Quiz #2 - Applying Neural Mobilization
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Questions and Answers

In non-irritable treatment, which interfacing structures should be targeted?

The relevant interfacing structures.

What is the recommended amplitude of mobilization for non-irritable treatment?

Grade III or Grade IV through range.

During non-irritable treatment, when should the technique cease if there's concern about irritability?

Just prior to provoking symptoms.

What is the maximum duration for performing oscillations in non-irritable treatment?

<p>20-30 seconds.</p> Signup and view all the answers

In irritable treatment, where should relevant interfacing structures be treated in relation to the injury site?

<p>Distally to the injury site.</p> Signup and view all the answers

What grade of joint mobilization should be employed during irritable treatment?

<p>Grade II.</p> Signup and view all the answers

What should treatment progression in both non-irritable and irritable treatments be based upon?

<p>Reassessment of symptoms.</p> Signup and view all the answers

What are the six factors to adjust one at a time in non-irritable treatment (acronym: IAMGUM)?

<p>Increase time, add tension components, move to sustained techniques, exceed resistance, treat closer to symptoms, and include non-neural structures.</p> Signup and view all the answers

What should you expect regarding symptom resolution after stopping non-irritable mobilization techniques?

<p>Symptoms should resolve within seconds.</p> Signup and view all the answers

In non-irritable treatment, what is the purpose of increasing time, tension components, and moving to sustained techniques?

<p>These changes aim to progressively advance treatment based on symptom reassessment.</p> Signup and view all the answers

What is the recommended number of oscillations per second for non-irritable mobilization techniques?

<p>3-5 oscillations per second.</p> Signup and view all the answers

How should treatment adjustments be managed in irritable treatment using the acronym RIIIMMS?

<p>Adjustments should be made one at a time, focusing on aspects like repetitions and amplitude.</p> Signup and view all the answers

For effective irritable treatment, where should treatment be focused relative to the injury site?

<p>Treatment should be directed distally from the injury site.</p> Signup and view all the answers

In the context of irritable treatment, what is the approach until the system's sensitivity is established?

<p>Initially, under-treating the area is advised.</p> Signup and view all the answers

What kind of mobilization grade should be implemented during irritable treatment?

<p>Grade 2 mobilizations should be used.</p> Signup and view all the answers

What role does reassessment play in the progression of treatment for both non-irritable and irritable conditions?

<p>Reassessment of symptoms guides the treatment progression.</p> Signup and view all the answers

What is the significance of treating the relevant interfacing structures in non-irritable treatment?

<p>It ensures targeted and effective treatment to alleviate symptoms and promote healing.</p> Signup and view all the answers

Why is it important to adjust one factor at a time in the IAMGUM acronym during non-irritable treatment?

<p>It allows for clear assessment of the effects of each change on the patient's symptoms.</p> Signup and view all the answers

How does the approach to oscillations differ between non-irritable and irritable treatments?

<p>Non-irritable treatment uses 3-5 second oscillations, while irritable treatment employs slower, more rhythmic oscillations.</p> Signup and view all the answers

Why should the amplitude of mobilization in non-irritable treatment be Grade III or IV?

<p>These grades facilitate effective movement through the range without aggravating symptoms.</p> Signup and view all the answers

In irritable treatment, what is the effect of initially under-treating the patient?

<p>It helps to prevent exacerbation of symptoms while gauging the system's sensitivity.</p> Signup and view all the answers

What is the role of reassessment in both non-irritable and irritable treatments?

<p>Reassessment is crucial for determining treatment effectiveness and guiding progression.</p> Signup and view all the answers

How does the timing of symptom resolution inform the application of non-irritable treatment techniques?

<p>Symptoms should resolve within seconds of stopping treatment, indicating effective mobilization.</p> Signup and view all the answers

What adjustments can be made to treatment technique proximity in non-irritable treatment?

<p>Techniques can be modified to treat closer to the source of symptoms to enhance efficacy.</p> Signup and view all the answers

In non-irritable treatment, what is the significance of targeting treatment at the area of symptoms?

