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Fundamentals > Joint Mobilizations > Flashcards

Joint Mobilizations Flashcards

1
Q

joint mobilization/manipulation

A

manual therapy technique comprising a continuum of passive movements at joints/soft tissues applies at varying speeds and amplitudes

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2
Q

joint play

A

assessment/examination of accessory motions at a joint

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3
Q

accessory motions

A

motion occurring between 2 joint surfaces that are produced by the examiner only

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4
Q

thrust/manipulation

A

high velocity, low amplitude therapeutic movement within or at end range of motion; grade V mobilization–manipulation

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5
Q

non-thrust

A

manipulations without thrust (grade I-IV)

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6
Q

osteokinematics

A

physiological movements that take place at a joint–the position of one bone in relation to the other due to muscle contraction/gravity

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7
Q

arthrokinematics

A

movement between two articulating surfaces without reference to any external force being applied

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8
Q

types of accessory motions

A

roll, glide, spin, compression, distraction

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9
Q

roll

A

series of points comes in contact with a series of points on another

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10
Q

glide

A

specific point on one surface comes into contact with series of points on another

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11
Q

spin

A

one bone rotates around a stationary longitudinal axis; creates an arc of a circle

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12
Q

compression

A

Decrease in joint space, adds stability, normal reaction of joint to muscle contraction

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13
Q

distraction

A

two surfaces pulled apart, used with joint mob to increase capsule stretch

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14
Q

concave on convex

A

osteokinematic and arthrokinematic occur in the same direction

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15
Q

convex on concave

A

osteokinematic and arthrokinematic occur in opposite direction

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16
Q

treatment plane

A

lies on the concave articular surface

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17
Q

glide occurs

A

parallel to treatment plane

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18
Q

distraction occurs

A

perpendicular to treatment plane

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19
Q

zero position

A

osteokinematic/arthrokinematic anatomical position–starting position for goniometry

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20
Q

resting position

A

loose packed position; arthrokinematic position where capsule is most relaxed, joint play is greatest

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21
Q

Actual resting position

A

position joint is placed when cant have resting position

22
Q

closed pack position

A

arthrokinematic position where joint capsule and periarticular tissues are most taut, joint surfaces are most congruent

23
Q

kaltenborn

A

grades for distraction

24
Q

maitland

A

grades for glide

25
Q

kaltenborn grade I

A

slow, small amplitude within limit of joint motion, not through first stop

26
Q

kaltenborn grade II

A

slow, larger amplitude that takes to the limit of joint motion up to first stop

27
Q

kaltenborn grade I affects

A

pain fibers

28
Q

kaltenborn grade II affects

A

pain fibers and capsule

29
Q

kaltenborn grade III

A

slow, even larger amplitude that takes through available motion and into resistance past the first stop

30
Q

kaltenborn grade III affects

A

capsule, periarticular structures

31
Q

maitland grade I

A

slow, small amplitude, not to limit or first stop, beginning of range

32
Q

maitland grade I affects

A

pain receptors, little stress to capsule

33
Q

maitland grade II

A

slow, large amplitude not to limit; beginning 1/2 of range

34
Q

maitland grade II affects

A

pain receptors, joint capsule, periarticular structure

35
Q

maitland grade III

A

slow, large amplitude takes joint to 1st tissue stop and back down into 1/2 of elastic range

36
Q

maitland grade III affects

A

joint capsule, periarticular structures, progression glide to grade IV

37
Q

maitland grade IV

A

slow, small amplitude performed through limit and into tissue resistance, through 1st stop and never back to elastic range

38
Q

maitland grade IV affects

A

joint capsule/periarticular structures

39
Q

maitland grade V

A

high velocity, small amplitude non-oscillatory that begins at limit and continues past 1st stop; difficult to control

40
Q

maitland grade V affects

A

joint capsule/periarticular structures, adhesions, positional faults

41
Q

3 categories describing arthrokinetic mobility

A
  1. hypomobile
  2. normal
  3. hypermobile
42
Q

documentation of joint play

A

describe direction, grade for treatment and assessment, reps, duration

43
Q

stable hand

A

close to joint line, ability to palpate joint line

44
Q

mobile hand

A

close to joint line, forearm perpendicular to bone

45
Q

why test joint play?

A

determine if ROM is due to joint capsule or periarticular structures
determine mobility of joint
determine end feel of accessory motion: bony or firm
determine if ligaments are compromised
establish baseline
determine progress

46
Q

indications for joint mob

A

decreased joint extensability
immobilization and inflammation: joint capsule and soft tissues affected, decrease in water content of tissue, increase in cross linkage, decreased strength of collagen–joint mob is thought to reverse by promoting movement

47
Q

factors affecting joint extensibility

A

tissues respond to external force acc to stress strain curve
force used
speed
number of repetitions

48
Q

what do we treat with joint mob

A

positional faults (grade IV/V)
decreased nutrition (grade I-IV)
pain (grade I/I-II)
bony compression of a joint (kaltenborn I-III)
adhesions maitland III IV V
relaxation maitland I II
tissue extensibility maitland IV V, kaltenborn II-III

49
Q

how does joint mob affect pain

A

stimulation of joint receptors that block pain impulses through gate control mechanism and stimulating fast conducting large diameter proprioceptive nerve fibers that block transmission of slow small diameter pain fibers which decrease pain transmission to brain

50
Q

contraindications to JM

A 
unstable joint
recent fracture
over open epiphyseal plates
considerable joint effusion (could aggravate, make joint seem hypomobile)
ankylosing/fused joints
advanced diabetes
bony disease
undiagnosed pain
exacerbated stages of RA
51
Q

precautions to JM

A

joint irritability/pain
protective muscle spasm
irritability of adjacent joint structures
chronic debilitating disease

52
Q

capsular pattern

A

each joint has one–if LOM matches pattern, then need to treat each limitation because entire capsule is involved

Fundamentals (6 decks)

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