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CP2 > Jt Mobs > Flashcards

Jt Mobs Flashcards

1
Q

Zygapophyseal (spine) open packed position

A

Midway between flexion and extension

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2
Q

Temporomandibular open packed position

A

Mouth slightly open

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3
Q

Acromioclavicular open packed position

A

Arm resting at side

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4
Q

Sternoclavicular open packed position

A

Arm resting at side

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5
Q

Ulnohumeral

A

70° flex and 10° sup

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6
Q

Radiohumeral

A

Full ext and full sup

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7
Q

Proximal radioulnar open packed position

A

70°flex and 35° sup

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8
Q

Distal radioulnar open packed position

A

10° supination

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9
Q

Radiocarpal open packed position

A

Slight flexion and ulnar deviation

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10
Q

Carpometacarpal open packed position

A

Midway btw abd-add and flex-ext

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11
Q

MCP open packed position

A

Slight flexion

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12
Q

Interphalangeal open packed position

A

Slight flexion

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13
Q

Hip open packed position

A

~30° flex, -30° abd, 0-5° Er

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14
Q

Tibiofemoral open packed position

A

25° flex

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15
Q

Patellofemoral open packed position

A

Full ext

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16
Q

Talocrural (ankle) open packed position

A

10° pf, midway btw extremes of inversion and eversion

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17
Q

Subtalar open packed position

A

Midway btw extremes of ROM

18
Q

Midtarsal open packed position

A

Midway btw extremes of ROM

19
Q

Tarsometatarsal open packed position

A

Midway btw extremes of ROM

20
Q

Metatarsalphalangeal open packed position

A

Neutral

21
Q

Name 4 causes for hypomobility

A

Pain, spasm, adhesion, or inflammation

22
Q

Intent of manual therapy includes

A 
Regaining normal ROM
Improving jointcapsule extensibility
Regaining normal force dissipation
Reduce pain
Lubricating joint surfaces
Provides nutrition to joint surfaces
23
Q

Absolute contraindications of joint mobilization

A

Malignancy, active inflammation or infection at joint, ankylosis, fracture, lack of ability from practitioner, neurological deterioration, disease that affects ligament integrity or arterial insufficiency

24
Q

Relative contraindications of joint mobilization

A 
Excessive pain or swelling
Arthroplasty
Hypermobility
Metabolic bone disease
Spondylolisthesis
Pregnancy
25
Q

Biomechanical benefits to joint mobilization

A

Motion improvement
Positional improvement
Increase joint capsule extensibility

26
Q

Nutritional effects of joint mobilization

A

Synovial fluid movement

Improve nutrient exchange

27
Q

Neurophysiological benefits to jointmobilizations

A

Stimulates mechanoreceptors to inhibit pain impulses

Gate control theory and descending pathway inhibition theory

28
Q

Define compression joint play and when would you use it

A

Approximation of joint surfaces (force perpendicular to joint plane)
To increase joint congruency

29
Q

Define traction/distraction joint play and when it would de used

A

Separation of joint surfaces (force perpendicular to the joint plane)
To increase general mobility

30
Q

Describe gliding joint play and when it would beused

A

Force direction parallel to joint surface

To increase mobility of a particular motion

31
Q

Describe grade 1 distraction

A

Small amplitude
Minimal stress
Reduced compression force
Pain reduction

32
Q

Describe grade 2 distraction

A

Tightening of joint capsule
can determine sensitivity
Alleviate pain, assess joint play, and or reduce muscle guarding

33
Q

Describe grade 3 distraction

A

Stretches joint capsule and soft tissues around the joint to increase mobility

Assess end feel or increase movement

34
Q

Describe grade 1 oscillation primary goal and the

A

Small amplitude @beginning of ROM

Goal: reduce pain and muscle guarding, improve joint implication and nutrition

35
Q

Describe grade 2 oscillation and theprimary goal

A

Large amplitude in the middle of available ROM

Goal: reduce pain and muscle guarding, improve joint lubrication/nutrition

36
Q

Describe grade 3 oscillation grades and the primary goal

A

Large amplitude @end ROM

Goal: stretches joint capsule and associated structures

37
Q

Describe grade 4 oscillation and the primary goal

A

Small amplitude at end of available ROM (last 25%)

Goal: stretching joint capsule and associated structures

38
Q

Grades 3 and 4 of oscillation may activate inhibitory _________________ & _____________ to aid in reducing restriction of movement

A

Joint and muscle spindle receptors

39
Q

Describe a grade 5 oscillation and the primary goal

A

Highvelocity thrust off mall amplitude at end of available range but win anatomical range

Commonly referred to as high velocity thrust technique or joint manipulation

Goal: decrease paint muscle guarding

40
Q

What are 4 types of joint manipulations

A

Distractions, oscillation mobilizations, sustained hold mobilizations and manipulations

CP2 (1 decks)

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