Soft Tissue Mobilization Techniques Quiz

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Questions and Answers

What is the main reason why slump is more aggressive than SLR?

Compression with sitting affecting disc and neural structures (correct)

Lack of sensitivity in the maneuver

Reducing nerve movement through soft tissue

Inability to reproduce symptoms

Which technique involves getting the nerve to move through a 'container' to address adverse soft tissue causing issues?

Repeated extension

Supine leg holding

Cervical flexion

Flossing (correct)

What is the goal of therapy intervention when dealing with pain?

Reducing ROM

Centralization of pain (correct)

Increasing neural tension

Peripheralization of pain

What is neural tension defined as in the context provided?

Inability of the nerve to move smoothly through tissue Signup and view all the answers

Why should one be careful with nerve pain according to the text?

Latency in symptoms Signup and view all the answers

What position is recommended to start radicular pain treatment?

Lying down position Signup and view all the answers

What is the main purpose of performing manual traction?

To produce a gapping effect Signup and view all the answers

What could be a consequence of having one segment out of alignment in hypermobility?

Biomechanical shifts in the rest of the spine Signup and view all the answers

Which technique focuses on compression of innominate bones for form closure?

Muscle Energy Technique (MET) Signup and view all the answers

Why is symmetry in the pelvis critical when considering loading bilaterally or on a single leg?

To ensure correct pelvic alignment Signup and view all the answers

What is the purpose of performing active SLR as part of the treatment for hypermobility?

To assess symmetry and correct rotation Signup and view all the answers

How can patients correct for good pelvic symmetry according to the text?

By activating hamstrings/hip flexors through MET Signup and view all the answers

What is the recommended sequence of steps when correcting an anterior rotated pelvis?

Palpate ASIS, pull leg up on the opposite side, hold sub-max contraction, recheck ASIS levels. Signup and view all the answers

Why is it important to activate local muscles rather than letting global muscles take over?

Local muscles can maintain segmental stability more effectively. Signup and view all the answers

What is the key emphasis when focusing on anterior neutral spine or 'Pelvis Neutral'?

'Up & in' not flat back or posterior pelvic tilt. Signup and view all the answers

What is the purpose of lumbar stabilization training?

To combine motor control and passive restraints for stability. Signup and view all the answers

Why should individuals be taught to sit properly and maintain a normal lordotic curve?

To promote proper alignment and function of the lumbar spine. Signup and view all the answers

What role does activation of the transverse abdominis play in lumbar stabilization?

It assists in promoting segmental stability. Signup and view all the answers

What should be considered when assessing a patient's movements that trigger pain in the lumbar spine and pelvis?

Hypomobility issue Signup and view all the answers

When working with a patient in physical therapy, what should you focus on incorporating into the plan of care?

Functional/meaningful activities Signup and view all the answers

What is a crucial aspect to address before a patient can accomplish their most important task or activity?

Consider suspected pain generators Signup and view all the answers

When assessing a patient's movements, what should be determined to understand if they are resistant to move or if they move too much?

Whether the pain is local or radiating Signup and view all the answers

In the context of manual therapy, what factor should be considered when deciding if a patient can rely on self-management?

The suspected pain generators Signup and view all the answers

What is the purpose of using instrumentation like the Chattanooga Stabilizer in stability training?

To monitor stabilization objectively Signup and view all the answers

What does the SI Belt assist with when it is worn low around the hips?

Stabilizing the sacroiliac joints Signup and view all the answers

In what manner can the lumbar corset or support be beneficial for individuals?

It replaces lacking abdominal musculature support Signup and view all the answers

What type of exercises can be performed using the Chattanooga Stabilizer while maintaining a certain pressure?

Dynamic movements increasing cardio Signup and view all the answers

What is a feature of the SI Belt when worn around S2 to provide stability to SI joints?

Stabilizing sacroiliac joints Signup and view all the answers

How does utilizing multiple postures challenge stability during exercise?

By dynamically challenging stabilization Signup and view all the answers

Why is exercise referred to as the most potent and underutilized free antidepressant?

Due to its effectiveness in improving mental health but often not prescribed Signup and view all the answers

What is the importance of biomechanical correctness in exercise?

It helps in achieving the optimal benefits of exercise without injury Signup and view all the answers

Why is activating local muscles emphasized over global muscles during exercise?

Local muscles provide better joint protection and stability Signup and view all the answers

What determines the amount, plane, and speed of motion during exercise therapy activities?

The stage of healing the patient is in Signup and view all the answers

Why should exercises be conducted with good form and posture?

To ensure effective muscle activation and prevent injury Signup and view all the answers

In what way does exercise therapy focus on empowerment for patients?

By providing a sense of control and progress in their recovery Signup and view all the answers

What is the most common mechanism of injury for osteitis pubis?

Repetitive overuse and stress Signup and view all the answers

Which group of athletes is most prone to developing osteitis pubis?

Soccer players Signup and view all the answers

What is a common symptom of meralgia paresthetica?

Numbness on the lateral thigh Signup and view all the answers

Which factor is NOT considered a predisposing factor for meralgia paresthetica?

High-impact sports Signup and view all the answers

What treatment approach is recommended for meralgia paresthetica?

Selective rest and avoiding irritating activities Signup and view all the answers

What should be initiated when acute symptoms of osteitis pubis subside?

Start core stabilization training Signup and view all the answers

What is a possible anatomical variant that may predispose to injury in E FAI?

Femoral neck anomalies Signup and view all the answers

Which of the following is a resultant symptomatic pathology associated with E FAI?

