Podcast
Questions and Answers
What is the main purpose of traction in the cervical spine?
What is the main purpose of traction in the cervical spine?
To alleviate pressure and increase movement within the cervical region.
How can you differentiate between rib and spine involvement during rib mobilization?
How can you differentiate between rib and spine involvement during rib mobilization?
Spinal pathologies show less pain with facet stabilization, while rib involvement shows more pain without stabilization.
Why should you not put the traction belt on your back during hip traction?
Why should you not put the traction belt on your back during hip traction?
Because it may cause hyper-mobilization of your own back.
What is the required position for a patient during general traction of the hip?
What is the required position for a patient during general traction of the hip?
What part of your body should you use for generating movement during segmental traction of the lumbar spine?
What part of your body should you use for generating movement during segmental traction of the lumbar spine?
What should you do if a patient's back is not parallel to the table during positional traction?
What should you do if a patient's back is not parallel to the table during positional traction?
Where should your hands be placed during an anterior innominate rotation muscle energy technique?
Where should your hands be placed during an anterior innominate rotation muscle energy technique?
What two hip positions should be achieved after a posterior innominate rotation muscle energy technique contraction?
What two hip positions should be achieved after a posterior innominate rotation muscle energy technique contraction?
For a posterior innominate rotation muscle energy technique, how long should the patient contract the muscle?
For a posterior innominate rotation muscle energy technique, how long should the patient contract the muscle?
What are the four steps in the sequence to perform an upslip of the hip?
What are the four steps in the sequence to perform an upslip of the hip?
What two elements should the hip position have for an upslip technique?
What two elements should the hip position have for an upslip technique?
During the upslip of the hip, what action is required from the patient and which muscle does this engage?
During the upslip of the hip, what action is required from the patient and which muscle does this engage?
For the symphysis pubis muscle energy technique, what percentage of effort should be resisted with?
For the symphysis pubis muscle energy technique, what percentage of effort should be resisted with?
How many contractions should be conducted during the symphysis pubis muscle energy technique?
How many contractions should be conducted during the symphysis pubis muscle energy technique?
What is the recommended position for traction of the hip?
What is the recommended position for traction of the hip?
When performing an anterior glide of the femur, what is the direction of pressure applied?
When performing an anterior glide of the femur, what is the direction of pressure applied?
What is the main focus of traction in the cervical spine when applied to improve mobility?
What is the main focus of traction in the cervical spine when applied to improve mobility?
Why is it crucial to provide feedback from the patient during rib mobilization procedures?
Why is it crucial to provide feedback from the patient during rib mobilization procedures?
In the context of general traction for the lumbar spine, what body mechanism is necessary for effective treatment?
In the context of general traction for the lumbar spine, what body mechanism is necessary for effective treatment?
How should a practitioner ensure optimal positioning of a patient before applying positional traction on the lumbar spine?
How should a practitioner ensure optimal positioning of a patient before applying positional traction on the lumbar spine?
What are the techniques used during segmental traction of the lumbar spine?
What are the techniques used during segmental traction of the lumbar spine?
What is the primary goal of muscle energy techniques used for mobilizing the pelvis?
What is the primary goal of muscle energy techniques used for mobilizing the pelvis?
During technical applications of anterior innominate rotation, what is the requisite duration for mobilization?
During technical applications of anterior innominate rotation, what is the requisite duration for mobilization?
In a posterior innominate rotation technique, what are the two critical hip positions to achieve post-contraction?
In a posterior innominate rotation technique, what are the two critical hip positions to achieve post-contraction?
How long should the symphysis pubis muscle energy technique be executed for?
How long should the symphysis pubis muscle energy technique be executed for?
What should be done immediately after performing the symphysis pubis muscle energy technique?
What should be done immediately after performing the symphysis pubis muscle energy technique?
What position should the hip be brought into for traction without a belt?
What position should the hip be brought into for traction without a belt?
What is the correct direction of pressure applied during a posterior glide of the hip?
What is the correct direction of pressure applied during a posterior glide of the hip?
During the technique for an upslip of the hip, how long should the traction be held?
