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Osce Prep > Joints Mobilizations > Flashcards

Joints Mobilizations Flashcards

1
Q

What is the Procedure for a “Distraction” of the GH joint?

A

Client supine,
both hands around the proximal humerus.

Hands moves the humeral head lateral, anterior and inferior,
perpendicular to the Glenoid fossa.

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2
Q

What is the Procedure for an “Inferior Glide” of the Humerus?

A

Mobilizing hand: web space over the superior surface of the proximal humerus.

Guiding hand: Supports upper limb from medial side of the distal humerus.

Grade 1 traction,
Mobilizing hand glides humerus inferiorly,
Guiding hand controls position of humerus.

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3
Q

What is the procedure for a “Posterior Glide” of the GH joint?

A

Mobilizing hand: Over anterior surface of the of proximal humerus.
Guiding hand: Supports upper limb from posterior side of distal humerus.

Grade 1 traction,
Mobilizing hand glides the humerus posteriorly,
Guiding hand controls position of humerus.

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4
Q

What is an “Inferior Glide” used to increase in a client?

Within the GH joint

A

It is used to increase Medial Rot, flexion & horizontal abduction of the GH joint.

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5
Q

What is the Procedure for a “Anterior Glide” of the GH joint?

A

Mobilizing hand: Over posterior surface of proximal humerus.
Guiding hand: Supports upper limb from anterior and posterior sides of the distal humerus.

Grade 1 traction,
Mobilize hand glides humerus anteriorly.

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6
Q

What is the procedure for a “Distraction” of the Scapulothoracic Joint?

A

Client Side lying,
in front of client with pillow barrier,
Mobilizing Hand: Over Acromion
Guiding Hand: Adjacent to inferior angle of the scapula.

Mobilize hand moves over scap medially & inferiorly over guiding hand.
Guiding hand lifts scap from ribs.

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7
Q

What is the procedure for a “superior Glide” of the scapula?

A

Client side-lying,
Mobilizing hand: Adjacent to the inferior angle of scap,
Guiding hand: Over acromion.

Grade 1 traction
Mobilizing hand glides scap superiorly
Guiding hand controls position of the scap.

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8
Q

What is the procedure for a “Inferior Glide” of the Scapula?

A

Client Side-lying with arm neutral,
Mobilizing hand: over acromion.
Guiding hand: Inferior angle.

Grade 1 traction,
Mobilizing hand glides acromion inferiorly,
Guiding hand controls position of scap.

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9
Q

What is the procedure of a “Medial Glide” of the scapula?

A

Side-lying with arm neutral,
Both hands over the lateral surface of the Scap, one hand over axillary and other over the acromion.

Both hands glide scap medially.

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10
Q

What is the procedure for a “Lateral Glide” of the Scapula?

A

Both hands positioned with fingertips over vertebral border of the scapula.

Both hands glide scap laterally.

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11
Q

What is the procedure for a “Superior Glide” of the Sternoclavicular joint?

A

Supine with arms at side,
Mobilizing hand: Thumb over thumb of guiding hand.
Guiding hand: Thumb over inferior surface of the clavicle,

Mobilizing hand glides clavicle superiorly,
Guiding hand controls positioning of the Mobilizing hand.

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12
Q

What is the procedure for a “Inferior Glide” of the Sternoclavicular Joint?

A

Mobilizing hand: Thumb over thumb of guiding hand.
Guiding hand: Thumb over superior surface of clavicle about 3 cm lateral from most medial.

Mobilizing hand guides clavicle inferiorly,
Guiding hand controls position of mobilizing hand.

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13
Q

What is the procedure for a “Posterior Glide” of the Sternoclavicular Joint?

A

Mobilizing hand: Thumb over thumb of guiding hand.
Guiding hand: Thumb over anterior surface of the clavicle about 3cm from the most medial.

Mobilizing hand glides clavicle posteriorly,
Guiding hand controls position of the mobilizing hand.

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14
Q

What is the procedure for a “Posterior Glide” of the AC joint?

A

Client sitting with arm at side,
Mobilizing hand: Thumb over thumb of guiding hand.
Guiding hand: Thumb over anteriolateral surface of clavicle, hand over posterior surface of scapula.

