Quiz #2 - Spine Mobilization Techniques
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Questions and Answers

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?

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?

Because it may cause hyper-mobilization of your own back.

What is the required position for a patient during general traction of the hip?

<p>The patient must be in a supine position.</p> Signup and view all the answers

What part of your body should you use for generating movement during segmental traction of the lumbar spine?

<p>You should use your whole body.</p> Signup and view all the answers

What should you do if a patient's back is not parallel to the table during positional traction?

<p>You should put a towel underneath to correct the positioning.</p> Signup and view all the answers

Where should your hands be placed during an anterior innominate rotation muscle energy technique?

<p>On the ASIS and ischial tuberosity.</p> Signup and view all the answers

What two hip positions should be achieved after a posterior innominate rotation muscle energy technique contraction?

<p>The hip should be brought into extension and adduction.</p> Signup and view all the answers

For a posterior innominate rotation muscle energy technique, how long should the patient contract the muscle?

<p>10 seconds.</p> Signup and view all the answers

What are the four steps in the sequence to perform an upslip of the hip?

<ol> <li>Place hip into IR. 2. Traction until resistance is felt. 3. Ask patient to pull leg up. 4. Traction the leg when the patient breathes out.</li> </ol> Signup and view all the answers

What two elements should the hip position have for an upslip technique?

<p>Internal rotation (IR) and in a close-packed position.</p> Signup and view all the answers

During the upslip of the hip, what action is required from the patient and which muscle does this engage?

<p>The patient needs to pull the leg up, activating the quadratus lumborum (QL).</p> Signup and view all the answers

For the symphysis pubis muscle energy technique, what percentage of effort should be resisted with?

<p>30%.</p> Signup and view all the answers

How many contractions should be conducted during the symphysis pubis muscle energy technique?

<p>2-3 contractions.</p> Signup and view all the answers

What is the recommended position for traction of the hip?

<p>Slight open-packed position: 30 degrees FLEX, 30 degrees ABD, and slight ER.</p> Signup and view all the answers

When performing an anterior glide of the femur, what is the direction of pressure applied?

<p>Inferiorly.</p> Signup and view all the answers

What is the main focus of traction in the cervical spine when applied to improve mobility?

<p>To relieve pressure on spinal structures and to increase intervertebral space.</p> Signup and view all the answers

Why is it crucial to provide feedback from the patient during rib mobilization procedures?

<p>It ensures that the mobilization technique is effective and allows adjustments based on the patient's responses.</p> Signup and view all the answers

In the context of general traction for the lumbar spine, what body mechanism is necessary for effective treatment?

<p>Utilizing the practitioner's entire body to create a stable and controlled traction force.</p> Signup and view all the answers

How should a practitioner ensure optimal positioning of a patient before applying positional traction on the lumbar spine?

<p>By placing a towel underneath the patient if their back is not parallel to the treatment table.</p> Signup and view all the answers

What are the techniques used during segmental traction of the lumbar spine?

<p>Holding for 10-15 seconds and utilizing an oscillatory technique.</p> Signup and view all the answers

What is the primary goal of muscle energy techniques used for mobilizing the pelvis?

<p>To restore normal function and relieve pain through voluntary muscle contraction.</p> Signup and view all the answers

During technical applications of anterior innominate rotation, what is the requisite duration for mobilization?

<p>Mobilization should last between 15-30 seconds.</p> Signup and view all the answers

In a posterior innominate rotation technique, what are the two critical hip positions to achieve post-contraction?

<p>Extension and adduction of the hip.</p> Signup and view all the answers

How long should the symphysis pubis muscle energy technique be executed for?

<p>10 seconds.</p> Signup and view all the answers

What should be done immediately after performing the symphysis pubis muscle energy technique?

<p>A single rep of leg adduction into the hands.</p> Signup and view all the answers

What position should the hip be brought into for traction without a belt?

<p>Slight open-packed position - 30 degrees FLEX, 30 degrees ABD, and slight ER.</p> Signup and view all the answers

What is the correct direction of pressure applied during a posterior glide of the hip?

<p>Posteriorly.</p> Signup and view all the answers

During the technique for an upslip of the hip, how long should the traction be held?

<p>Until a bind is felt, then a slow traction performed on the breath out.</p> Signup and view all the answers

What percentage of effort should be resisted during the symphysis pubis muscle energy technique?

<p>30%.</p> Signup and view all the answers

In what position should the leg be for an anterior glide during the femur technique?

<p>Passive hip extension, in a gluteus maximus MMT-like fashion.</p> Signup and view all the answers

What muscle is activated when the patient is asked to pull their leg up during the upslip of the hip?

<p>Quadratus lumborum (QL).</p> Signup and view all the answers

What should be the initial position of the hip for traction techniques without a belt?

