Chapter 16, The Spine: Exercise and Manipulation Interventions Video Solutions, Therapeutic Exercise: Foundations and Techniques

Problem 1

Observe a homemaker or worker doing an activity that requires pushing, pulling, reaching, lifting, or some other repetitive pattern. Analyze what component motions are part of the total pattern and decide if strength, range, endurance, balance, or coordination (or a combination) is necessary in the upper extremities, lower extremities, and trunk. Decide what is necessary to make the spine safe while doing this activity and design an exercise program that encompasses all the components. rather than an HVT technique? What are some situations in which you would perform an HVT technique rather than a manipulation technique?

Mayukh Banik

Numerade Educator

02:52

Problem 2

Go to a health club or exercise class and observe how individuals are performing the exercises. Note the activities that cause stress to the spine or pelvis. How would you modify each exercise? Consider safe use of the equipment, safe biomechanics, and appropriate instruction for the audience. Can you tell the purpose of each exercise (strength, stretch, endurance, balance)? Are the directions appropriately given for the level of participants?

James Kiss

Numerade Educator

02:36

Problem 3

What is the law in your state as it pertains to physical therapists performing manipulation and HVT? What are some situations in which you would perform a manipulation to table height, then from the floor to shoulder height, then place it on a shelf at each height. Feel what is happening to your spine. Then repeat the maneuvers with a stable spine, and see if you can control the spinal position with the drawing-in maneuver. When you can do the lunge comfortably, practice lifting small objects from the floor with a lunging technique and stable spine. Finally, practice lifting objects from the floor and turning (using legs and hips to change direction, not spinal rotation) to place the objects on a table or shelf. Feel what is happening to the spine and repeat the activities with a stable spinal posture.

Supratim Pal

Numerade Educator

03:53

Problem 4

Review the indications and contraindications for spinal manipulation. Practice the cervical manipulations with your laboratory partner in both the supine and prone positions. In which position do you have better control (patient supine or prone)?

Nicholas Majtenyi

Numerade Educator

02:35

Problem 5

Several HVT techniques were discussed in this chapter. What are the contraindications for HVT in the spine? Practice three HVTs to improve thoracic flexion. How would you change the technique if your goal was to improve rotation to the left?

Alyssa Mae L.

Numerade Educator