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Advanced Techniques > Joint Mobilization (Exam 1) > Flashcards

Joint Mobilization (Exam 1) Flashcards

1
Q

Types of Arthrokinematic Motion

A

Roll, Glide(Slide), Spin

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2
Q

Is the rolling of one joint surface on another. New points on each surface come into contact throughout the motion.

A

Roll

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3
Q

A linear movement of a joint surface parallel to the plane of the adjoining joint surface. One point on a joint surface contacts new points on the adjacent joint surface.

A

Glide (Slide)

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4
Q

Rotation of a moveable joint surface on the fixed adjacent surface. The same point on each surface remains in contact with each other. Example: Shoulder Rotation

A

Spin

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5
Q

___ and ___ must occur simultaneously to preserve joint integrity in most cases.

A

Roll, Glide

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6
Q

If the moving joint surface ____ on its partner without simultaneously _____, the surfaces would separate in some places and impinge in others.

A

Rolls, Gliding

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7
Q

Passive joint movement for increasing ROM or decreasing pain. Force is light enough that patient can stop the movement.

A

Mobilization

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8
Q

Passive joint movement for increasing joint mobility or decreasing pain. Incorporate a sudden, forceful thrust that is beyond the patient’s control.

A

Manipulation

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9
Q

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

A

Self-mobilization

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10
Q

Concurrent application of a sustained accessory mobilization applied by a clinician and an active physiological movement to end range applied by the patient. Applied in a pain-free direction.

A

Mobilization with Movement

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11
Q

Capsule is most relaxed. Joint play is greatest. Joint surfaces have the least contact with each other compared to any other position.

A

Resting Position (Open-Packed/Loose-Packed)

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12
Q

Joint capsule and ligaments are taut. Maximum contact between concave and convex joint surfaces.

A

Close-Packed Position

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13
Q

Plane that passes through the joint and lies at a right angle to a line running from the axis of rotation (in the convex bony partner) to the middle of the contacting articular surfaces.

A

Treatment Plane

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14
Q

Moves with the concave joint partner.

A

Treatment Plane

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15
Q

Plane remains essentially stationary when the convex joint partner moves.

A

Treatment Plane

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16
Q

3 Basic Movements Joint Play

A

Traction, Compression, Gliding

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17
Q

Movement of bone directly away from opposing bony surface. Results in separation of joint surfaces.

A

Traction

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18
Q

Neutralizes pressure in joint without actual surface separation. Produce pain relief by reducing compression forces.

A

Grade I (Loosen)

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19
Q

Separates articulating surfaces, taking up slack or eliminating play within joint capsule. Used initially to determine joint sensitivity.

A

Grade II (Take up slack)

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20
Q

Involves stretching of soft tissue surrounding joint. Increasing mobility in hypo-mobile joint.

A

Grade III (Stretch)

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21
Q

Movement of 2 bones perpendicular to and towards the treatment plane. Joint surfaces approximate.

A

Compression

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22
Q

Bone movement parallel to the treatment plane. Results in a gliding movement between joint surfaces. Performed to test passive movement or to mobilize a joint.

A

Gliding

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23
Q

Slow, small amplitude oscillation, beginning of range. Used to reduce pain and spasm.

A

Grade I (Joint Mob)

24
Q

Slow, large amplitude oscillation within mid-range. Used to reduce pain and spasm.

A

Grade II (Joint Mob)

25
Q

Grades ___ and ___ often used before and after treatment with Grades ___ and ___.

A

I, II, and III, IV

26
Q

Slow, large amplitude oscillation up to point of limitation in range of movement. Used to increase joint motion. Stretched capsule and CT structures.

A

Grade III

27
Q

Slow, small amplitude oscillation at very end of motion range. Used to increase mobility. Used when resistance limits movement in absence of pain.

A

Grade IV

28
Q

Fast, small amplitude, high-velocity, non oscillatory beyond pathologic end range.