During the technique for an upslip of the hip, how long should the traction be held?
What percentage of effort should be resisted during the symphysis pubis muscle energy technique?
What percentage of effort should be resisted during the symphysis pubis muscle energy technique?
In what position should the leg be for an anterior glide during the femur technique?
In what position should the leg be for an anterior glide during the femur technique?
What muscle is activated when the patient is asked to pull their leg up during the upslip of the hip?
What muscle is activated when the patient is asked to pull their leg up during the upslip of the hip?
What should be the initial position of the hip for traction techniques without a belt?
What should be the initial position of the hip for traction techniques without a belt?
What should be done immediately following the symphysis pubis muscle energy technique?
What should be done immediately following the symphysis pubis muscle energy technique?
What direction is the pressure applied during an anterior glide of the femur?
What direction is the pressure applied during an anterior glide of the femur?
In the muscle energy technique for the symphysis pubis, how many contractions are recommended?
In the muscle energy technique for the symphysis pubis, how many contractions are recommended?
During the upslip technique, what is the final action performed during the movement?
During the upslip technique, what is the final action performed during the movement?
For the muscle energy technique addressing the symphysis pubis, what percentage of effort should the practitioner resist?
For the muscle energy technique addressing the symphysis pubis, what percentage of effort should the practitioner resist?
What is the formal name for what is commonly referred to as the shotgun maneuver?
What is the formal name for what is commonly referred to as the shotgun maneuver?
What are the two positions the hip must achieve for an upslip technique?
What are the two positions the hip must achieve for an upslip technique?
What is the primary reason for stabilizing C2 during upper cervical spine traction?
What is the primary reason for stabilizing C2 during upper cervical spine traction?
In general traction, what is crucial about the cervical spine's angle?
In general traction, what is crucial about the cervical spine's angle?
During lumbar spine segmental traction, what key aspect should be prioritized for generating movement?
During lumbar spine segmental traction, what key aspect should be prioritized for generating movement?
What is the primary indication that rib mobilization may be required in a patient?
What is the primary indication that rib mobilization may be required in a patient?
During positional traction of the lumbar spine, what adjustment should be made if the patient's back isn't parallel to the table?
During positional traction of the lumbar spine, what adjustment should be made if the patient's back isn't parallel to the table?
What duration and frequency should be maintained during an anterior innominate rotation muscle energy technique?
What duration and frequency should be maintained during an anterior innominate rotation muscle energy technique?
In lumbar traction, why is the positioning of the patient supine crucial?
In lumbar traction, why is the positioning of the patient supine crucial?
What critical feedback mechanism is highlighted when performing rib mobilization?
What critical feedback mechanism is highlighted when performing rib mobilization?
What position should the hip be in for traction during an upslip technique?
What position should the hip be in for traction during an upslip technique?
During the symphysis pubis muscle energy technique, what is the advised method following the technique?
During the symphysis pubis muscle energy technique, what is the advised method following the technique?
In the muscle energy technique for the symphysis pubis, how long should each resistance contraction last?
In the muscle energy technique for the symphysis pubis, how long should each resistance contraction last?
What is the percentage of effort the practitioner should resist when performing the symphysis pubis technique?
What is the percentage of effort the practitioner should resist when performing the symphysis pubis technique?
What direction is pressure applied during the posterior glide of the hip?
What direction is pressure applied during the posterior glide of the hip?
What is the effect of stabilizing C2 during upper cervical spine traction?
What is the effect of stabilizing C2 during upper cervical spine traction?
Why is constant feedback from the patient essential during rib mobilization?
Why is constant feedback from the patient essential during rib mobilization?
In the anterior glide of the femur, what position should the leg be in?
In the anterior glide of the femur, what position should the leg be in?
What muscle is primarily activated when the patient pulls their leg up during the upslip technique?
What muscle is primarily activated when the patient pulls their leg up during the upslip technique?
In segmental traction of the lumbar spine, what role does body weight play?
In segmental traction of the lumbar spine, what role does body weight play?
What is the primary objective of positional traction in the lumbar region?
What is the primary objective of positional traction in the lumbar region?
