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Joint Mobes > Intro/Theory > Flashcards

Intro/Theory Flashcards

1
Q

T/F as RMT’s we mobilize not manipulate

A

true

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2
Q

T/F mobilizations can be stopped by the patient at any time

A

true

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3
Q

_____ joints rely on laxity within the joint capsule and surrounding structures

A

synovial

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4
Q

______ movements are voluntary motions performed by the patient

A

osteokinematic

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5
Q

what happens at the joint are ______ movements

A

arthrokinematic

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6
Q

T/F arthrokinematic movements are required for movements such as adduction and abduction

A

true

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7
Q

____ occurs between joint surfaces when a new point on the moving surface contacts a new point on the stationary surface

A

roll

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8
Q

T/F roll can occur by itself

A

false

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9
Q

Roll occurs with _____ or _____

A

spin or slide

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10
Q

when you abduct the shoulder, roll is happening _____

A

superiorly

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11
Q

T/F roll always occurs in the direction the bone is moving, regardless of whether the moving surface is concave or convex

A

true

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12
Q

the glenoid fossa would be a _____ surface while the glenohumeral joint would be a _____ surface

A

concave, convex

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13
Q

_____ occurs when the same point on a moving surface contacts new points on the stationary surface

A

slide

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14
Q

T/F the direction of the slide depends on whether the moving surface is concave or convex

A

true

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15
Q

slide occurs in the ____ direction of roll if the surface is concave

A

same

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16
Q

slide occurs in the ____ direction if the surface is convex

A

opposite

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17
Q

______ occurs when the same point on a moving surface contacts the same point on a stationary surface

A

spin

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18
Q

spin happens during movements such as ______ & _______

A

pronation and supination

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19
Q

_____ occurs when there is a decrease in the space between two articulating joint surfaces, normally occurs during weight bearing

A

compression

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20
Q

T/F compression can happen when muscles contract & provide joint stability

A

true

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21
Q

T/F abnormally high compression can lead to deterioration of articular cartilage

A

true

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22
Q

_______; longitudinal pull happening along the long axis of the of the bone

A

traction

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23
Q

long axis is whatever way the bone is _____

A

pointing

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24
Q

_______; applied perpendicular to the treatment plane

A

distraction

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25
Q

______; distract and or glide the joint surfaces to decrease pain and restore normal arthrokinematics aka ROM

A

mobilizing

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26
Q

T/F distractions cannot be applied on their own

A

false

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27
Q

when possible, a grade ___ distraction is applied with a glide mobilization

A

one

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28
Q

T/F some joints you cannot distract

A

true

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29
Q

____ is when you mobilize a bone in the direction that is parallel to the treatment plane

A

glide

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30
Q

______ is what happens AT the joint _____ is what we are DOING to the joint

A

slide, glide

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31
Q

a treatment plane is a plane that lies ______ to the concave surface of the joint

A

parallel

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32
Q

there are ____ grades of sustained mobilization

A

3

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33
Q

grade (loosen) _______; gentle distraction with NO stress on the joint capsule, not to the tissue resistance

A

one

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34
Q

grade (tighten) ______; enough distraction or glide to tighten the tissues around the joint (taking up the slack)

A

two

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35
Q

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

A

three

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36
Q

there are ____ grades of oscillatory mobilization techniques

A

4

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37
Q

grade ___ oscillatory; small amplitude, rhythmic oscillations performed at the beginning of range

A

one

38
Q

grade _____; large amplitude performed within the range but not quite up to the tissue resistance

A

two

39
Q

grade ____ large amplitude, force applied is enough to go past the tissue resistance

A

three

40
Q

grade____; small amplitude performed into the tissue limit

A

four

41
Q

T/F when doing a mobilization you should always reach the anatomical limit

A

false

42
Q

how long are you supposed to hold a sustained mobilization for?

a) 10 seconds
b) 20 seconds
c) 30 seconds

A

a) 10 seconds

43
Q

how long do you rest after performing a mobe?