Mobilizing hand glides clavicle posteriorly while guiding hand controls positioning of the mobilizing hand.

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15
Q

What is the procedure for a “Anterior Glide” of the AC joint?

A

Mobilizing hand: Thumb over thumb of guiding hand.

Guiding hand: Thumb over posterolateral surface of clavicle, hand over anterior surface of the proximal humerus.

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16
Q

How would you set up for performing a “Distraction” on a client’s Elbow joint?

A

Client supine,
Client’s upper arm on the table with elbow joint off the table,
Distal forearm resting on MT’s shoulder.

Stabilizing hand: Grips distal humerus from anterior side.
Mobilizing hand: Grips proximal ulna from anterior side, avoiding contact with radius.

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17
Q

What is the procedure for a “Distraction” of the client’s Elbow joint?

A

Stabilizing hand: Holds humerus against table.

Mobilizing hand: Moves proximal ulna in a direction perpendicular to the ulnar joint surface.

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18
Q

How would you perform a “Medial Glide” of the Elbow joint?

A

Stabilizing Hand: Grips distal humerus from medial side.
Mobilizing Hand: Grips proximal radius from lateral side.

Grade 1 traction,
Stabilize hand holds humerus in position,
Mobilizing hand Glides proximal ulna in a medial direction.

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19
Q

How would you perform a “Lateral Glide” of the Elbow joint?

A

Stabilizing hand: Grips distal humerus from lateral side.
Mobilizing hand: Glides proximal ulna in a medial direction.
Grade 1 traction,
Stabilizing hand holds humerus,
Mobilizing hand glides proximal ulna in a lateral direction.

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20
Q

How would you perform a “Posterior glide” to the clients Elbow Joint?

A

Stabilizing hand: Grips distal humerus from posterior side.
Mobilizing hand: Grips proximal radius from anterior side.

Stabilizing hand holds humerus in place,
Mobilizing hand glides proximal radius in a posterior direction.

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21
Q

How would you perform a “Anterior Glide” of the Elbow joint?

A

Stabilizing hand: Grips distal humerus from anterior side.
Mobilizing hand: Grips proximal radius from posterior side.

Grade 1 Traction,
Stabilizing hand hold humerus in place,
Mobilizing hand glides proximal radius anteriorly.

22
Q

How would you perform a “Posterior Glide” of the Distal radius?
(Increasing Supination)

A

Stabilizing hand: Grips distal ulna from posterior surface.
Mobilizing hand: grips distal radius from anterior surface.

Stabilizing hand holds ulna in place,
mobilizing hand glides distal radius posteriorly.

23
Q

How would you perform a “Anterior Glide” of the Distal Radius?
(increase Pronation)

A

Stabilizing hand: Grips distal ulna from anterior surface.
Mobilizing hand: Grips distal radius posteriorly.

Stabilizing hand holds ulna in place,
Mobilizing hand glides distal radius anteriorly.

24
Q

What joints are at the Wrist?

A

Radiocarpal and Ulnocarpal joints.

25
Q

How would you perform a “Distraction” on the Radiocarpal / Ulnocarpal joints?

A

Client seated with wrist pronated / hand off the table,

Stabilizing hand: Grips distal radius and ulna from the posterior side.
Mobilizing hand: Grips proximal row of carpals from the posterior side.

Stabilizing hand holds the radius and ulna to the table.
Mobilizing hand moves proximal row of carpals distally perpendicular to the RU joint surface.

26
Q

How would you perform a “Posterior Glide” of the RC and UC joints to increase wrist flexion?

A

Medial surface of forearm resting on the table,

Stabilizing hand: Grips distal radius and ulna from the posterior side.
Mobilizing hand: Grips proximal row of carpals from posterior side.

Grade 1 traction,
Stabilizing hand holds radius and ulna to table.
Mobilizing hand glides proximal row of carpals posteriorly.

27
Q

How would you perform a “Anterior Glide” of the RC / UC joints to increase wrist extension?

A

Client’s wrist pronated,
Stabilizing hand: Grips distal radius and ulna from posterior side.
Mobilizing hand: Grips proximal row of carpals from posterior side.

Stabilizing hand holds wrist to table,
Mobilizing hand glides proximal row of carpals in anterior direction.

