Intro Flashcards
Joint mobilization
Passive modality that takes a joint through its accessory movements to restore pain-free ROM and joint nutrition.
To assess, treat, and maintain.
Joint play
Movement available when a joint is in some degree of loose pack and can be assessed
Osteokinematic movement
Physiological movement, referring to the distal ends of the bones of a joint.
Arthrokinematic movement
Movement at the articular surfaces
Done passively
Accessory movements are arthrokinematic
Accessory movements (aka component movements)
Particular arthrokinematic movements in which one bone moves on another.
Ex- glide, roll, spin
Roll direction
Same as bone movement
Glide direction
Concave moving on convex: same direction as osteokinematic
Convex moving on concave: opposite direction of osteokinematic
Spin
Spin on mechanical axis while maintaining constant contact at a particular point on treatment plane.
Ex- pronation/supination of radius on ulna
Treatment plane
Plane superimposed on concave articulating surface of a joint
Mechanical axis
Perpendicular to treatment plane
Close-pack position
When articulating surfaces are most closely approximated, and involves a rotational component
Joint mobes CId
Loose-packed position
Any position outside of the close-pack position
Joint mobes performed here
Resting position
Maximum loose-pack position
Ideal for joint play assessment and early treatment
Capsular pattern of restriction
Specific restriction patterns characteristic of a joint when an entire joint is impaired. Different for each joint.
Concave/convex rule
When concave moves on convex: glide and roll same direction
When convex moves on concave: glide moves in opposite direction of roll
Joint mobe indications
- capsular or ligamentous tightening, adhesions
- interarticular damage
- sprains, strains, fractures, tendonitis, bursitis, mm guarding, etc
- decrease pain
CIs
- neoplasms/undiagnosed lesions
- acute/active inflammatory conditions(ex arthritis, recent fracture)
- dislocation
- joint mice
- someone currently on corticosteroids
- close-pack position joint
- joint hypermobility
Joint mobes effective for:
Decrease pain
Restore ROM
Increase joint nutrition
Promote mm strengthening or relaxation
Grade 1: when, description
- For acute injury
- fast, small amplitude
Grade 2: for what, description
For subacute
Slow, Longer amplitude, before tissue resistance
Grade 3: when and description
For Chronic
Slow, long amplitude, just passing tissue resistance
Grade 4: when, description
For chronic
Fast, small oscillations, beyond tissue resistance.
Inert tissue
Non-contractile or neurological
Include joint capsule, ligs, bursae, vessels, cartilage, duramater