Class ` Flashcards
normal soft end feel
soft tissue approximation
normal firm end feel
stretch from muscle capsule, ligament
normal hard end feel
bone on bone
abnormal soft end feel
wrong timing during movement (e.g. edema)
Abnormal firm or hard
bony grating or bony block
abnormal empty end feel
pain prevents sense of end feel
Joint play
movement available when joint in loose-pack
Joint mobilization purpose
restore pain-free physiological movement
joint mobilization is what?
passive movement of articular surfaces by therapist
joint restrictions limit:
movement
Synovial joint
m/c joint, freely moveable
cartilaginous joint examples
pubic symphysis, manubriosternal
Fibrous joint example
skull sutures
Synarthrosis
immobile joint
amphiarthrosis
joint w/ limited movement
diarthrotic
freely mobile joint
Passive Accessory Mobilizations
produce glide or traction
Passive Physiological Mobilizations
PROM
Osteokinematic
movement if parts of body in anatomical planes
Arthrokinematic
Unobservable articular surfaces (roll, glide, spin)
Roll direction
same direction as bone itself
Glide/slide direction
may be same or opposite
Spin direction
turns around mechanical axis
Kaltenborn’s Rule
if convex on concave = glide is opposite as roll
if concave on convex = glide is same direction as roll
Grades of traction Grade 1
Small amplitude
Grades of traction Grade 2
Take up slack in tissue
Grades of traction grade 3
Stretch joint capsule
What grade use for acute stage
Grade 1
What grade used for subacute stage
Grade 1, possibly 2
What grade used for chronic stage
grades 1-4, depending on goal
Treatment plane
Plane superimposed over concave surface of joint
mechanical axis
perpendicular to treatment plane
distraction
using force to pull articulating surfaces apart
compression
force applied to approximate articular surfaces together
closed pack
surfaces most closely approximated
loose pack position
laxity in some parts of capsule
capsular pattern of restriction
pattern of ROM restricion
