Joint Mobilization

Question 1

Define Therapeutic Exercise

Answer 1

The systematic, planned performance of bodily movements, postures, or physical activities intended to provide a patient/client with the means to:

1. Remediate or prevent impairments
2. Improve, restore, or enhance physical function
3. Prevent or reduce health-related risk factors
4. Optimize overall health status, fitness, or sense of well being

Question 2

List 9 Interventions considered to be Therapeutic Exercise

Answer 2

1. Aerobic conditioning / reconditioning
2. Muscle performance exercises:
   strength, power & endurance training
3. Task-specific functional training
4. Stretching techniques including
   muscle lengthening & joint mobilization
5. Neuromuscular control, inhibition & facilitation
   techniques & posture awareness training
6. Postural control, body mechanics & stabilization
   exercises
7. Balance exercises & agility training
8. Relaxation exercises
9. Breathing exercises & ventilatory mm training

Question 3

Define Contracture

Answer 3

The adaptive shortening of the muscle-tendon unit & other soft tissues that cross or surround a joint resulting in significant resistance to passive or active stretch & limitation of ROM.

Question 4

Define Tightness

Answer 4

Restricted motion due to adaptive shortening of soft tissue

Question 5

Define Irreversible Contracture

Answer 5

a/k/a Fibrotic Contracture

Fibrous changes in connective tissue of muscle and periarticular structures which cause adherence of these tissues.

Question 6

Define Overstretching

Answer 6

A stretch well beyond the normal length of muscle and ROM of a joint and the surrounding soft tissues which results in hypermobility.

Question 7

Define Selective Stretching

Answer 7

A process whereby the overall function of a patient may be improved by applying stretching techniques selective to some muscles and joints but allowing limitation of motion to develop in other muscles or joints.

Question 8

Define Passive Stretching

Answer 8

A form of STATUC STRETCHING in which an external force is exerted on a limb to move it into a new position.

Question 9

Define Active Inhibition

Answer 9

PNF techniques used to assess and treat problems in muscle strength and movement patterns. They include Hold-Relax, Contract-Relax, Post-Isometric Isolation, & Agonist Contraction

Question 10

Which term refers to acquisition/ability to perform a skill and permanent retention of that movement?
A. Motor Performance / B. Motor Learning

Answer 10

MOTOR LEARNING

Question 11

What is a closed environment?

Answer 11

Objects around the patient and the surface on which the task is performed do not move.

Question 12

What is an open environment?

Answer 12

Objects or other people are in motion or the support surface is unstable during the task. (not under the control of the patient)

Question 13

What does “MPT” stand for?

Answer 13

Master of Physical Therapy

Question 14

What does “DPT” stand for?

Answer 14

Doctor of Physical Therapy

Question 15

What does “PT” stand for?

Answer 15

Physical Therapist or Physical Therapy

Question 16

Define Self Mobilization

Answer 16

Self-stretching techniues that use joint traction or glides that direct the stretch force to the joint capsule.

Question 17

Define Mobilization with Movement

Answer 17

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

(Stabilize @ he distal end - pt ISO contraction)

Question 18

Define Physiological Movement

Answer 18

Movements that the patient can voluntarily perform.

Question 19

Define Accessory Movements

Answer 19

Movements in the joint & surrounding tissue that are necessary for normal ROM but cannot be voluntarily performed by the patient.

Question 20

What are the 2 sub-categories of Accessory Movements?

Answer 20

Component Motions
and
Joint Play

Question 21

Define Component Motions

Answer 21

Accompany active motion but NOT UNDER VOLUNTARY CONTROL

Question 22

Define Joint Play

Answer 22

Motions that occur between joint surfaces & the distensibility or “give” in the joint capsule which allows the joint to move.

Distraction, sliding, compression, rolling, spinning

Question 23

Define Thrust

Answer 23

A high velocity, short amplitude motion such that the patient cannot prevent the motion.

Question 24

What is Manipulation under Anesthesia?

Answer 24

Used to restore full ROM by breaking adhesions around a joint while the patient is anesthetized.

Question 25

Define Muscle Energy

Answer 25

Use of active contraction of DEEP muscle that attach near the joint & whose line of pull can cause the desired accessory motion

Question 26

What is Grade 1 Oscillation manual mobilization? What is it used for?

Answer 26

Small amplitude rhythmic oscillations performed at the BEGINNING of available ROM.

Used for Pain Relief & Muscle Guarding

Question 27

What is Grade 2 Oscillation manual mobilization?

What is it used for?

Answer 27

Large amplitude rhythmic oscillations performed WITHIN the RANGE, not reaching its limit.

Used for Pain Relief & Muscle Guarding

Question 28

What is Grade 3 Oscillation manual mobilization?

What is it used for?

Answer 28

Large amplitude rhythmic oscillations performed UP TO THE LIMIT of available motion AND STRESSED INTO the tissue resistance.

Used to Increase ROM