Intro/Theory Flashcards
T/F as RMT’s we mobilize not manipulate
true
T/F mobilizations can be stopped by the patient at any time
true
_____ joints rely on laxity within the joint capsule and surrounding structures
synovial
______ movements are voluntary motions performed by the patient
osteokinematic
what happens at the joint are ______ movements
arthrokinematic
T/F arthrokinematic movements are required for movements such as adduction and abduction
true
____ occurs between joint surfaces when a new point on the moving surface contacts a new point on the stationary surface
roll
T/F roll can occur by itself
false
Roll occurs with _____ or _____
spin or slide
when you abduct the shoulder, roll is happening _____
superiorly
T/F roll always occurs in the direction the bone is moving, regardless of whether the moving surface is concave or convex
true
the glenoid fossa would be a _____ surface while the glenohumeral joint would be a _____ surface
concave, convex
_____ occurs when the same point on a moving surface contacts new points on the stationary surface
slide
T/F the direction of the slide depends on whether the moving surface is concave or convex
true
slide occurs in the ____ direction of roll if the surface is concave
same
slide occurs in the ____ direction if the surface is convex
opposite
______ occurs when the same point on a moving surface contacts the same point on a stationary surface
spin
spin happens during movements such as ______ & _______
pronation and supination
_____ occurs when there is a decrease in the space between two articulating joint surfaces, normally occurs during weight bearing
compression
T/F compression can happen when muscles contract & provide joint stability
true
T/F abnormally high compression can lead to deterioration of articular cartilage
true
_______; longitudinal pull happening along the long axis of the of the bone
traction
long axis is whatever way the bone is _____
pointing
_______; applied perpendicular to the treatment plane
distraction
______; distract and or glide the joint surfaces to decrease pain and restore normal arthrokinematics aka ROM
mobilizing
T/F distractions cannot be applied on their own
false
when possible, a grade ___ distraction is applied with a glide mobilization
one
T/F some joints you cannot distract
true
____ is when you mobilize a bone in the direction that is parallel to the treatment plane
glide
______ is what happens AT the joint _____ is what we are DOING to the joint
slide, glide
a treatment plane is a plane that lies ______ to the concave surface of the joint
parallel
there are ____ grades of sustained mobilization
3
grade (loosen) _______; gentle distraction with NO stress on the joint capsule, not to the tissue resistance
one
grade (tighten) ______; enough distraction or glide to tighten the tissues around the joint (taking up the slack)
two
grade (stretch) _____; a distraction or glide applied with an amplitude enough to place stretch on the capsule and periarticular structures beyond tissue resistance but not at the anatomical limit
three
there are ____ grades of oscillatory mobilization techniques
4
grade ___ oscillatory; small amplitude, rhythmic oscillations performed at the beginning of range
one
grade _____; large amplitude performed within the range but not quite up to the tissue resistance
two
grade ____ large amplitude, force applied is enough to go past the tissue resistance
three
grade____; small amplitude performed into the tissue limit
four
T/F when doing a mobilization you should always reach the anatomical limit
false
how long are you supposed to hold a sustained mobilization for?
a) 10 seconds
b) 20 seconds
c) 30 seconds
a) 10 seconds
how long do you rest after performing a mobe?
a) 3-5 sec
b) 6-10 sec
c) 1-3 sec
a) 3-5 sec
repeat mobilization for a total of ____-____ min
a) 5- 10
b) 2-4
c) 1-3
c) 1-3 min
large amplitude oscillatory mobilizations are applied for ____-____ seconds
a) 2-3 seconds
b) 3-4 seconds
c) 5-10 seconds
a) 2-3 seconds
T/F grade 1 and 2 sustained mobilizations are good for decreasing pain
true
T/F grade 2 oscillatory and sustained mobilizations are for maintaining ROM
true
T/F grade 3 sustained and 3/4 oscillatory are for increasing ROM
true
T/F it is fine to finish treatment with a high grade mobilization
false
T/F mobilizing through pain is expected
false
T/F never mobilize in the close-packed position
true
mobilizing in the ____ position is safest
resting
if the patient experiences pain, soreness lasting more than 24 hours, worsening symptoms, swelling, or spasm the treatment was ______ ______
too aggressive
______ are a technique using an active contraction of muscles that attach near the joint to correct a joint misalignment
MET (muscle energy techniques)
when 2 joint surfaces are moved or pulled apart, they resist the movement until they separate rapidly, this is called _______
tribonucleation
joint mobilizations cannot alter _____ processes or the ____ process
disease, inflammatory
inappropriately applied joint mobilizations can create & exacerbate ______, traumatize joints and initiate ______/ muscle guarding
hypermobility, spasm
absolute contraindications for ALL joint mobes include which of the following
a) undiagnosed lesion
b) joint effusion
c) osteoporosis
d) inflammation
a) undiagnosed lesion
which of the following are contraindications for high-grade mobilizations?
a) recent fracture
b) malignancy
c) osteoporosis
d) all of the above
d) all of the above
CMTO technique standard 11 for joint mobilization states that you treat the client within their agreed upon ____ ______
pain tolerance
CMTO technique standard 11 states that the therapist performs a gentle _____ where possible before doing any gliding movements
traction
CMTO technique standard 12 states that high velocity, low amplitude thrust techniques are not used to the ______
spine
CMTO technique standard 12 states that the joint is to be taken to the end of its physiological range of motion and then slightly ______ within the clients comfort level
beyond
prepare surrounding _____ prior to higher grade mobilizations
tissue
make sure the patient is ______, stable and the body segment being mobilized is ______
comfortable, supported
be sure your hand contact and any other means of stabilization is _____
comfortable
when possible, your hands must be as ______ to the joint as possible
close
initial mobilization is applied in the _____ position
resting
assess the joint movement with a grade ____ distraction prior to mobilization
two
when possible, apply a grade 1 ______ prior to any glide mobilization
distraction
your body and the _____ segment should be moving as one
mobilizing
mobilize ____ joint, in ______ direction at _____ time
one x3
always start with the joint in the _______,______ pack position
resting, loose
mobilizing in the resting position is the ______ from which to start but it is not the most _________ position to treat
safest, effective
to progress treatment, position the joint at or near the ______ of the available and _____ free ROM prior to mobilizing
end, pain
placing the tissue at the end of its pain-free ROM will place the _____ tissue in its most tensioned position where the stretch force can be more specific and effective
restricting
T/F grade 3 & 4 mobilizations can cause post-treatment soreness (not pain)
true
if the patient experiences pain, soreness lasting more than ____ _____, worsening symptoms, swelling or spasm, the treatment was too aggressive
24 hours
between treatments, the patient should perform ROM into any _____ _____ range
newly gained
________ should be applied every other day
mobilizations
Muscle energy techniques use the active _______ of muscles that attach near the joint to correct a joint misalignment
contraction
contractions in MET are applied at the _____ and then progressed
barrier
usual precautions apply but also note any localized muscle ____ or ______ before doing a MET
pain, strains
in MET application, contractions are ______ & _______
isometric and gentle
passive angular stretching may cause ______ or damage the joint
pain
the use of a lever in passive angular stretching _____ the force at the joint
magnifies
the force during passive angular stretching causes joint surface ______ in the direction of the rolling bone
compression
roll without _____ does not replicate normal joint mechanics
slide
two most common sources of “cracking” are: ________ or _____ tissue moving over a bony prominence OR _________/ tribonucleation
tendons, scar, cavitation
T/F we can stop AND modify joint mobilizations
false
