Joint Mobilization Flashcards
Define Therapeutic Exercise
The systematic, planned performance of bodily movements, postures, or physical activities intended to provide a patient/client with the means to:
- Remediate or prevent impairments
- Improve, restore, or enhance physical function
- Prevent or reduce health-related risk factors
- Optimize overall health status, fitness, or sense of well being
List 9 Interventions considered to be Therapeutic Exercise
- Aerobic conditioning / reconditioning
- Muscle performance exercises:
strength, power & endurance training - Task-specific functional training
- Stretching techniques including
muscle lengthening & joint mobilization - Neuromuscular control, inhibition & facilitation
techniques & posture awareness training - Postural control, body mechanics & stabilization
exercises - Balance exercises & agility training
- Relaxation exercises
- Breathing exercises & ventilatory mm training
Define Contracture
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.
Define Tightness
Restricted motion due to adaptive shortening of soft tissue
Define Irreversible Contracture
a/k/a Fibrotic Contracture
Fibrous changes in connective tissue of muscle and periarticular structures which cause adherence of these tissues.
Define Overstretching
A stretch well beyond the normal length of muscle and ROM of a joint and the surrounding soft tissues which results in hypermobility.
Define Selective Stretching
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.
Define Passive Stretching
A form of STATUC STRETCHING in which an external force is exerted on a limb to move it into a new position.
Define Active Inhibition
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
Which term refers to acquisition/ability to perform a skill and permanent retention of that movement?
A. Motor Performance / B. Motor Learning
MOTOR LEARNING
What is a closed environment?
Objects around the patient and the surface on which the task is performed do not move.
What is an open environment?
Objects or other people are in motion or the support surface is unstable during the task. (not under the control of the patient)
What does “MPT” stand for?
Master of Physical Therapy
What does “DPT” stand for?
Doctor of Physical Therapy
What does “PT” stand for?
Physical Therapist or Physical Therapy
Define Self Mobilization
Self-stretching techniues that use joint traction or glides that direct the stretch force to the joint capsule.
Define Mobilization with Movement
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)
Define Physiological Movement
Movements that the patient can voluntarily perform.
Define Accessory Movements
Movements in the joint & surrounding tissue that are necessary for normal ROM but cannot be voluntarily performed by the patient.
What are the 2 sub-categories of Accessory Movements?
Component Motions
and
Joint Play
Define Component Motions
Accompany active motion but NOT UNDER VOLUNTARY CONTROL
Define Joint Play
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
Define Thrust
A high velocity, short amplitude motion such that the patient cannot prevent the motion.
What is Manipulation under Anesthesia?
Used to restore full ROM by breaking adhesions around a joint while the patient is anesthetized.
Define Muscle Energy
Use of active contraction of DEEP muscle that attach near the joint & whose line of pull can cause the desired accessory motion
What is Grade 1 Oscillation manual mobilization? What is it used for?
Small amplitude rhythmic oscillations performed at the BEGINNING of available ROM.
Used for Pain Relief & Muscle Guarding
What is Grade 2 Oscillation manual mobilization?
What is it used for?
Large amplitude rhythmic oscillations performed WITHIN the RANGE, not reaching its limit.
Used for Pain Relief & Muscle Guarding
What is Grade 3 Oscillation manual mobilization?
What is it used for?
Large amplitude rhythmic oscillations performed UP TO THE LIMIT of available motion AND STRESSED INTO the tissue resistance.
Used to Increase ROM
