OPP lect 27 HVLA & Articular Techniques
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| What is a Direct manipulative Technique? Give 4 examples | show 🗑
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| show | 1.Back pain.
2.Pelvic pain.
3.Scoliosis.
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| show | 1.Acute Sprain or fracture.
2.Cancer/infection.
3.DVT.
4.Vascular instability (on BL thinners, or have a bleeding disorder).
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| show | If the neurologic exam is ABNORMAL neurological exam (then get Xray or workup).
**Straight Leg Raise.
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| show | L3 FRSR
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| Thrust (HVLA) | show 🗑
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| What are some relative contraindications for HVLA/LVHA that you should treat with caution | show 🗑
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| show | 1.Diagnose joint restriction.
2.Move the joint to the direct barrier of all planes (localization).
3.Apply a short quick thrust through the direct barrier.
4.Retest.
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| show | Faster thrusts prevent muscle gaurding. Applying them only to a short distance prevents injury.
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| Lumbar lateral Recumbent HVLA | show 🗑
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| What type of back pain is manipulation effective on? | show 🗑
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| What creates the "Pop" sound in Thrust? | show 🗑
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| Is repeated joint popping degenerative? | show 🗑
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| show | Low velocity/moderate to high amplitude where the joint is carried through its full ROM.
**Activating force is a repetitive springing motion OR repetitive concentric movement of joint through restrictive barrier.
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| 5 steps of LVHA | show 🗑
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| show | **this is a combined thrust so you only do it once instead of 3-5 times.
1.Stand on side away from rotation.
2.Hold affected side ASIS.
3.Slowly lift patient into flexion & rotation.
4.Repeat for other side.
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| Describe the mechanisms of action for HVLA/LVHA | show 🗑
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| show | Method of ACTIVATION:
1.ME: Isometric contraction.
2.HVLA: short/quick thrust.
3.LVHA: Long/slow movement 3-5 times.
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Created by:
WeeG
Popular Osteopathic Principl sets