Midterm Review Powerpoint

Question 1

How do you determine the total excursion of a joint?

Answer 1

by “taking the slack out”

Question 2

What grade do you take the joint to to determine the total excursion of the joint for gliding articulation techniques? for distraction techniques?

Answer 2

Grade III; Grade II

Question 3

What grade oscillation do you used during pain dominant ROM? Distraction?

Answer 3

Grade I or II oscillations; Grade I distractions

Question 4

What condition can grade I distractions and grade I or II glides be used in for pain control?

Answer 4

management of patients in acute stage of tissue healing (during inflammatory response)

Question 5

What is contraindicated during joint effusion and inflammation?

Answer 5

Grade III distraction

Question 6

To decrease the limitation of supination at the proximal radioulnar joint – the most effective (first) direction to mobilize is:

Answer 6

Anterior (volar) glide

- Stabilize ulna, move the radius

Question 7

To first determine what motion is limited, what do you look at?

Answer 7

Osteokinematics

-i.e., limited shoulder ER, Flexion, IR, or Abd

Question 8

After you determine osteokinematic motion, what do you determine next to perform correct treatment?

Answer 8

Arthrokinemtics

-i.e., for limited ER, accessory motion is posterior roll and ANTERIOR glide

Question 9

To improve thumb flexion at the carpometacarpal joint (CMC) (movement plane is parallel to the palm) the correct first direction is:

Answer 9

Ulnar glide

- Stabilize trapezium, move 1st metacarpal

Question 10

For patient with limited CMC abduction (movement plane perpendicular to the palm) To improve thumb abduction at the CMC the correct (first) direction to mobilize is:

Answer 10

Dorsal Glide

- Stabilize trapezium, move 1st metacarpal

Question 11

For a patient with limited ankle dorsiflexion, to improve dorsiflexion at the talocrural joint, the correct first direction to mobilize is:

Answer 11

Posterior glide

- Stabilize distal tibia, move the talus

Question 12

For limited ankle plantar flexion the correct first direction to mobilize is:

Answer 12

Anterior glide

Question 13

For limited knee flexion, to improve knee flexion ROM the correct first direction to mobilize is:

Answer 13

Posterior glide

- Stabilize femur, move the proximal tibia

Question 14

For limited knee flexion, can also mobilize the patella using:

Answer 14

an inferior, distal, or caudal glide

Question 15

To improve shoulder flexion at the glenohumeral joint, the correct direction to mobilize is:

Answer 15

Posterior glide

• Stabilize the scapula, move the proximal humerus
• humerus is spinning (half is sliding posterior, half is sliding anterior, thought to have more posterior slide though)

Question 16

For limited external rotation and/or extension at the shoulder the first direction to mobilize is:

Answer 16

Anterior glide

- Stabilize the scapula, move the proximal humerus

Question 17

For limited external rotation and/or extension at the hip the first direction to mobilize is:

Answer 17

Anterior glide

- Stabilize the pelvis, glide the proximal femur

Question 18

For limited internal rotation and/or flexion at the glenohumeral joint of the shoulder the first of correct direction to mobilize is:

Answer 18

Posterior glide

- Stabilize scapula, move the proximal humerus

Question 19

For limited glenohumeral abduction of the shoulder, the first or correct direction to mobilize is:

Answer 19

Caudal (inferior) glide

- Stabilize scapula, move the proximal humerus

Question 20

For limited supination at the distal radioulnar joint the first or correct direction to mobilize is:

Answer 20

Dorsal glide

- Stabilize ulna, move the distal radius

Question 21

To improve wrist extension at the radiocarpal (wrist joint), the first correct direction to mobilize is:

Answer 21

Volar glide

- Stabilize distal radius, move the proximal row of carpal bones (scaphoid, lunate, triquetrum)

Question 22

Contraindications to ultrasound?

Answer 22

1. All those of heat such as acute inflammation
2. Growing epiphyseal plates
3. Reproductive organs, pregnant uterus
4. Eye
5. Brain and spinal column
6. Regions that lack temperature sensation

Question 23

Precautions or relative contraindications for US?

Answer 23

1. Power – off ultrasound machine when head is “in air”, not in contact with water or patient, if not turned-off the crystal can fracture.
2. Do not drop the sound head
3. Maintain good contact with the skin – carefully follow contours.
4. Keep the sound head moving.