JOINT AND NEURAL MOBILIZATION

Question 1

Manual therapy techniques that are used to modulate pain and treat joint impairments that limit range of motion (ROM).

Answer 1

Joint Mobilization/Manipulation

Question 2

Joint Mobilization/Manipulation is also known as…

Answer 2

High-velocity thrust techniques (HVT)

Question 3

Refers to high-velocity, short-amplitude techniques.

Answer 3

Thrust

Question 4

Refers to self-stretching techniques that specifically use joint traction or glides that direct the stretch force to the joint capsule.

Answer 4

Self-Mobilization (Auto-Mobilization)

Question 5

It is the concurrent application of sustained accessory mobilization applied by a therapist and an active physiological movement to end-range applied by the patient.

Answer 5

Mobilization with movement (MWM)

Question 6

T or F

1. The techniques are always applied in a PAIN-FREE direction and are described as correcting joint tracking from a positional fault.

Answer 6

1. T

2. F; muscles ⇛ bones

Question 7

FILL in the BLANKS

__________ of New Zealand originally described these MVM techniques.

Answer 7

Brian Mulligan

Question 8

These are movements in the joint and surrounding tissues that are necessary for normal ROM but that cannot be actively performed by the patient.

Answer 8

Accessory movements

Question 9

1. These are motions that accompany active motion but are not under voluntary control. The term is often used synonymously with ‘accessory movement’.
2. This describes the motions that occur between the joint surfaces and also the distensibility or “give” in the joint capsule, which allows the bones to move.

Answer 9

1. Component motions

2. Joint play

Question 10

T or F

1. MANIPULATION UNDER ANESTHESIA is a procedure used to restore full ROM by breaking adhesions around a joint while the patient is anesthetized.
2. The technique may be a SLOW thrust or a passive stretch using physiological or accessory movements.

Answer 10

1. T

2. F; slow ⇛ rapid

Question 11

FILL in the BLANKS

1. Muscle energy techniques use _________ of deep muscles that attach near the joint and whose line of pull can cause the desired accessory motion.
2. The technique requires the therapist to provide ________ to the segment on which the distal aspect of the muscle attaches.

Answer 11

1. Active contraction

2. Stabilization

Question 12

T or F

A command for DYNAMIC contraction of the muscle is given and it causes accessory movement of the joint.

Answer 12

F; dynamic ⇛ an isometric

Question 13

1. One surface is convex, and the other is concave.
2. One surface is concave in one direction and convex in the other, with the opposing surface convex and concave, respectively.

Answer 13

1. Ovoid joints

2. Sellar joints

Question 14

T or F

1. Rolling results in angular motion of the MUSCLES (swing).
2. Rolling is always in the SAME direction as the swinging bone motion whether the surface is convex or concave.
3. In normally functioning joints, pure rolling CAN occur alone AND in combination with joint sliding and spinning.

Answer 14

1. F; muscles ⇛ bones
2. T
3. F; can ⇛ does not / and ⇛ but

Question 15

The same point on one surface comes into contact with the new points on the opposing surface.

Answer 15

Slide/Translation

Question 16

FILL in the BLANKS

1. Sliding is in the opposite direction of the angular movement of the bone if the moving joint surface is _______.
2. Sliding is in the same direction as the angular movement of the bone if the moving surface is _______.
3. For a pure slide, the surfaces must be _______.

Answer 16

1. convex
2. concave
3. congruent

Question 17

This is the theoretical basis for determining the direction of the mobilizing force when joint gliding techniques are used.

Answer 17

Convex-concave rule

Question 18

T or F

1. The LESS congruent the joint surfaces are, the more sliding there is of one bony partner on the other with movement.
2. The more incongruent the joint surfaces are, the more SLIDING there is of one bony partner on the other with movement.
3. When muscles actively contract to move a bone, some of the muscles may cause or control the ROLLING movement of the joint surfaces.

Answer 18

1. F; less ⇛ more (direct relationship)
2. F; sliding ⇛ rolling
3. F; rolling ⇛ sliding

Question 19

It is used to control pain when applied gently or to stretch the capsule when applied with a stretch force.

Answer 19

Translatoric glide

Question 20

FILL in the BLANKS

1. There is rotation of a segment about a stationary mechanical axis. This refers to ______.
2. The same point on the moving surface creates an ________ as the bone spins.

Answer 20

1. spin

2. arc of a circle