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CP 2 > joint mobilizations - types & technique > Flashcards

joint mobilizations - types & technique Flashcards

1
Q

what are the types of joint mobs

A

distraction
oscillation mobilization
sustained hold mobilization
manipulations

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2
Q

what are the target impairments of oscillation mobilizations and manipulations

A

guarding, pain, joint hypomobility

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3
Q

what do you need to consider in regards to oscillation mobilizations and manipulations

A

address extensibility

consider stress strain curve of collagen tissue when considering efficacy of joint mob for improved mobility

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4
Q

what are the target impairments for sustained hold mobs

A

joint mobility: end range

pain: beginning range to mid range

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5
Q

what do you need to address in regards to sustained hold mobs

A

tissue extensibility directly to allow motion (when enough force applied for enough time according to stress strain curve for collagen)

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6
Q

what is the joint position during mobilizations

A

resting position
when wanting to improve ROM, at end ROM if tolerable
one half of joint should be stabilized, while other half is mobilized

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7
Q

what is the therapist position during mobilizations

A

both stabilizing and mobilizing hands should be as close as possible to joint line
clinicians hands should make maximum contact with patients body

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8
Q

what is the directions of mobilization

A

based on convex/concave rule and which part of joint is being mobilized and which is being stabilized

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9
Q

oscillations

A

1-3 secs
typically 1-5 sets for 15-60 seconds

*can do more if needed

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10
Q

sustained holds

A

typically 1-5 sets for 5-30 seconds each

more commonly used to treat ROM

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11
Q

technique tips

A

allow gravity to assist
your body and mobilizing part should act as 1
body mechanics
reassess afterwards

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12
Q

where should your forearm be while performing joint mobs

A

align with the intended direction of your force

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13
Q

when should you stop for the day while performing joint mobs

A

when you see a large improvement or when improvement completely stops

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14
Q

how do you know what direction to push for joint glides

A

arthrokinematics

convex/concave rules

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15
Q

what direction should you perform grades 1 and 2

A

in the direction which initially caused their pain

open pack position

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16
Q

how do you determine which direction you perform grades 3 and 4

A
  1. determine what motion you want to improve - osteokinematic
  2. determine what joint you are mobilizing
  3. determine which part is moving and which is stationary
  4. convex / concave
  5. convex - opposite, concave - same
  6. end range
17
Q

what direction would i mobilize the femur to improve hip extension

A

anterior

18
Q

mobilization with movement

A

type: typically combined active and passive joint mob

19
Q

what is the golden rule of MWMs

A

should be painless

20
Q

what do you do if there is pain while doing MWMs

A

change direction of force, correct pressure or not use it

21
Q

what is the theory of MWMs

A

bony positional faults contribute to painful joint restrictions

22
Q

what are the guidelines for MWMs

A

pain free
apply 10 times before reassessing joint motion
overpressure should be applied at end range of AROM

23
Q

what direction of joint glide would you perform in non-weight bearing to improve ROM in ankle dorsiflexion

A

posterior

24
Q

what direction of joint glide would you perform in non-weight bearing to improve ROM in tibiofemoral flexion

A

posterior

25
Q

what direction of joint glide would you perform in non-weight bearing to improve ROM in GH IR

A

posterior

26
Q

what direction of joint glide would you perform in non-weight bearing to improve ROM in radiocarpal extension

A

anterior

27
Q

what grade of joint mob glides would you want to perform for GH hypomobility without pain

A

grade 3 and 4

28
Q

what grade of joint mob glides would you want to perform for GH pain without hypomobility

A

grade 1 and 2, grade 5

29
Q

what grade of joint mob glides would you want to perform for GH hypomobility with pain

A

grade 1 and 2 then 3 and 4

30
Q

what are we working to improve if the a grade 3 GH joint distraction is done

A

stretching, general mobility

31
Q

what are we working to improve if the a grade 2 inferior patellofemoral mob is done

A

pain

32
Q

what are we working to improve if the a grade 3 anterior hip mob is done

A

hip extension

33
Q

what are we working to improve if the a grade 3 posterior radiohumeral mob is done

A

elbow extension

CP 2 (26 decks)

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