28
Q

How would you perform a “Lateral Glide” of the RC and UC joints to help increase Ulnar Deviation?

A

Wrist pronated, forearm laying on table,
Stabilizing hand: Grips distal Radius and ulna from posterior side.
Mobilizing hand: Grips the proximal row of carpals from the medial side.

Stabilizing hand holds radius and ulna to the table,
Mobilizing hand glides proximal row of carpals laterally.

29
Q

How would you perform a “Medial Glide” of the RC and UC joints to increase Radial deviation?

A

Medial surface of forearm on table and hand off table.
Stabilizing hand: Grips distal radius and ulna from anterior side.
Mobilizing hand: Grips the proximal row of carpals from the lateral side.

Grade 1 traction,
Stabilizing hand holds radius and ulna to the table,
Mobilizing hand glides proximal row of carpals medially.

30
Q

How would you perform a “Inferior Glide” of the Hip joint to help increase Hip Abduction?

A

Client supine,
Both hands grip the distal Thigh,

Grade 1 traction,
Both hands glide femoral head in inferior direction as the MT leans away from the joint.

31
Q

How would you perform a “Posterior Glide” of the Hip joint to help increase Flexion and Medial rotation?

A

Client supine,
Mobilizing hand: on anterior surface of proximal thigh.
Guiding hand: on posterior surface of distal thigh.

Grade 1 traction,
mobilizing hand glides femur in a posterior direction.
Guiding hand controls position of the femur.

32
Q

How would you perform a “Anterior Glide” of the Hip joint for increasing Hip Extension and Lateral Rotation?

A

Client prone with 1 pillow under trunk and hip positioned in abduction / lateral rotation,

Push hands anteriorly from the posterolateral posterior thigh.

33
Q

How would you perform a “Posterolateral Glide” of the Hip joint to increase Medial rotation?

A

Client prone with knees flexed to 90*,
Stabilizing hand: Grips the ankle and controls the amount of hip rotation.
Mobilizing hand: Positioned over the midpoint of thr posterior surface of the ilium.

Stabilizing hand holds leg,
Mobilizing hand glides pelvis in anteromedial direction imparting a posterolateral force to the femur on the pelvis.

34
Q

How would you perform a “Lateral Glide” of the Hip joint to increase Hip abduction and medial rotation?

A

Client supine with leg flexed and foot hanging off the table.
Both hands are positioned on the medial surface of the proximal thigh.

Grade 1 traction,
Both hands glide femur in a lateral direction.

35
Q

How would you perform a “Distraction” to the Tibiofemoral Joint?

A

Client sitting with knee off the edge of the table.

Both hands grip the distal tibia from the medial & Lateral sides.

both hands move the tibia distally perpendicular to the tibial joint surface.

36
Q

How would you perform a “Posterior Glide” to the Tibiofemoral Joint to Increase Knee flexion?

A

Supine with pillow under the femur,
Stabilizing hand: Supports femur from posterior side.
Mobilizing hand: Grips Proximal tibia from the anterior side.

Grade 1 Traction,
Stabilizing hand holds the femur in place,
Mobilizing hand glides the tibia in a posterior direction.

37
Q

How would you perform a “Anterior Glide” to the Tibia to increase Knee Extension?

A

Both hands grip proximal to the tibia from the posterior side with fingers while positioning the thumbs over the anterior surface of the distal tibia.

Both hands glide the tibia in an anterior direction while stabilizing the femur with the thumbs.

38
Q

How would you perform a “Medial Glide” of the tibia?

A

Stabilizing hand: Grips the distal femur from the Medial Side.
Mobilizing hand: Grips proximal Femur from the lateral side and supports the lateral lower leg with the forearm.

Grade 1 Traction,
Stabilizing hand holds femur in place,
Mobilizing hand glides proximal tibia in a medial direction, indirectly through the fibula.

39
Q

How would you perform a “Lateral Glide” of the Tibia?

A

Stabilizing hand: Grips distal femur from lateral side.
Mobilizing hand: Grips proximal tibia from medial side and supports lower leg with forearm.

Grade 1 traction,
stabilizing hand holds the femur in place,
Mobilizing hand glides proximal tibia laterally.

40
Q

How would you perform a “medial gap” of the Tibia?

