joint mobilisations 1- INTRO Flashcards
what is accessory or arthrokinematic movement?
- accessory movement or joint play movement are joint movements which cannot be performed by the individual
- these movements include roll, spin and glide and accompany physiological movements
- they are examined passively - ie by pt to assess range and symptom response in an open packed position of joint
what is joint mobilisation?
- a technique performed by the physiotherapist that helps to restore the small and involuntary movement that assists joints to perform to their optimum ROM
- it involves performing a back and forth oscillation of the joint in order to restore motion
what are physiological movements?
- the movements which can be achieved and performed** actively** by the individual and can be analysed for quality and symptom response
what does the term ‘overpressure’ mean?
- each joint has a passive range of motion which exceeds its available active range
- to achieve this range, a stretch is applied at the end of a normal passive movement - it nearly always has a degree of discomfort
what is mobilisation?
- movement back and forth in a regular rhythm of the** joints accessory movements** or its physiological movements or a combination of both
what are passive movements?
- physiological movements that are performed by the therapist - at a single joint or at several joints in sequence to maintain joint range and muscle length
- NOT GRADED
Describe Kaltenborn’s convex - concave rule
- this rule tells us which part of the joint capsule is stressed when we move an adjacent joint - ie the convex or concave part
- when a convex joint surface eg head of femur is moving , the roll and glide occur in opposite directions
- when a concave joint suface is moving, the roll and glide occur in the same direction
what is an anterior posterior glide?
a glide in which the joint is moving from anterior to posterior - ie joint surface is moving in the posterior position
what is a posterior anterior glide?
joint is moving towards an anterior position
what arthrokinematic glide occurs with hip flexion?
remember - the convex surface is moving
- anterior posterior glide
what is a lateral distraction arthrokinematic movement?
- only used for ball and socket joint
- imaging you are trying to pull the ball from the socket
what arthrokinematic movement is occuring with hip extension?
posterior anterior
what movement can an AP glide help to increase in the hip joint?
- increase flexion and medial rotation of the hip
what movement of the hip does a PA glide increase?
- increases extension and lateral rotation of the hip
what is a longitudinal caudad arthrokinematic movement?
an inferior glide
what kind of arthrokinematic motion occurs with knee flexion?
knee - concave surface is moving
anterior posterior glide
what kind of arthrokinematic movements are occuring with knee extension?
remember - concave surface moving
posterior anterior
what kind of arthrokinematic movement is occuring with ankle dorsiflexion?
convex moving
- anterior posterior glide
what kind of arthrokinematic movement is occuring with ankle plantarflexion?
- posterior anterior glide
what does a joint mobilisation exam technique involve?
- apply pressure close to joint line
- EXAMINE UNAFFECTED SIDE FIRST FOR COMPARISON NB
- note movement quality
- range of motion
- pain behaviour throughout range
- resistance - stiffness of the joint
- muscle spasm
what can it indicate if the active range of motion is equal to the passive range of motion of a joint during assessment?
- may indicate a joint dysfunction - capsular vs non capsular pattern of restriction
- muscle shortening - restriction of joint movement is due to muscle crossing joint
what might it indicate if the passive range of motion is greater than the active range of motion?
- it may indicate contractile unit lesion or rupture in tendon, muscle etc
Distinguish between the different grades (I - IV) for mobilisation techniques
- grade I and grade ii are utilised for pain relief
- grade III and IV - deeper mobilisations - more effectuve for decreasing joint stiffness
