Joint Mobilization OP

Question 1

Knee Joint Distraction

Answer 1

Seated
Knee loose packed - at least 25 degrees flexion
kneeling at knee, both hands on distal tibia, pulling down to floor

Question 2

Ankle Distraction

Answer 2

At edge of table, seated/supine
one hand on neck of talus (ant hand)
other on post. talus and calcaneous
pulling talus distally , use weight to get traction
If squeeze enough, traction is achieved

Question 3

Femur Distraction

Answer 3

Supine
shoulder under knee, leg rests on shoulder,
hip joint 30 degrees of flexion/abduction slight external rotation
hands around proximal thigh at side of table, move femur from acetabulum at 90 degrees. use body weight

Question 4

Knee Joint Ventral Glide

Answer 4

Supine

Hip and knee flexed, foot flat on table. hands on either side of patellar lig. and pull towards self

Question 5

Knee Joint Dorsal Glide

Answer 5

Supine

Hip and knee flexed, foot flat on table. hands on either side of patellar lig. and push away from self

Question 6

Knee Joint Rotation

Answer 6

Seated or Prone
knee bent, both hands on distal leg, proximal to malleoli, distract leg from thigh and apply grade 1 rotation medial and lateral.

Question 7

Ankle Posterior Glide

Answer 7

Supine
foot off edge of table, ankle resting position (10 degres plantar flexion)
at side of table, grab distal leg and other hand just distal to malleoli (talus) and slide hand posterior

Question 8

Ankle Anterior Glide

Answer 8

Supine
foot off edge of table, ankle resting position (10 degres plantar flexion)
at side of table, grab distal leg and other hand cups calcaneous.
forearm can direct foot in correct position
bring calcaneous/talus into ant. slide

Question 9

Hip Joint Dorsal Glide ??

Answer 9

Supine
At side of table, facing hip, hip in slight flexion
Far hand supports distal thigh at medial side of knee,
close hand rests over ant. prox. thigh
Use body weight to pull prox thigh dorsally

Question 10

Hip Joint Ventral Glide ??

Answer 10

Prone, PILLOW UNDER ABDOMEN
At side of table, facing hip,
unsure

Question 11

Hip Joint Long-Axis Traction

Answer 11

Supine
hip resting position (30 degrees flexion/abduction/slight External rotation)
Grasp distal thigh with both hands, pull down

Question 12

Superior Tibiofibular Joint Dorsal /Ventral Glide

Answer 12

ASSESSMENT -
Supine
Straight leg
Using thumb and index/middle grip fibular head
Other hand passively dorsiflexes foot, feel for movement
TREATMENT
Supine, hip and knee are flexed, foot flat on table
Sit on patients foot, one hand stabilizes tibial tuberosity
Other hand thumb on fibula, o rest of hand on gastrocs
use body to mobilize

Question 13

Inferior Tibiofibular Joint Ventral Glide

Answer 13

Prone / Supine
Ankle to be treated on pillow
At foot of table, Hold on to Tibia, other hand at lateral malleolus, push away

Question 14

Inferior Tibiofibular Joint Dorsal Glide

Answer 14

Supine
Ankle to be treated on pillow
At foot of table, Hold on to Tibia, other hand at lateral malleolus, bring towards

Question 15

Subtalar Joint Distraction

Answer 15

Seated or Supine
Foot in resting position
Grip distal leg between thumb and index, other hand cups calcaneous
Mobilizing hand pulls calcaneous distally

Question 16

Subtalar Joint Inversion/Eversion

Answer 16

Seated or Supine
Foot in resting position
Grip distal leg between thumb and index, other hand cups calcaneous
Mobilizing hand pulls calcaneous distally then rotates inversion/eversion with forearm on foot to stabilize

Question 17

Patellofemoral Joint Glides (all)

Answer 17

Supine
Knee extended pillow beneath knee
using thumbs or thenar webspace to manupulate

Question 18

Talonavicular Joint Dorsal/Plantar Glides

Answer 18

Supine

hands together over talus and navicular and move anterior and posterior

Question 19

Cuneonavicular Joint Dorsal/Plantar Glide

Answer 19

Same I know this one but remember posterior and anterior, as well as eversion and inversion

Question 20

Calcaneocuboid Joint Dorsal/Plantar Glide

Answer 20

Supine
One hand holds Calcaneous, the other thumb on bottom of cuboid(on meaty part of lateral foot), index on top and moves to midfoot eversion and inversion

Question 21

Tarsometatarsal Joint Rotation

Answer 21

Supine
Facing side of foot, wrap thenar webspace around 3 cuneforms, and then same thing around metatarsals, hands tight together
move eversion and inversion

Question 22

Tarsometatarsal Joint Dorsal/Plantar Glides

Answer 22

Supine
Facing side of foot, wrap thenar webspace around 3 cuneforms, and then same thing around metatarsals, hands tight together
move plantar and dorsal

Question 23

Distal Intermetatarsal Joint Dorsal/Plantar Glides

Answer 23

Supine, Foot in neutral

grip the 2nd metatarsal, and then move 1st, 3rd,4th,5th, post. and ant.

Question 24

MTP/ and IP Joint Distraction

Answer 24

Supine, Foot in neutral

grip the 2nd metatarsal, and then move 1st, 3rd,4th,5th, move distally

Question 25

MTP and IP Joint Dorsal/Plantar Glides

Answer 25

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