NMS Principles of Treatment Flashcards
(20 cards)
What is Joint dysfunction?
It’s not an isolated issue but could include neural or soft tissue components
What are the signs of joint dysfunction?
Hypermobility
Hypomobilty
Altered quality of movement
Production of symptoms
What can joint pathology lead to ?
Muscle weakness and neuromuscular deficits(OA)
How does joint dysfunction affect muscles and nerves?
Joint immobility
Joint Instability
Joint nociception
What effect does joint immobility have?
It affects the muscle by reducing the firing of motor neurons supplying the muscles and leads muscle weakness and an altered nervous system
What effect does joint Instability have?
Ligamentous insufficiency, thus leading to altered muscle activity and decreased neuromuscular control and proprioception
What effect does joint nociception have?
Affects the muscle activity
What other effects does joint dysfunction have?
Decreased muscle strength and movement and muscle wasting and reflex inhibitions
What is pain classified as?
Mechanical or nociceptive pain
What is mechanical pain?
It’s cetain movements that cause pain
What is nociceptive pain?
Pain that is chemical and results from inflammation,ischemia or sympathetic NS activity
What are the symptoms of joint dysfunction?
Pain or ache
Soreness
Pulling
What tests are done when patient is apprehensive about moving?
Instability testing
What are the principles of joint treatment?
Doesn’t only affect the joint but all tissues surrounding and attached to the joint.So joint treatment can be applied to any structure.
What could PA accessory movements of the Lx affect?
The Quadratus Lumbordum or multifidus muscles because of their attachment to the transverse processes of the lx
What can joint movement do?
Lengthen periaricular tissues
Rotate joints
Reproduction of symptoms
Affect muscle and nervous tissue
Why do we perform tests to reproduce pts symptoms?
An objective technique can be used as treatment for instance with PAMs require a variation of directional forces that needs to be applied to be interpreted of what’s causing the pain
What does the progression regression and modification of treatment depend on?
Pts response to the treatment techniques used in previous sessions
Pain intensity after treatment and follow up
Pain irritatability at the time of follow up
What is the reassessment sign?
Something to go look back on to evaluate improvement and finding out aggravating factors
What do the outcome measures include?
Change in ROM,Reoccurrence if symptoms and pain intensity and symptoms and in objective testing
