Joint mobilization final Flashcards
GH JOINT
maximum abduction and lateral rotation
55 abduction, 30 horizontal adduction
External rotation, abduction, internal rotation
HU joint
extension with supination
70 flexion, 10 supination
flexion, extension
HR JOINT
90 flexion, 5 supination
extension with supination
flexion, extension
pRU JOINT
5 supination
70 flexion, 35 supination
supination = pronation
dRU JOINT
5 supination
10 supination
supination = pronation (pain @ extreme ROM)
RC JOINT
full extension, radial deviation
NEUTRAL, slight UD
flexion = extension
CMC 1 JOINT
full opposition
neutral/slight flexion
abduction, extension
AF JOINT
medial rotation, extension, abduction
30 flexion, 30 abduction, slight lateral rotation
IR and abduction, f/e, ER
TF JOINT
full extension
25 flexion
flexion, extension
PF JOINT
full flexion
25-40 flexion, or full extension (varies depending on source)
flexion, extension
TC JOINT
full dorsiflexion
10 plantarflexion
plantar, dorsiflexion
Subtalar Joint
supination
b/w pronation/supination
varus, valgus
GH (class, articulation, axis)
synovial b/s, diarthrosis
convex humeral head, with concave glenoid fossa
triaxial: flexion/extension, abd/add, horizontal add/abd, IR/ER
HU
synovial hinge, diarthrosis
concave trochlear notch of ulna, with convex trochlea of humerus
uniaxial: f/e
HR
synovial atypical b/s, diarthrosis
concave fovea capitis of head of radius, with convex capitulum of humerus
biaxial: f/e, p/s
pRU
synovial pivot, diarthrosis
convex neck of the radius, with concave radial notch of the ulna
uniaxial: p/s
dRU JOINT
synovial pivot, diarthrosis
concave ulnar notch of radius, with convex head of the ulna
uniaxial: p/s
RC
synovial ellipsoid/condyloid, diarthrosis
convex proximal row of carpals (scaphoid and lunate), with concave distal end of the radius
biaxial: f/e, r/u deviation
CMC 1
synovial saddle, diarthrosis
ConCave on convex –> in Coronal plane (f/e)
convex on concave –> in sagittal plane (ab/ad)
(base of first MC, with trapezium)
triaxial: f/e, ab/ad, rotation (opposition)
AF
synovial b/s, diarthrosis
convex head of femur, with concave acetabulum of pelvis
triaxial: f/e, ab/ad, rotation
TF
synovial modified hinge, diarthrosis
concave superior articular surface of tibia, convex condyles of femur
biaxial: f/e, rotation (during knee lockout, “screw-home mechanism”)
PF
synovial planar, diarthrosis
concave superior/inferior lateral patellar surfaces + convex medial/lateral patellar surfaces,
with pateralla surface of femur (b/w condyles)
uniaxial: gliding movements
TC
synovial hinge, diarthrosis
convex trochlea of talus, with concave inferior/medial malleolar articulating surfaces of tibia and distal articulating surface of fibular (lateral malleolar articular surface)
uniaxial: plantar/dorsiflexion
Subtalar
synovial planar, diarthrosis
convex superior articular surface of calcaneus, with concave inferior articular surfaces of talus (anterior/posterior/middle)
uniaxial: gliding
gh (arthrokinematics)
anterior/posterior/inferior/superior glide
hu
anterior/posterior glide, medial/lateral glide/gap (valgus, varus)
hr
anterior/posterior glide, medial/lateral glide
pru
anterior/posterior glide
dru
anterior/posterior glide
rc
anterior/posterior glide, lateral/medial glide
cmc1
anterior/posterior, medial/lateral glides
af
anterior/posterior, inferior/superior glides, (Lateral glide?)
tf
anterior/posterior glide, medial/lateral gap
pf
lateral/medial, superior/inferior glides
tc
anterior/posterior glide
subtal
medial/lateral glide
CIs
CIs:
hypermobility,
joint effusion,
closed pack position,
using corticosteroids,
weak CT,
decreased circulation,
bone disease,
fracture,
total joint replacement,
systemic CT disorder,
acute arthritis,
ANKYLOSIS
indications
decrease pain
mechanically stimulate synovial space
reverse hypomobility
correct postural/biomechanical faults
slow down mechanical restrictions (E.g. adhesions) from trauma or disease
increase mobility post-immobilization
decrease reflex muscle guarding
ind?
pain that doesn’t involve any CIs
poor posture that “
hypomobility “
adhesions