Podcast
Questions and Answers
What is generally reduced in swayback postural assessment related to lumbar spine?
What is generally reduced in swayback postural assessment related to lumbar spine?
Lumbar lordosis is reduced.
Which muscles are considered elongated and weak in swayback posture?
Which muscles are considered elongated and weak in swayback posture?
One-joint hip flexors, upper T-S erector spinae, external obliques, and neck flexors.
In flat back posture, what is the position of the lumbar spine?
In flat back posture, what is the position of the lumbar spine?
The lumbar spine is flattened or flexed.
Which hip and knee positions are characteristic of flat back posture?
Which hip and knee positions are characteristic of flat back posture?
What is a notable feature of the pelvis in lateral imbalance posture?
What is a notable feature of the pelvis in lateral imbalance posture?
Identify the short and strong muscles associated with lateral imbalance.
Identify the short and strong muscles associated with lateral imbalance.
What type of head and shoulder position is associated with upper crossed syndrome?
What type of head and shoulder position is associated with upper crossed syndrome?
Which muscles are considered weak in upper crossed syndrome?
Which muscles are considered weak in upper crossed syndrome?
What structures are primarily responsible for preventing a person from regaining range of motion (ROM)?
What structures are primarily responsible for preventing a person from regaining range of motion (ROM)?
What are the two types of normal movement described in the context of joint motion?
What are the two types of normal movement described in the context of joint motion?
Explain the term 'mobilization' as used in joint therapy.
Explain the term 'mobilization' as used in joint therapy.
How does pure rolling affect a joint?
How does pure rolling affect a joint?
According to the convex-concave rule, what direction does gliding occur when the moving surface is convex?
According to the convex-concave rule, what direction does gliding occur when the moving surface is convex?
What is the treatment plane in joint mobilizations?
What is the treatment plane in joint mobilizations?
Identify the two positions of joints and their characteristics during physiological motion.
Identify the two positions of joints and their characteristics during physiological motion.
When is it necessary to mobilize or stretch a joint?
When is it necessary to mobilize or stretch a joint?
What is the recommended number of treatments to potentially see an effect from joint mobilization?
What is the recommended number of treatments to potentially see an effect from joint mobilization?
What warning should be given to clients undergoing joint mobilization therapy?
What warning should be given to clients undergoing joint mobilization therapy?
What are the contraindications for joint mobilization therapy?
What are the contraindications for joint mobilization therapy?
List two effects of joint mobilization on articular tissues.
List two effects of joint mobilization on articular tissues.
What are the effects of joint mobilization on pain perception?
What are the effects of joint mobilization on pain perception?
What should you do if a patient experiences pain during compression of a joint?
What should you do if a patient experiences pain during compression of a joint?
What postural characteristic suggests excessive stretching of posterior ligaments in swayback posture?
What postural characteristic suggests excessive stretching of posterior ligaments in swayback posture?
In flat back posture, how is the thoracic spine characterized?
In flat back posture, how is the thoracic spine characterized?
What is a key feature of the cervical spine in lateral imbalance posture?
What is a key feature of the cervical spine in lateral imbalance posture?
Identify the weak muscles typically found in upper crossed syndrome.
Identify the weak muscles typically found in upper crossed syndrome.
In the context of swayback posture, which are the short and strong muscles?
In the context of swayback posture, which are the short and strong muscles?
What postural alignment is observed in the lumbar spine during flat back posture?
What postural alignment is observed in the lumbar spine during flat back posture?
Which hip position characterizes the swayback posture?
Which hip position characterizes the swayback posture?
What is a distinguishing feature of the pelvis in lateral imbalance?
What is a distinguishing feature of the pelvis in lateral imbalance?
What is the relationship between joint congruency and gliding movement?
What is the relationship between joint congruency and gliding movement?
Under what circumstances would a patient likely experience pain during traction of the joint?
Under what circumstances would a patient likely experience pain during traction of the joint?
What is the primary effect of joint mobilization on synovial fluid?
What is the primary effect of joint mobilization on synovial fluid?
How does mobilization differ from manipulation in joint therapy?
How does mobilization differ from manipulation in joint therapy?
In which position should a joint be mobilized to optimize the technique?
In which position should a joint be mobilized to optimize the technique?
What treatment grade involves movements of 2-3 per second for 10 seconds?
What treatment grade involves movements of 2-3 per second for 10 seconds?
What is a key characteristic of the closed-pack position in joint therapy?
What is a key characteristic of the closed-pack position in joint therapy?
What does the convex-concave rule state regarding gliding movement based on surface shapes?
What does the convex-concave rule state regarding gliding movement based on surface shapes?
What determines the grade of mobilization required when pain occurs during accessory motion testing?
What determines the grade of mobilization required when pain occurs during accessory motion testing?
In what conditions should joint mobilization be approached with caution due to potential complications?
In what conditions should joint mobilization be approached with caution due to potential complications?
When should a therapist consider mobilizing instead of stretching a joint?
When should a therapist consider mobilizing instead of stretching a joint?
What are the four effects of joint mobilization?
What are the four effects of joint mobilization?
What position characterizes an open-pack joint and its significance?
What position characterizes an open-pack joint and its significance?
How does the number of mobilizations depend on previous session reactions?
How does the number of mobilizations depend on previous session reactions?
When is it justified to treat a patient with low-grade joint mobilizations?
When is it justified to treat a patient with low-grade joint mobilizations?
What is a distinctive postural feature observed in the thoracic spine of individuals with swayback posture?
What is a distinctive postural feature observed in the thoracic spine of individuals with swayback posture?
Which muscles are primarily weak and elongated in flat back posture?
Which muscles are primarily weak and elongated in flat back posture?
