Joint Play Flashcards
Joint Play Rules
1
The patient should be relaxed and fully supported
Joint Play Rules
2
The examiner should be relaxed and should use a firm but comfortable grasp
Joint Play Rules
3
One joint should be examined at a time
Joint Play Rules
4
One movement should be examined at a time
Joint Play Rules
5
The unaffected side should be tested first
Joint Play Rules
6
One articular surface is stabalized, while the other surface is moved
Joint Play Rules
7
Movements should not be forces
Joint Play Rules
8
Movements should not caus undue discomfort
Principles of Joint Play
1
The client must be relaxed This is to ensure no muscle guarding occurs across the joint to be mobilized, as this may make the mobilization ineffective.
Principles of Joint Play
2
The therapist must be relaxed and comfortable Full attention must be paid to the mobilization. The therapist may have to sustain the therapy for as long as needed.
Principles of Joint Play
3
Mobilize the distal articular surface on the proximal articular surface if possible An exception to this is the ankle or if the patient is unable due to pain.
Principles of Joint Play
4
Do not mobolize when the joint surfaces are fully approximated or close packed This will create too much friction between the articular surfaces.
Principles of Joint Play
5
Position the joint by moving the joint to the point of restriction and then back off by approximately 10 degrees, then perform the mobilization technique.
Principles of Joint Play
6
Mobolize one joint, in one direction and at one time An exception to this rule is in the wrist, hand and foot where there is often more than one joint being affected.
Principles of Joint Play
7
Do not mobolize the joint if the patient is experiencing pain during the mobolization This may increase the inflammatory response, and muscle guarding.
Principles of Joint Play
8
Assessment of a joint with joint play should always be in a loose or resting positionThis helps to determine the amount of glide available in the joint.
Principles of Joint Play
9
Correct stabilization of other body parts are essential for the joint mobilization to be effective.
Principles of Joint Play
10
Do not lever a joint. Do not perform a long lever roll manipulation. Joint play is a direction mobilization that is performed in the direction of glide.
Principles of Joint Play
11
Use pillows, rolled up towels, or high-density foam blocks to help stabilize the proximal joint surface.
Principles of Joint Play
12
Watch for patient discomfort.
Patients do not always verbally express their levels of discomfort, however pain may become evident with facial expression and/or muscle guarding.
Talocrural or Ankle joint
Closed Packed Position
Maximum Dorsiflexion
CI’s Joint Play
1 - 3
/12
- Hypermobility
- Bacterial infection
- Recent fracture
CI’s Joint Play
4 - 6
/12
4- Inflammation
5- Excessive Pain
6- Joint Replacement
CI’s Joint Play
7 - 9
/12
7- Joint Effusion
8- Acute inflammatory Disease
9- Previous dislocation
CI’s Joint Play
10 - 12
/12
10- Neoplasm or Cancer
11- Joint Sepsis
12- Systemis connective disease (RA) & Elderly with weakened connective tissue
Absolute CI for joint play
Cancer
