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PT 670 > JointMobilizations brainscape > Flashcards

JointMobilizations brainscape Flashcards

1
Q

Joint Play

A

The assessment f accessry motions at a Joint→examinatin f Joint

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2
Q

Thrust

A

High velcity, low amplitude therapeutic mvement within r at the end range f motion
Thrust is anther name used for manipulatin r grade 5 mbilizatin.

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3
Q

Nn-thrust

A

Thse manipulatins that d nt invlve thrust

Anther term used for grade I-IV mbilizatins.

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4
Q

stekinematics

A

Physilgical mvements that take place at a Joint
The position f one bone in relatinship to other bone
Due tomuscle cntractin r gravity

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5
Q

Arthrkinematics

A

Mvement between tw articulating surfaces withut reference t any external force being applied t the Joint

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6
Q

Accessory Motion

A

Mvement ccurring between tw Joint surfaces that are prduced by forces applied by the examiner
Assessed by applying external forces t the Joint
Necessary for normal rangeo f motion and are not under vluntary cntrl

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7
Q

Cmpressin

A

Decrease in space between tw Joint surfaces
Adds stability t a Joint
Nrmal reactin f a Joint t muscle cntractin

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8
Q

distraction

A

Tw surfaces are pulled apart

ften used in cmbinatin with Joint mbilizatins t increase stretch f capsule

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9
Q

Cncave n Cnvex

A

Gliding is in the same direction as the bone mvement
Restrictin and bny motion in the same direction
Knee flexin Restrictin: psterir glide is restricted

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10
Q

Treatment for Wrist Flexin Restrictin

A

Drsal Glide

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11
Q

Treatment for Wrist Extensin Restrictin

A

Palmar Glide

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12
Q

Treatment for Ulnar Deviatin Restrictin

A

Radial Glide

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13
Q

Treatment for Radial Deviatin Restrictin

A

Ulnar Glide

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14
Q

Treatment for Knee Flexin Restrictin

A

Psterir Glide

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15
Q

Treatment for Knee Extensin Restrictin

A

Anterir Glide

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16
Q

Treatment for Shulder Abductin Restrictin

A

Inferir Glide

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17
Q

Treatment for Shulder External Rtatin

A

Anterir Glide

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18
Q

Treatment for Shulder Internal Rtatin

A

Psterir Glide

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19
Q

Cnvex on Cncave

A

Gliding is in the oppsite direction
Restrictin and bony motion in the oppsite direction
G-H Joint decreased abd: decreased inferir glide restricted

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20
Q

Treatment Plane

A

Lies n the cncave articular surface

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21
Q

Example f Treatment Plane: Knee

A

Glidoes are parallel t the tibial Joint surface
distraction is peropendicular t the tibial Joint surface
scillatins (which can be added t glidoes) take place parallel t the tibial
Joint surface

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22
Q

Zer Psitin

A

Ostekinematic r anatmical position
Usually defined as the starting position for gnimetry
DO NOT MOBILIZE IN THIS position

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23
Q

Resting Psitin

A

Arthkinematic position where capsule and periarticular structures are most relaxed
Joint surfaces are LEAST cngruent
Joint play is greatest in this position, thus, this is the position t examine the mbility

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24
Q

Actual Resting Psitin

A

position Joint is placed in when yu can’t btain the resting position
This position is as clse t the resting position as range f motion will allw

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25
Q

Closed pack psitin

A

Joint capsule and periarticular tissues are most taut
Joint surfaces are most cngruent
Contraindicatedt perform Joint play in this position

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26
Q

Kaltenbrn Grades

A

distraction

27
Q

Maitland

A

Glides

28
Q

Kaltenbrn Grade I

A

slow, small amplitude mvement that does nt take the Joint capsule t the limit f the available Joint motion; does nt g t 1st tissue stop; unweighting Joint
Structures affected: pain fibers

29
Q

Kaltenbrn Grade III:

A

slow even larger amplitude mvement that takes the Joint through the limit f available Joint motion and int tissue resistance; through the 1st tissue stop
Structures affected: capsule and periarticular structures

30
Q

Kaltenbrn Grade II:

A

slow larger amplitude mvement that takes the Joint capsule t the limit f the available Joint motion and int tissue resistance; up t the 1st tissue stop
Structures affected: pain fibers and capsule

31
Q

Maitland Grade I

A

slow, small amplitude f oscillatry mvements that does nt take the Joint capsule t the limit f available Joint motion
Nt up t the 1st tissue stop
beginning f range
Structures affected: pain receptrs; little r n stress t the capsule/ligaments

32
Q

Maitland Grade II:

A

slow large amplitude f oscillatry mvements that does nt take the Joint capsule t the limit f the available Joint motion
nt up t the 1st tissue stop
First ½ f the range
Structures affected: pain receptrs and Joint capsule and periarticular structures (n change in length)

33
Q

Maitland Grade III:

A

slow, large amplitude f oscillatry mvements that takes the Joint up t and slightly through the limit f available Joint motion and int tissue resistance
Up t the 1st tissue stop and back dwn int ½ f the elastic range
Structures affected: Joint capsule and periarticular structures; prgressin glide t grade IV

34
Q

Maitland Grade IV:

A

slow, small amplitude f oscillatry mvements performed through the limit f available Joint motion and int the tissue resistance
Up t and slightly through the 1st tissue stop; never cmes back t the elastic range
Structures affected: Joint capsule and periarticular structures

35
Q

Mailtland Grade V:

A

High velcity, small amplitude nn-oscillatry mvement that begins at the limit f available Joint motion and takes the Joint int tissue resistance;
Starts at the 1st tissue stop and cntinues
Difficult t cntrl
Structures affected: Joint capsule and periarticular structures; adhesins, positional faults