Describe the hip joint position in lateral imbalance posture.
Describe the hip joint position in lateral imbalance posture.
Identify one strong and short muscle commonly found in individuals exhibiting upper crossed syndrome.
Identify one strong and short muscle commonly found in individuals exhibiting upper crossed syndrome.
In the context of swayback posture, what is the position of the pelvis?
In the context of swayback posture, what is the position of the pelvis?
How is lumbar lordosis characterized in individuals with swayback posture?
How is lumbar lordosis characterized in individuals with swayback posture?
What feature of the cervical spine is associated with individuals suffering from upper crossed syndrome?
What feature of the cervical spine is associated with individuals suffering from upper crossed syndrome?
What is the typical ankle position seen in both flat back and swayback postures?
What is the typical ankle position seen in both flat back and swayback postures?
What should be monitored if there is pain during traction of the joint?
What should be monitored if there is pain during traction of the joint?
How does the degree of joint congruency affect movement patterns during joint mobilization?
How does the degree of joint congruency affect movement patterns during joint mobilization?
In which scenarios would it be appropriate to employ grade 1 and 2 joint mobilizations?
In which scenarios would it be appropriate to employ grade 1 and 2 joint mobilizations?
When should joint mobilization techniques be avoided due to potential contraindications?
When should joint mobilization techniques be avoided due to potential contraindications?
What outcomes may occur from ineffective joint mobilization treatment after several sessions?
What outcomes may occur from ineffective joint mobilization treatment after several sessions?
How does the treatment plane relate to the application of joint mobilizations?
How does the treatment plane relate to the application of joint mobilizations?
When addressing chronic injuries, what is the primary focus of joint mobilization?
When addressing chronic injuries, what is the primary focus of joint mobilization?
What should be done if accessory motion testing reveals a difference or pain compared to the opposite side?
What should be done if accessory motion testing reveals a difference or pain compared to the opposite side?
In terms of treatment parameters, what defines a grade 3 joint mobilization?
In terms of treatment parameters, what defines a grade 3 joint mobilization?
What is the significance of 'joint play' during the open-pack position?
What is the significance of 'joint play' during the open-pack position?
What neurological involvement may warrant caution when considering joint mobilization?
What neurological involvement may warrant caution when considering joint mobilization?
How many joints should be mobilized simultaneously during treatment?
How many joints should be mobilized simultaneously during treatment?
Identify a major functional effect of joint mobilization on synovial fluid.
Identify a major functional effect of joint mobilization on synovial fluid.
What is the main purpose of mobilization in cases where patients have functional immobility?
What is the main purpose of mobilization in cases where patients have functional immobility?
Which posture is characterized by tight hamstrings and a posterior tilt of the pelvis?
Which posture is characterized by tight hamstrings and a posterior tilt of the pelvis?
In upper crossed syndrome, the weak muscles include the rhomboids and deep neck flexors.
In upper crossed syndrome, the weak muscles include the rhomboids and deep neck flexors.
What is the position of the hip joint in swayback posture?
What is the position of the hip joint in swayback posture?
The thoracic spine in flat back posture is characterized by increased ______ in the upper region and being straight in the lower region.
The thoracic spine in flat back posture is characterized by increased ______ in the upper region and being straight in the lower region.
Match the following postures with their descriptions:
Match the following postures with their descriptions:
Which of the following muscles are categorized as short and strong in flat back posture?
Which of the following muscles are categorized as short and strong in flat back posture?
In lateral imbalance posture, the left leg appears longer due to adduction of the left leg.
In lateral imbalance posture, the left leg appears longer due to adduction of the left leg.
Name a muscle that is elongated and weak in swayback posture.
Name a muscle that is elongated and weak in swayback posture.
What type of joint movement is manipulation characterized by?
What type of joint movement is manipulation characterized by?
Traction refers to the compression of joint surfaces.
Traction refers to the compression of joint surfaces.
What is the first indication for joint mobilization?
What is the first indication for joint mobilization?
Most articular surfaces are not purely __________; therefore, individual accessory motion rarely happens.
Most articular surfaces are not purely __________; therefore, individual accessory motion rarely happens.
Match the movement type with its description:
Match the movement type with its description:
Which statement is true regarding the direction of gliding?
Which statement is true regarding the direction of gliding?
An open-pack position has the most joint surface contact.
An open-pack position has the most joint surface contact.
How many joints should be mobilized at a time?
How many joints should be mobilized at a time?
The treatment plane is defined as a plane at right angle from the axis of rotation in the convex surface to the __________ of the concave surface.
The treatment plane is defined as a plane at right angle from the axis of rotation in the convex surface to the __________ of the concave surface.
Hypomobility is an indication for joint mobilization.
Hypomobility is an indication for joint mobilization.
What is the most likely reason for patient soreness after treatment?
What is the most likely reason for patient soreness after treatment?
Compression during weight bearing typically results in a __________ in the joint space.
Compression during weight bearing typically results in a __________ in the joint space.
What grade of joint mobilization involves a movement of 2-3 per second for 30-60 seconds?
What grade of joint mobilization involves a movement of 2-3 per second for 30-60 seconds?
Match the contraindications of joint mobilization with their descriptions:
Match the contraindications of joint mobilization with their descriptions:
What are the primary causes of hyperextension at the knees in swayback posture?
What are the primary causes of hyperextension at the knees in swayback posture?
How does the cervical spine position in lateral imbalance differ from that in upper crossed syndrome?
How does the cervical spine position in lateral imbalance differ from that in upper crossed syndrome?
What is the role of the upper fibers of the internal oblique in relation to swayback posture?
What is the role of the upper fibers of the internal oblique in relation to swayback posture?
