Spinal Manipulative Therapy and Meniscoid Entrapment
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Questions and Answers

What is the speculated cause of meniscus entrapment in spinal joints?

  • Degenerative disc disease
  • Trauma
  • Poorly coordinated spinal movements (correct)
  • Aging
  • How does SMT potentially reduce meniscus entrapment?

  • By promoting degenerative disc disease
  • By increasing pressure on the spinal nerves
  • By trapping the meniscus further
  • By reducing entrapment through gaps in joints (correct)
  • What is the theory behind interdiscal block restrictions?

  • Meniscus entrapment
  • Poorly coordinated spinal movements
  • Changes associated with aging
  • Fragmented nuclear material (correct)
  • What is the purpose of Cox Flexion Distraction Technic in relation to interdiscal block?

    <p>Reduces pressure on the spinal nerves (B)</p> Signup and view all the answers

    Which movement allows the meniscoid to move with the inferior facet during flexion?

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

    How does SMT impact meniscoid entrapment in interarticular block?

    <p>Facilitates meniscoid return to normal position (C)</p> Signup and view all the answers

    What is proposed to direct fragmented nuclear material during SMT?

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

    'SP Push' and 'Mammillary Push' are examples of adjustments used for which condition?

    <p>'Internal Derangement' (B)</p> Signup and view all the answers

    What is believed to alleviate muscle spasm and hypertonicity according to the text?

    <p>High Velocity Low Amplitude (HVLA) adjustments (D)</p> Signup and view all the answers

    Which technique is mentioned as providing more afferentation to the CNS and being better at reducing pain compared to non-thrust techniques?

    <p>High Velocity Low Amplitude (HVLA) manipulation (C)</p> Signup and view all the answers

    What interrupts the myofascial cycle according to the text?

    <p>High Velocity Low Amplitude (HVLA) adjustments (A)</p> Signup and view all the answers

    What types of compression are mentioned in relation to nerve root compression/traction?

    <p>Nerve root and Dorsal Root Ganglion (DRG) compression (C)</p> Signup and view all the answers

    What may lead to muscle spasm?

    <p>Poorly judged movements (D)</p> Signup and view all the answers

    Which type of manipulation provides a significant reduction in motor neuron excitability, as per the text?

    <p>High Velocity Low Amplitude (HVLA) manipulation (A)</p> Signup and view all the answers

    What does SMT stimulate that leads to an inhibitory effect on segmental motor activity?

    <p>Low and high threshold mechanoreceptors and nociceptors (C)</p> Signup and view all the answers

    What is suggested to be associated with the severity of lower back and neck pain?

    <p>Low-grade inflammation (C)</p> Signup and view all the answers

    Which hormone is activated by the Hypothalamic-Pituitary-Adrenal (HPA) axis and plays a key role in the stress-related response and inflammation modulation?

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

    What are the neurochemicals consistently found in patients presenting with joint degeneration of the vertebral column?

    <p>Tumor necrosis factor, interleukin-1, interleukin-6, interleukin-8 (A)</p> Signup and view all the answers

    What might be the result of an impaired cortisol regulation according to the text?

    <p>Low-grade inflammation (A)</p> Signup and view all the answers

    Which systems did Colombi et al. study the effects of SMT on in 2019?

    <p>Immune and endocrine systems (B)</p> Signup and view all the answers

    What role does cortisol play under normal conditions?

    <p>Anti-inflammatory function (D)</p> Signup and view all the answers

    Which of the following has been found in patients with chronic low back pain, fibromyalgia, and temporomandibular disorders among others according to the text?

    <p>Impaired cortisol regulation (C)</p> Signup and view all the answers

    What type of symptoms may reappear if exhaustion continues according to the text?

    <p><strong>Autonomic</strong> nervous system symptoms (B)</p> Signup and view all the answers

    What has been associated with pain hypersensitivity when a dysfunctional response due to subluxation occurs?

    <p>Unmodulated inflammation (C)</p> Signup and view all the answers

    According to the article, what cascade of responses may be triggered by the mechanical stimulus of SMT?

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

    Which theory does the immediate effects of SMT, according to the article, correlate with?

    <p>Pain Gate Theory (B)</p> Signup and view all the answers

    What type of benefits does SMT provide across different spinal musculoskeletal disorders?

    <p>Short-term benefits (A)</p> Signup and view all the answers

    What is suggested to be lacking in the available evidence regarding SMT's immune-endocrine response?

    <p>Consistent results (C)</p> Signup and view all the answers

    What is one of the limitations mentioned in the article regarding studies on SMT?

    <p>Heterogeneity in biomarkers collection methods (A)</p> Signup and view all the answers

    Which systems are purportedly co-activated by SMT to promote tissue healing?

    <p>Autonomic Nervous System and HPA axis (A)</p> Signup and view all the answers

    What aspect of SMT's effect on immune-endocrine response remains to be established according to the article?

    <p>Its clinical relevance and significance (A)</p> Signup and view all the answers

    What organizations collaborated on a joint clinical practice guideline for the diagnosis and treatment of low back pain?

    <p>American College of Physicians and American Pain Society (D)</p> Signup and view all the answers

    Which journal published a study on diagnostic therapeutic flow-charts for low back pain patients based on Italian clinical guidelines?

    <p>Eura Medicophys (D)</p> Signup and view all the answers

    In which year was the study about maintained spinal manipulation therapy for chronic nonspecific low back pain published?

    <p>2011 (A)</p> Signup and view all the answers

    What type of therapy did the study by Rubinstein et al. focus on for chronic low-back pain?

    <p>Spinal manipulative therapy (D)</p> Signup and view all the answers

    Which study conducted a systematic review and meta-analysis on the association of Spinal Manipulative Therapy with clinical benefit and harm for acute low back pain?

    <p>Paige et al. (C)</p> Signup and view all the answers

    What is the publication year of the study that evaluated the effect of spinal manipulative therapy for chronic low-back pain?

    <p>2011 (C)</p> Signup and view all the answers

    Which organization released a clinical practice guideline for low back pain using diagnostic therapeutic flow-charts?

    <p>Italian Clinical Guidelines Committee (D)</p> Signup and view all the answers

    Who authored the study that examined the effect of vertebral manipulation on chronic low back pain?

    <p>Ghroubi S, Elleuch H, Baklouti S, et al. (D)</p> Signup and view all the answers

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