<p>Slight open-packed position - 30 degrees FLEX, 30 degrees ABD, and slight ER.</p> Signup and view all the answers

What should be done immediately following the symphysis pubis muscle energy technique?

<p>A single repetition of leg adduction into the hands should be performed.</p> Signup and view all the answers

What direction is the pressure applied during an anterior glide of the femur?

<p>Pressure is applied inferiorly.</p> Signup and view all the answers

In the muscle energy technique for the symphysis pubis, how many contractions are recommended?

<p>2-3 contractions should be conducted.</p> Signup and view all the answers

During the upslip technique, what is the final action performed during the movement?

<p>Slow traction on the breath out.</p> Signup and view all the answers

For the muscle energy technique addressing the symphysis pubis, what percentage of effort should the practitioner resist?

<p>30% effort should be resisted.</p> Signup and view all the answers

What is the formal name for what is commonly referred to as the shotgun maneuver?

<p>Pubic symphysis muscle energy technique.</p> Signup and view all the answers

What are the two positions the hip must achieve for an upslip technique?

<p>The hip must be in internal rotation (IR) and in a close-packed position.</p> Signup and view all the answers

What is the primary reason for stabilizing C2 during upper cervical spine traction?

<p>To ensure effective traction by providing a stable base and avoiding excessive movement.</p> Signup and view all the answers

In general traction, what is crucial about the cervical spine's angle?

<p>The neck should be positioned at 25 degrees from the table to optimize traction efficacy.</p> Signup and view all the answers

During lumbar spine segmental traction, what key aspect should be prioritized for generating movement?

<p>Using the entire body, not just the hands, to apply traction is essential.</p> Signup and view all the answers

What is the primary indication that rib mobilization may be required in a patient?

<p>The presence of resistance or stiffness during palpation suggests the need for rib mobilization.</p> Signup and view all the answers

During positional traction of the lumbar spine, what adjustment should be made if the patient's back isn't parallel to the table?

<p>A towel should be placed underneath the patient to achieve proper alignment.</p> Signup and view all the answers

What duration and frequency should be maintained during an anterior innominate rotation muscle energy technique?

<p>Mobilization should last 15-30 seconds and be repeated multiple times.</p> Signup and view all the answers

In lumbar traction, why is the positioning of the patient supine crucial?

<p>Supine positioning prevents excessive loading and allows for optimal traction forces to be applied.</p> Signup and view all the answers

What critical feedback mechanism is highlighted when performing rib mobilization?

<p>Constant feedback from the patient is necessary to assess pain relief and comfort levels.</p> Signup and view all the answers

What position should the hip be in for traction during an upslip technique?

<p>The hip should be in internal rotation and close-packed position.</p> Signup and view all the answers

During the symphysis pubis muscle energy technique, what is the advised method following the technique?

<p>Conduct a single repetition of leg adduction into the hands.</p> Signup and view all the answers

In the muscle energy technique for the symphysis pubis, how long should each resistance contraction last?

<p>Each contraction should last 10 seconds.</p> Signup and view all the answers

What is the percentage of effort the practitioner should resist when performing the symphysis pubis technique?

<p>The practitioner should resist at 30% effort.</p> Signup and view all the answers

What direction is pressure applied during the posterior glide of the hip?

<p>Pressure is applied posteriorly.</p> Signup and view all the answers

What is the effect of stabilizing C2 during upper cervical spine traction?

<p>It minimizes unnecessary movement and ensures targeted traction of the upper cervical spine.</p> Signup and view all the answers

Why is constant feedback from the patient essential during rib mobilization?

<p>It helps to differentiate between rib and spine involvement, and ensures the techniques are appropriate for their comfort level.</p> Signup and view all the answers

In the anterior glide of the femur, what position should the leg be in?

<p>The leg should be in passive hip extension.</p> Signup and view all the answers

What muscle is primarily activated when the patient pulls their leg up during the upslip technique?

<p>The quadratus lumborum (QL) muscle is activated.</p> Signup and view all the answers

In segmental traction of the lumbar spine, what role does body weight play?

<p>The practitioner's body weight generates the necessary movement and traction force.</p> Signup and view all the answers

What is the primary objective of positional traction in the lumbar region?

<p>To create space in the intervertebral foramen and alleviate pressure on lumbar nerves.</p> Signup and view all the answers

How should the hip be positioned for traction using a belt?

<p>The hip should be brought into a slight open-packed position: 30 degrees flexion, 30 degrees abduction, and slight external rotation.</p> Signup and view all the answers

How does the posterior innominate rotation muscle energy technique aid in restoring pelvic alignment?

<p>It facilitates proper positioning of the pelvis by engaging specific muscle contractions.</p> Signup and view all the answers

What should be taken into account when performing general traction of the hip?

