Lecture notes

Assess and treatment guide to msk

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Module
Physiotherapy

Institution
University Of Brighton (UoB)

It’s a grid expoing the assessment and treatment options with a joint muscle or nerve and how the treatment options should be different depending on the subjective Ax findings

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Uploaded on August 4, 2023
Number of pages 3
Written in 2022/2023
Type Lecture notes
Professor(s) Msk
Contains All classes

muscle joint nerve

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Treatment guide

Muscle Joint Nerve
Ax Length Accessory mvt Neuro integrity
Strength Passive physiological (sensation, reflex,
Control mvt muscle strength) ability
Palpation of nerve to conduct
Neurodynamics (nerve
(Measure strength by MRC response to mvt)
Oxford scale)
Rx Massage (pain length ie) Accessory mvt Monitor not treat
Resistance training Nerve flossing
(endurance, power etc Nerve exercises
Stretching (dynamic pnf static) Sliders/gliders
Functional exercise Accessory mvt of local
structures
Inter treatment eg
moving something next
to the nerve eg bone
muscle
How do Biomechanical - increase Analgesic effect of Reduce pain and
treatment ROM, decrease passive accessory mobilisation stiffness of local
work stiffness and active stiffness structures
Neurophysiological – changes Supraspinal Release restrictive
in concentration of mechanisms structures causing
inflammatory and pain pressure
mediator substances Large oscillatory mvt a/
mobilisations in or out Restore function
Increase mvt of resistant stimulate A Nerve regeneration
Reduce stiffness beta
Reduce pain mechanoreceptors Supraspinal pain
modulation
Central mediators: Changes in Afferent stimulus
spinal excitability, changes in reduces central
motor function, decrease in sensitisation through
cortical excitability, decrease depression of dorsal
activation in brain pain horn neurons
processing

Reduce tone/spasm of muscle

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