Jt Mobs

Question 1

Zygapophyseal (spine) open packed position

Answer 1

Midway between flexion and extension

Question 2

Temporomandibular open packed position

Answer 2

Mouth slightly open

Question 3

Acromioclavicular open packed position

Answer 3

Arm resting at side

Question 4

Sternoclavicular open packed position

Answer 4

Arm resting at side

Question 5

Ulnohumeral

Answer 5

70° flex and 10° sup

Question 6

Radiohumeral

Answer 6

Full ext and full sup

Question 7

Proximal radioulnar open packed position

Answer 7

70°flex and 35° sup

Question 8

Distal radioulnar open packed position

Answer 8

10° supination

Question 9

Radiocarpal open packed position

Answer 9

Slight flexion and ulnar deviation

Question 10

Carpometacarpal open packed position

Answer 10

Midway btw abd-add and flex-ext

Question 11

MCP open packed position

Answer 11

Slight flexion

Question 12

Interphalangeal open packed position

Answer 12

Slight flexion

Question 13

Hip open packed position

Answer 13

~30° flex, -30° abd, 0-5° Er

Question 14

Tibiofemoral open packed position

Answer 14

25° flex

Question 15

Patellofemoral open packed position

Answer 15

Full ext

Question 16

Talocrural (ankle) open packed position

Answer 16

10° pf, midway btw extremes of inversion and eversion

Question 17

Subtalar open packed position

Answer 17

Midway btw extremes of ROM

Question 18

Midtarsal open packed position

Answer 18

Midway btw extremes of ROM

Question 19

Tarsometatarsal open packed position

Answer 19

Midway btw extremes of ROM

Question 20

Metatarsalphalangeal open packed position

Answer 20

Neutral

Question 21

Name 4 causes for hypomobility

Answer 21

Pain, spasm, adhesion, or inflammation

Question 22

Intent of manual therapy includes

Answer 22

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

Question 23

Absolute contraindications of joint mobilization

Answer 23

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

Question 24

Relative contraindications of joint mobilization

Answer 24

Excessive pain or swelling
Arthroplasty
Hypermobility
Metabolic bone disease
Spondylolisthesis
Pregnancy

Question 25

Biomechanical benefits to joint mobilization

Answer 25

Motion improvement Positional improvement Increase joint capsule extensibility

Question 26

Nutritional effects of joint mobilization

Answer 26

Synovial fluid movement | Improve nutrient exchange

Question 27

Neurophysiological benefits to jointmobilizations

Answer 27

Stimulates mechanoreceptors to inhibit pain impulses | Gate control theory and descending pathway inhibition theory

Question 28

Define compression joint play and when would you use it

Answer 28

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

Question 29

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

Answer 29

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

Question 30

Describe gliding joint play and when it would beused

Answer 30

Force direction parallel to joint surface | To increase mobility of a particular motion

Question 31

Describe grade 1 distraction

Answer 31

Small amplitude Minimal stress Reduced compression force Pain reduction

Question 32

Describe grade 2 distraction

Answer 32

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

Question 33

Describe grade 3 distraction

Answer 33

Stretches joint capsule and soft tissues around the joint to increase mobility Assess end feel or increase movement

Question 34

Describe grade 1 oscillation primary goal and the

Answer 34

Small amplitude @beginning of ROM | Goal: reduce pain and muscle guarding, improve joint implication and nutrition

Question 35

Describe grade 2 oscillation and theprimary goal

Answer 35

Large amplitude in the middle of available ROM | Goal: reduce pain and muscle guarding, improve joint lubrication/nutrition

Question 36

Describe grade 3 oscillation grades and the primary goal

Answer 36

Large amplitude @end ROM | Goal: stretches joint capsule and associated structures

Question 37

Describe grade 4 oscillation and the primary goal

Answer 37

Small amplitude at end of available ROM (last 25%) | Goal: stretching joint capsule and associated structures

Question 38

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

Answer 38

Joint and muscle spindle receptors

Question 39

Describe a grade 5 oscillation and the primary goal

Answer 39

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

Question 40

What are 4 types of joint manipulations

Answer 40

Distractions, oscillation mobilizations, sustained hold mobilizations and manipulations