Introduction Flashcards

0
Q

Joint mobilization

A

Passive modality that moves a joint through its accessory movements (normally not under voluntary control) to restore pain-free movement.

Used to assess, treat and maintain articular health.

Treat either parallel to treatment plane (glide/slide) or perpendicular (traction and compression)

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1
Q

Joint Play

A

Movement available when joint is in some degree of loose-pack and can be assessed

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2
Q

Structural classification of joints.

A

Fibrous
Cartilaginous
Synovial

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3
Q

Functional classification of joints.

A

Synarthrotic (immovable)
Amphiathrotic (slightly moveable)
Diarthrotic (freely movable)

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4
Q

Types of synovial joints

A
Planar
Hinge
Pivot
Condyloid/ellipsoid
Saddle 
Ball & socket
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5
Q

Osteokinematic

A

Gross or physiological movement of a joint (angular, spatial and rotational). Movement of distal bone.

Accompanied through glide/slide

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6
Q

Arthrokinematic

A

Movements betwee articulating surfaces

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7
Q

Accessory movements

A

AKA component movements

Particular arthrokinematic movements that occur as one bone moves on another within the joint.

Ex: roll, slide/glide, rotation.

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8
Q

Roll

A

Accessory movement. Always travels in same direction as bone.

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9
Q

Glide/slide

A

Accessory movement. Direction is dependent on rule of concave/convex

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10
Q

Spin

A

Accessory move in which bone rotates on mechanical axis while maintaining constant contact at a particular point.

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11
Q

Treatment plane

A

Plane superimposed over concave articulating surface of a joint.

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12
Q

Mechanical plane

A

Perpendicular to treatment plane.

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13
Q

(Dis)traction

A

Act of pulling articular surfaces apart

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14
Q

Compression

A

Using mechanical force to press articular surfaces together.

Occurs along mechanical axis.

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15
Q

Close pack position

A

Position at which articular surfaces are most closely approximates (are congruent).
Involves rotational component.
Peri-articular ligaments tightened

Thou shalt not joint mob.

16
Q

Loose pack position.

A

Any non close-pack position.

Laxity in joint allows for arthrokinematic movement.

17
Q

Resting position

A

Maximum loose-pack position.

Ideal for joint-play and early treatment.

Joint naturally assumed this position due to synovial effusion.

18
Q

Ideal joint mob position

A

Loose pack. Find restriction and back off 10 degrees.

19
Q

Capsular pattern of restriction.

A

The characteristic pattern of restriction in PROM seen in a joint that is entirely affected by impairment.

20
Q

Concave-convex rule

A

When concave moves of convex: glide happens in same direction as roll. (Humeral-ulnar jt)

When convex moves on concave: glide is in opposite direction as roll. (GH jt)

21
Q

Purpose of joint mobilization

A

Restore pain free ROM

22
Q

Ideal joint play position

A

Resting position.

23
Q

Grades of Joint play

A

Grade I. For acute. Doesn’t meet tissue resistance.

Grade II. Subacute. Just meets tissue resistance.

Grade III. Chronic. Passes first stop/tissue resistance.

24
Q

Grades of joint mobilization.

A

Grade I. Acute. Small amplitude. Fast. Performed at beginning of joint play. Nowhere near resistance.

Grade II. Sub-acute. Large amplitude. Slow. Doesn’t meet resistance.

Grade III. Chronic. Large amplitude. Slow. Oscillates through first resistance and back

Grade IV. Chronic. Small amplitude. Fast. Stays in resistance. Short of anatomical limit.

25
Q

All joint mobilization are performed ______ to the treatment plane.

A

Parallel.

26
Q

Planar joint

A

Synovial diarthrotic

Biaxial

Ex. Naviculocuneiform.

27
Q

Hinge joint

A

Synarthrosic diarthrotic

Uniaxial. Flexion/extension

Ex. Humeroulnar

28
Q

Pivot joint

A

Synarthrotic diarthrosis

Uniaxial (rotation)

Ex. Radioulnar joint (prox)

29
Q

Condyloid joint

A

Synarthrotic diarthrosis

Biaxial. (Flexion/extension, abduction/adduction)

Ex. Radiocarpal joint.

30
Q

Saddle joint

A

Synarthrotic diarthrosis

Multiaxial. (Flex/extension, abduction/adduction, rotation)

Ex. Carpalmetacarpal joint #1

31
Q

Ball and socket

A

Synarthrotic diarthrosis

Multiaxial.

GH jt.