Manual Therapy History – Flashcards
46 test answers
Unlock all answers in this set
Unlock answers 46question
Physiotherapy was founded in
answer
1899 in England
Unlock the answer
question
Manual therapy is an important component of intervention for ______ and _____ disorders
answer
orthopaedic and neurologic
Unlock the answer
question
Significant contributors to Manual Therapy Philosophies include
answer
Cyriax, Mennel, Osteopathic philosophies, Maitland, Kaltenborn & Mackenzie
Unlock the answer
question
Subsets of Manual Therapy
answer
joint & soft tissue mob myofascial/positional release neurodynamic mobs proprioceptive neuromuscular techniques manual resistive exercise
Unlock the answer
question
James Cyriax
answer
1950 - ortho pain has anatomic source - tx directed at this differentiates contractile/non contractile lesions *identify anatomic structure associated w/lesion*
Unlock the answer
question
Cyriax Treatment
answer
FIMEP Friction massage injection Manipulation/manual exercise & modalities patient education
Unlock the answer
question
Mennel
answer
Ortho 1980s Loss of normal joint play can lead to dysfunction -> dysfunction is sign of serious pathologic process or joint joint manipulation can restore normal joint play
Unlock the answer
question
Mennel Treatment
answer
MEP Manual/manipulation Exercise/modalities Patient Ed
Unlock the answer
question
Osteopathic philosophy
answer
Andrew Taylor Still 1874 body = complete unit neuromuscular system connect to other systems abnormality in structure can = abnormality in function *somatic dysfunction* exam focuses on asymmetry, restrictions & palpation of soft tissue changes eval interpretation is position or regional fault, segmental or multisegmental
Unlock the answer
question
Osteopathic Treatment
answer
MMMSEP Manual/manip Muscle Energy Myofascial technique Strain/counterstrain Exercise Patient Ed
Unlock the answer
question
Maitland (australian approach)
answer
Physiotherapist communicate w/patient theoretical & clinical thinking: clinical reasoning *assess & Reassess & uses SINSS* focuses more on pain strong emphasis in passive movement testing (grades 1-5) Differential assessment Eval findings = diagnosis
Unlock the answer
question
Maitland Treatment
answer
TTEAMP Treating pain/stiffness Traction Exercises that reproduce clinical tx adverse neurodynamic mobs mobs/manip Patient Education
Unlock the answer
question
Kaltenborn (Norwegian)
answer
biomechanical assessment pain, joint dysfunction & soft tissue change focus on regaining motion through movement
Unlock the answer
question
Kaltenborn Treatment
answer
METSP Mobs/manip Exercise (emphasized PNF) Traction/Distraction Soft tissue mob Patient Ed
Unlock the answer
question
McKenzie
answer
Physiotherapist lifestyle factors of sitting posture, loss of extension range - frequency of lumbar flexion - pain contributor patient involvement in self management/tx Emphasizes active no passive movement intervertebral disc common pain generator *use of REPEATED movements* Diagnosis is a syndrome v structure Postural, Dysfunction, Derangement
Unlock the answer
question
McKenzie treatment
answer
SEMP Self tx w/REPEATED active movements Exercise w/pain reducing movements mobs/manip Patient Ed & self tx
Unlock the answer
question
Mulligan
answer
Mobs w/movement *MWM* mobs applied parallel to plane of motion and sustained throughout the movement until joint returns to its starting point intention of producing *no pain* when applied
Unlock the answer
question
Shirley Sahrmann
answer
movement impairment resolve underlying movement imbalances label & treat abnormal movement pattern as a diagnosis
Unlock the answer
question
Stanley Paris
answer
Joint injuries = dysfunction GOAL = correct dysfunction rather than pain major difference from Maitland who focuses on pain
Unlock the answer
question
Stanley Paris Treatment
answer
MP Mobs/manip Patient Education
Unlock the answer
question
1/2 of the joint should be ___ and the other half ____ During manual therapy techniques
answer
1/2 stabilized, 1/2 mobilized
Unlock the answer
question
Slow stretches for ____ capsular restrictions, Fast Oscillations for _____ restrictions
answer
Large Small/minor
Unlock the answer
question
ABSOLUTE Contraindications to manual therapy
answer
Acute Circulatory condition Advanced Diabetes Bacterial infection Cauda equina lesions Cellulitis Constant - severe pain Hematoma Hypersensitivity of skin Inappropriate end feel Malignancy Open Wound in area S&S of SC involvement Systemic or localized infection (osteomyelitis)
Unlock the answer
question
Relative Contraindications (Dependent on pt) for manual therapy
answer
Dizziness Hypermobility Joint effusion/inflammat. Neurologic signs Osteoporosis Pregnancy RA Steroid or anti-coagulant therapy
Unlock the answer
question
Definition: Physiological Movements
answer
voluntary movement that can be performed actively
Unlock the answer
question
Definition: Accessory Movements
answer
movements that are necessary for normal ROM that CANNOT be actively performed (joint play - motions between jt surfaces include distraction, compression, sliding, spinning, rolling)
Unlock the answer
question
Definition: Compression
answer
Decrease in joint space of opposing joint surfaces Accessory motion when muscle contracts- provides stability normal intermittent comp. loads help move synovial fluid & maintain cartilage health High compressive loads may lead to articular cartilage changes & degeneration
Unlock the answer
question
Definition: Joint Mobs Grade I-IV
answer
passive technique applied to joints using physiological or accessory motions -- at speed pt can stop
Unlock the answer
question
Definition: joint manipulation Grade V
answer
passive technique - articular capsule is stretched w/a quick thrust to the joint Hi velocity - short amplitude motion @ end of joint ROM pt cannot stop motion
Unlock the answer
question
Definition: Open packed
answer
slackening of major ligaments of the joint minimal jt surface contact max distraction of the joint surface max joint volume
Unlock the answer
question
Definition: Closed pack position
answer
max congruency max tautness of major ligaments max stability min joint volume
Unlock the answer
question
Definition: Anatomic limit
answer
determined by configuration of the joint surfaces and surrounding soft tissues
Unlock the answer
question
Definition: point of limitation
answer
point in range that is short of anatomic limit and is reduced by either pain or tissue resistance
Unlock the answer
question
Grade I
answer
Small amplitude movement at beginning of range
Unlock the answer
question
Grade II
answer
Large amplitude movement within available range - resistance free
Unlock the answer
question
Grade III
answer
Large amplitude into resistance
Unlock the answer
question
Grade IV
answer
Small amplitude into resistance
Unlock the answer
question
Grade V
answer
small amplitude, hi velocity thrust at end of available range past available ROM
Unlock the answer
question
If pain is experience BEFORE tissue resistances Grade ____ and ____ are appropriate mobs
answer
I and II
Unlock the answer
question
Indications for joint mobs
answer
pain control (I and II grades) - muscle guarding and spasms Joint hypomobility -stretching a stiff joint to restore range -stretching to lengthen contracted or fibrosed muscle tissue
Unlock the answer
question
Rhythm of mobs
answer
varies but usually 3-6 sets of oscillations, 20-60 seconds for resistance. 1-2 min for pain smooth and regular continue until you feel a change then reassess
Unlock the answer
question
Direction of movement of mobs
answer
either parallel or perpendicular to tx plane. tx plane - lies on articulating surface perpendicular to line from center of opposite articulating surface
Unlock the answer
