Lecture 8

Question 1

Indications for joint mobilization

Answer 1

decrease pain
increase joint mobility
maintain motion or slow loss of motion
provide mobility of synovial fluid

Question 2

Precautions for joint mobilization

Answer 2

osteopenia
pregnancy (hypermobile)
history of malignancy (cancer)
total joint replacement (capsule is what provides integrity)

Question 3

Contraindications for joint mobilization

Answer 3

joint instability
hyper-mobility (at end range)
joint effusion (infection, malignancy, arthritis)
fracture
joint stiffening
osteoporosis

Question 4

Signs of Restricted Joint Play

Answer 4

Capsular restriction
hard capsular end feel
decreased tissue mobility
ligament is adherent or shortened

Question 5

Effects for joint mobilization

Answer 5

Pain relief (stimulation of mechanoreceptors, inhibits transmission of pain impulses)
breaking adhesions
disrupting abnormal cross-linking
stretching apsule
increasing extensibility

Question 6

Grade 1

Answer 6

small amplitude of distraction is applied, no stress to capsule

5-10 sec, rest, 3-5xs

Question 7

Grade 2

Answer 7

enough glide or distraction is applied to tighten tissues. taking up the slack
assessment area

used as treatment. Maintains joint mobility

Question 8

Grade 3

Answer 8

glide or distraction is applied with an amplitude large enough to place a stretch on capsule and surrounding tissue

Question 9

Direction of movement force

Answer 9

either parallel or perpendicular to treatment plane

Question 10

Direction of treatment plane

Answer 10

plane perpendicular to a line running from the axis of rotation to the middle of the concave articular surface

Question 11

Glide movement plane

Answer 11

parallel to treatment plane

increases ROM

Question 12

Distraction plane

Answer 12

perpendicular to treatment plane

Question 13

Indications for knee mobilization

Answer 13

increase flexion (post glide)
increase extension (anterior glide)
decrease pain