A

Stabilizing hand: Supports distal lower leg from the medial side & holds the lower leg against the mt’s Trunk.
Mobilizing hand: Grips lateral side of the knee at the joint line.

41
Q

How would you perform a “Lateral Gap” of the Tibiofemoral Joint?

A

Stabilizing hand: Supports distal lower leg from lateral side and holds the lower leg against the Mt’s trunk.
Mobilizing hand: Grips medial side of the knee at the joint line.

Stabilizing hand holds leg in place,
mobilizing hand moves the knee at the medial joint line in a lateral direction.

42
Q

How would you perform a “Superior Glide” of the Patellofemoral joint?

A

Supine,
knee placed in slight flexion with rolled towel under the knee,
Mobilizing hand: Web space on inferior surface of patella.
Guiding hand: Over mobilizing hand.

mobilizing hand glides over patella in superior direction.
Guiding hand controls direction.

43
Q

How would you perform a “inferior Glide” of the Patellofemoral Joint?

A

mobilizing hand: Web space or heel of hand on superior surface of the patella.
Guiding hand: Over mobilizing hand.

Mobilizing hand glides patella in inferior direction.
Guiding hand controls placement of mobilizing hand.

44
Q

How would you perform a “Medial Glide” of the Patellofemoral Joint?

A

Stabilizing Hand: Fingers on medial surface of the distal femur.
Mobilizing hand: Both thumbs or heel of one hand on the lateral surface of the patella.

Stabilizing hand holds femur in place,
Mobilizing hand glides the patella in a medial direction.

45
Q

How would you perform a “Lateral glide” of the patellofemoral Joint?

A

Knee flexed with pillow underneath.
Stabilizing hand: Fingers on the lateral surface of the distal femur.
mobilizing hand: both thumbs or heel of one hand on medial surface of patella.

Stabilizing hand holds femur in place.
Mobilizing hand glides patella laterally.

46
Q

How would you perform a “Posterior Glide” of the proximal Fibula?

A

Client supine with knee supported by pillow.

Stabilizing hand: Grips proximal tibia from medial and posterior side.
Mobilizing hand: Heel of the hand on anterior surface of the fibular head.

Stabilizing hand holds tibia in place,
Mob hand glides the proximal fibula posteriorly.

47
Q

How would you perform a “Anterior Glide” of the proximal Fibula?

A

Client prone with foot supported by pillow and towel under distal thigh,
Stabilizing hand: Grips proximal tibia from anterior side.
Mobilizing hand: Heel of hand on posterior surface of fibular head.

Stabilizing hand hold tibia in place,
Mobilizing hand glides proximal fibula anteriorly.

48
Q

How would you perform a “Superior Glide” of the Fibula?

A

Stabilizing hand: Grips distal tibia.
Mobilizing hand: Heel of hand on inferior surface of the lateral malleolus (Distal fibula).

Stabilizing hand holds the tibia in place,
Mobilizing hand glides fibula superiorly.

49
Q

How would you perform a “Inferior Glide” of the Fibula?

A

Stabilizing hand: Grips distal Tibia.

mobilizing hand: Heel of hand on the superior surface of the lateral malleolus.

50
Q

How would you perform a “Distraction” of the Talocrural Joint?

A

Client supine with knee in ext,
Both hands grip the proximal talus with fingers intertwined.

Both hands move the talus in a direction perpendicular to the tibia and fibula, MT leans away.

51
Q

How would you perform a “Posterior Glide” of the Talocrural Joint to increase Dorsiflexion?

A

Stabilizing hand: Grips posterior surface of the distal lower leg.
Mobilizing hand: Grips the talus at anterior surface.

Grade 1 Traction,
Stabilizing hand holds distal lower leg,
Mobilizing hand glides the talus in a posterior direction.

52
Q

How would you perform a “Anterior Glide” of the Talus on the Tibia and Fibula to increase Plantar flexion?

A

Foot off table.
Stabilizing hand: Grips anterior surface of distal lower leg.
Mobilizing hand: Grips talus at posterior surface.

Garde 1 traction,
Stabilizing hand holds distal lower leg in place,
Mobilizing hand glides talus anteriorly, either directly or through calcaneus.

Osce Prep (34 decks)

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