Joint Mobilizations Flashcards

1
Q

Explain the effects of joint mobilization

A

Neurological Effects: Reduce M. Spasm & Guarding (relaxing)
Nutritional Effects: Synovial Fluid Movement
Mechanical Effects: Improves Mobility of Hypomobile Joints

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2
Q

Explain the process of how joint mobs help to reduce muscle spasming and guarding?

A

Small amplitude JM stimulate mechanoreceptors that inhibit nocioceptive stimulation

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3
Q

What are the open and closed pack positions for the wrist?

A

Open: 0 deg
Closed: Full flexion

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4
Q

What are the open and closed pack positions for the Glenohumeral joint?

A

Open: 55 deg flexion, 30 deg HorABD
Closed: Full ABD, full ER

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5
Q

What are the open and closed pack positions for the Knee Tibiofemoral?

A

Open: 20-25 deg flexion
Closed: Full extension, lateral tibial ER

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6
Q

What are the open and closed pack positions for the Knee Patellofemoral?

A

Open: Full knee extension
Closed: Full knee flexion

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7
Q

What are the open and closed pack positions for the Ankle Talocrural?

A

Open: 10 Deg PF
Closed: Full dorsiflexion

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8
Q

Explain Osteokinematics

A

Deals w/ movement of the bones w/ the DISTAL part being the reference. There is a mechanical axis.

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9
Q

Osteokinematics: Explain spin

A

movement of a bone about a stationary axis

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10
Q

Osteokinematics: Explain swing

A

Movement other than pure spin

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11
Q

Arthrokinematics: Explain it

A

Movement between joint surfaces. In most movements in our synovial joints role and glide take place simultaneously.

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12
Q

Arthrokinematics: Explain spin

A

Rotation around a stationary mechanical axis.

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13
Q

Arhrokinematics: Explain Roll

A

Movement in which points at intervals on a moving joint surface contact the same intervals on the opposing surfaces.

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14
Q

Arhrokinematics: Glide

A

Movement in which a single contact point on the moving surface contacts numerous points on the opposing surface.

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15
Q

When is the joint most likely to dislocate?

A

When rolling takes place in the joint. If only glide, impingement of the opposing joint surfaces would prevent full ROM.

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16
Q

T/F

All synovial joints are concave or convex?

17
Q

Roll will always follow the direction of the ______?

A

Bone that is moving

18
Q

Who does one determine the direction of the glide?

A

Need to know the shape of the joint surfaces & which surface is stationary & moving.

19
Q

Concave surface is stationary &

convex surface is moving, what is the gliding movement?

A

Gliding movement in the joint is OPPOSITE direction of the roll

20
Q

Convex surface is stationary & concave surface is moving, what is the gliding movement?

A

Gliding movement in the joint occurs in the SAME direction as the roll

21
Q

Describe grade 1 JM

A

Small amp movements at beginning of available ROM

22
Q

Describe grade 2 JM

A

Large amp movements within available ROM

23
Q

Describe grade 3 JM

A

Large amp movements that reaches the end ROM

24
Q

Describe grade 4 JM

A

Small amp movement at the very end ROM

25
Describe grade 5 Jm
High velocity thrust of small amp at end of available range & within anatomical range (Manipulation)
26
Contraindications for JM
1. Malignancy in area of Trx 2. Infection arthritis 3. Metabolic bone disease 4. Neoplastic disease 5. Fusion 6. Osteomyelitis 7. Fractures
27
Precautions for JM
1. Excessive pain or swelling 2. Arthroplasty 3. Pregnancy 4. Hypermobility 5. Spondylolisthesis 6. Rheumatoid arthritis
28
What are the parameters for Oscillation when JMing?
- 60-120/min - 1-5 sets of 60 seconds Generally used to treat pain
29
What are the parameters for the Prolonged Hold method when JMing?
- 30-60 seconds - 1-5 reps Typically applied at end range to treat stiffness
30
What are the purposes for the different JM grades?
Grade 1 - pain control Grade 2 - pain control & nutrition of synovial fluid Grade 3 & 4 - ROM Grade 5 - Manipulation