FINAL PBA

Question 1

GH - lateral distraction

Answer 1

EFFECT: increase overall ROM, pain management
PRECAUTIONS: be mindful not to compress ribs & breast tissue

Question 2

GH - posterior glide

Answer 2

EFFECT: increase internal rotation & flexion, pain management
PRECAUTIONS: do not allow humerus to externally rotate

Question 3

GH - anterior glide

Answer 3

EFFECT: increase extension, pain management
PRECAUTIONS: anterior joint capsule loose & more lax so don’t over mobilize

Question 4

GH - inferior glide (90º ABD)

Answer 4

EFFECT: increase ABD & flexion, pain management
PRECAUTIONS: with inferior joint instability use caution, may provoke pain

Question 5

scapulothoracic - superior glide

Answer 5

EFFECT: increase shoulder elevation & stability, pain management
PRECAUTIONS: use soft & light pressure to prevent mm guarding

Question 6

scapulothoracic - upward/ lateral rotation

Answer 6

EFFECT: increase lateral rotation & elevation, pain management
PRECAUTIONS: use broad & soft contact for numerous bony prominences

Question 7

humeroulnar - distraction (#2)

Answer 7

EFFECT: increase overall ROM, pain management
PRECAUTIONS: use caution with median nerve & brachial artery

Question 8

humeroradial - axial distraction

Answer 8

EFFECT: increase overall ROM, pain management
PRECAUTIONS: grasp wrist proximally, do not pull on carpal bones

Question 9

proximal radioulnar - anterior glide

Answer 9

EFFECT: increase supination, pain management
PRECAUTIONS: do not compress radial nerve

Question 10

proximal radioulnar - posterior glide

Answer 10

EFFECT: increase pronation, pain management
PRECAUTIONS: be mindful of median nerve & brachial artery

Question 11

distal radioulnar - anterior glide

Answer 11

EFFECT: increase pronation of wrist & forearm, pain management
PRECAUTIONS: do not compress the radial and ulnar arteries

Question 12

distal radioulnar - posterior glide

Answer 12

EFFECT: increase supination of wrist & forearm, pain management
PRECAUTIONS: do not compress radial & ulnar arteries

Question 13

radiocarpal - distraction

Answer 13

EFFECT: increase overall ROM, pain management
PRECAUTIONS: do not compress radial & ulnar arteries

Question 14

radiocarpal - radial glide

Answer 14

EFFECT: increase ulnar deviation, pain management
PRECAUTIONS: do not squeeze carpals

Question 15

radiocarpal - palmar glide

Answer 15

EFFECT: increase wrist extension, pain management
PRECAUTIONS: do not squeeze carpals, be mindful of median & ulnar nerve

Question 16

SI - axial posterior glide of SI

Answer 16

EFFECT: increase posterior glide, increase SI ROM, pain management
PRECAUTIONS: do not compress patella

Question 17

AF - axial distraction

Answer 17

EFFECT: increase overall ROM, pain management
PRECAUTIONS: if SI or pubic symphysis unstable or if current groin or knee injury use caution

Question 18

AF - posterior glide

Answer 18

EFFECT: increase flexion & internal rotation, pain management
PRECAUTIONS: close to inguinal ligament, femoral nerve & artery use caution, place pillow under knee

Question 19

AF - anterior glide

Answer 19

EFFECT: increase extension & external rotation, pain management
PRECAUTIONS: do not compress sciatic nerve, just lateral to ischial tuberosity, do not hyperextend hip-may stress SI joint

Question 20

tibiofemoral - axial distraction

Answer 20

EFFECT: increase overall ROM, pain management
PRECAUTIONS: hand placement should be proximal to ankle

Question 21

tibiofemoral - anterior glide

Answer 21

EFFECT: increase knee extension, pain management
PRECAUTIONS: CI’d for ACL injury or damage

Question 22

tibiofemoral - posterior glide

Answer 22

EFFECT: increase knee flexion, pain management
PRECAUTIONS: CI’d for PCL injury or damage

Question 23

ankle - distraction

Answer 23

EFFECT: increase overall ROM, pain management
PRECAUTIONS: dome of talus is sensitive to pressure

Question 24

ankle - posterior glide of talus on tibia

Answer 24

EFFECT: increase dorsiflexion, pain management
PRECAUTIONS: dome of talus is sensitive to pressure

Question 25

ankle - posterior glide of tibia on talus

Answer 25

EFFECT: increase plantar flexion, pain management
PRECAUTIONS: anterior tibia may be sensitive to pressure

Question 26

tarsometatarsal - supination

Answer 26

EFFECT: increase supination of foot, pain management
PRECAUTIONS: tendons & skin of foot are sensitive to pressure

Question 27

tarsometatarsal - pronation

Answer 27

EFFECT: increase pronation of foot, pain management
PRECAUTIONS: tendons & skin of foot are sensitive to pressure

Question 28

TMJ - distraction

Answer 28

EFFECT: increase overall ROM, pain management
PRECAUTIONS: CI’d for trigeminal pain (nerve pain)

Question 29

TMJ - anterior glide

Answer 29

EFFECT: increase anterior translation & jaw opening, pain management
PRECAUTIONS: discontinue if any neurological symptoms

Question 30

spine - lateral translation (cervical spine)

Answer 30

EFFECT: increase side flexion & ipsilateral rotation, pain management
PRECAUTIONS: if nerve roots irritated may cause neurological symptoms

Question 31

spine - anterior translation (cervical spine)

Answer 31

EFFECT: increase cervical extension & cervical lordosis, pain management
PRECAUTIONS: if nerve roots irritated may cause neurological symptoms

Question 32

spine - distraction (cervical spine) - C0,C1,C2

Answer 32

EFFECT: increase overall ROM, pain management
PRECAUTIONS: should be no pain, if pain, ligaments may be injured

Question 33

spine - anterior translation (thoracic spine)

Answer 33

EFFECT: increase thoracic mobility (overall ROM/ mobility for lumbar), pain management
PRECAUTIONS: soft fingers on or near SPs