Joint Mobs Lec ch5k/c Object #4 & other terms to know

Question 1

What is a contracture?

Answer 1

A permanent shortening (as of muscle, tendon, or scar tissue) producing deformity or distortion. pg.73k/c

Question 2

What is tightness?

Answer 2

describes restricted motion due to adaptive shortening of soft tissue pg.73k/c

Question 3

What is an Irreversible Contracture ?

Answer 3

is a permanent loss of flexibility of soft tissue that cannot elongate or released by non-surgical methods. The elastic tissues are replaced by non-elastic tissues as bone, fibrosis and scar tissues.

Question 4

What is Overstretching?

Answer 4

Is a stretch well beyond the normal length of muscle and ROM of a joint and the surrounding soft tissue.

Question 5

What is Selective Stretching

Answer 5

Is a process whereby the overall function of a patient may be improved by applying stretching techniques selectively to some muscles and joints but allowing limitation of motion to develop in other muscles or joints

Question 6

What is Passive Stretching

Answer 6

patient is as relaxed as possible p.75k/c

Question 7

What is Active Inhibition

Answer 7

Procedures to relax tension in shortened muscles reflexively prior to or during muscle elongation. p.75 k/c

Question 8

Mobilization/Manipulation

Answer 8

They are passive, skilled manual therapy techniques applied to joints and related soft tissues at varying speeds and amplitudes using physiological or accessory motions for therapeutic purposes. p.120k/c

Question 9

Self Mobilization (Auto Mobilization)

Answer 9

“self-stretching” techniques that specifically use joint traction or glides that direct the stretch force to the joint capsule. p.120k/c

Question 10

Mobilization with Movement (MWM)

Answer 10

is the concurrent application of sustained accessory mobilization applied by a therapist and an active physiological movement to end-range applied by the patient. A.K.A Mulligan Mobs (Brian)
Active movements from your pt. while PT gives some distraction. p.120k/c

Question 11

Physiological Movements

Answer 11

Are movements the patient can do voluntarily (flexion, abd, and rotation) 
Also known as osteokinematic movement, if motions of the bones are described

Question 12

Accessory Movements

Answer 12

Are movements in the joint and surrounding tissues that are necessary for normal ROM but that cannot be actively performed by the patient. (roll, slide, glide)Terms related are component motions or joint play: Component motions & Joint Play

Question 13

Accessory Movements (Component motions)

Answer 13

Motions that accompany active motion but are not under voluntary control
Ex: upward rotation of scapula with shoulder flexion

Question 14

Accessory Movements (Joint Play)

Answer 14

Motions that occur between the joint surfaces and also the distensibility or “give” in the joint capsule, which allows the bones to move.Motions that occur within the joint and are necessary for normal ROM.
Can be done Passively but not performed actively by patient. p.121 k/c

Question 15

Thrust (HVT)

Answer 15

refers to high-velocity, short-amplitude techniques, such that the patient can not prevent the motion.. The trust is performed at the end of the pathological limit(or available ROM) of the joint and is intended to alter positional relationships, snap adhesions, or stimulate joint receptors. P.120k/c
NOTE:technique is beyond the scope of a PTA

Question 16

Manipulation under Anesthesia

Answer 16

• Is a procedure used to restore full ROM by breaking adhesions around a joint while the patient is anesthetized.
• Technique may be a rapid thrust or passive stretch using osteokinematic (physiological) or accessory movements.

Question 17

Muscle Energy Techniques (MET)

Answer 17

• Use active contraction of deep muscles that attach near the joint and whose line of pull can cause the desired accessory motion(spin,glide,roll).
• To perform this technique, the therapist provides stabilization at the distal end of the muscle attachment and directs patient to perform an isometric contraction that causes an accessory movement of the joint.