Describe the impact of a posteriorly tilted pelvis in flat back posture.
Describe the impact of a posteriorly tilted pelvis in flat back posture.
Which muscles are notably weak and elongated in individuals displaying a flat back posture?
Which muscles are notably weak and elongated in individuals displaying a flat back posture?
In lateral imbalance, how is the position of the pelvis characterized?
In lateral imbalance, how is the position of the pelvis characterized?
How do the effects of joint mobilization differ when a joint is in an open-pack versus a closed-pack position?
How do the effects of joint mobilization differ when a joint is in an open-pack versus a closed-pack position?
What distinguishes the posture of the thoracic spine in an individual with upper crossed syndrome?
What distinguishes the posture of the thoracic spine in an individual with upper crossed syndrome?
What type of movement is joint mobilization classified as?
What type of movement is joint mobilization classified as?
Describe the effect of pure rolling on a joint.
Describe the effect of pure rolling on a joint.
What should gliding motion occur with to ensure safety for a joint?
What should gliding motion occur with to ensure safety for a joint?
In what joint position should mobilizations ideally be conducted?
In what joint position should mobilizations ideally be conducted?
What is the primary purpose of joint traction during therapy?
What is the primary purpose of joint traction during therapy?
What is indicated if a patient shows pain during compression of a joint?
What is indicated if a patient shows pain during compression of a joint?
How many joints should be treated at one time during mobilization?
How many joints should be treated at one time during mobilization?
According to the convex-concave rule, in which direction does gliding occur when the moving surface is concave?
According to the convex-concave rule, in which direction does gliding occur when the moving surface is concave?
What is the established range for movements per second during Grade 3 joint mobilization?
What is the established range for movements per second during Grade 3 joint mobilization?
What signifies a closed-pack position in joint therapy?
What signifies a closed-pack position in joint therapy?
List the consequences of joint mobilization on synovial fluid.
List the consequences of joint mobilization on synovial fluid.
What type of joint mobilization grades should be applied if pain occurs before reaching the end range of motion?
What type of joint mobilization grades should be applied if pain occurs before reaching the end range of motion?
What are the two types of normal movement essential for joint function?
What are the two types of normal movement essential for joint function?
What actions characterize the treatment plane in joint mobilization?
What actions characterize the treatment plane in joint mobilization?
What is the significance of assessing neural tension tests in nerve mobilization?
What is the significance of assessing neural tension tests in nerve mobilization?
How do sensitizing tests aid in diagnosing nerve-related issues?
How do sensitizing tests aid in diagnosing nerve-related issues?
Describe the role of the upper limb tension tests in course of nerve mobilization.
Describe the role of the upper limb tension tests in course of nerve mobilization.
What approach should be taken while treating irritable conditions during nerve mobilization?
What approach should be taken while treating irritable conditions during nerve mobilization?
What are the implications of continuing load on neural structures in relation to nerve mobilization?
What are the implications of continuing load on neural structures in relation to nerve mobilization?
How does the reaction to treatment influence the approach to nerve mobilization techniques?
How does the reaction to treatment influence the approach to nerve mobilization techniques?
What is the recommended duration for oscillation techniques during the treatment of non-irritable disorders?
What is the recommended duration for oscillation techniques during the treatment of non-irritable disorders?
Describe how the behavior of symptoms is assessed during tension testing.
Describe how the behavior of symptoms is assessed during tension testing.
Why is establishing all possible sources of signs and symptoms crucial in tension testing?
Why is establishing all possible sources of signs and symptoms crucial in tension testing?
What is the primary purpose of the SLR sensitizing tests in assessing lower limb disorders?
What is the primary purpose of the SLR sensitizing tests in assessing lower limb disorders?
How should treatment progression be approached for irritable disorders according to Butler, Shacklock & Slater?
How should treatment progression be approached for irritable disorders according to Butler, Shacklock & Slater?
What does 'non-provocative range' refer to in the context of treatment amplitude?
What does 'non-provocative range' refer to in the context of treatment amplitude?
How do hip medial rotation and adduction affect sciatic nerve tension during testing?
How do hip medial rotation and adduction affect sciatic nerve tension during testing?
What differentiates the Slump Test from the SLR in neural testing?
What differentiates the Slump Test from the SLR in neural testing?
What is a critical precaution to take during nerve mobilization treatment?
What is a critical precaution to take during nerve mobilization treatment?
Describe the main difference in treatment strategy between irritable and non-irritable disorders.
Describe the main difference in treatment strategy between irritable and non-irritable disorders.
What is the initial approach to treating irritable disorders of the nervous system?
What is the initial approach to treating irritable disorders of the nervous system?
What are some methods to increase tension in treatment for non-irritable disorders?
What are some methods to increase tension in treatment for non-irritable disorders?
In managing non-irritable disorders, which type of mobilization technique is preferred?
In managing non-irritable disorders, which type of mobilization technique is preferred?
Which two test components are suggested to be taken up first in Upper Limb Tension Tests when symptoms are distal?
Which two test components are suggested to be taken up first in Upper Limb Tension Tests when symptoms are distal?
What type of oscillations are used in treatments for irritable conditions, and what is their frequency?
What type of oscillations are used in treatments for irritable conditions, and what is their frequency?
What is the overarching goal of treatment for conditions affecting the nervous system?
What is the overarching goal of treatment for conditions affecting the nervous system?
What is the primary goal of treatment for non-irritable disorders when using Grade III or Grade IV techniques?
What is the primary goal of treatment for non-irritable disorders when using Grade III or Grade IV techniques?
Why are sliders more likely to be used in treating irritable conditions?
Why are sliders more likely to be used in treating irritable conditions?
