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Joint Mobilizations > Joint Mobilization (Week 3) > Flashcards

Joint Mobilization (Week 3) Flashcards

1
Q

What are the loose-pack and close-pack positions for the Calcaneocuboid joint?

A

• Loose-Pack Position: Midway between pronation and supination.
• Close-Pack Position: Full supination.

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2
Q

What is the patient position for mobilizing the Calcaneocuboid joint?

A

The patient can be in a supine position or prone with the knee flexed as needed.

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3
Q

Describe the therapist position for mobilizing the Calcaneocuboid joint.

A

• The therapist should face the plantar aspect of the patient’s foot.
• Stabilizing/Medial Hand: Grasp the calcaneus.
• Mobilizing/Lateral Hand: Pinch the cuboid.

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4
Q

What are the mobilization techniques for the Calcaneocuboid joint?

A

Mobilize the cuboid in a dorsal or plantar direction.

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5
Q

What are the uses of dorsal and plantar glides for the Calcaneocuboid joint?

A

• Dorsal Glide: To improve midfoot eversion/pronation.
• Plantar Glide: To improve midfoot inversion/supination.

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6
Q

What are the loose-pack and close-pack positions for the Subtalar joint?

A

• Loose-Pack Position: Midway between inversion and eversion.
• Close-Pack Position: Full inversion (some sources say supination).

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7
Q

What is the patient position for mobilizing the Subtalar joint?

A

The patient can be supine or prone.

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8
Q

Describe the therapist position for Subtalar joint distraction.

A

• Therapist Position: At the end of the table.
• Stabilizing/Anterior Hand: Grasps the neck of the talus.

For a supine patient, the therapist may:
• Externally rotate the hip so the talocrural joint can be stabilized in dorsiflexion with thigh pressure (using a barrier).
• Use a hand placement similar to talocrural distraction, stabilizing the talus with the proximal hand.

• Mobilizing/Posterior Hand: Grasps the posterior calcaneus.

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9
Q

What is the mobilization technique for the Subtalar joint?

A

Distract the calcaneus distally using body weight, ensuring the ankle position does not change regarding dorsiflexion or plantarflexion.

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10
Q

What is the primary use of Subtalar joint distraction?

A

To improve general subtalar mobility.

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11
Q

What are the patient position options for the Subtalar joint lateral glide?

A

• Prone/Sidelying Option: Prone or sidelying with the affected leg on the bottom and a pillow or towel roll under the ankle.
• Supine Option: Supine with a towel under the ankle.

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12
Q

Describe the therapist position for the Subtalar joint lateral glide when the patient is prone or sidelying.

A

• Prone: Therapist is at the end of the table, facing the medial side of the patient’s foot.
• Sidelying: Therapist is at the end of the table, facing the anterior or posterior aspect of the patient’s foot.
• Stabilizing/Proximal Hand: Grasps the talus.
• Mobilizing/Distal Hand: Positions the base of the palm against the medial side of the calcaneus.

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13
Q

Describe the therapist position for the Subtalar joint lateral glide when the patient is supine.

A

• Therapist is at the end of the table, facing the lateral aspect of the foot.
• Stabilizing/Proximal Hand: Grasps the talus with the webspace.
• Mobilizing/Distal Hand: Grasps the posterior aspect of the calcaneus.

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14
Q

What is the mobilization technique for the Subtalar joint lateral glide in all position options?

A

Distract the calcaneus distally (in the supine position), then glide the calcaneus laterally using body weight, ensuring the subtalar joint position remains stable regarding inversion/eversion.

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15
Q

What is the primary use of the lateral glide mobilization for the Subtalar joint?

A

To improve inversion.

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16
Q

What are the patient position options for the Subtalar joint medial glide?

A

• Prone/Sidelying Option: Prone or sidelying with the affected leg on top and a pillow or towel roll under the ankle.
• Supine Option: Supine with a towel under the ankle.