How should the hip be positioned for traction using a belt?
How should the hip be positioned for traction using a belt?
How does the posterior innominate rotation muscle energy technique aid in restoring pelvic alignment?
How does the posterior innominate rotation muscle energy technique aid in restoring pelvic alignment?
What should be taken into account when performing general traction of the hip?
What should be taken into account when performing general traction of the hip?
Why is it important not to hyper mobilize your own back during hip traction?
Why is it important not to hyper mobilize your own back during hip traction?
What adjustments should be made if a patient's back is not parallel to the table during positional traction?
What adjustments should be made if a patient's back is not parallel to the table during positional traction?
What is the appropriate angle of the cervical spine when performing general traction?
What is the appropriate angle of the cervical spine when performing general traction?
During segmental traction of the lumbar spine, it is advisable to use mostly arm strength to generate movement.
During segmental traction of the lumbar spine, it is advisable to use mostly arm strength to generate movement.
What position must the patient be in during general traction of the hip?
What position must the patient be in during general traction of the hip?
In an anterior innominate rotation muscle energy technique, the practitioner should place their hands on the ASIS and the __________.
In an anterior innominate rotation muscle energy technique, the practitioner should place their hands on the ASIS and the __________.
Match the following techniques with their characteristics:
Match the following techniques with their characteristics:
What is the patient positioning during a posterior innominate rotation muscle energy technique?
What is the patient positioning during a posterior innominate rotation muscle energy technique?
It is important to stabilize the facet joint during rib mobilization to differentiate between rib and spine involvement.
It is important to stabilize the facet joint during rib mobilization to differentiate between rib and spine involvement.
How long should each mobilization be maintained during an anterior innominate rotation muscle energy technique?
How long should each mobilization be maintained during an anterior innominate rotation muscle energy technique?
What is the recommended percentage of effort to resist during the symphysis pubis muscle energy technique?
What is the recommended percentage of effort to resist during the symphysis pubis muscle energy technique?
The upslip technique for the hip requires the hip to be in a close-packed position.
The upslip technique for the hip requires the hip to be in a close-packed position.
How long should the symphysis pubis muscle energy technique be performed?
How long should the symphysis pubis muscle energy technique be performed?
During the upslip of the hip, the patient is asked to __________ their leg up to activate the QL.
During the upslip of the hip, the patient is asked to __________ their leg up to activate the QL.
Match the techniques for the hip with their corresponding actions:
Match the techniques for the hip with their corresponding actions:
For the hip traction without a belt, the hip should be brought into 30 degrees flexion, 30 degrees abduction, and slight external rotation.
For the hip traction without a belt, the hip should be brought into 30 degrees flexion, 30 degrees abduction, and slight external rotation.
What should be performed immediately after conducting the symphysis pubis muscle energy technique?
What should be performed immediately after conducting the symphysis pubis muscle energy technique?
What is the ideal positioning of the neck during general traction of the cervical spine?
What is the ideal positioning of the neck during general traction of the cervical spine?
During rib mobilization, spinal pathologies are more painful when the facet joint is stabilized.
During rib mobilization, spinal pathologies are more painful when the facet joint is stabilized.
What must the patient positioning always be during general traction of the hip?
What must the patient positioning always be during general traction of the hip?
For segmental traction of the lumbar spine, you should use your ______ to generate movement.
For segmental traction of the lumbar spine, you should use your ______ to generate movement.
Match the following techniques with their descriptions:
Match the following techniques with their descriptions:
During the hip upslip technique, what is the correct position to place the hip into?
During the hip upslip technique, what is the correct position to place the hip into?
In an anterior innominate rotation muscle energy technique, where should your hands be placed?
In an anterior innominate rotation muscle energy technique, where should your hands be placed?
Anterior innominate rotation muscle energy technique should include a mobilization time of 5-10 seconds.
Anterior innominate rotation muscle energy technique should include a mobilization time of 5-10 seconds.
For the symphysis pubis muscle energy technique, the practitioner should resist with 50% effort.
For the symphysis pubis muscle energy technique, the practitioner should resist with 50% effort.
