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Advance Rehab > Joint Mobilizations > Flashcards

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?

A

True

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
Q

Describe grade 5 Jm

A

High velocity thrust of small amp at end of available range & within anatomical range (Manipulation)

26
Q

Contraindications for JM

A
  1. Malignancy in area of Trx
  2. Infection arthritis
  3. Metabolic bone disease
  4. Neoplastic disease
  5. Fusion
  6. Osteomyelitis
  7. Fractures
27
Q

Precautions for JM

A
  1. Excessive pain or swelling
  2. Arthroplasty
  3. Pregnancy
  4. Hypermobility
  5. Spondylolisthesis
  6. Rheumatoid arthritis
28
Q

What are the parameters for Oscillation when JMing?

A
  • 60-120/min
  • 1-5 sets of 60 seconds
    Generally used to treat pain
29
Q

What are the parameters for the Prolonged Hold method when JMing?

A
  • 30-60 seconds
  • 1-5 reps
    Typically applied at end range to treat stiffness
30
Q

What are the purposes for the different JM grades?

A

Grade 1 - pain control
Grade 2 - pain control & nutrition of synovial fluid
Grade 3 & 4 - ROM
Grade 5 - Manipulation

Advance Rehab (3 decks)

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