Cervical and Lumbar Spine Manipulations
We continued our manual therapy class with spine assessments, along with different manipulations pertaining to the cervical spine as well as the lumbar spine. Cervical spine movements include: side to side, traction and gliding into extension. These cervical spine manipulations are usually performed in the supine position. Next, a interphangeal contact is positioned over the articulating pillar of the affected joint which is than placed at its end ROM where joint is locked out of play. It is than followed by a high velocity, low amplitude impulse. Moving onto the second half of class where we went on to learn lumbar spine manipulations. These like the cervical spine have some clinical effects following the appointment; for example, temporary relief of musculoskeletal pain, shorten time to recover, temporary increase passive ROM & physiological effects to the CNS. The sacroiliac joint manipulation is performed having the patient lie on their side with hip and knee fully flexed for the leg with the legion. Add counter pressure to patients shoulder & the fulcrum being the ischial tuberosity. The joint will than be stressed to its end ROM & lock out any joint. At this point, the practitioner will apply a very high velocity, low amplitude(like the cervical spine manipulations) impluse at end of ROM.
No comments:
Post a Comment