Joint Mobilization (Exam 1)

Question 1

Types of Arthrokinematic Motion

Answer 1

Roll, Glide(Slide), Spin

Question 2

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

Answer 2

Roll

Question 3

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.

Answer 3

Glide (Slide)

Question 4

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

Answer 4

Spin

Question 5

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

Answer 5

Roll, Glide

Question 6

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

Answer 6

Rolls, Gliding

Question 7

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

Answer 7

Mobilization

Question 8

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

Answer 8

Manipulation

Question 9

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

Answer 9

Self-mobilization

Question 10

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.

Answer 10

Mobilization with Movement

Question 11

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

Answer 11

Resting Position (Open-Packed/Loose-Packed)

Question 12

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

Answer 12

Close-Packed Position

Question 13

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.

Answer 13

Treatment Plane

Question 14

Moves with the concave joint partner.

Answer 14

Treatment Plane

Question 15

Plane remains essentially stationary when the convex joint partner moves.

Answer 15

Treatment Plane

Question 16

3 Basic Movements Joint Play

Answer 16

Traction, Compression, Gliding

Question 17

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

Answer 17

Traction

Question 18

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

Answer 18

Grade I (Loosen)

Question 19

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

Answer 19

Grade II (Take up slack)

Question 20

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

Answer 20

Grade III (Stretch)

Question 21

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

Answer 21

Compression

Question 22

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.

Answer 22

Gliding

Question 23

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

Answer 23

Grade I (Joint Mob)

Question 24

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

Answer 24

Grade II (Joint Mob)

Question 25

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

Answer 25

I, II, and III, IV

Question 26

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

Answer 26

Grade III

Question 27

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

Answer 27

Grade IV

Question 28

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

Answer 28

Grade V (Thrust)

Question 29

Normal End Feels

Answer 29

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

Question 30

Abnormal End Feels

Answer 30

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

Question 31

Convex surface _____ to the direction of restricted movement.

Answer 31

Opposite

Question 32

Concave surface ___ as the restricted movement.

Answer 32

Same Direction

Question 33

Indications for Joint Mobilization

Answer 33

Pain, Decreased ROM, Joint Dysfunctions that limit ROM.

Question 34

Absolute Contraindications for Joint Mobilization

Answer 34

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

Question 35

PIP/DIP Joint Fingers (Concave)

Answer 35

Posterior - Extension | Anterior - Flexion

Question 36

MCP Joint Finger (Concave)

Answer 36

Posterior - Extension | Anterior - Flexion

Question 37

Open pack position of PIP/DIP.

Answer 37

Slight flexion

Question 38

Radiocarpal Joint (Convex)

Answer 38

Anterior - Wrist Extension | Posterior - Wrist Flexion

Question 39

Humero-ulnar Joint

Answer 39

Distraction - Elbow Flexion

Question 40

Open Packed Position Humero-unlar Joint

Answer 40

Flexion 70 degrees and Supination 10 degrees.

Question 41

Open Packed Position Humero-radial Joint

Answer 41

Full extension and supination.

Question 42

Proximal Radio-ulnar Joint

Answer 42

Posterior - Pronation | Anterior - Supination

Question 43

Glenohumeral Joint Open Packed Position

Answer 43

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

Question 44

Glenohumeral Joint (Convex)

Answer 44

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

Question 45

Scapulothoracic Joint

Answer 45

Inferior/Superior - Shoulder Mobility | Medial/Lateral - Shoulder Mobility

Question 46

Open Packed Position Hip Joint

Answer 46

Flexion 30 degrees, Abduction 30 degrees, Slight External Rotation

Question 47

Hip Joint (Convex)

Answer 47

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

Question 48

Open Packed Position Knee Joint

Answer 48

25 degrees Flexion

Question 49

Knee Joint (Concave)

Answer 49

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

Question 50

Ankle Talocrural Joint Open Packed Position

Answer 50

Plantarflexion 10 degrees, Inversion, Eversion

Question 51

Ankle Talocrural Joint (Convex)

Answer 51

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

Question 52

Toes PIP/DIP Open Packed Position

Answer 52

Slight flexion.

Question 53

PIP/DIP Joints Toes (Concave)

Answer 53

Anterior - Extension | Posterior - Flexion

Question 54

Mechanoreceptors to decrease pain. Nociceptive Stimulation Afferent Never Impulses

Answer 54

Neurophysiological Effects

Question 55

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

Answer 55

Nutritional Effects

Question 56

Improve mobility of hypomobile joints. | Maintain extensibility and tensile strength of articular tissues.

Answer 56

Mechanical Effects

Question 57

Patella Joints

Answer 57

Superior/Inferior - Joint Mobility | Medial/Lateral - Joint Mobility