36
Q

Hand Position-Therapist

A

Stable hand: positioned clse t the Joint line, with the ability t palpate the Joint line
90% f the time this will be the prximal bone
Mbile hand: clse t Joint line, with forearm peropendicular t the bone
90% f the time this will be the distal bone

37
Q

Body Position- Therapist

A

Close to the patient in order to
Ensure resting position is maintained during the examinatin
Minimize aberrant motions during testing and treatment

38
Q

Purpses of Joint Mbility Testing (Joint Play)

A

Determine if ↓ RM is due t Joint (capsule) r periarticular structures
Determine mbility f Joint (hyp vs. hyper)
Determine end feel f accessry motion: bny r firm
Determine if ligaments are cmprmised
Establish baseline
Determine prgress

39
Q

Imdications of Joint Play

A 
Decreased Joint extensibility/hypmbility (and abnrmal end feel Immbilizatin and inflammatin
 Joint capsule and sft tissues affected
 Decrease in water cntent f tissue
 Increase in crss linkage
 Increase in scar tissue formatin
 Decreased strength f the cllagen
40
Q

Purpse f Joint Mbilizatin

A

Joint mbilizatin is thught t reverse these cnsequences by prmotiong mvement by helping realign the fibers and decrease the crsslinks that have develped

41
Q

Extensibility and Joint Mbilizatin

A

Joint mbilizatin shuld be forceful enugh t bring the tissue t the plastic phase but nt t the breaking pint, except if gal is t break through adhesins

42
Q

Restrictin n Joint Capsule

A

Kaltenbrn 2 r higher

Maitland 3 r higher

43
Q

Factrs Affecting Extensibility

A

Amunt f force
Speed
Rapidly administered scillati

Number f repetitins
Creep

44
Q

Creep

A

Stretch int plastic phase for an increased time forame increases the amunt f extensibility than ne f shrt duratin (Gr III-IV glidoes n the Maitland scale/ Gr II/III distractions n the Kaltenbrn scale

45
Q

Impairments Treated with Joint Mbs

A

positional Faults, Decreased jing nuritin (motion necessary for nutrients t diffuse), Pain, Bny Cmpressin at Joint

46
Q

How does Joint mbs affect pain

A

Grade I Kaltenbrn and Gradoes I and II Maitland primarily wrk n pain
Joint mbilizatin decreases pain by stimulating Joint receptrs that blck pain impulses through the gate cntrl mechanism by prducing reflexive inhibitin in periarticular structures
Stimulating fast cnducting large diameter prpriceptive nerve fibers that blck transmissin f the slow cnducting small diameter pain fibers, decreasing transmissin f pain t the brain

47
Q

How does Joint mbs affect bny cmpressinq

A

Meniscal, labral, and capsular entrapment

When examining a Joint with cmpressin yu wuld find a decrease in the distraction→treat with distraction

48
Q

Pain

A

Kaltenbrn – Grade I

Mailtland-Grade I and II

49
Q

Relaxation

A

Mailtland-Grade I and II

50
Q

Decreased Joint Nutrition

A

Mailtland-Grade I-IV

51
Q

Decreased Joint Extensibiity

A

Kaltenbrn II-III

Mailtland-Grade III-IV

52
Q

Adhesions

A

Mailtland-Grade III-V

53
Q

Bony Alignment

A

Mailtland-Grade IV-V

54
Q

Increased Joint Cmpression

A

Kaltenbrn: Grade I-III

55
Q

documentationJoint Mbs

A 
Joint play to include exam grade you  gave pt and the position the Joint was in
 i.e. documentationas normal
 Joint mbilizatin for treatment
 position of the Joint
 Grade (in Rman numbers)
 Number of sets and reps
56
Q

Cntraindicatins: Joint Issues

A 
Unstable Joint (hypermbility)
 Recent foracture
 over open epiphyseal plates
 Cnsiderable Joint effusion
 Aggravate Joint
 May make Joint appear hypombile
 Ankylsing/fused Joints
57
Q

Cntraindicatins: Other

A 
Advanced diabetes
 Nutritinal issues at skin surface
 May cause skin tearing
 Impaired nutritin t bone
 steprsis
 Kidney dysfunction
 Vascular abnrmalities 
 Spine cntraindicatin: vertebral artery test
 Bacterial infectin in the area t be mbilized
58
Q

Cntrandicatins: Bony diseases

A 
Osteoprsis
 Osteomyelitis
 TB
 Paget’s disease: prximal bone sftening f crtical bone leading t pssible foractures
 Undiagnsed pain
 RA: exacerbated stages
59
Q

Paget’s Disease

A

Chrnic disrder that typically results in enlarged and deformed bones.
Excessive breakdwn and formatin f bone tissue that ccurs with Paget’s disease can cause bone t weaken, resulting in bone pain, arthritis, deformities, and foractures.

60
Q

Precautins to Joint Mbs

A

Joint irritability? pain
Prtective muscle spasm/inability for the patient t relax
Irritability f adjacent Joint structures Chrnic Debilitating Disease

61
Q

Capsular Patterns

A

Patterns f capsular tightness that is characteristic t each Joint and is determined by the amunt f mbility in the Ostekinematic mvements abut that Joint
Usually present when entire capsule is affected (arthritic cnditins)
If lack f RM matches capsular pattern, need t treat all directions
See Kaltenbrn bk

62
Q

Shulder Capsular Pattern

A

Shulder ER>ABD>IR

63
Q

Knee Capsuslar Pattern

A

Knee- Flexin>Extensin
If NON -CAPSULAR (NO LIMITATIONS IN EXT)
NEED TO TREAT ONLY THE POST CAPSULE (ISOLATED TIGHTNESS)

PT 670 (5 decks)

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