Mobilisation

Question 1

What is the role of manual therapy in physiotherapy practice?

Answer 1

It is integrated into an active package of care alongside education and exercise.

Question 2

What should not be done in manual therapy?

Answer 2

Apply MT over an open wound, inadequate circulation, or in cases of haemorrhage.

Question 3

List some contraindications for manual therapy.

Answer 3

• Early stages of healing
• Infections
• Febrile conditions
• Systemically unwell conditions
• Acute inflammation
• Psoriatic arthritis
• Undiagnosed serious pathology
• Foreign body
• Collagenous weakening
• Heart conditions

Question 4

What are the treatment principles in manual therapy?

Answer 4

Safe, efficient, comfortable, and effective for the person and operator.

Question 5

What factors should be considered when selecting treatment grades/techniques?

Answer 5

Physiotherapist preference, pain, restriction of movement, and muscle spasm.

Question 6

Describe Grade I treatment technique.

Answer 6

Small amplitude movement at the beginning of the available range of movement.

Question 7

Describe Grade II treatment technique.

Answer 7

Large amplitude movement within the available range of movement.

Question 8

Describe Grade III treatment technique.

Answer 8

Large amplitude movement that reaches the end range of movement.

Question 9

Describe Grade IV treatment technique.

Answer 9

Small amplitude movement at the very end range of movement.

Question 10

What is the Central Posterior Anterior technique?

Answer 10

Pressure applied to the spinous process in a posterior to anterior direction.

Question 11

What is the Unilateral Posterior Anterior technique?

Answer 11

Pressure applied to the area over the transverse process (on either the right or left).

Question 12

What is the Transverse technique?

Answer 12

Pressure applied to the side of the spinous process (on either the right or left).

Question 13

What is the Rotation technique for the lumbar spine?

Answer 13

Position person in side-lying and flex the spine by bending the hips and knees.

Question 14

What is the purpose of keeping full, clear, and accurate records as a physiotherapist?

Answer 14

To meet professional and legal obligations and to drive high standards of patient care.

Question 15

What should be recorded in patient notes after an intervention?

Answer 15

• Technique used
• Level applied
• Grade
• Time spent
• Outcomes (e.g., pain scales, range of movement)