MANUAL THERAPY

BCQ’S
1) Which form of manipulative treatment uses active muscle contraction at varying
intensities from a precisely controlled position in a specific direction against a
counterforce?
 Myofascial pain syndrome
 Myofascial manipulation
 MET
 Massage
2)Oscillatory mobilization indicated in
 when dealing with pain management
 when dealing with high tone
 when dealing with pain management or low tone
 when dealing with pain management or high tone
3) On physical examination of cervical it was diagnosed cervical spondylosis and revealed
unilateral cervical origin, what will be the technique for pain relief?
 Transverse vertebral pressure
 Unilateral vertebral pressure
 Central vertebral pressure
 None
4) The stretching movement is applied after the slack has been taken up and at taut which
grade of Kaltenborn traction technique?
 Grade 1
 Grade 2
 Grade 3
 Zero position
3)Translatoric joint play explain
 Glide test
 Normal grades of translatoric movements
 Kaltenborn concave convex rule
 Kaltenborn treatment plan
4)Joint mobilization techniques can be applied in
 Acupressure
 Massage
 Soft tissue mobilization
 Soft tissue techniques
5) According to McKenzie during physical examination pain is usually felt at limited end range,
most appropriate diagnosis
 postural syndrome
 derangement syndrome
 dysfunction syndrome
 malfunction syndrome
6) Tightness of ligament and capsule is found in which position
 Close packed position
 open packed position
 Actual resting position
 Resting postion
7) NAGS is applied at which segment of cervical spine
 C1 to C4
 C2 to C5
 C3 to C6
 C2 to C7
8) When a physiotherapist used other body lever to mobilize an area not under specific
treatment is called?
 Direct mobilization
 Indirect mobilization
 Neural tissue mobilization
 oscillatory mobilization
9) Reverse nags applied at
 Middle cervical
 Upper cervical
 Upper thoracic
 Lower thoracic
10)35y old female came to therapist with complain of LBP. On physical examination repeated
flexion increases and peripheralizes the symptoms. The most appropriate diagnosis is
 Postural syndrome
 Derangement syndrome
 Dysfunction syndrome
 Malfunction syndrome
11)29y old female came to OPD with the complain of headache. Which treatment is best?
 Posteroanterior central vertebral pressure at C2 C3
 Posterolateral central vertebral pressure at C2 C3
 Posteroanterior transverse vertebrae at C2 C3
 Anteroposterior central vertebral pressure at C2 C3
12) 45y old female came in physiotherapy outpatient department with complain of severe low
back pain due to acute injury, which treatment can be given to her?
 Grade 1 oscillation technique only
 Grade 2 oscillation technique only
 Grade 1 and 2 oscillation technique
 Grade 2 and 3 oscillation technique
14) Technique used for elderly people?
 MWMs
 NAGs
 SNAGs
 RNAGs
15) In Maitland reduction of internal derangement occurs in?
 Grade 1 and 2
 Grade 3 and 4
 Grade 4 only
 Grade 5
MCQ’S
1) Regarding joint movements following are correct
 __ joint rolling-gliding occurs during bone rotational movements
 __ translatory joint play occur during joint play movement
 __ Traction and compression occur perpendicular to treatment plane
 __ Glides occur parallel to treatment plane.
2)Regarding SNAGS following statement is correct?
 __ non oscillatory mobilizations that may be applied throughout the spine
 __ it works directly on facet that can help disc lesion
 __ the vertebral bodies proximate ventrally and separate dorsally but remain under the
umbrella of vertebrae
 __ force is provided in an upward and forward direction towards the patient eye to
match treatment plane
3) According to Kaltenborn, the translatoric joint play movement the treatment plan is:
 __ parallel to treatment plane
 __ perpendicular to treatment plane
 __ linear to treatment plane
 __ angular to treatment plane
4) SNAGs mobilization in cervical region may be used for
 __Side bending
 __ Flexion
 __ Extension
 __ Abduction
5)In McKenzie derangement syndrome could be treated with
 --- flexion principle
 __ extension principle
 __ abduction principle
 __ adduction principle
6)Regarding Mulligan which is correct
 __ technique used to improve pain and vertebral segment mobility articular facets are
NAGS
 __ technique used to improve soreness or pain after application of glides are NAGS
 __technique that involves use of V grip to apply joint mobilization are reverse NAGS
 __ NAGS are applied in mid-range to end range
7) The role of physiotherapy in mechanical diagnoses therapy approach
 __ To classify responders
 __ to provide strategies to restore functions
 __ to discourage dependency
 __ to progress the appropriate intervention correctly
8) Regarding causes of derangement syndrome
 __ sustain loading (often into flexion or rotation)
 __ repetitive loading (often into flexion or rotation)
 __chronic postural stresses
 __ Trauma
9) Translatory joint play movement use in OMT Kaltenborn - Evjenth concept?
 __Traction
 __Compression
 __Gliding
 __Sliding
10) Centralization phenomena:
 __ when symptoms migrate from distant location to more proximal location
 __ Ability to centralized symptoms considered a favorable prognostic indicator
 __ Inability to centralized symptoms reported as a strong predicator of chronic pain and
disability
 __ Centralization possibly only in the competent disc where the annular wall remains
intact
11) Grade B cyrixan techniques include
 --- indicate that mobilization technique performs to end of available range
 __ indicate that mobilization technique performs to mid-range
 __ spinal joint never applied in pain and muscle spasm
 __ technique stop immediately if pain provokes
12) Regarding postural syndrome
 __ postural correction during examination elevates symptoms immediately or within 3
minutes or 2, and will not return in rest of examination
 __ during assessment patient found pain in sustained positioning
 __ postural correction during examination abolishes symptoms immediately or within 3
minutes or 2, and will not return in rest of examination
 __ during assessment patient found pain in every positioning.
13)Regarding Kaltenborn concept choose correct
 __ when movement first take up the slack in tissue and joint then tightens the tissue this
Is called grade II
 __ when movement first take up the slack in tissue and joint then tightens the tissue this
Is called grade I
 __ grade I used for pain
 __ grade II used for pain
14) Regarding following find true
 __gliding mobilizations are applied parallel to treatment plane
 --- direct technique gliding mobilization are usually performed in the direction in which
mobility test has shown that gliding is actually restricted
 __ indirect technique is if mobility test in desired direction produces pain, gliding,
mobilization in the other direction should be used
 __ joint traction or distraction techniques are applied perpendicular to treatment plane.
The entire bone is moved so that the joint surfaces are separated.
15) According to sliding rule
 __ for a pure slide, the surfaces must be congruent either flat or curved
 __ the same point on one surface comes into contact with the new points on the
opposing surface
 __ sliding is in the opposite direction of angular movement of the bone if the moving
joint surface is concave
 __ sliding is in the same direction as the angular movement of the bone if the moving
surface is convex