a) 3-5 sec
b) 6-10 sec
c) 1-3 sec

A

a) 3-5 sec

44
Q

repeat mobilization for a total of ____-____ min

a) 5- 10
b) 2-4
c) 1-3

A

c) 1-3 min

45
Q

large amplitude oscillatory mobilizations are applied for ____-____ seconds

a) 2-3 seconds
b) 3-4 seconds
c) 5-10 seconds

A

a) 2-3 seconds

46
Q

T/F grade 1 and 2 sustained mobilizations are good for decreasing pain

A

true

47
Q

T/F grade 2 oscillatory and sustained mobilizations are for maintaining ROM

A

true

48
Q

T/F grade 3 sustained and 3/4 oscillatory are for increasing ROM

A

true

49
Q

T/F it is fine to finish treatment with a high grade mobilization

A

false

50
Q

T/F mobilizing through pain is expected

A

false

51
Q

T/F never mobilize in the close-packed position

A

true

52
Q

mobilizing in the ____ position is safest

A

resting

53
Q

if the patient experiences pain, soreness lasting more than 24 hours, worsening symptoms, swelling, or spasm the treatment was ______ ______

A

too aggressive

54
Q

______ are a technique using an active contraction of muscles that attach near the joint to correct a joint misalignment

A

MET (muscle energy techniques)

55
Q

when 2 joint surfaces are moved or pulled apart, they resist the movement until they separate rapidly, this is called _______

A

tribonucleation

56
Q

joint mobilizations cannot alter _____ processes or the ____ process

A

disease, inflammatory

57
Q

inappropriately applied joint mobilizations can create & exacerbate ______, traumatize joints and initiate ______/ muscle guarding

A

hypermobility, spasm

58
Q

absolute contraindications for ALL joint mobes include which of the following

a) undiagnosed lesion
b) joint effusion
c) osteoporosis
d) inflammation

A

a) undiagnosed lesion

59
Q

which of the following are contraindications for high-grade mobilizations?

a) recent fracture
b) malignancy
c) osteoporosis
d) all of the above

A

d) all of the above

60
Q

CMTO technique standard 11 for joint mobilization states that you treat the client within their agreed upon ____ ______

A

pain tolerance

61
Q

CMTO technique standard 11 states that the therapist performs a gentle _____ where possible before doing any gliding movements

A

traction

62
Q

CMTO technique standard 12 states that high velocity, low amplitude thrust techniques are not used to the ______

A

spine

63
Q

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

A

beyond

64
Q

prepare surrounding _____ prior to higher grade mobilizations

A

tissue

65
Q

make sure the patient is ______, stable and the body segment being mobilized is ______

A

comfortable, supported

66
Q

be sure your hand contact and any other means of stabilization is _____

A

comfortable

67
Q

when possible, your hands must be as ______ to the joint as possible

A

close

68
Q

initial mobilization is applied in the _____ position

A

resting

69
Q

assess the joint movement with a grade ____ distraction prior to mobilization

A

two

70
Q

when possible, apply a grade 1 ______ prior to any glide mobilization

A

distraction

71
Q

your body and the _____ segment should be moving as one

A

mobilizing

72
Q

mobilize ____ joint, in ______ direction at _____ time

A

one x3

73
Q

always start with the joint in the _______,______ pack position

A

resting, loose

74
Q

mobilizing in the resting position is the ______ from which to start but it is not the most _________ position to treat

A

safest, effective

75
Q

to progress treatment, position the joint at or near the ______ of the available and _____ free ROM prior to mobilizing

A

end, pain

76
Q

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

A

restricting

77
Q

T/F grade 3 & 4 mobilizations can cause post-treatment soreness (not pain)

A

true

78
Q

if the patient experiences pain, soreness lasting more than ____ _____, worsening symptoms, swelling or spasm, the treatment was too aggressive

A

24 hours

79
Q

between treatments, the patient should perform ROM into any _____ _____ range

A

newly gained

80
Q

________ should be applied every other day

A

mobilizations

81
Q

Muscle energy techniques use the active _______ of muscles that attach near the joint to correct a joint misalignment

A

contraction

82
Q

contractions in MET are applied at the _____ and then progressed

A

barrier

83
Q

usual precautions apply but also note any localized muscle ____ or ______ before doing a MET

A

pain, strains

84
Q

in MET application, contractions are ______ & _______

A

isometric and gentle

85
Q

passive angular stretching may cause ______ or damage the joint

A

pain

86
Q

the use of a lever in passive angular stretching _____ the force at the joint

A

magnifies

87
Q

the force during passive angular stretching causes joint surface ______ in the direction of the rolling bone

A

compression

88
Q

roll without _____ does not replicate normal joint mechanics

A

slide

89
Q

two most common sources of “cracking” are: ________ or _____ tissue moving over a bony prominence OR _________/ tribonucleation

A

tendons, scar, cavitation

90
Q

T/F we can stop AND modify joint mobilizations

A

false

Joint Mobes (8 decks)

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