What is the two hip positions to achieve after a contraction during a posterior innominate rotation muscle energy technique?
What is the two hip positions to achieve after a contraction during a posterior innominate rotation muscle energy technique?
During the upslip of the hip, when performing the traction, the practitioner should ask the patient to ________ their leg up.
During the upslip of the hip, when performing the traction, the practitioner should ask the patient to ________ their leg up.
Match the following hip techniques with their corresponding properties:
Match the following hip techniques with their corresponding properties:
The patient should contract the muscle for 20 seconds during a posterior innominate rotation technique.
The patient should contract the muscle for 20 seconds during a posterior innominate rotation technique.
What position should the hip be in for traction performed with no belt?
What position should the hip be in for traction performed with no belt?
Flashcards
Posterior Innominate Rotation Muscle Energy Technique contraction time
Posterior Innominate Rotation Muscle Energy Technique contraction time
Hold the contraction for 10 seconds during the technique.
Upslip Hip Technique - Step 1
Upslip Hip Technique - Step 1
Position the hip into internal rotation (IR) and a close-packed position.
Upslip Hip Technique - Step 2
Upslip Hip Technique - Step 2
Apply traction until you feel resistance.
Upslip Hip Technique - Step 3 (Action)
Upslip Hip Technique - Step 3 (Action)
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Symphysis Pubis Muscle Energy Technique duration
Symphysis Pubis Muscle Energy Technique duration
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Symphysis Pubis Muscle Energy Technique resistance level
Symphysis Pubis Muscle Energy Technique resistance level
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Hip Traction Position
Hip Traction Position
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Posterior Hip Glide Pressure Direction
Posterior Hip Glide Pressure Direction
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Upper C-spine traction
Upper C-spine traction
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Rib mobilization
Rib mobilization
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General hip traction
General hip traction
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Segmental L-spine traction
Segmental L-spine traction
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Positional L-spine traction
Positional L-spine traction
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Anterior Innominate Rotation
Anterior Innominate Rotation
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Posterior Innominate Rotation
Posterior Innominate Rotation
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General C spine traction
General C spine traction
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Rib Mobilization Goal
Rib Mobilization Goal
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Rib vs. Spine Pain
Rib vs. Spine Pain
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General Hip Traction Positioning
General Hip Traction Positioning
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General Hip Traction Safety
General Hip Traction Safety
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Segmental L-spine Traction Force
Segmental L-spine Traction Force
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Positional L-spine Traction Adjustment
Positional L-spine Traction Adjustment
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Anterior Innominate Rotation Technique
Anterior Innominate Rotation Technique
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Posterior Innominate Rotation Technique
Posterior Innominate Rotation Technique
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Upslip Hip Technique - Goal?
Upslip Hip Technique - Goal?
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Upslip Hip Technique - Duration
Upslip Hip Technique - Duration
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Symphysis Pubis Technique - Goal
Symphysis Pubis Technique - Goal
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Symphysis Pubis Technique - Resistance Level
Symphysis Pubis Technique - Resistance Level
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Symphysis Pubis Technique - Contraction Count
Symphysis Pubis Technique - Contraction Count
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General Traction of the Hip
General Traction of the Hip
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Segmental Traction of the L-spine
Segmental Traction of the L-spine
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Positional Traction of the L-spine
Positional Traction of the L-spine
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Rib vs. Spine Pain (With Mobilization)
Rib vs. Spine Pain (With Mobilization)
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General Traction of the Hip: Safety Rule
General Traction of the Hip: Safety Rule
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Upslip Hip Technique: Steps
Upslip Hip Technique: Steps
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Symphysis Pubis Technique: Resistance
Symphysis Pubis Technique: Resistance
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Posterior Hip Glide: Direction
Posterior Hip Glide: Direction
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Anterior Hip Glide: Position
Anterior Hip Glide: Position
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Anterior Hip Glide: Pressure
Anterior Hip Glide: Pressure
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Upslip Hip Technique - Position?
Upslip Hip Technique - Position?
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Upslip Hip Technique - Action?
Upslip Hip Technique - Action?