What is the primary objective when treating irritable disorders according to Butler, Shacklock & Slater?
What is the primary objective when treating irritable disorders according to Butler, Shacklock & Slater?
How long should oscillatory techniques be applied during the treatment of non-irritable disorders?
How long should oscillatory techniques be applied during the treatment of non-irritable disorders?
In nerve mobilization, what should be the immediate action if a patient experiences worsening symptoms?
In nerve mobilization, what should be the immediate action if a patient experiences worsening symptoms?
What is the main goal of treatment for the nervous system according to Butler, Shacklock & Slater?
What is the main goal of treatment for the nervous system according to Butler, Shacklock & Slater?
What technique is recommended to treat irritable disorders in relation to the nervous system?
What technique is recommended to treat irritable disorders in relation to the nervous system?
What treatment grade involves using Gr.III or Gr.IV techniques on relevant interfacing structures?
What treatment grade involves using Gr.III or Gr.IV techniques on relevant interfacing structures?
What is indicated when moving from passive treatment to active self-treatment in the progression of irritable disorders?
What is indicated when moving from passive treatment to active self-treatment in the progression of irritable disorders?
Which specific tests are utilized to determine the involvement of the nervous system?
Which specific tests are utilized to determine the involvement of the nervous system?
What is the key difference between the Slump Test and SLR?
What is the key difference between the Slump Test and SLR?
What factor must be considered when assessing treatment techniques for non-irritable disorders?
What factor must be considered when assessing treatment techniques for non-irritable disorders?
What is suggested to be used more in irritable conditions, sliders or tensioners?
What is suggested to be used more in irritable conditions, sliders or tensioners?
During the treatment progression for non-irritable disorders, what is one method to increase treatment challenge?
During the treatment progression for non-irritable disorders, what is one method to increase treatment challenge?
When treating non-irritable conditions, what type of techniques are advised?
When treating non-irritable conditions, what type of techniques are advised?
How should the amplitude of techniques be altered in the treatment of irritable disorders?
How should the amplitude of techniques be altered in the treatment of irritable disorders?
What is the impact of ankle dorsiflexion during SLR testing?
What is the impact of ankle dorsiflexion during SLR testing?
What should be the initial approach when treating an irritable nervous system condition?
What should be the initial approach when treating an irritable nervous system condition?
What is the principle of assessing interfaces in nerve mobilization?
What is the principle of assessing interfaces in nerve mobilization?
What are sensitizing tests used for in tension testing?
What are sensitizing tests used for in tension testing?
How does continued load affect neural and supporting structures?
How does continued load affect neural and supporting structures?
What should be done if progress in nerve mobilization plateaus?
What should be done if progress in nerve mobilization plateaus?
What factors determine the intensity of nerve mobilization treatment?
What factors determine the intensity of nerve mobilization treatment?
In tension testing, what does the sequence of area response indicate?
In tension testing, what does the sequence of area response indicate?
What role do upper limb tension tests play in assessing nerve pathways?
What role do upper limb tension tests play in assessing nerve pathways?
Why is structural differentiation important in conducting tension tests?
Why is structural differentiation important in conducting tension tests?
Which of the following conditions is considered an injury with a neural component?
Which of the following conditions is considered an injury with a neural component?
Nerve pathology does not affect innervated structures.
Nerve pathology does not affect innervated structures.
What is the primary focus when addressing nerve mobilization treatment?
What is the primary focus when addressing nerve mobilization treatment?
Sensitizing tests use structural differentiation to alter movements __________ from the site of symptoms.
Sensitizing tests use structural differentiation to alter movements __________ from the site of symptoms.
Match the following nerve conditions with their definitions:
Match the following nerve conditions with their definitions:
Which testing method includes the response of the contralateral limb?
Which testing method includes the response of the contralateral limb?
Continued load on nerve structures can lead to increased resistance to compression.
Continued load on nerve structures can lead to increased resistance to compression.
What factors determine the amount and intensity of nerve mobilization treatment?
What factors determine the amount and intensity of nerve mobilization treatment?
Which test includes a dural component and differs from the SLR test?
Which test includes a dural component and differs from the SLR test?
Dorsiflexion of the ankle decreases tension in the tibial branch of the sciatic nerve.
Dorsiflexion of the ankle decreases tension in the tibial branch of the sciatic nerve.
What is the primary goal of mobilizing the nervous system during treatment?
What is the primary goal of mobilizing the nervous system during treatment?
In treating irritable disorders, therapists should initially treat relevant interfacing structures ______ to the injury site.
In treating irritable disorders, therapists should initially treat relevant interfacing structures ______ to the injury site.
Match the following terms with their corresponding actions:
Match the following terms with their corresponding actions:
Which of the following conditions is more likely to use sliders in treatment?
Which of the following conditions is more likely to use sliders in treatment?
Upper limb tension tests are more sensitive when taking up the proximal components first.
Upper limb tension tests are more sensitive when taking up the proximal components first.
What is meant by 'mobilize, not stretch' in the context of treating the nervous system?
What is meant by 'mobilize, not stretch' in the context of treating the nervous system?
What is the recommended duration for oscillation techniques in treating non-irritable disorders?
What is the recommended duration for oscillation techniques in treating non-irritable disorders?
In treating irritable disorders, symptoms should be provoked to gauge treatment effectiveness.
In treating irritable disorders, symptoms should be provoked to gauge treatment effectiveness.
List two modifications that can be made during the treatment progression of non-irritable disorders.
List two modifications that can be made during the treatment progression of non-irritable disorders.
Maitland recommends discontinuing treatment if __________ worsens.
Maitland recommends discontinuing treatment if __________ worsens.
