Pre-Manipulative Hold: Difference between revisions
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== Definition == | == Definition == | ||
A pre-manipulative hold, can be defined as holding a patient's joint at end range for a period of time while monitoring for any potential adverse responses. These include the 5 D's ([[Diplopia]], [[Dizziness Handicap Inventory|Dizziness]], Drop Attack, [[Dysarthria]], & [[Dysphagia]]), 3 N's (Nausea, Numbness, & [[Nystagmus]]), peripheralization, worsening of symptoms, or symptoms of Cervical Arterial Dysfunction (CAD). | Before performing a manipulation of a joint, a pre-manipulative hold can be performed. A pre-manipulative hold, can be defined as holding a patient's joint at end range for a period of time while monitoring for any potential adverse responses. These include the 5 D's ([[Diplopia]], [[Dizziness Handicap Inventory|Dizziness]], Drop Attack, [[Dysarthria]], & [[Dysphagia]]), 3 N's (Nausea, Numbness, & [[Nystagmus]]), peripheralization, worsening of symptoms, or symptoms of Cervical Arterial Dysfunction (CAD). | ||
== Purpose == | == Purpose == | ||
There are two purposes for performing a pre-manipulative hold prior to a spinal manipulation. The first is to assess the patient's symptoms when taken to the end range of the joint. When the joint is taken to end range and held, assess the patient's symptoms. If they are experiencing an improvement or if the symptoms are not worsening, then a manipulation may be warranted. The second, and most well known reason, is to ensure the safety of the manipulation that will be performed. There is conflicting information on the validity of testing prior to a manipulation in predicting an adverse event, however, it is often recommended for liability documentation. Additionally, it also can be used to inform the patient of what position will take place with a manipulation so they may provide consent. | |||
== | == Research == | ||
== Resources == | == Resources == | ||
Revision as of 17:37, 29 May 2024
Definition[edit | edit source]
Before performing a manipulation of a joint, a pre-manipulative hold can be performed. A pre-manipulative hold, can be defined as holding a patient's joint at end range for a period of time while monitoring for any potential adverse responses. These include the 5 D's (Diplopia, Dizziness, Drop Attack, Dysarthria, & Dysphagia), 3 N's (Nausea, Numbness, & Nystagmus), peripheralization, worsening of symptoms, or symptoms of Cervical Arterial Dysfunction (CAD).
Purpose[edit | edit source]
There are two purposes for performing a pre-manipulative hold prior to a spinal manipulation. The first is to assess the patient's symptoms when taken to the end range of the joint. When the joint is taken to end range and held, assess the patient's symptoms. If they are experiencing an improvement or if the symptoms are not worsening, then a manipulation may be warranted. The second, and most well known reason, is to ensure the safety of the manipulation that will be performed. There is conflicting information on the validity of testing prior to a manipulation in predicting an adverse event, however, it is often recommended for liability documentation. Additionally, it also can be used to inform the patient of what position will take place with a manipulation so they may provide consent.
Research[edit | edit source]
Resources[edit | edit source]
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