Ch.1

Question 0

What are examples of the Degree of Osteokinematic mvmt?

Answer 0

Flex, ext, abduct., adduct. int/ext rotation

Usually joints have 4 - 6 degrees max of mvmt

Question 1

Define Osteokinematic mvmt

Answer 1

When Concentric / Eccentric contraction, or gravity, causes a bone a jt to move in relation to another bone.

Question 2

Define Arhrokinetmatic mvmt:

Answer 2

Mvmt btw 2 articulation surfaces w/o referencing external forces

Question 3

Define Accessory mvmts

Answer 3

Arthrokinematic mvmts btw 2 jt surf.

Roll / Slide / Glide

Arthrokin mvmts must be normal for Osteokin mvmts to occur

Question 4

Joint play:

Answer 4

The movability of a joint while in “Loose Pack” position

Question 5

Name some benefits of joints mobs:

Answer 5

decrease pain
increase ROM
increase Osteokin mvmt
Passive modality
increase articular healt

Question 6

List the Structural class. of jts

Answer 6

• Fibrous
• Cartilaginous
• Synovial

Question 7

List the Function Class. of jts

Answer 7

• Diarthrotic
• Amphiarthrotic
• Synarthroltic

Question 8

List the Subtypes of Synovial 9 (movable) jts:

Answer 8

1. Planar - Biaxial - back/front + side/side
2. Condyloid - Biaxial - flex/ext + ABd/ADd
3. Hinge - Monoaxial - flex/ext
4. Pivot - Monoaxial - int/ext rt
5. Saddle - Multiaxial - flex/ext + Abd/ADd + int/ext rt
6. Ball & Socket - Multiaxial - “”

Question 9

List Arthrokinematic Accessory mvmts:

Answer 9

Glide/Slide - back/forth

Spin - bone turns around mechanical axis while maintaining const. contact ex: knee rt

Roll - Always moving, like a roll of tape, along it’s typical physiological mvmt of bone

Question 10

What is the Concave/Convex Rule?

Answer 10

If concave moves on convex, Glide is SAME DIRECTION as roll

If Convex moves on Concave, Glide is in OPPOSITE DIRECTION to roll

Question 11

what mvmt is Osteokin mvmt dependant on?

Answer 11

Glide/Slide b/c the shape of jt depends on the articular surf of moving bones

Question 12

Define Close Pack Position

Answer 12

CI’d!!!!

jt is fixed/locked and articular surf are close together

Question 13

Define Loose Pack Position

Answer 13

• Good for jt mobs!
• Arthrokin mvmt
• restriction is identified, back off 10 degrees, then perform mob

Question 14

Define Resting Position

Answer 14

Ideal for jt mob, most lax, most Accessory mvmt availalbe

Question 15

Define Capsular Pattern Restriction

Answer 15

Characteristic pattern of restriction that is unique to each joint

Question 16

Explain the steps of a jt mobs procedure

Answer 16

1. Dialogue, consent, pain scale
2. Position guest and therapist comfortably
3. Jt play assess. in Loose Pack Position

Rule of 1
1 bone stabiliazed
1 bone mobilized
1 jt mvmt is performed at a time
1 jt is mobilized at a time

DON’T Lever a jt or allow Roll to happen during mob

Question 17

Rule of 1 when performing jt mob

Answer 17

1 bone stabiliazed
1 bone mobilized
1 jt mob performed at one time
1 mvmt is performed

Question 18

During a jt mob DON’T

Answer 18

• Lever a jt

- Allow the jt to Roll during mob

Question 19

List 5 indication for jt mobs:

Answer 19

1. Pain Control
2. Decrease mm guarding
3. Strains, sprains, fx, tendonitis, bursitis
4. for Fibrosis and intra-articular damage
5. Impingment, brings nutrition to jt

Question 20

CI’s

Answer 20

• non diagnosed lession
• bacterial infection
• Active corticosteroid use
• hyperextendable jts
• Ankylosis
• Recent Fx
• Closed Pack Position

Question 21

Precautions:

Answer 21

• Too painful
• Relaxin - hyper-extensibility in pregnancy
• Arthritis
• Structural bone disease, osteoporosis
• Degenerative diseases
• Local corticosteroid inj