<p>Targeting treatment at the area of symptoms helps to directly address the source of discomfort, facilitating better outcomes.</p> Signup and view all the answers

How can discomfort be managed during non-irritable treatment?

<p>Discomfort is managed by ensuring that treatment remains just below provocative levels and by using oscillations judiciously.</p> Signup and view all the answers

Why is it important to perform oscillations for 20-30 seconds during non-irritable treatment?

<p>Performing oscillations for 20-30 seconds allows sufficient time for tissue response and relaxation.</p> Signup and view all the answers

Discuss the implications of symptom resolution occurring within seconds after stopping non-irritable treatment.

<p>Rapid symptom resolution suggests that the technique was effective and that the underlying issue may be less severe.</p> Signup and view all the answers

In the context of irritable treatment, what is the role of under-treating initially?

<p>Under-treating initially helps to avoid exacerbating symptoms until the sensitivity of the system is better understood.</p> Signup and view all the answers

What are the implications of the slow and rhythmic application of Grade II mobilization during irritable treatment?

<p>Applying Grade II mobilization slowly and rhythmically minimizes irritation while allowing observation of the system's response.</p> Signup and view all the answers

Explain the rationale behind reassessing symptoms throughout both non-irritable and irritable treatment.

<p>Reassessing symptoms ensures that treatment adapts to the patient's response and optimizes therapeutic effectiveness.</p> Signup and view all the answers

How do the principles of changing one factor at a time in the IAMGUM and RIIIMMS acronyms enhance treatment efficacy?

<p>Changing one factor at a time allows for clearer identification of what modifications lead to improvements in patient outcomes.</p> Signup and view all the answers

What should the oscillation duration be when applying non-irritable treatment?

<p>20-30 seconds (B)</p> Signup and view all the answers

Symptoms should resolve immediately after stopping non-irritable treatment techniques.

<p>False (B)</p> Signup and view all the answers

In irritable treatment, what grade of joint mobilization should be employed?

<p>Grade 2</p> Signup and view all the answers

In non-irritable treatment, one should perform oscillations at a rate of _____ oscillations per second.

<p>3-5</p> Signup and view all the answers

Match the treatment progression strategies for non-irritable treatment with their descriptions:

<p>Increase time of technique = Extend the treatment session length Add components that increase tension = Incorporate tension to mobilizations Move from oscillatory to sustained technique = Shift to a more static approach Treat involved non-neural structures = Address related structures to the condition</p> Signup and view all the answers

What is the primary factor upon which treatment progression for both non-irritable and irritable treatments is based?

<p>Reassessment of symptoms (A)</p> Signup and view all the answers

Under-treating initially is recommended in irritable treatment.

<p>True (A)</p> Signup and view all the answers

List one factor you should change one at a time during non-irritable treatment as per the IAMGUM acronym.

<p>Increase time of technique</p> Signup and view all the answers

What is the typical duration for performing oscillations during non-irritable treatment?

<p>20-30 seconds (D)</p> Signup and view all the answers

In irritable treatment, relevant interfacing structures should be treated proximal to the injury site.

<p>False (B)</p> Signup and view all the answers

What should be the initial approach when treating an irritable condition?

<p>Under-treat</p> Signup and view all the answers

During non-irritable treatment, symptoms typically resolve within _____ of stopping the technique.

<p>seconds</p> Signup and view all the answers

Match the treatment adjustment strategies in non-irritable treatment (IAMGUM) with their descriptions:

<p>I = Increase the number of repetitions A = Add components that increase tension M = Treat involved non-neural structures in tension position G = Go further into resistance U = Use technique closer to the source of symptoms</p> Signup and view all the answers

What grade of joint mobilization is recommended for irritable treatment?

<p>Grade 2 (D)</p> Signup and view all the answers

For effective non-irritable treatment, you should change multiple factors at once to see results.

<p>False (B)</p> Signup and view all the answers

Flashcards

Non-irritable Neural Mobilization

Treatment focusing on non-irritable tissues, using amplitude techniques through the range, targeting symptomatic areas. Treatment progression is symptom-driven.

