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Clinical Practice > Joint Mobilizations > Flashcards

Joint Mobilizations Flashcards

1
Q

What did Mennell contribute to joint mobilizations?

A

Joint adhesions, differential Dx

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2
Q

What did Cyriax contribute to joint mobilizations?

A

STTT, capsular patterns, thrust techniques

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3
Q

What did Kaltenborn contribute to joint mobilizations?

A

Loose/close-pack, concave/convex

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4
Q

What did Mulligan contribute to joint mobilizations?

A

Mobilization with movement

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5
Q

What did Maitland contribute to joint mobilizations?

A

Grades, oscillatory movements

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6
Q

Who are two other important contributors to joint mobilizations?

A

Paris and McKenzie

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7
Q

What is the difference between a mobilization and manipulation?

A

A mobilization has a slower-velocity. The speed/technique is such that it can be controlled/resisted by patient PRN.
A manipulation has a higher velocity. The patient cannot resist/control it.

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8
Q

Why is it important to understand the arthrokinematics and osteokinematics of a joint when doing joint mobilizations?

A

When a motion is restricted osteokinematically, you need to know which direction to mobilize the joint. This requires knowing the arthrokinematics of the joint.

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9
Q

What is the open-packed (resting) position?

A

The open packed position is where the joint is the loosest.

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10
Q

What is the close-packed position of a joint?

A

It is the position where the joint structures are the tightest.

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11
Q

What is the zero position of a joint?

A

Anatomical position of the joint

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12
Q

What is the goal of joint play?

A
  • Accessory motions
  • Used to assess joint pathology
  • Used in treatment
  • Normal joint play is essential for normal, pain-free ROM
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13
Q

Which direction do you move the articular surface when assessing joint play?

A

Parallel or perpendicular to treatment plane

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14
Q

What joint position should you perform joint play in?

A

Start by using the open-packed position.

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15
Q

What surface is the treatment plane based off?

A

The treatment plane is based off the concave surface.

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16
Q

If you are moving the convex surface, what happens to the treatment plane?

A

Nothing because the treatment plane is based off the concave surface.

17
Q

If you are moving the concave surface, what happens to the treatment plane?

A

The treatment plane will move if you move the concave surface.

18
Q

What are the three joint play motions?

A
  • Traction (distraction)
  • Compression
  • Glides
19
Q

What methods can you use to determine the direction of restricted gliding?

A
  • Direct method (glide test)

- Indirect method

20
Q

Why would you use the direct method?

A
  • Gives the most accurate info

- Jt gliding is performed in all directions - includes assessment of end-feel

21
Q

When would you use the indirect method?

A
  • Used when glide tests cannot be performed (severe pain/spasm)
  • Based on convex-concave rule
22
Q

How is hypomobility graded?

A 
0 = no movement
1 = considerably decreased movement
2 = slightly decreased movement
23
Q

What is a normal grading for joint play?

A

3 = normal

24
Q

How is hypermobility graded for joint play?

A 
4 = slightly increased movement
5 = considerably increased movement
6 = complete instability
25
Q

Normal mobility and no pain =

A

no lesion

26
Q

Normal mobility and pain =

A

mild sprain

27
Q

Hypomobile and painless =

A

tight, adhesion, contracture

28
Q

Hypomobile and pain =

A

more acute sprain, muscle guarding

29
Q

Hypermobile and painless =

A

chronic instability, nerve damage, complete tear/rupture

30
Q

Hypermobile and pain =

A

Tear with some attachment still

31
Q

What are some indications for joint mobilization?

A
  • Assessment and testing of joint function
  • Joint dysfunction
  • Pain
32
Q

What are the effects of immobilization?

A
  • Cartilage degeneration
  • Decreased mechanical and structural properties of ligaments
  • Decreased bone density
  • Weakness/atrophy of muscles

Clinical Practice (19 decks)

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