Which of the following techniques involves movements of 2-3 oscillations per second?
Which of the following techniques involves movements of 2-3 oscillations per second?
Match the treatment techniques with their description:
Match the treatment techniques with their description:
Nerve mobilization techniques should be applied to inflamed or infectious nervous system disorders.
Nerve mobilization techniques should be applied to inflamed or infectious nervous system disorders.
What should a therapist do if cord signs are observed during nerve mobilization?
What should a therapist do if cord signs are observed during nerve mobilization?
What should be the primary focus when treating non-irritable symptoms at a specific site?
What should be the primary focus when treating non-irritable symptoms at a specific site?
How long should oscillatory techniques ideally be applied during treatment?
How long should oscillatory techniques ideally be applied during treatment?
What is a recommended strategy when increasing treatment intensity for non-irritable conditions?
What is a recommended strategy when increasing treatment intensity for non-irritable conditions?
What could indicate that a treatment technique should stop if there are concerns about irritability?
What could indicate that a treatment technique should stop if there are concerns about irritability?
In the context of treatment progression, what is crucial for evaluating the effectiveness of techniques?
In the context of treatment progression, what is crucial for evaluating the effectiveness of techniques?
What is the recommended number of oscillations per second with joint mobilization to achieve effective treatment?
What is the recommended number of oscillations per second with joint mobilization to achieve effective treatment?
What are the key factors to assess when determining the effectiveness of neural tension tests?
What are the key factors to assess when determining the effectiveness of neural tension tests?
In what scenario should treatment be focused on interfacing structures distal to the injury site?
In what scenario should treatment be focused on interfacing structures distal to the injury site?
Which structures may be involved in treatment when addressing upper body complaints?
Which structures may be involved in treatment when addressing upper body complaints?
What is the significance of treating involved non-neural structures in a tension position?
What is the significance of treating involved non-neural structures in a tension position?
What initial approach should be taken when mobilizing the nervous system in an irritable condition?
What initial approach should be taken when mobilizing the nervous system in an irritable condition?
What should be considered if patient progress plateaus during treatment?
What should be considered if patient progress plateaus during treatment?
What is the significance of sensitizing tests in the context of tension testing?
What is the significance of sensitizing tests in the context of tension testing?
What should a therapist do if symptoms worsen during treatment?
What should a therapist do if symptoms worsen during treatment?
How should treatment intensity be determined in nervous system mobilization?
How should treatment intensity be determined in nervous system mobilization?
In tension testing principles, what is meant by the 'components concept'?
In tension testing principles, what is meant by the 'components concept'?
What are the primary contraindications for treatment related to the nervous system?
What are the primary contraindications for treatment related to the nervous system?
What should be done if a patient experiences worsening symptoms during treatment?
What should be done if a patient experiences worsening symptoms during treatment?
In tension testing, what is the importance of observing the contralateral limb's response?
In tension testing, what is the importance of observing the contralateral limb's response?
When should treatment of neural structures be prioritized?
When should treatment of neural structures be prioritized?
What is the initial approach in irritable treatment for the nervous system?
What is the initial approach in irritable treatment for the nervous system?
How should treatment intensity and amount be adjusted during therapy?
How should treatment intensity and amount be adjusted during therapy?
What defines sensitizing tests in tension testing?
What defines sensitizing tests in tension testing?
What is the significance of treating relevant interfacing structures in non-irritable treatment?
What is the significance of treating relevant interfacing structures in non-irritable treatment?
Why should treatment techniques stop just before provoking symptoms during non-irritable treatment?
Why should treatment techniques stop just before provoking symptoms during non-irritable treatment?
What is the rationale for under-treatment at the start of therapy for irritable conditions?
What is the rationale for under-treatment at the start of therapy for irritable conditions?
How does increasing the amplitude of techniques contribute to treatment progression?
How does increasing the amplitude of techniques contribute to treatment progression?
What is the recommended duration for oscillation techniques during non-irritable treatment?
What is the recommended duration for oscillation techniques during non-irritable treatment?
Why is it important to reassess symptoms during treatment progression?
Why is it important to reassess symptoms during treatment progression?
What role does position play when treating involved non-neural structures?
What role does position play when treating involved non-neural structures?
What are 3-5 second oscillations preferred over traditional joint mobilization methods?
What are 3-5 second oscillations preferred over traditional joint mobilization methods?
How should one modify treatment when moving from oscillatory techniques to sustained techniques?
How should one modify treatment when moving from oscillatory techniques to sustained techniques?
What are two major contraindications for neural mobilization treatment?
What are two major contraindications for neural mobilization treatment?
List two precautionary measures to take during neural mobilization.
List two precautionary measures to take during neural mobilization.
In treatment protocols, when should neural structures be prioritized over interfaces?
In treatment protocols, when should neural structures be prioritized over interfaces?
What are sensitizing tests used for in the context of tension testing?
What are sensitizing tests used for in the context of tension testing?
How should the intensity of treatment be adjusted during neural mobilization?
How should the intensity of treatment be adjusted during neural mobilization?
Describe one characteristic of the oscillations used in Grade II mobilization.
Describe one characteristic of the oscillations used in Grade II mobilization.
What should be assessed if a patient's progress plateaus during treatment?
What should be assessed if a patient's progress plateaus during treatment?
Why is it important to treat interfacing structures distal to the injury site?
Why is it important to treat interfacing structures distal to the injury site?
How does changing one variable at a time impact treatment progression?
How does changing one variable at a time impact treatment progression?
What is the recommended duration for oscillations when treating symptoms?
What is the recommended duration for oscillations when treating symptoms?
Explain why techniques should stop just prior to provoking symptoms if irritability is a concern.