Irritable Neural Mobilization

Treatment for irritable tissues, under-treating initially, using slow, rhythmic techniques in the non-painful range, at a distal location relative to symptom area, and cautiously progressing based on symptom reassessment.

Treatment Amplitude (Non-irritable)

Mobilization of tissues between Grades III and IV, throughout the full range of motion.

Treatment Amplitude (Irritable)

Using Grade II techniques slowly and rhythmically, avoiding painful ranges for the affected tissues.

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Treatment Duration (Non-irritable)

20-30 seconds of oscillatory technique, with 3-5 second oscillations.

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Treatment Progression (General)

Treatment progression should be driven by reassessing patient symptoms after each treatment session.

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Non-irritable Treatment Changes (IAMGUM)

Increase technique time, add tension to the technique, move from oscillatory to sustained technique, increase resistance, focus on source of symptoms, and treat tense, non-neural structures.

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Irritable Treatment Changes (RIIIMMS)

Repeat with non-neural structures in tension, increase repetitions, increase treatment duration to minutes, increase amplitude of treatment, address new source of symptom, and modify technique based on observation.

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Non-Irritable Treatment: Oscillations

Apply oscillatory techniques for 20-30 seconds with 3-5 seconds per oscillation, aiming for some discomfort that resolves quickly.

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Irritable Treatment: Amplitude

Use Grade II mobilization techniques, slowly and rhythmically, through a range that does not provoke symptoms.

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Non-Irritable Treatment: Progression

Progress treatment by gradually increasing technique time, adding tension, changing from oscillatory to sustained techniques, increasing resistance, targeting the source of symptoms, and treating non-neural structures in tension. Change one element at a time.

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Irritable Treatment: Progression

Progress treatment by repeating the technique with non-neural structures in tension, adding repetitions, increasing the duration of the technique, increasing the amplitude, addressing any new sources of symptoms, and modifying the technique based on observation. Change one element at a time.

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Non-Irritable Treatment: Stopping Point

Stop the technique just prior to provoking symptoms if any concern about irritability arises.

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Irritable Treatment: Location

Treat the relevant interfacing structures distal to the injury site and area of symptoms.

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What structures are treated with non-irritable neural mobs?

Treatment focuses on structures that are relevant to the issue, but don't cause significant pain or irritation.

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What amplitude for non-irritable neural mobs?

Use Grade III or IV mobilization, moving the tissue through its full range of motion.

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How long to hold non-irritable neural mobs?

Apply the technique for 20-30 seconds with 3-5 oscillations per second.

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What to do if non-irritable mobs cause irritability?

Stop just before the technique provokes any symptoms.

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Where to treat with irritable neural mobs?

Apply the technique to structures distal to the injury site and area of symptoms, aiming for pain relief.

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What grade of mobilization for irritable neural mobs?

Use Grade II mobilization techniques, slowly and rhythmically, avoiding painful ranges.

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When to repeat irritable neural mobilizations?

Repeat the technique with involved non-neural structures in tension, or continue to reassess and adjust as needed.

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What to do if symptoms worsen with irritable neural mobs?

Reduce the treatment intensity, duration, and amplitude, and re-assess after each session.

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Non-Irritable Mobilization: Amplitude

For non-irritable tissues, use Grade III or IV mobilization techniques, moving the tissue through its full range of motion.

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Irritable Mobilization: Amplitude

For irritable tissues, use Grade II mobilization techniques, slowly and rhythmically, avoiding painful ranges.

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Non-Irritable Mobilization: Treatment Duration

Apply oscillatory techniques for 20-30 seconds with 3-5 seconds per oscillation.

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Irritable Mobilization: Treatment Location

Apply the technique to structures distal to the injury site and area of symptoms, aiming for pain relief.

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Non-Irritable Mobilization: Stopping Point

Stop the technique just prior to provoking symptoms if any concern about irritability arises.

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Irritable Mobilization: Treatment Progression

Progress treatment by repeating the technique with involved non-neural structures in tension, adding repetitions, increasing the duration of the technique, increasing the amplitude, addressing any new sources of symptoms, and modifying the technique based on observation.