<p>The patient must always be in a supine position to ensure effective and safe traction.</p> Signup and view all the answers

Why is it important not to hyper mobilize your own back during hip traction?

<p>Hyper mobilizing your back could lead to instability and decreased effectiveness in the treatment.</p> Signup and view all the answers

What adjustments should be made if a patient's back is not parallel to the table during positional traction?

<p>A towel should be placed underneath to ensure proper alignment.</p> Signup and view all the answers

What is the appropriate angle of the cervical spine when performing general traction?

<p>25 degrees</p> Signup and view all the answers

During segmental traction of the lumbar spine, it is advisable to use mostly arm strength to generate movement.

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

What position must the patient be in during general traction of the hip?

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

In an anterior innominate rotation muscle energy technique, the practitioner should place their hands on the ASIS and the __________.

<p>ischial tuberosity</p> Signup and view all the answers

Match the following techniques with their characteristics:

<p>General traction = Cervical spine at 25 degrees Segmental traction = Uses the whole body for movement Positional traction = Adjust based on patient alignment Muscle energy technique = Hands on ASIS and ischial tuberosity</p> Signup and view all the answers

What is the patient positioning during a posterior innominate rotation muscle energy technique?

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

It is important to stabilize the facet joint during rib mobilization to differentiate between rib and spine involvement.

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

How long should each mobilization be maintained during an anterior innominate rotation muscle energy technique?

<p>15-30 seconds</p> Signup and view all the answers

What is the recommended percentage of effort to resist during the symphysis pubis muscle energy technique?

<p>30%</p> Signup and view all the answers

The upslip technique for the hip requires the hip to be in a close-packed position.

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

How long should the symphysis pubis muscle energy technique be performed?

<p>10 seconds</p> Signup and view all the answers

During the upslip of the hip, the patient is asked to __________ their leg up to activate the QL.

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

Match the techniques for the hip with their corresponding actions:

<p>Traction = Slight open-packed position Posterior glide = Pressure applied posteriorly Anterior glide = Pressure applied inferiorly Distraction = Separation of joint surfaces</p> Signup and view all the answers

For the hip traction without a belt, the hip should be brought into 30 degrees flexion, 30 degrees abduction, and slight external rotation.

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

What should be performed immediately after conducting the symphysis pubis muscle energy technique?

<p>A single rep of leg adduction into the hands</p> Signup and view all the answers

What is the ideal positioning of the neck during general traction of the cervical spine?

<p>25 degrees from the table</p> Signup and view all the answers

During rib mobilization, spinal pathologies are more painful when the facet joint is stabilized.

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

What must the patient positioning always be during general traction of the hip?

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

For segmental traction of the lumbar spine, you should use your ______ to generate movement.

<p>whole body</p> Signup and view all the answers

Match the following techniques with their descriptions:

<p>Traction = Pulling force to alleviate pressure Rib mobilization = Adjusting rib to improve movement Muscle energy techniques = Activating muscles to promote alignment Positional traction = Adjusting position for effective stretch</p> Signup and view all the answers

During the hip upslip technique, what is the correct position to place the hip into?

<p>Internal rotation</p> Signup and view all the answers

In an anterior innominate rotation muscle energy technique, where should your hands be placed?

<p>On ASIS and ischial tuberosity</p> Signup and view all the answers

Anterior innominate rotation muscle energy technique should include a mobilization time of 5-10 seconds.

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

For the symphysis pubis muscle energy technique, the practitioner should resist with 50% effort.

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

What is the two hip positions to achieve after a contraction during a posterior innominate rotation muscle energy technique?

<p>Extension and adduction</p> Signup and view all the answers

During the upslip of the hip, when performing the traction, the practitioner should ask the patient to ________ their leg up.

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

Match the following hip techniques with their corresponding properties:

<p>Lateral distraction = Used for joint mobility Traction = Separation of joint surfaces Distraction with IR/ER = Rotational movement with provides space</p> Signup and view all the answers

The patient should contract the muscle for 20 seconds during a posterior innominate rotation technique.

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

What position should the hip be in for traction performed with no belt?

<p>Slight open-packed position (30 degrees FLEX, 30 degrees ABD, and slight ER)</p> Signup and view all the answers

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:
        1. Hip in internal rotation (close-packed).
        2. Traction until resistance.
        3. Patient pulls leg up activating the quadratus lumborum (QL).
        4. Traction on exhale.
      • Positional Elements: Internal rotation, and in a close-packed position.
      • Duration: 10 seconds.
    • 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.

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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Description

This quiz covers essential mobilization techniques for the cervical, thoracic, and lumbar spine, including traction methods and rib mobilization strategies. Test your knowledge on proper positioning and assessment techniques vital for spinal health.

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