1B

Question 1

Which has an active component:

Manipulation

Mobilization

Muscle Energy Technique

Answer 1

Muscle energy technique

Question 2

Passive technique with rythmic repetitive movements is called

Answer 2

Mobilization

Question 3

Passive technique with one small amplitude quick and decisive movement is called

Answer 3

Manipulation

Question 4

What is osteokinematic motion

Answer 4

ROM that you can see (example: elbow flexion)

Question 5

Arthokinematic motion is what

Answer 5

Motion inside the joint capsule that might not be visible. (example: joint play)

Question 6

Who said that all pain has an anatomical source

Answer 6

James Cyriax

Question 7

Who invented the joint play assessment

Answer 7

John Mennell

Question 8

What PTs introduced Response based treatment

Answer 8

Geoffery Maitland and Robin Mckenzie

Question 9

A biomechanical approach works best for what

Answer 9

post-op

Question 10

What is the biomechanical method

Answer 10

relationship between the anatomical contributions and the pathological presentations used to determine the specific pathology of Dx

Question 11

What is the patient-based response method

Answer 11

Relies on assessment findings to determine treatment

apply movement to decrease symptoms and improve ROM

Question 12

What is the best method of treatment

Answer 12

Combination of Biomechanical and Response-based

Question 13

T or F: An audible pop is not necessary to acheive neurophysiological changes

Answer 13

T

Question 14

How long do the temporal effects of a manipulation or mobilization last

Answer 14

20-30 mins, so you need to do exercise right after to maintain the improvements

Question 15

A displaced meniscus might cause what kind of abnormal endfeel?

Answer 15

Springy

Question 16

What kind of endfeel will swelling/hemarthrosis cause?

Answer 16

Boggy

Question 17

Grade 2 muscle tears, or recent trauma hypermobility might cause what kind of abnormal endfeel

Answer 17

Spasm

Question 18

What kind of endfeel is it when a patient will not let you complete the movement due to severe pain

Answer 18

Empty

Question 19

What level of mobilizations are needed for pain dominant patients?

Answer 19

grade 1 and grade 2

Question 20

What kind of mobilizations are best for sub-acute injuries?

Answer 20

Grade 2-3

Question 21

What level of mobilization is used for chronic problems?

Answer 21

3-4

Question 22

______ is strongly indicated for acute and subacute injuries

Answer 22

MET (Muscle energy technique)

Question 23

T or F: HVLAT are indicated for Acute injuries

Answer 23

F they are rarely indicated

Question 24

A grade 1 mob Oscillatory uses how much of the available ROM

Answer 24

first 25%

Question 25

A grade 2 mob oscillatory uses how much of the available ROM

Answer 25

25-75 % Or Mid 50 %

Question 26

A grade 3 mob oscillatory uses how much of the available ROM

Answer 26

50-100%

Question 27

A grade 4 mob Oscillatory uses how much of the available ROM

Answer 27

Last 25%

Question 28

A grade 5 mob Oscillatory uses how much of the available ROM

Answer 28

AKA a manipulation, it goes past the available ROM but NOT to the anatomical limit

Question 29

When using a sustained grade how long do you have to hold the force for?

Answer 29

At least 6 seconds

Question 30

What are the grades for a sustained mob

Answer 30

Grade 1 loosen Grade 2 Take up the slack Grade 3 stretch

Question 31

What grade of a sustained Mob would you reach 1st tissue resistance

Answer 31

Grade 2

Question 32

What grade of a sustained mob would you reach 2nd tissue resistance

Answer 32

Grade 3

Question 33

Generalized vs Target-Specific HVLAT

Answer 33

Generalized affects more than one structure/joint

Question 34

Contraindications to manual therapy

Answer 34

Infection Febrile state Acute circulatory condition Malignancy Open Wound Recent Fracture Hematoma Advanced DM Hypersensitive skin Inappropriate endfeel RA (during exacerbation) Cellulitis Extension Radiation of pain ANY CONDITION THAT HAS NOT BEEN FULLY EVALUATED

Question 35

Prior to application of any intervention what should the physical therapist do

Answer 35

Rule out any contraindications and screen for precuations

Question 36

What is adverse neural tension

Answer 36

Lacking of sufficient mobility of nerve in the sheath

Question 37

Where are 3 places in the spine where the dura is tethered to a bony canal?

Answer 37

C6 T6 L4

Question 38

When would you want to use a grade 3 sustained mobilization on the joint ?

Answer 38

When the patient has hypomobile joint

Question 39

If a patient is pain dominant you want to use

Answer 39

Oscillatory grades 1-2 to dec pain

Question 40

If a patient is stiff dominant you want to use

Answer 40

Sustained grades or oscillatory grades 3-5

Question 41

What are the types of soft tissue techniques

Answer 41

Transverse friction massage Myofascial release Soft tissue mob Sustained ischemic pressure MET *

Question 42

What are the precautions for Manual therapy ?

Answer 42

RA Dizziness Steroid or anticoagulant therapy

Question 43

What are the signs of a positive nerve tissue provocation tension test ?

Answer 43

1) reproduces Pts symptoms 2) Test responses altered by movement of distant body parts that would bot be attributable to any other tissue except neural tissue 3) Test differences from the L side to the R side or from normal

Question 44

What are the sites that nerves can become entrapped ?

Answer 44

Tunnels Branches Hard interfaces Proximity of the surface Adherence to interfacing structures

Question 45

When using the SLR what are the movements that need to be utilized to test the Tibial nerve

Answer 45

DF Eversion Toe Extension

Question 46

When using the SLR what are the movement that need to be utilized to test the Sural nerve

Answer 46

DF Inversion

Question 47

When using the SLR what are the movement that need to be utilized to test the Common fibular nerve

Answer 47

PF Inversion

Question 48

What are some indications for Neurodynamic Mobilizations ?

Answer 48

Neurological symptoms Antalgic gait postures Active or passive movement dysfunctions TTP over superficial neural tissue

Question 49

What are some precautions for neurodynamic mobilization There are 4

Answer 49

Irritable conditions Severe unremitting night pain Recent paresthesia/anesthesia Mechanical spine pain with peripheralization of symptoms

Question 50

Neurodynamic mobilization techniques Stretching

Answer 50

Load both ends for a predetermined time

Question 51

Neurodynamic mobilization techniques Gliding

Answer 51

Load 1 end of a nerve ends and relieves stress on the other oscillatory fashion