Acetabular labral tears Signup and view all the answers

What sign involves putting the thumb in front of the groin area to assess hip pain?

C sign Signup and view all the answers

What does FADIR sign indicate in E FAI?

Limited and painful hip flexion & internal rotation Signup and view all the answers

Which condition covers all hip pathologies that are not arthritic, according to the text?

Hip dysplasia Signup and view all the answers

What is recommended as the highest level of therapeutic exercise prescription in E FAI?

'B' - Highest level including movement pattern retraining Signup and view all the answers

In exercise dosing, what is the recommended course of action if a person experienced a flare-up and the symptoms lasted for 24 hours?

Decrease the load Signup and view all the answers

Which scale is used to measure perceived exertion levels from 1 to 10, with 10 being extremely tough, in gauging exercise intensity?

Borg Rating of Perceived Exertion (RPE) scale Signup and view all the answers

What type of exercises are typically prescribed for endurance training?

3 sets of 15-25 with 1-minute rest at 40-50% 1RM Signup and view all the answers

For power training, what is the recommended number of sets and intensity level?

3 sets of 4 at 90%, 3 sets of 6 at 80%, 3 sets of 8 at 70% Signup and view all the answers

What aspect is emphasized in the exercise progression to correct deviations and reduce pain?

Strength and Proprioception Signup and view all the answers

What does the acronym RPE stand for in exercise prescription?

'Rating of Perceived Exertion' Signup and view all the answers

Which condition is characterized by pain often aggravated by sitting, squatting, or walking, and is more common in females?

Piriformis syndrome Signup and view all the answers

What is the best piriformis stretch according to the text?

Internal rotation above 90 degrees and external rotation below 70 degrees Signup and view all the answers

Which injury results from a direct blow to the iliac crest and may exhibit exquisite tenderness in soft tissues around that area?

Quadriceps contusion Signup and view all the answers

What differentiates a Morel-lavallee lesion from a quad contusion?

Tense feeling in the thigh Signup and view all the answers

'Greater Trochanteric Pain Snapping Hips' is also known as:

Coxa saltans Signup and view all the answers

What is a key characteristic of core muscle injury or athletic pubalgia without a true herniation?

Pain with resisted adduction Signup and view all the answers

What should be considered when managing proximal hamstring injuries?

'Tearing at ischial tuberosity' Signup and view all the answers

'Morel-lavallee lesion' is commonly managed with which intervention?

'Soft tissue myofascial techniques' Signup and view all the answers

What is a common symptom of a core muscle injury or sports hernia that helps differentiate it from other conditions?

Pain with twisting/turning in single limb stance Signup and view all the answers

What activity can exacerbate symptoms of proximal attachment injuries?

Lunging exercises Signup and view all the answers

Study Notes

Treatment Principles for the Lumbar Spine and Pelvis

Key goals to accomplish during PT: incorporate functional meaningful activities, consider category/classification of hypomobility, hypermobility, instability, and inflammatory issues
Suspected pain generators: hands-on or hands-off treatment, reliance on manual therapy, and self-management
Big picture considerations: resistance to movement, excessive movement, local pain, and radiating pain

Radicular Pain

Radicular pain can also be referred to as peripheralization
Goal of therapy intervention: centralization of pain
Neural tension: inability of the nerve to slide and glide through tissue
Flossing: technique to reduce adverse neural tension
Be cautious with nerve pain due to latency

Hypermobility

If one segment is out of alignment, it can cause biomechanics shift for the rest of the spine
Excessive movement: constantly changing/shifting
Causes of hypermobility: trauma, pregnancy, and SI instability
Pain can be located in buttocks, hip, and groin
Transitional movements and walking are uncomfortable

Treatment for Hypermobility

Form and force closure: perform active SLR, compression of innominate bones, and sacrum wedged between two hemi-pelvis
Muscle energy technique (MET): assess symmetry, need to assess if ASIS are level in supine
Correction: patient can correct to have good pelvic symmetry
Self-correction: whatever thumb is closer to the ground when checking ASIS

Lumbar Stabilization

Stabilization training: combination of motor control, neural input, and passive restraints
Sub-maximal training that should become subconscious
Training should adapt to static and dynamic movements
Teach in multiple positions, with normal breathing

Pelvic Thigh Pathology

Osteitis pubis: classification based on tx mechanism of injury, overuse, stress injury
Signs and symptoms: palpation tenderness over pubic symphysis, symptoms often exacerbated by passive ABD, resisted ADD, or abdominal contractions
Management: rest, NSAIDs, normalize SIJ, and osteitis pubis cont management

Meralgia Paresthetica

Definition: dysfxn of sensory lat femoral cutaneous n of the thigh
Predisposing factors: obesity, pregnancy, and tight pants
Signs and symptoms: pain and parethesias over upper anterolateral thigh
Management: avoidance of irritating activities, selective rest, NSAIDs, SIJ screen/tx, wt loss, and ADL modifications

Piriformis Syndrome

Definition: deep aching in the sciatic notch of the buttock
Signs and symptoms: referred posterior thigh pain, often aggravated by sitting, squatting, or walking
Management: ultrasound, HP manual therapy, and soft tissue mobilization, gentle piriformis stretching, and address faulty pelvis, hip, or foot mechanics

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Description

Test your knowledge on soft tissue mobilization techniques including selective treatment, purposeful traction, manual traction, self-management strategies, stretches, and hypermobility treatment for the lumbar spine and pelvis.