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Hip Traction - Knee Pain?
Hip Traction - Knee Pain?
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Hip Traction - When to Use?
Hip Traction - When to Use?
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C-spine Traction Technique
C-spine Traction Technique
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Rib Mobilization Difference with Spine
Rib Mobilization Difference with Spine
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What is C-spine traction used for?
What is C-spine traction used for?
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How is rib mobilization used in spine assessment?
How is rib mobilization used in spine assessment?
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General Hip Traction: Positioning Rule
General Hip Traction: Positioning Rule
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General Hip Traction: Therapist Safety
General Hip Traction: Therapist Safety
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Segmental L-spine Traction: Movement Source
Segmental L-spine Traction: Movement Source
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Anterior Innominate Rotation: Hand Placement
Anterior Innominate Rotation: Hand Placement
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Posterior Innominate Rotation: Patient Positioning
Posterior Innominate Rotation: Patient Positioning
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Posterior Hip Glide - Directional Pressure
Posterior Hip Glide - Directional Pressure
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Rib Mobilization vs. Spine Pain
Rib Mobilization vs. Spine Pain
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General Hip Traction: Patient Positioning
General Hip Traction: Patient Positioning
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Study Notes
Cervical Spine (C-Spine) Mobilization
- Traction Techniques:
- Upper C-spine (suboccipital) traction: Stabilize C2 with one hand; use the other to traction the occiput.
- General traction: Position the neck at a 25-degree angle from the table. One hand under the occiput, the other over the forehead. Practitioner's feet should be positioned one forward, one back.
Thoracic Spine (T-Spine) Mobilization
- Rib Mobilization:
- Assessment: Identify resistance and stiffness in rib movement.
- Feedback: Continuous feedback from the patient is crucial.
- Differentiation: Spinal pathologies might present with less pain when the facet joint is stabilized, and more pain when it’s not.
Lumbar Spine (L-Spine), Pelvis, and Hip Mobilization
-
General Traction (L-spine/pelvis):
- Positioning: Patient must be supine.
- Why not use a belt on back?: A belt on the practitioner’s back could hypermobilize their own back.
-
Segmental Traction (L-spine):
- Whole Body Movement: Employ the whole body to generate movement.
- Techniques: Holding for 10-15 seconds or oscillatory techniques.
-
Positional Traction (L-spine):
- Table Position: If the patient's back is not parallel to the table when side-lying, place a towel underneath.
-
Muscle Energy Techniques (Pelvis/Hip):
- Anterior Innominate Rotation:
- Hand Placement: On ASIS and ischial tuberosity.
- Mobilization Duration: 15–30 seconds.
- Posterior Innominate Rotation:
- Positioning: Supine.
- Post-Contraction Positioning: Patient's hip is brought into extension and adduction following a 10-second muscle contraction.
- Contraction Duration: 10 seconds.
- Upslip:
- Sequence:
- Hip in internal rotation (close-packed).
- Traction until resistance.
- Patient pulls leg up activating the quadratus lumborum (QL).
- Traction on exhale.
- Positional Elements: Internal rotation, and in a close-packed position.
- Duration: 10 seconds.
- Sequence:
- Symphysis Pubis:
- Duration: 10 seconds.
- Resistance: Resist with 30% effort.
- Formal Name: Pubic symphysis muscle energy technique.
- Repetitions: 2-3 contractions.
- Post-Technique: Single adduction repetition.
- Sacral Torsion (Nutation/Counter-Nutation): Techniques for sacral torsion adjustments are described.
- Anterior Innominate Rotation:
Hip Mobilization
- Belt-Free Techniques:
- Traction: Position hip in a slight open-packed position (30° flexion, 30° abduction, slight ER). If the patient complains of knee pain, grab the knee above the knee joint line.
- Posterior Glide: Pressure is applied posteriorly. Appropriate leg position is critical.
- Anterior Glide: Pressure is applied inferiorly. The patient is supine. Position leg into passive hip extension, in a gluteus maximus MMT-like fashion.
- Belt-Assisted Techniques:
- Lateral Distraction
- Traction
- Distraction with IR/ER
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