Explain why techniques should stop just prior to provoking symptoms if irritability is a concern.
What treatment method involves transitioning from oscillatory techniques to sustained techniques?
What treatment method involves transitioning from oscillatory techniques to sustained techniques?
What structures should be targeted when treating lower body interfaces?
What structures should be targeted when treating lower body interfaces?
Describe the role of amplitude choice (Gr.III or Gr.IV) in non-irritable treatment techniques.
Describe the role of amplitude choice (Gr.III or Gr.IV) in non-irritable treatment techniques.
Which of the following is a contraindication for treatment?
Which of the following is a contraindication for treatment?
Treatment should always continue if symptoms are worsening.
Treatment should always continue if symptoms are worsening.
What is the focus when treating interfaces in patients with nerve issues?
What is the focus when treating interfaces in patients with nerve issues?
Tension tests affect both _____ and non-neural tissue.
Tension tests affect both _____ and non-neural tissue.
Match the following principles with their descriptions:
Match the following principles with their descriptions:
What treatment technique should be used if the sensitivity of the system is unclear?
What treatment technique should be used if the sensitivity of the system is unclear?
It is always preferable to treat the nervous system first without assessing the interfaces.
It is always preferable to treat the nervous system first without assessing the interfaces.
What does the components concept emphasize in tension testing?
What does the components concept emphasize in tension testing?
What is the recommended duration of oscillations during treatment?
What is the recommended duration of oscillations during treatment?
Moving from passive treatment to active self-treatment should be done gradually.
Moving from passive treatment to active self-treatment should be done gradually.
What should be monitored to determine if the technique should stop during treatment?
What should be monitored to determine if the technique should stop during treatment?
To treat relevant interfacing structures, practitioners should focus on structures such as the _ and the _ junction.
To treat relevant interfacing structures, practitioners should focus on structures such as the _ and the _ junction.
Match the following joints to their corresponding specific areas:
Match the following joints to their corresponding specific areas:
Which of the following is a component to increase tension in treatment?
Which of the following is a component to increase tension in treatment?
Treatment should involve no discomfort for the patient.
Treatment should involve no discomfort for the patient.
What is the primary focus when treating the upper body in therapy?
What is the primary focus when treating the upper body in therapy?
Flashcards
Swayback posture
Swayback posture
A postural distortion characterized by increased thoracic kyphosis, lumbar lordosis, and a posterior pelvic tilt.
Swayback - weak muscles
Swayback - weak muscles
In swayback posture, the muscles at the front of the body are weak, while the muscles in the back are strong.
Flat back posture
Flat back posture
Posture with a flattened lumbar spine, often with a posterior pelvic tilt, tighter posterior lower spine and hamstrings.
Flat back- tight muscles
Flat back- tight muscles
Signup and view all the flashcards
Lateral imbalance posture
Lateral imbalance posture
Signup and view all the flashcards
Lateral imbalance- weak muscles
Lateral imbalance- weak muscles
Signup and view all the flashcards
Upper crossed syndrome
Upper crossed syndrome
Signup and view all the flashcards
Upper cross syndrome- tight muscles
Upper cross syndrome- tight muscles
Signup and view all the flashcards
Shortened muscles
Shortened muscles
Signup and view all the flashcards
Joint adhesions
Joint adhesions
Signup and view all the flashcards
Physiological/osteokinematic motion
Physiological/osteokinematic motion
Signup and view all the flashcards
Accessory/arthrokinematic motion
Accessory/arthrokinematic motion
Signup and view all the flashcards
Mobilization
Mobilization
Signup and view all the flashcards
Manipulation
Manipulation
Signup and view all the flashcards
Joint congruency
Joint congruency
Signup and view all the flashcards
Convex-concave rule
Convex-concave rule
Signup and view all the flashcards
Compression
Compression
Signup and view all the flashcards
Traction
Traction
Signup and view all the flashcards
Treatment plane
Treatment plane
Signup and view all the flashcards
Closed-pack position
Closed-pack position
Signup and view all the flashcards
Open-pack position
Open-pack position
Signup and view all the flashcards
Joint Mobilization
Joint Mobilization
Signup and view all the flashcards
Joint Manipulation
Joint Manipulation
Signup and view all the flashcards
Accessory motion
Accessory motion
Signup and view all the flashcards
Physiological motion
Physiological motion
Signup and view all the flashcards
Joint mobilization grade 1
Joint mobilization grade 1
Signup and view all the flashcards
Joint mobilization grade 2
Joint mobilization grade 2
Signup and view all the flashcards
Joint mobilization grade 3
Joint mobilization grade 3
Signup and view all the flashcards
Joint mobilization grade 4
Joint mobilization grade 4
Signup and view all the flashcards
Lateral Imbalance: Tight Leg Muscles
Lateral Imbalance: Tight Leg Muscles
Signup and view all the flashcards
What are the benefits of joint mobilization?
What are the benefits of joint mobilization?
Signup and view all the flashcards
When would you use joint mobilization?
When would you use joint mobilization?
Signup and view all the flashcards
When should you avoid joint mobilization?
When should you avoid joint mobilization?
Signup and view all the flashcards
Physiologic Movement
Physiologic Movement
Signup and view all the flashcards
Accessory Movement
Accessory Movement
Signup and view all the flashcards
What is the treatment plane?
What is the treatment plane?
Signup and view all the flashcards
What is the difference between mobilization and manipulation?
What is the difference between mobilization and manipulation?
Signup and view all the flashcards
What is a joint adhesion?
What is a joint adhesion?
Signup and view all the flashcards
What is meant by congruency in joint surfaces?
What is meant by congruency in joint surfaces?