A

Grade V (Thrust)

29
Q

Normal End Feels

A

Hard(Bone/Bone), Soft(Soft Tissue), Firm(Tissue Stretch)

30
Q

Abnormal End Feels

A

Muscle Spasm, Capsular, Bone to Bone, Empty, Springy Block.

31
Q

Convex surface _____ to the direction of restricted movement.

A

Opposite

32
Q

Concave surface ___ as the restricted movement.

A

Same Direction

33
Q

Indications for Joint Mobilization

A

Pain, Decreased ROM, Joint Dysfunctions that limit ROM.

34
Q

Absolute Contraindications for Joint Mobilization

A

Any undiagnosed lesion, Joint ankylosis, Malignancies, Acute fractures, Systemic infections, Advanced diabetes, Bone weakening diease.

35
Q

PIP/DIP Joint Fingers (Concave)

A

Posterior - Extension

Anterior - Flexion

36
Q

MCP Joint Finger (Concave)

A

Posterior - Extension

Anterior - Flexion

37
Q

Open pack position of PIP/DIP.

A

Slight flexion

38
Q

Radiocarpal Joint (Convex)

A

Anterior - Wrist Extension

Posterior - Wrist Flexion

39
Q

Humero-ulnar Joint

A

Distraction - Elbow Flexion

40
Q

Open Packed Position Humero-unlar Joint

A

Flexion 70 degrees and Supination 10 degrees.

41
Q

Open Packed Position Humero-radial Joint

A

Full extension and supination.

42
Q

Proximal Radio-ulnar Joint

A

Posterior - Pronation

Anterior - Supination

43
Q

Glenohumeral Joint Open Packed Position

A

Scaption 20 degrees, 55 degrees abduction, 30 degrees horizontal adduction.

44
Q

Glenohumeral Joint (Convex)

A

Lateral - Abduction/General Motion
Anterior - External Rotation/ Horizontal Abduction/Extension
Posterior - Flexion/Internal Rotation
Inferior - Abduction (90 degrees Abduction)

45
Q

Scapulothoracic Joint

A

Inferior/Superior - Shoulder Mobility

Medial/Lateral - Shoulder Mobility

46
Q

Open Packed Position Hip Joint

A

Flexion 30 degrees, Abduction 30 degrees, Slight External Rotation

47
Q

Hip Joint (Convex)

A

Posterior - Internal Rotation, Flexion
Inferior - Flexion (90 degrees Flexion)
Anterior - External Rotation, Extension (90 degrees Flexion)

48
Q

Open Packed Position Knee Joint

A

25 degrees Flexion

49
Q

Knee Joint (Concave)

A

Anterior - Extension
Posterior Tibial - Flexion
Posterior Glide of Femur - Extension

50
Q

Ankle Talocrural Joint Open Packed Position

A

Plantarflexion 10 degrees, Inversion, Eversion

51
Q

Ankle Talocrural Joint (Convex)

A

Distraction - General joint mobility
Anterior Talus - Plantarflexion
Posterior Talus - Dorsiflexion
Lateral Calcaneus - Eversion

52
Q

Toes PIP/DIP Open Packed Position

A

Slight flexion.

53
Q

PIP/DIP Joints Toes (Concave)

A

Anterior - Extension

Posterior - Flexion

54
Q

Mechanoreceptors to decrease pain.
Nociceptive Stimulation
Afferent Never Impulses

A

Neurophysiological Effects

55
Q

Distraction or small gliding movements cause synovial fluid movement.
Movement can improve nutrient exchange due to joint swelling and immobilization.

A

Nutritional Effects

56
Q

Improve mobility of hypomobile joints.

Maintain extensibility and tensile strength of articular tissues.

A

Mechanical Effects

57
Q

Patella Joints

A

Superior/Inferior - Joint Mobility

Medial/Lateral - Joint Mobility

Advanced Techniques (11 decks)

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