Jt Mobs Final Flashcards
What is the difference between mobilization & manipulation?
Mobilization: the px can voluntarily contract a mm to stop the mvmt
Manipulation: the px cannot stop the mvmt
Define arthrokinematic mvmts
Involuntary mvmts within the jt and surrounding tissues that are necessary for normal ROM
In a normal jt roll occurs with…
Slide or spin
Roll always occurs…
In the direction that the bone is moving
Slide occurs in the ____ direction as roll if the moving surface is concave
- same
Slide occurs in the opposite direction of the roll if the moving surface is ____
- convex
Explain the concave-convex rule
Slide occurs in the same direction as the role if the moving surface is concave and slide, occurs in the opposite direction of the role, if the moving surface is convex 
Define traction
A longitudinal pull/ a pull along the long axis of the bone
Define distraction
A force applied perpendicular to the treatment plane. A separation or pulling apart of the articular surfaces.
Glide is when…
You mobilize a bone in a direction that is parallel to the treatment plane
Grades and uses
Grade l distraction:
Grade ll distraction:
Grade l and ll oscillatory:
Grade l and ll sustained:
Grade ll oscillatory and sustained:
Grade lll sustained/lll & lv oscillatory:
Grade l distraction: prior to glides
Grade ll distraction: initial ax
Grade l and ll oscillatory: ⬇️ P, ⬆️ nutri
Grade l and ll sustained: ⬇️ P
Grade ll oscillatory and sustained: Maint. ROM
Grade lll sustained/lll & lv oscillatory: ⬆️ROM
Pain, mm guarding, and spasm can be treated w/…
low grade oscillatory mobilizations
Reversible joint hypo mobility can be treated w/
- progressively vigorous mobs
Positional faults/subluxations can be corrected w/…
higher grade mobs
What is the CMTO’s conditions for applying sustained grade l or ll or Grade l or ll oscillations jt mobs?
Given that the client’s tx plan indicated a need to maintain jt ROM and/or decrease jt pain
What is the CMTO’s standards for applying sustained grade l or ll or Grade l or ll oscillations jt mobs?
- so that the jt is in a loose-pack position
- so that the jt is taken up to the elastic barrier but not beyond, within the client’s pain tolerance
What is the CMTO’s saftey outline for applying sustained grade l or ll or Grade l or ll oscillations jt mobs?
- so that you assess the joint for pain prior to treatment by using a gentle controlled traction
- So that you treat the client within their agreed-upon pain tolerance
- So that you perform a gentle traction were possible before doing any gliding movements
- So that low-grade joint mobilization is not used or is modified if a contraindication to this technique exist
What is the CMTO’s conditions for applying high-grade jt mobs (sustained Grade ll and or Oscillations lll and lv jt mobs)?
Given that the client’s tx plan indicates a need to increase inert tissue elongation through jt mobilization
What is the CMTO’s standard for applying high-grade jt mobs (sustained Grade ll and or Oscillations lll and lv jt mobs)?
- so that the tissues around the joint is warmed and stretched prior to joint mobilization
So that the directions of mobilization are correct for that specific capsular pattern - So that the joint is in a loose pack position
- So that the joint is taken to the end of its physiological range of motion, and then slightly beyond the physiological range of motion within the clients comfort level
- So the accessory movement and physiological movements may be improved
- so that high velocity, low amplitude thrust techniques are not used to the spine
What is the CMTO’s safety guidelines for applying high-grade jt mobs (sustained Grade ll and or Oscillations lll and lv jt mobs)?
- so that you assess the joint for pain prior to treatment by using a gentle controlled traction
- So that you treat within the clients agreed upon pain tolerance
- So that you take special precaution, based on your assessment with any client who is prone
What is the loose pack position of the hip?
30° of flexion, 30° of abduction, slight external rotation
What is the close pack position of the hip?
Full extension, media rotation, abduction
What are the uses for hip joint distraction?
- To improve general hip mobility
- Pain control
- To increase nutrition to articular structures
What are the uses for posterior glide of the hip?
