NAGS and SNAGS

Question 1

What does NAGS mean?

Answer 1

Natural Apophyseal Glides

Question 2

Definition: oscillatory weight-bearing mobilizations which can be applied to facet joints between C2 and T3; gliding a facet on its neighbor

Answer 2

NAGS

Question 3

NAGS are (passive/active) accessory movements.

Answer 3

passive

Question 4

What does SNAGS mean?

Answer 4

Sustained natural apophyseal glides

Question 5

definition: Glides that are used for treatment on ALL spinal segments, rib cage, and SI joints

Answer 5

SNAGS

Question 6

definition: The patient ACTIVELY moves through the previously painful or restricted ROM while an accessory glide is performed

Answer 6

SNAGS

Question 7

What does MWMS mean?

Answer 7

mobilizations with movements

Question 8

definition: a combination of SUSTAINED accessory mobilizations with physiologic movement used with the ribs, SI joint, and extremities

Answer 8

MWMS

Question 9

(true/false) MWMS are used with the spine.

Answer 9

FALSE

Question 10

What does SMWLMS mean?

Answer 10

Spinal mobilizations with limb movements

Question 11

definition: SUSTAINED transverse glide to the spinous process of a vertebra is applied while the restricted peripheral joint is mobilized actively OR passively.

Answer 11

SMWLMS

Question 12

definition: indication of a disturbed proprioceptor being misinterpreted by an agitated CNS and made worse by ACTIVE movement

Answer 12

mild resting aches

Question 13

Painful restrictions of spinal and peripheral joint mobility is sometimes accompanied by ____ and ____.

Answer 13

weakness and tracking problems

Question 14

What does SINS factor stand for?

Answer 14

Severity
Irritability
Nature of Presenting condition
Stage

Question 15

What are indications for mulligan techniques?

Answer 15

• mild resting aches
• painful or restricted joint mobility
• orthopedic conditions (lateral epicondylitis)
• SINS factor

Question 16

What are contraindications for using the mulligan techniques?

Answer 16

• hypermobility
• degenerative joint disease
• RA
• osteoporosis
• pregnancy
• excessive pain
• infection
• neoplasm
• recent Fx

Question 17

In what situations are the mulligan concept techniques not effective?

Answer 17

They are not effective with chronically adaptive shortened tissues or where serious pathology exists

Question 18

What are the physiological effects of mobilizations?

Answer 18

• mobilization induced analgesia
• recruitment of downward inhibitory modulation

Question 19

What are the mechanical effects of mobilizations?

Answer 19

• increased pain-free ROM including increased joint mobility
• proper/improved joint tracking

Question 20

Mulligan concept techniques have (immediate/non-immediate) results.

Answer 20

immediate

Question 21

(true/false) Techniques of the mulligan concept are pain-free and safe.

Answer 21

true

Question 22

What are the cons of the mulligan concept techniques?

Answer 22

• does not identify anatomic cause of impairment
• may not adhere to the biomechanics of a joint

Question 23

What does it mean if symptoms remain or become worsened when using mulligan techniques?

Answer 23

• The glide may be in the wrong direction
• The problem is unsuitable for the technique chosen

Question 24

Perform ___ reps of the _____ movement

Answer 24

10 reps, asymptomatic

Question 25

What part of ROM are NAGS performed in?

Answer 25

mid to end range

Question 26

oscillatory accessory glides in NAGS are done in a ___ to ___ direction.

Answer 26

posterior to anterior

Question 27

NAGS are used to treat problems originating from segments __-__.

Answer 27

C2-T3

Question 28

SNAGS should not be performed for more than ___ SUCCESSFUL repetitions in the cervical spine

Answer 28

3

Question 29

What patient position is recommended when performing lumbar SNAGS?

Answer 29

seated

Question 30

Where should you exert pressure while performing SNAGS?

Answer 30

spinous processes ot unilaterally on articular pillars

Question 31

When doing reverse NAGS, pain in the neck/upper trap indicates a ___ problem.

Answer 31

upper cervical spine

Question 32

When doing reverse NAGS, pain in the neck and down to the shoulder indicates a ___ problem.

Answer 32

lower cervical spine

Question 33

SNAGS are a ____ range mobilization

Answer 33

End of range

Question 34

NAGS or SNAGS? Which is least likely to provoke a latent pain?

Answer 34

NAGS

Question 35

NAGS or SNAGS? Preferred if MULTIPLE joints of the cervical spine are involved.

Answer 35

NAGS

Question 36

NAGS or SNAGS? Preferred if only ONE joint is involved or if symptoms are present at ONLY the END RANGE.

Answer 36

SNAGS

Question 37

When are MWMS mobilizations indicated?

Answer 37

- When a patient presents with a history that is appropriate for manual therapy - When there is only complain of symptoms when moving

Question 38

The direction of the accessory technique of MWMS must follow the _____ line.

Answer 38

joint line

Question 39

Perform hinge joint mobilizations for ___-___ reps.

Answer 39

3-4 reps