SAQ’S
 Grades of Kaltenborn or Maitland in detail
 Regarding rotation of vertebral movement explain any three
1) Standard bone movement
2) Combined bone movement
3) Coupled movement
4) Non coupled movement
 Difference between articular and extra articular dysfunction with example
 Difference between muscle shortening and spasm with example
 Difference between any one
1) Scoliosis and piriformis syndrome
2) Spondylolysis and spondylolisthesis
 Explain resting, non-resting and actual resting position with examples
 Difference between dysfunction and derangement syndrome with example
 Regarding translatoric joint play explain any three
1) Glide test
2) Normal grades of translatoric movements
3) Kaltenborn concave-convex rule
4) Kaltenborn treatment plane

 Attempt any one of the following. What kind of McKenzie exercises will you prefer and
what mulligan approach you prefer on patient regarding cases
a) A 45y old office worker presents with complaints of chromic neck pain, stiffness and
frequent headaches. The pain is primarily in cervical region and has been bothering
patient for several months
b) A 35-y old fitness enthusiast reports mid-back pain, limited ROM, discomfort during
deep breaths or twisting movements. The pain started after lifting weights at the gym.
 Attempt any one, what kind of special question can be asked and what can be
differential diagnosis can be made while taking history you ask form the patient
regarding cases
a) A 3oy old woman who recently gave birth complains of severe pain on one side of here
lower back and buttock. She notices that pain worsens while walking, standing or
transitioning from sitting to standing.
b) A 50y old gardener presents with lower back that radiates into the buttocks and down
one leg. The pain started after lifting heavy bag of mulch