PPIVM Findings

[Robyn]

Hi does anyone have (from experience) or know where I can find some interpretations of possible findings post cervical assessment via passive physiological intervertebral movements (PPIVM's)?

I am Looking at;
Quality of movement
Range of available movement
Behaviour of pain through range of movement
resistance through ROM
End feel
The differences of movement between segments
The beginning and end of each segment movement
Any provocation of pain

Possible findings could include
segmental stiffness, hyper/po mobility, restricted rom, soft/hard end feel.....etc

I have found a lot of lit on the technique and what to look for but nothing on interpretation...

I am sure this all comes from experience so would really appreciate some of that knowledge
Thank you, Robbie

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[Physio Dace]

Hi,

In my experience one of the most effective ways to interpret the findings of a PPIVM Ax is to re-assess after treating a level - your choice at which level to treat will be dependent on your overall impression of the condition i.e. chronic v acute; irritable v non; pain thru v end ROM etc, etc. I tend to always treat the most relevant hypo segment as that gives me most information and go from there.

Unfortunately interpreting findings immediately after/during the PPIVM Ax takes experience and relies primarily on recognising patterns of presentations and fitting your palpation findings into the whole picture.

Good luck.