Exam 1 - Manual Therapy

Front 1

2 types of hard end-feel

Back 1

1) Bone on Bone
2) Spasm

Front 2

What does a springy end-feel indicated?

Back 2

intra-articular displacement (meniscus blocking extension)

Front 3

Soft end-feel?

Back 3

Tissue approximation

Front 4

Empty end-feel?

Back 4

Acute bursitis, extra-articular abscess or neoplasm
Almost always accompanied by pain.

Front 5

Pain before resistance indicates?

Back 5

1) Active lesion - acute injury
2) Extra-articular limitation of movement

Front 6

Pain with resistance

Back 6

Repair phase. Gentle stretching can be cautiously attempted.

Front 7

Resistance before pain

Back 7

Can stretch joint strongly

Front 8

Strong and painful

Back 8

Minor lesion of muscle or tendon.

Front 9

Weak and painless

Back 9

1) Complete rupture of muscle or tendon
2) Impaired nerve conduction

Front 10

Weak and painful

Back 10

Gross lesion (like fracture of patella, olecranon or deposits on humeral head)

Front 11

All resisted movements are painful

Back 11

Cyriax says emotional hypersensitivity

Front 12

Painful on repetition

Back 12

Possible intermittent cluadication

Front 13

Boggy end-feel?

Back 13

Inflammation

Front 14

in 1800s manipulative therapy was revived by 2 seperate movements, what were they?

Back 14

1) Osteopathy
2) Chiropractics

Front 15

Resp. for osteopathy?

Back 15

Andrew Taylor Still

Front 16

Resp. for chiropractics?

Back 16

Palmer and Logan

Front 17

Cyriax helped establish?

Back 17

Soft tissue diagnoses
1) contractile vs none
2) acuteness of injury
3) Manipulations

Front 18

Who developed muscle energy techniques?

Back 18

Michell, Moran and Pruzo (osteopaths)

Front 19

What type of mobs does kaltenborne do?

Back 19

Nonrotary manipulations, graded movements (1-3)

Front 20

Who innovated joint play?

Back 20

Maitland

Front 21

Which person liked to "treat the pathology" opposed to treating the biomechanical issue?

Back 21

Maitland

Front 22

Which person liked to treat the biomechanical issue opposed to treating the pathology?

Back 22

Kaltenborne

Front 23

McKenzie's approach to treatment?

Back 23

Spinal eval and treatment based on movement

Front 24

Clinician popular in Ohio (used to teach for McKenzie)

Back 24

D'Amagio

Front 25

Went to Europe to learn from chiropractors than taught mobs in the US. Founded the University of Augistine

Back 25

Paris

Front 26

TMJ man?!

Back 26

Chillian - Roccobado.

Front 27

Vollowitz?

Back 27

Ergonomic adjustments of bed, chairs and environment

Front 28

Myofascial; craniosacral tehcnique; unwinding.

Back 28

John Barnes

Front 29

Based practice off of postural eval. Treated with exercise.

Back 29

Sarhman

Front 30

Total motion release

Back 30

uses good areas to fix the bad or injured areas. Good area are typically found on the opposite side of the body.

Front 31

Primal Reflex Therapy

Back 31

All painful experiences are controlled by a central source that biases the periphery. Primal reflexes are the root of all sustained painful conditions.

Front 32

carpometacarpal end-feel?

Back 32

Firm

Front 33

joint movement for 1st CMC flex/ext?

Back 33

Concave rule

Front 34

1st CMC capsular pattern?

Back 34

abduction-extension

Front 35

1st CMC close-pack?

Back 35

Maximal opposition

Front 36

Joint movement for 1st CMC ABD/ADD?

Back 36

Convex rule

Front 37

Joint movement for wrist?

Back 37

1) All convex except:
2) Trapezium/Trapezoid-scaphoid - concave

Front 38

wrist jt end-feel?

Back 38

firm

Front 39

Zero position of wrist?

Back 39

Radius and 3rd MC form straight line

Front 40

Close-packed position of wrist?

Back 40

Full extension

Front 41

Resting position of wrist?

Back 41

Slight palmer flexion with slight ulnar flexion

Front 42

End-feel for forearm?

Back 42

Pronation - hard end feel (radius hits ulna)
Supination - firm end feel (ligamentous)

Front 43

Distal R-U jt movement?

Back 43

concave rule

Front 44

Proximal R-U jt movement

Back 44

Convex rule

Front 45

Radiohumeral jt movement?

Back 45

Concave

Front 46

Distal R-U jt resting position?

Back 46

Appx 10deg supination

Front 47

Proximal R-U jt resting position?

Back 47

Supination = 35deg
Elbow flexion = 70deg

Front 48

Humeroradial jt resting position?

Back 48

Full supination and full elbow extension

Front 49

Closed pack of distal and prox R-U jt?

Back 49

Max pronation or supination

Front 50

Closed pack for humeroradial joint?

Back 50

90deg elbow flexion

Front 51

Capsular pattern of forearm?

Back 51

Equal restriction, usually paired with limited elbow flex or ext.

Front 52

Elbow jt movement?

Back 52

concave rule

Front 53

Elbow end-feel?

Back 53

1) Flexion = hard (coronoid process on fossa)
2) Extension = hard (olecranon process on fossa)

Front 54

Resting position of elbow?

Back 54

Flexion to 70
Supination to 10

Front 55

Closed pack of elbow?

Back 55

Full extension and supination

Front 56

Capsular pattern of elbow?

Back 56

Flexion -> extension

Front 57

Shoulder end-feel?

Back 57

Firm (Capsular)

Front 58

Shoulder jt movement?

Back 58

Convex

Front 59

Resting position of shoulder?

Back 59

55 abduction
30 horizontal add
slight ER

Front 60

Close-pack of shoulder?

Back 60

Max abduction and ER

Front 61

Capsular pattern of shoulder?

Back 61

ER -> Abduction -> IR

Front 62

Red Flags?

Back 62

1) Can't reproduce pain
2) Sudden weight loss (15lbs - 2 weeks)
3) Can't relieve pain
4) Changes in B&B
5) Signs of infection
6) Saddle signs
7) Empty end feel
8) Sign of fx or dislocation
9) Sudden and severe HA
10) Night pains that wake you up and prevent you from falling back asleep.

Front 63

Yellow flags?

Back 63

1) Bilateral pain
2) Pain that wake you up but allow you to return to sleep
3) PMH (CVD, Arthritis, Osteoporosis)
4) Autonomic changes (nights sweats, no sweating, excess sweating)
5) Weak & painless