Joint Assessment Flashcards
accessory motion is our
exam and intervention
tx plane is also the
assessment plane
tx plane includes
glides
distractions
glides are
parallel
distractions are
perpendicular
options for joint mobilization
oscillations
sustained translations
oscillations
depth and amplitude
sustained translations
depth
how do oscillations work
neurophysiologic
mechanical
neurophysiologic –> oscillations
depolarization of receptors
mechanical –> oscillations
synovial fluid production
stretching of tissue
what depolarizes mechanoreceptors
movements
more movement, more depolarization
depolarization of mechanoreceptors
stimulus traveling along a C fiber causes a strong activation
mechanoreceptor info traveling along AB fiber causes a reduced or weak activation
tx objectives and soreness
grades 1&2
grades 3&4
grades 1-2
for pain
no soreness from tx
grades 3-4
for stiffness
some soreness is normal, but not for more than 24 hours
sustained translations
mobilization w/ movement
fxnal mobilization
sustained translation and constant load benefits
tissue creep w/ constant load
stress relaxation w/ constant tissue length
grading sustained translations
no real grade (but think a 4)
taken to end of pain free range and held
often introduce physiologic while holding
contraindications and precautions
hypermobility
joint effusion
acute inflammation