Intro to Joint Mobs

Question 1

___________ is skilled passive manual therapy techniques applied to joints and related soft tissues at varying speeds and amplitudes. Techniques are applied on a continuum.

Answer 1

Mobilizations

Question 2

__________ describes the amount of movement that is avalible between the joint surfaces, at the capsular level. (how much give there is in the capsule.)

Answer 2

Joint Play (assessment of a joint)

Question 3

_____1_______ are movements that the patient can do voluntarily. ie. flex, abd, int. rot. of the shoulder. _____2______ is the study of these movements - from latin _____ (bone) and _______ (movement).

Answer 3

1 - Physiological Movements

2 - Osteokinematics

Question 4

_____________ are movements within the joint and surrounding tissues that are necessary for normal ROM but cannot be actively performed by the patient. ie. the patella moves up and down the femoral grove upon flex. & ext. of the knee and you cannot voluntarily make this happen.

Answer 4

Accessory Movements AKA Component motions

Question 5

_____________ is the study of the movements that occur between the articular surfaces, inside the joint (accessory movements) From latin _____ means joint and ______ means movement.

Answer 5

Arthrokinematics

Question 6

_________ is maximal congruency achieved when articular surfaces have perfectly matching features, allowing for a tight fit. ie. the hip joint has more _________ than the gh joint.

Answer 6

congruency

Question 7

____________ is the position of the synovial joint where the articular surfaces become maximally congruent. This occurs when the joint capsule and ligaments become taught, causing the joint surfaces to be as close as possible. this is the most stable position for a joint, therefore difficult position in which to mobilize. Important position for cartilage lubrication. It is also a position of increased risk of fractures.

Answer 7

Close-Packed Position (CPP)

Question 8

_________________ is the position of the synovial joint where the joint surfaces are the least congruent and the joint capsule and ligaments are relaxed. This is the opposite of the close-packed position. This is the easiest position in which to mobilize. Used often in a casting position. Safest to mobilize.

Answer 8

Resting Postion or Loose-Packed Position

Question 9

_______________ is a predictable pattern of restriction that occurs in a synovial joint when the capsule is the source of the problem (capsular fibrosis, tear, synovial effusion). Each joint has a different and specific pattern. Patterns are named from the most restricted range of motion to the least restricted.

Answer 9

Capsular Pattern of Restriction

Question 10

_________ is sensation you get at the end of available range.

Answer 10

End Feel

Question 11

A ______ end feel can be: Bone on Bone, soft tissue approximation, tissue stretch, ligamentous, muscular, capsular or firm

Answer 11

Normal End feels

Question 12

______ end feels are: mm spasm, empty, springy, early bone on bone, boggy, muscular, capsular

Answer 12

Abnormal End feels

Question 13

__________ is an incomplete or partial dislocation (in a complete dislocation, there is a complete loss of integrity of the joint - the joint surfaces are not in contact anymore) that often involves secondary trauma to surrounding soft tissue.

Answer 13

Subluxation

Question 14

___________ also know as a thrust, it is a high velocity, short amplitude motion that the patient cannot prevent. This technique is performed at a pathologic limit and is BEYOND THE SCOPE OF THE MASSAGE THERAPIST (chiropractic adjustment and physiotherapy manipulation)

Answer 14

Manipulation

Question 15

___________ is an increase in the amount of physiologic movement avalible at a given joint. One or more planes of movement may be affected. ***What is normal for the patient?!? TEST BILATERALLY!

Answer 15

Hypermobility

Question 16

__________ on top of having hypermobility, the amount of accessory movement is increased beyond the normal of a joint.

Answer 16

Instability

Question 17

_______ one surface is convex and the other is concave, like a ball and socket. ie. hip and shoulder joints.

Answer 17

Ovoid (shape joints)

Question 18

______ one surface is concave in one direction and convex is the opposite direction. Often called a saddle because of the resemblance. The other joint surface is then the complete opposite (convex/concave).

Answer 18

Sellar (shape joints)

Question 19

_____1_____ joint surfaces are pulled apart. ______1___requires a specific-angle mobilization as opposed to a simple traction that is just a pull on the joint, in any direction. For example, traction to the hip would be a simple pull on the leg and would cause an inferior glide of the femur in the acetabulum. A _____1____ of the hip would require a right angle pull at the joint.

Answer 19

Distraction

Question 20

__________ joint surfaces are approximated. It occurs naturally in all weight bearing joints. It is important for joint health to have intermittent compression/distraction as it recycles the synovial fluid and keep the cartilage well lubricated.

Answer 20

Compression

Question 21

______ is an accessory movement where on articular surface rolls on another, just like a wheel on the pavement. Roll is ALWAYS IN THE SAME DIRECTION as the bone in motion, and almost always associated with a glide. ie. tiba on the femur upon flexion.

Answer 21

Roll

Question 22

_____ is an accessory movement where the bone moves in a circular fashion around a stationary and imaginary axis. Ie. shoulder flex. and ext.

Answer 22

Spin

Question 23

_________ is an accessory movement where one articular surface glides on another just like a skate on the ice. Ie. the facet joints of the lumbar spine upon ext. This is the most common movement used when treating with mobilizations.

Answer 23

Glide or Side

Question 24

*******_____________ when a concave articular surface moves on a convex, roll and glide occur in the same direction; conversely, when a convex articular surface moves on a concave surface, roll and glide are in the opposite direction.

Answer 24

**Concave-Convex Rule