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</p> Signup and view all the answers

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

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

Under-treating initially is recommended in irritable treatment.

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

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

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

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

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

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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