobility deficits

Answer 3

T

Question 4

what are the 3 MDT mechanical syndromes

Answer 4

1 - derangement
2 - posture
3 - dysfunction
*also have an “other” subgroups

Question 5

postural syndrome

Answer 5

pain associated with prolonged static loading on normal tissues

Question 6

dysfunction syndrome

Answer 6

mechanical deformation of structurally impaired soft tissues

Question 7

derangement syndrome

Answer 7

a disturbance in the normal resting position of the affected joint surfaces

Question 8

T or F: postural syndrome has a true pathology associated with it

Answer 8

F

Question 9

is there ROM loss with postural syndrome? deformities?

Answer 9

No

Question 10

typical population affected by postural syndrome

Answer 10

younger, typically female, sedentary lifestyle
*seen a lot in gamers

Question 11

what kind of pain with postural syndrome?

Answer 11

• local and intermittent
• no pain during movement
• end range pain only with sustained positions
• correct position and pain improves

Question 12

what is the treatment for postural syndrome

Answer 12

education and posture correction

Question 13

is there a pathology associated with dysfunction syndrome

Answer 13

yes

Question 14

is there deformity with dysfunction syndrome? what about ROM loss?

Answer 14

deformity = no
ROM loss = yes

Question 15

what kind of pain with dysfunction syndrome

Answer 15

consistent end range pain

Question 16

what is the treatment for dysfunction syndrome

Answer 16

remodeling tissue

Question 17

how is a dysfunction syndrome named

Answer 17

for the direction of the ROM loss
Ex: loss of flexion = flexion dysfunction

Question 18

3 dysfunction syndrome subgroups

Answer 18

1 - flexion dysfunction
2 - extension dysfunction
3 - adherent nerve root (ANR)

Question 19

you treat flexion dysfunction with repeated ______ while you treat extension dysfunction with repeated ________

Answer 19

flexion
extension

Question 20

adherent nerve root

Answer 20

• intermittent symptoms in legs/arm
• go to end range and then goes down arm/leg

Question 21

how to treat ANR

Answer 21

remodel with dural glides

Question 22

what must you rule out with adherent nerve root

Answer 22

derangement

Question 23

what is the most common MDT syndrome

Answer 23

derangement

Question 24

what is the biggest difference between dysfunction and derangment

Answer 24

with derangement, you have pain through the entire movement… not just at end range

Question 25

how to tell the difference between ANR and derangement

Answer 25

if you take away the neural tension and still have pain it is derangement if the pain goes away, it is ANR

Question 26

irreducible derangements

Answer 26

- chronic, unchanging, constant - no movements provide lasting relief

Question 27

how to treat irreducible derangements

Answer 27

PNE encourage activity

Question 28

directional preferance

Answer 28

movement in this direction results in reduction of pain and improved ROM

Question 29

what do interventions based on directional preference promote

Answer 29

centralization of symptoms

Question 30

T or F: centralization only occurs with derangement syndrome

Answer 30

T

Question 31

how do you name a derangement

Answer 31

based on the direction it is deranging

Question 32

stages of derangement management (4)

Answer 32

1 - reduction of derangement 2 - maintenance of reduction 3 - recovery of function 4 - prevent recurrence

Question 33

how do you reduce a derangement

Answer 33

- directional preference to END RANGE - progression of forces

Question 34

typically, what is the directional preference with derangements

Answer 34

towards the pain

Question 35

red light

Answer 35

increases sx, produces, and remains worse

Question 36

yellow light,

Answer 36

increases sx, produces, and no worse after

Question 37

green light

Answer 37

decreases sx, abolishes, and remains better

Question 38

do you start with sagittal or lateral plane movements in MDT? What is the exception?

Answer 38

sagittal *unless there is a lateral shift and then you need to correct that first

Question 39

extension progression of forces

Answer 39

1 - prone 2 - prone on elbows 3 - standing 4 - repeated ext in lying 5 - overpressure exhalation from pt 6 - overpressure from PT 7 - mobilization 8 - manipulation

Question 40

T or F: centralization during eval indicates good prognosis

Answer 40

T