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Non-Irritable Mobilization: Progression

Progress treatment by gradually increasing technique time, adding tension, changing from oscillatory to sustained techniques, increasing resistance, targeting the source of symptoms, and treating non-neural structures in tension. Change one element at a time.

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What is the main difference in how irritable and non-irritable tissues are treated?

Non-irritable tissues are treated with larger amplitude and full range techniques, while irritable tissues are treated with gentler Grade II techniques in a pain-free range.

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Non-irritable Neural Mobilization: Amplitude

Use Grade III or IV mobilization techniques, moving the tissue through its full range of motion.

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Irritable Neural Mobilization: Amplitude

Use Grade II mobilization techniques, slowly and rhythmically, avoiding painful ranges.

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Non-irritable Neural Mobilization: Treatment Duration

Apply oscillatory techniques for 20-30 seconds with 3-5 seconds per oscillation.

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Irritable Neural Mobilization: Treatment Location

Apply the technique to structures distal to the injury site and area of symptoms, aiming for pain relief.

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Non-irritable Neural Mobilization: Stopping Point

Stop the technique just prior to provoking symptoms if any concern about irritability arises.

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Irritable Neural Mobilization: Treatment Progression

Progress treatment by repeating the technique with involved non-neural structures in tension, adding repetitions, increasing the duration of the technique, increasing the amplitude, addressing any new sources of symptoms, and modifying the technique based on observation.

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Non-irritable Neural Mobilization: Progression

Progress treatment by gradually increasing technique time, adding tension, changing from oscillatory to sustained techniques, increasing resistance, targeting the source of symptoms, and treating non-neural structures in tension. Change one element at a time.

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Neural Mobilization: Irritable vs. Non-irritable

Neural mobilization techniques differ based on tissue irritability. Non-irritable tissues are treated with larger amplitudes and full range of motion techniques. Irritable tissues require gentler Grade II techniques within a pain-free range.

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Irritable Neural Mobilization: Progression

Progression with irritable neural mobilization involves repeating the technique with involved non-neural structures in tension, adding repetitions, increasing duration, amplitude, addressing new symptoms, and modifying techniques based on observation.

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Study Notes

Neural Mobilization Application

Non-Irritable Treatment

  • Interfacing Structures: Treat the relevant ones.
  • Mobilization Amplitude: Grade III or IV through the range of motion.
  • Stopping Point: Stop just prior to provoking symptoms.
  • Treatment Focus: Symptoms area.
  • Oscillation Duration: 20-30 seconds.
  • Oscillation Rate: 3-5 oscillations per second (vs. 2-3 oscillations/second for joint mobilization).
  • Discomfort Level: Some discomfort.
  • Symptom Resolution Time: Seconds.
  • Progression: Based on reassessment of symptoms.
  • IAMGUM Progression (6 changes):
    • Increase technique time.
    • Add components increasing tension to the original technique.
    • Move from oscillatory to sustained techniques.
    • Increase resistance.
    • Use techniques closer to the source of symptoms.
    • Treat involved non-neural structures in the tension position.

Irritable Treatment

  • Interfacing Structures: Distal to the injury site and symptom area.
  • Initial Approach: Under-treat initially until sensitivity is clear.
  • Mobilization Grade: Grade II.
  • Oscillation Rate: 3-5 oscillations per second (vs. 2-3 oscillations/second for joint mobilization). Grade II (amplitude) slowly and rhythmically through the non-provoking range.
  • Progression: Based on reassessment of symptoms.
  • RIIIMMS Progression (7 changes):
    • Repeat with non-neural structures in tension.
    • Increase repetitions.
    • Increase technique time to several minutes.
    • Increase technique amplitude.
    • Move technique closer to symptom area.
    • Move from passive to active self-treatment.
    • Start with a total duration of 20 seconds.

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Description

This quiz covers the application of neural mobilization techniques for both non-irritable and irritable treatments. It focuses on key concepts such as interfacing structures, mobilization amplitude, and symptom management. Test your knowledge on effective treatment strategies and progression protocols.

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