17
Q

Describe the therapist position for the Subtalar joint medial glide when the patient is prone or sidelying.

A

• Prone: Therapist is at the end of the table, facing the lateral side of the patient’s foot.
• Sidelying: Therapist is at the end of the table, facing the anterior or posterior aspect of the patient’s foot.
• Stabilizing/Proximal Hand: Grasps the talus.
• Mobilizing/Distal Hand: Positions the base of the palm against the lateral side of the calcaneus.

18
Q

Describe the therapist position for the Subtalar joint medial glide when the patient is supine.

A

• Therapist is at the end of the table, facing the lateral aspect of the foot.
• Stabilizing/Proximal Hand: Grasps the talus with the webspace.
• Mobilizing/Distal Hand: Grasps the posterior aspect of the calcaneus.

19
Q

What is the mobilization technique for the Subtalar joint medial glide in all position options?

A

Distract the calcaneus distally (in the supine position), then glide the calcaneus medially using body weight, ensuring the subtalar joint position remains stable regarding inversion/eversion.

20
Q

What is the primary use of the medial glide mobilization for the Subtalar joint?

A

To improve eversion.

21
Q

What is the loose-pack position for Talocrural Joint Distraction?

A

10° plantarflexion, midway between inversion and eversion.

22
Q

What is the close-pack position for Talocrural Joint Distraction?

A

Maximum dorsiflexion.

23
Q

What is the patient position for Talocrural Joint Distraction?

A

Seated or supine.

24
Q

Describe therapist positioning - Option 1 - for Talocrural Joint Distraction.

A

Anterior hand grasps the neck of the talus, posterior hand grasps the posterior talus and calcaneus.

25
Q

Describe therapist positioning - Option 2 - for Talocrural Joint Distraction.

A

Wrap the fingers of both hands over the dorsum of the patient’s foot, placing thumbs on the plantar surface of the foot.

26
Q

What is the mobilization technique for Talocrural Joint Distraction?

A

Both hands distract the talus from the mortise (distally), using body weight, keeping the ankle in neutral.

27
Q

What are the uses of Talocrural Joint Distraction?

A

To improve general ankle/talocrural mobility, control pain, increase nutrition to articular structures, and help with old ankle sprains if the talus is out of alignment.

28
Q

What is the patient position for Talocrural Joint Posterior Glide?

A

Supine with a pillow or towel roll under the distal leg.

29
Q

Describe the therapist’s position for Talocrural Joint Posterior Glide.

A

At the side of the table, facing the patient’s ankle; the superior hand stabilizes the distal leg at the malleoli, and the inferior hand grasps the neck of the talus with the webspace, with the thumb and index fingers just distal to the malleoli, pointing posteriorly.

30
Q

How is the mobilization performed for Talocrural Joint Posterior Glide?

A

Mobilize the talus posteriorly using body weight without allowing changes in ankle dorsiflexion/plantarflexion.

31
Q

What is the primary use of the Talocrural Joint Posterior Glide?

A

To improve dorsiflexion.

32
Q

What is the patient position for Talocrural Joint Anterior Glide?

A

Supine or prone with a pillow or towel roll under the distal leg.

33
Q

Describe the therapist’s position for Talocrural Joint Anterior Glide with the patient prone.

A

At the side of the table, facing the patient’s ankle; the superior hand stabilizes the distal leg by grasping the malleoli anteriorly, and the inferior hand grasps the posterior talus/calcaneus (similar to the Anterior Drawer Test).

34
Q

How is the therapist’s position modified for Talocrural Joint Anterior Glide with the patient supine?

A

It is similar to the Anterior Drawer Test of the ankle.

35
Q

How is the mobilization performed for Talocrural Joint Anterior Glide?

A

Mobilize the talus anteriorly using body weight without allowing changes in ankle dorsiflexion/plantarflexion.

Joint Mobilizations (4 decks)

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