- Improve hip flexion
- Improve hip internal rotation
What are the uses for hip anterior glide?
- Improve hip extension
- Improve hip external rotation
What is the use for inferior glide (long axis traction) of the hip?
- Prove hip abduction
What is the loose pack position of the tibiofemoral joint?
- 25° of flexion
What is the close pack position of the tibiofemoral joint?
- Full extension with external rotation
What are the uses for tibiofemoral distraction?
- to improve general knee mobility
- Pain control
- To increase nutrition to articular structures
What is the use for tibiofemoral anterior glide?
Improve knee extension
What is the use for tibiofemoral posterior glide?
Improve knee flexion
In which direction would you apply a rotational glide of the tibiofemoral joint to improve knee flexion?
With internal rotation
In which direction would you apply a rotational glide of the tibiofemoral joint to improve knee extension?
With external rotation
List the directions and uses for patellofemoral glides
To improve knee flexion:
To improve knee extension:
To improve medial tracking:
To improve lateral tracking:
To improve knee flexion: inferior glide
To improve knee extension: superior glide
To improve medial tracking: medial glide
To improve lateral tracking: lateral glide
What are the uses for anterior and posterior glides of the proximal tibiofibular joint?
- To improve general ankle mobility, or reduce positional faults at the superior tib fib joint
What are the loose pack and close pack positions of the distal tibiofibular joint
Loose-pack: maximum dorsiflexion
Close-pack: 10 degrees plantarflexion
What is the use for anterior glide to the distal tibial fibular joint?
- to improve dorsiflexion
What is the use for posterior glide of the distal tibiofibular joint?
- to improve plantarflexion
What is the use for superior glide of the distal tibiofibular joint?
- to improve dorsiflexion
What is the use inferior glide of the distal tibiofibular joint?
To improve plantar flexion
What is the loose pack and close pack position of the talocrural joint?
Loose-pack: 10 degrees plantar flexion, midway between maximum inversion & eversion
Close-pack: maximum dorsiflexion
What are the uses for talocurl joint distraction?
- to improve general ankle/talocrural mobility
- pain control
- To increase nutrition to articular structures
- helpful with old ankle sprains if the talus is out of alignment
What are the uses for talocrural posterior glide?
- to improve dorsiflexion
What are the uses for talocrural anterior glide?
- to improve plantarflexion
What is the loose pack and close pack position of the subtalar joint.
- loose pack: midway between inv & eve
- close pack: full inversion
What are the uses of subtalar joint distraction?
- to improve general subtalar mobility
What is the use for subtalar lateral glide?
- to improve inversion
What is the use of subtalar medial glide?
- to improve eversion
What is the use of talonavicular dorsal and plantar glides?
- to improve supination (dorsal)
- to improve pronation (plantar)
What is the loose pack and close pack position of the talonavicular joint?
- loose pack: midway between pronation & supination
- close pack: full supination
What is the loose pack and close pack position of the cuneonavicular joint?
- loose pack: midway between pronation & supination
- close pack: full supination
What are the uses for dorsal and plantar glides of the talonavicular joint?
- dorsal: to improve midfoot inversion/supination
- plantar: to improve midfoot eversion/pronation
What is the loose pack and close pack position of the calcanoecuboid joint?
Loose pack: midway between pronation and supination
Close pack: full supination
What is the loose pack and close pack position of the tarsometatarsal joints?
- loose pack: midway between pronation & supination
- close pack: full supination
What ate the uses for dorsal and plantar glides?
- dorsal: to improve dorsiflexion
- plantar: to improve plantarflexion
What is the use for dorsal and plantar glides of the distal intermetatarsal joints?
- dorsal glide: reduce concavity of the anterior transverse arch
- plantar glide: increase concavity of the anterior transverse arch
What is the close pack and loose pack position of the MTPs & IPs?
MTP:
Loose pack: slight extension
Close pack: full ext
IP:
Loose pack: slight flexion
Close pack: full extension