Signup and view all the flashcards
How many joint mobilizations are usually needed to see an effect?
How many joint mobilizations are usually needed to see an effect?
Signup and view all the flashcards
Indications for Joint Mobilization
Indications for Joint Mobilization
Signup and view all the flashcards
Contraindications for Joint Mobilization
Contraindications for Joint Mobilization
Signup and view all the flashcards
Effects of Joint Mobilization
Effects of Joint Mobilization
Signup and view all the flashcards
What are the weak muscles in Swayback?
What are the weak muscles in Swayback?
Signup and view all the flashcards
What are the strong muscles in Swayback?
What are the strong muscles in Swayback?
Signup and view all the flashcards
What are the weak muscles in Flat Back?
What are the weak muscles in Flat Back?
Signup and view all the flashcards
What are the strong muscles in Flat Back?
What are the strong muscles in Flat Back?
Signup and view all the flashcards
Joint Play
Joint Play
Signup and view all the flashcards
Concave-Convex Rule
Concave-Convex Rule
Signup and view all the flashcards
Irritable Joint
Irritable Joint
Signup and view all the flashcards
Treatment Progression for Irritable Joints
Treatment Progression for Irritable Joints
Signup and view all the flashcards
Non-irritable Joint
Non-irritable Joint
Signup and view all the flashcards
Treatment Progression For Non-Irritable Joints
Treatment Progression For Non-Irritable Joints
Signup and view all the flashcards
Oscillatory Technique
Oscillatory Technique
Signup and view all the flashcards
Sustained Technique
Sustained Technique
Signup and view all the flashcards
Nerve Mobilization Precautions
Nerve Mobilization Precautions
Signup and view all the flashcards
Nerve Mobilization Contraindications
Nerve Mobilization Contraindications
Signup and view all the flashcards
SLR Test
SLR Test
Signup and view all the flashcards
Slump Test
Slump Test
Signup and view all the flashcards
Upper Limb Tension Test (ULTT)
Upper Limb Tension Test (ULTT)
Signup and view all the flashcards
Nerve Mobilization
Nerve Mobilization
Signup and view all the flashcards
Irritable vs. Non-Irritable Disorder
Irritable vs. Non-Irritable Disorder
Signup and view all the flashcards
Treatment Progression
Treatment Progression
Signup and view all the flashcards
What are the main principles of Nerve Mobilization?
What are the main principles of Nerve Mobilization?
Signup and view all the flashcards
What are the key aspects of neural tension tests?
What are the key aspects of neural tension tests?
Signup and view all the flashcards
Sensitizing Tests
Sensitizing Tests
Signup and view all the flashcards
What are the goals of nerve mobilization treatment?
What are the goals of nerve mobilization treatment?
Signup and view all the flashcards
Factors influencing nerve mobilization techniques
Factors influencing nerve mobilization techniques
Signup and view all the flashcards
What is the significance of the interface in nerve mobilization?
What is the significance of the interface in nerve mobilization?
Signup and view all the flashcards
When should you reconsider nerve mobilization?
When should you reconsider nerve mobilization?
Signup and view all the flashcards
SLR Sensitizing Tests
SLR Sensitizing Tests
Signup and view all the flashcards
Nerve Mobilization Goal
Nerve Mobilization Goal
Signup and view all the flashcards
Irritable vs. Non-Irritable
Irritable vs. Non-Irritable
Signup and view all the flashcards
Nerve Interfaces
Nerve Interfaces
Signup and view all the flashcards
When to Reconsider
When to Reconsider
Signup and view all the flashcards
Irritable Disorders
Irritable Disorders
Signup and view all the flashcards
Non-Irritable Disorders
Non-Irritable Disorders
Signup and view all the flashcards
Interface
Interface
Signup and view all the flashcards
Neural Tension Tests
Neural Tension Tests
Signup and view all the flashcards
Interfaces in Nerve Mobilization
Interfaces in Nerve Mobilization
Signup and view all the flashcards
Passive vs. Active Techniques
Passive vs. Active Techniques
Signup and view all the flashcards
Treatment Progression in Nerve Mobilization
Treatment Progression in Nerve Mobilization
Signup and view all the flashcards
Nerve Mobilization for Irritable vs. Non-irritable Disorders
Nerve Mobilization for Irritable vs. Non-irritable Disorders
Signup and view all the flashcards
What is the goal of nerve mobilization treatment?
What is the goal of nerve mobilization treatment?
Signup and view all the flashcards
What are 'sensitizing tests' in nerve mobilization?
What are 'sensitizing tests' in nerve mobilization?
Signup and view all the flashcards
What's the difference between irritable and non-irritable disorders?
What's the difference between irritable and non-irritable disorders?
Signup and view all the flashcards
What are 'interfaces' in nerve mobilization?
What are 'interfaces' in nerve mobilization?
Signup and view all the flashcards
Why is understanding interfaces crucial in nerve mobilization?
Why is understanding interfaces crucial in nerve mobilization?
Signup and view all the flashcards
What to do if nerve mobilization progress plateaus?
What to do if nerve mobilization progress plateaus?
Signup and view all the flashcards
What are the general principles of nerve mobilization?
What are the general principles of nerve mobilization?
Signup and view all the flashcards
What are the two main types of nerve mobilization techniques?
What are the two main types of nerve mobilization techniques?
