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508 midterm 1 > Joint Mobilization > Flashcards

Joint Mobilization Flashcards

1
Q

Physiologic movements

A

motions that can be created volitionally (actively)

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2
Q

Non-physiologic movements

A

motion that does not occur in isolation voluntarily

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3
Q

component movements

A

occur in combinations with physiologic motion (ex. scapular motion with GH flexion)

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4
Q

joint play

A

occur only in response to an outside force. (end feels)

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5
Q

Accessory motions

A

Distraction, glides, and tilts. joint play that is needed for normal physiological range

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6
Q

Mobilization

A
  • skilled passive movement
    -low velocity
  • does not go beyond end range
  • can be grated 1-3 / 4 depending on system used
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7
Q

Manipulation

A

-low amplitude
-high velocity
-thrust
- intenstially moved beyond end range
-grade 5 mob

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8
Q

Maitland grade 1

A

oscillatory movement with small amplitude fast velocity right at the start of motion (way before R1)

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9
Q

Maitland grade 2

A

oscillatory movement with a large amplitude and slow velocity. Goes right to R1 but not past.

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10
Q

Maitland grade 3

A

oscillatory movement with a large amplitude and slow velocity. Goes from R1 to R2

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11
Q

Maitland grade 4

A

oscillatory movement with a small amplitude and fast velocity at the end of end range

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12
Q

Kalltenborn compression

A

Not graded. Only used to see if symptoms can be reproduced

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13
Q

Kalltenborn traction grade 1

A

the unweighting of the joint. Use to relieve pain, muscle grading, and move joint fluid.

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14
Q

kalltenborn traction grade 2

A

taking the tissue to slack. used to releive pain and assess joint play and reactivity

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15
Q

Kalltenborn traction grade 3

A

used to stretch the muscle to get tissue deformation. used to increase mobility

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16
Q

Kalltenborn gliding grade 2

A

assess joint play and reactivity (take to R1)
used to increase mobility

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17
Q

Kalltenborn gliding grade 3

A

used to improve mobility and take to R2

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18
Q

Kalltenborg definition of soft end feel

A

soft tissue approximation or muscle stretch

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19
Q

Kalltenborg definition of a firm end feel

A

capsular or ligamentous

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20
Q

Kalltenborg definition of a hard end feel

A

bone or cartilage

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21
Q

Mobility 0 ranking

A

ankylosed (not moving)

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22
Q

Mobility 1-2 ranking

A

hypomobile (this is where you should preform joint mobs)

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23
Q

Mobility 3 ranking

A

normal

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24
Q

Mobility 4-5 ranking

A

hypermobile (do not do joint mobs on these patients)

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25
Q

Mobility 6 ranking

A

unstable (dislocation)

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26
Q

Indications for Passive Joint Motion

A

1) relief of pain and muscle guarding
2) restoration of normal joint mobility in the presence of stiffness

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27
Q

Type 1 Postural Receptors

A
  • Found in joint capsules
  • Small in diameter, myelinated fibers
  • Low threshold, continually firing, and slow adapting
  • Both static and dynamic firing mechanoreceptors
    -Small motions lead to increased firing
    -degenerate with age
    —- Stimulated by small oscillatory mobs to decrease pain and muscle guarding
28
Q

Type 2 Dynamic Receptors

A
  • found in the joint capsule and articular fat pads
  • mediam in diameter, myelinated fibers
    -dynamic mechanoreceptors
  • low threshold and fast adapting
  • movement and direction
  • associated with marked discharge
    ——-Stimulated by small oscillatory mobs to decrease pain and muscle guarding
29
Q

Type 3 Inhibitive Receptors

A
  • found in ligamentous structures
  • large myelinated fibers, identically structurally to the GTO (fastest of the 3)
  • dynamic mechanoreceptors
  • High threshold, slow adapting fibers
  • Firing leads to reflex inhibition to surrounding muscles
    ——- stimulated by grade 5 joint mob (thrust) to inhibit muscle guarding
30
Q

Type 4 nociceptive receptors

A
  • found in most joint structures
    -unmyelinated fibers and free nerve endings
  • generally high threshold firing fibers
31
Q

what type of fibers does small, oscillatory movements fire?

A

type 1 and type 2; inhibiting pain and muscle garding

32
Q

what types of fibers does end range dynamic movements (thrust) fire

A

type 3; leading into inhibition of muscle guarding

33
Q

Contraindications to use of Passive motion

A

1) hyper mobility/ instability (fracture, sprain, RA, Osteoporosis)
2) any active disease process
3) conditions of acuity, inflammation, and reactivity

34
Q

Which grades of Maitland should be used to reduce pain

A

grades 1 and 2

35
Q

which grades of Maitland should be used to increase mobility

A

grades 3 and 4

36
Q

where should you begin and end all mobilization sessions

A

with grade 1 and 2 to facilitate relaxation and pain management

37
Q

Direction of mobilization to improve ankle talus dorsiflexion glide

A

anterior to posterior (AP)

38
Q

Direction of mobilization to improve ankle planter flexion glide

A

posterior to anterior (PA)

39
Q

Direction of mobilization to improve knee extension glide moving the tibia on the femur

A

Posterior to anterior (PA)

40
Q

Direction of mobilization to improve knee extension glide moving the femur on the tibia

A

Anterior to posterior (AP)

41
Q

Direction of mobilization to improve knee flexion glide moving the tibia on the femur

A

Anterior to Posterior (AP)

42
Q

Direction of mobilization to improve knee flexion glide moving the femur on the tibia

A

posterior to anterior (PA)

43
Q

Direction of mobilization to improve hip flexion glide

A

Anterior to posterior (AP)

44
Q

Direction of mobilization to improve hip extension glide

A

Posterior to anterior (PA)

45
Q

Steps with joint mobilization

A

1) assess ROM
2) assess end feel
3) compression
4) distraction (if needed)
5) go through the grades start with grade 1
6) reassess pain or ROM
7) use new range

46
Q

Shoulder Flexion Joint Glide Mobilization

A

Anterior to posterior glide (AP)

47
Q

Shoulder extension joint glide mobilization

A

Posterior to anterior glide (PA)

48
Q

Shoulder Abduction joint glide mobilization

A

superior to inferior glide

49
Q

Shoulder external rotation glide

A

posterior to anterior glide (PA)

50
Q

Shoulder internal rotation glide

A

anterior to posterior glide (AP)

51
Q

Wrist extension (carpels on ulna and radius) glide

A

posterior to anterior glide (PA)

52
Q

Wrist flexion (carpels on ulna and radius) glide

A

anterior to posterior glide (AP)

53
Q

Elbow (ulna on humerus) flexion glide

A

posterior to anterior (PA)

54
Q

Elbow (ulna on humerus) extension glide

A

anterior to posterior (AP)

55
Q

Elbow (humerus on ulna) flexion glide

A

anterior to posterior (AP)

56
Q

Elbow (ulna on humerus) extension glide

A

Anterior to posterior (AP)

57
Q

what receptor type has a low threshold

A

1 and 2

58
Q

what receptor types has a high threshold

A

3 and 4

59
Q

what are the sizes of the fiber types smallest to largest

A

1,2,3

60
Q

what fiber types are found in joint capsules

A

1, 2 (also in fat pads), 4

61
Q

what fiber type is found in ligaments and spine

A

3

62
Q

what fiber type’s stimulation encourages more firing

A

1

63
Q

what fiber type has a marked discharge

A

2

64
Q

what fiber type leads to reflex inhibition

A

3

65
Q

what fiber type is not myelinated

A

5

508 midterm 1 (6 decks)

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