what is a comparable sign?
- an objective finding that reproduces a patients sxs and demonstrates an abnormality
describe the pain, resistance, spasm concept
there are three primary groups of patients with regards to mobs: pain dominant, pain before or after resistance, and resistance dominant
summarize the Maitland approach
- for every subjective complaint, ideally there is a physical finding
- pt centered approach based on sxs
What are PPIVMs
sidelying test for spine instability
define grade 3
R1 to 50% R2
what is the goal of the reassessment
to modify or confirm your hypothesis
define grade 2
movement free of stiffness or spasm (
describe a pain before/after resistance pt (5)
- most common
- pain 3-7
- variable aggs
- variable waking at night
- variable medication
what is the goal of the body chart?
establish several hypotheses
describe a resistance dominant pt (6)
- nusiance (non severe or irritable)
- STIFFNESS
- pain 0-3
- does not wake at night
- no medication usually
- no pain provocation during mobs usually
what is the goal of the SE
to modify and narrow the differential
What is the seven step Maitland examination
- body chart
- clinical findings
- SE
- OE
- Problem ID (tx goals, implementation, technique selection and Rx)
- Reassess and Response to Tx
- Progress Tx data or collect more data
what are on both sides of the permeable brick wall?
- the clinical (hx and sxs)
2. the theoretical (dx)
what is a “symptom”; give two examples
any subjective, pt complaint; pain, NT
what does it mean for a joint to be “clear?” (2 conditions)
- pain free movement within range
- must apply overpressure
define grade 4
small amplitude movement usually within stiffness/spasm/R2
what is the theory behind the permeable brick wall?
frees the PT from prejudice and allows problem solving based on emerging data
What are PAIVMs
CPAs and UPAs: nondiagnostic but useful tool to identify an impaired segment
define grade 1
small amplitude oscillations that move the soft tissue around the joint
give an example of a normal abnormal
- pain free movement, but restricted ROM
what is a “sign”; give two examples
any objective finding; stiffness, hypermobility
what is SINSS
severity, irritability, nature, stage, stability
define grade 5
HVLA at R2
what is the goal of the OE
to weigh the + and - findings