Signup and view all the flashcards
Treatment Progression for Irritable Disorders
Treatment Progression for Irritable Disorders
Signup and view all the flashcards
Treatment Progression for Non-Irritable Disorders
Treatment Progression for Non-Irritable Disorders
Signup and view all the flashcards
Nerve Mobilization: Irritable vs. Non-Irritable
Nerve Mobilization: Irritable vs. Non-Irritable
Signup and view all the flashcards
When to Reconsider Nerve Mobilization
When to Reconsider Nerve Mobilization
Signup and view all the flashcards
Sensitizing Tests in Nerve Mobilization
Sensitizing Tests in Nerve Mobilization
Signup and view all the flashcards
Non-irritable Treatment
Non-irritable Treatment
Signup and view all the flashcards
Treatment Progression (Non-Irritable)
Treatment Progression (Non-Irritable)
Signup and view all the flashcards
Treatment Progression (Irritable)
Treatment Progression (Irritable)
Signup and view all the flashcards
Common Interfaces
Common Interfaces
Signup and view all the flashcards
Interfaces Affecting Nerve Tension
Interfaces Affecting Nerve Tension
Signup and view all the flashcards
Treatment Progression (Nerve Mobilization)
Treatment Progression (Nerve Mobilization)
Signup and view all the flashcards
Interface Restrictions
Interface Restrictions
Signup and view all the flashcards
What is the purpose of Non-Irritable Treatment?
What is the purpose of Non-Irritable Treatment?
Signup and view all the flashcards
How are Non-Irritable and Irritable Treatments Different?
How are Non-Irritable and Irritable Treatments Different?
Signup and view all the flashcards
What is an Interface in the Body?
What is an Interface in the Body?
Signup and view all the flashcards
Why are Common Interfaces Important in Treatment?
Why are Common Interfaces Important in Treatment?
Signup and view all the flashcards
Passive vs. Active
Passive vs. Active
Signup and view all the flashcards
Treatment Progression (Irritable vs. Non-Irritable)
Treatment Progression (Irritable vs. Non-Irritable)
Signup and view all the flashcards
Study Notes
Swayback Posture
- Characteristics: Weak anterior muscles (e.g., hip flexors, external obliques, neck flexors), strong posterior muscles (e.g., hamstrings, lumbar erector spinae, upper to middle lower spine erector spinae).
- Lumbar Spine: Reduced lordosis, potentially leading to lumbar flexion.
- Thoracic Spine: Increased kyphosis (swayed backward),
- Pelvis: Posterior tilt, causing excessive posterior ligament stretch.
- Hip Joint: Extended position.
- Head: Forward posture.
- Cervical Spine: Slightly extended.
- Scapulae: Abducted (away from the spine).
Flat Back Posture
- Characteristics: Tight posterior muscles (particularly hamstrings), strong posterior lower back muscles.
- Lumbar Spine: Flattened, or flexed.
- Head: Forward posture
- Thoracic Spine: Upper portion has increased flexion, lower portion is straight.
- Pelvis: Posterior tilt.
- Hip Joint: Extended.
Lateral Imbalance Posture
- Characteristics: Tight leg muscles on one side, weakness of leg muscles on the opposite side.
- Pelvis: Higher on the side with less hip abduction.
- Hip Joint (Affected Side): Adducted (pulled inward), slight medial rotation.
- Hip Joint (Unaffected Side): Abducted.
- Side with Tight Muscles: Weakness in lateral trunk muscles (e.g., QL, IO, EO), hip adductors, tibialis posterior, flexor hallucis longus, flexor digitorum longus muscles.
- Side with Weak Muscles: Weakness in hip abductors, fibularis longus and brevis, TFL muscles.
Upper Crossed Syndrome
- Characteristics: Tightness in upper trapezius, levator scapulae, pectoralis major, and pectoralis minor, weakness of rhomboids, serratus anterior, lower trapezius, deep neck flexors.
- Specific Symptoms: Forward head posture, rounded shoulders.
Joint Mobilization
-
Purpose: Restore or improve range of motion.
-
Types of Movement:
- Physiological/Osteokinematic: Gross movements—can be voluntary, occur concentrically or eccentrically.
- Accessory/Arthrokinematic: Involuntary movements necessary for physiological motion, include joint play (roll, glide, spin).
-
Methods:
- Mobilization: Passive movement at a slow enough speed to give the patient control.
- Manipulation: Passive movement using physiologic or accessory motion with a thrust.
-
Important Concepts:
- Roll and Glide: Pure rolling would dislocate a joint, gliding requires congruent articular surfaces. Combined motion is more common.
- Direction of Gliding: Determined by the convex-concave rule (convex moves opposite, concave moves with).
- Compression: Decrease in joint space, typically occurs during weight bearing.
- Traction: Separation of joint surfaces.
- Treatment Plane: Plane perpendicular to axis of rotation. Mobilization is parallel, traction is perpendicular.
-
Closed-Pack vs. Open-Pack:
- Closed-Pack: Joint surfaces have maximum contact, ligaments/capsule tight.
- Open-Pack: Joint surfaces have minimal contact, ligaments/capsule lax. Open pack position is ideal for mobilizations and traction.
-
Assessment Protocol:
- Assess active and passive range of motion.
- Assess accessory motion (compare to other side).
-
Intervention Protocol (Mobilization):
- Grade 1, 2, 3, 4 mobilization parameters (speed, sets/set duration, rest).
- Target one joint at a time in an open-packed position.
- Small amount of traction.
-
Clinical Signs/Indications/Precautions:
- Indications: Pain, muscle guarding, hypomobility, progressive limitation, functional impairment.
- Contraindications: Hypermobility, joint effusion, inflammation, malignancy, osteoporosis, congenital abnormalities, etc.
-
Effects of Joint Mobilization: Positive effects on synovial fluid, articular and peri-articular tissues, neuroreceptors, and pain regulation.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on various postures, including Swayback, Flat Back, and Lateral Imbalance. This quiz will help you understand the characteristics of each posture and their effects on the spine and overall body alignment.
