Midterm Review Powerpoint Flashcards
How do you determine the total excursion of a joint?
by “taking the slack out”
What grade do you take the joint to to determine the total excursion of the joint for gliding articulation techniques? for distraction techniques?
Grade III; Grade II
What grade oscillation do you used during pain dominant ROM? Distraction?
Grade I or II oscillations; Grade I distractions
What condition can grade I distractions and grade I or II glides be used in for pain control?
management of patients in acute stage of tissue healing (during inflammatory response)
What is contraindicated during joint effusion and inflammation?
Grade III distraction
To decrease the limitation of supination at the proximal radioulnar joint – the most effective (first) direction to mobilize is:
Anterior (volar) glide
- Stabilize ulna, move the radius
To first determine what motion is limited, what do you look at?
Osteokinematics
-i.e., limited shoulder ER, Flexion, IR, or Abd
After you determine osteokinematic motion, what do you determine next to perform correct treatment?
Arthrokinemtics
-i.e., for limited ER, accessory motion is posterior roll and ANTERIOR glide
To improve thumb flexion at the carpometacarpal joint (CMC) (movement plane is parallel to the palm) the correct first direction is:
Ulnar glide
- Stabilize trapezium, move 1st metacarpal
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:
Dorsal Glide
- Stabilize trapezium, move 1st metacarpal
For a patient with limited ankle dorsiflexion, to improve dorsiflexion at the talocrural joint, the correct first direction to mobilize is:
Posterior glide
- Stabilize distal tibia, move the talus
For limited ankle plantar flexion the correct first direction to mobilize is:
Anterior glide
For limited knee flexion, to improve knee flexion ROM the correct first direction to mobilize is:
Posterior glide
- Stabilize femur, move the proximal tibia
For limited knee flexion, can also mobilize the patella using:
an inferior, distal, or caudal glide
To improve shoulder flexion at the glenohumeral joint, the correct direction to mobilize is:
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)
For limited external rotation and/or extension at the shoulder the first direction to mobilize is:
Anterior glide
- Stabilize the scapula, move the proximal humerus
For limited external rotation and/or extension at the hip the first direction to mobilize is:
Anterior glide
- Stabilize the pelvis, glide the proximal femur
For limited internal rotation and/or flexion at the glenohumeral joint of the shoulder the first of correct direction to mobilize is:
Posterior glide
- Stabilize scapula, move the proximal humerus
For limited glenohumeral abduction of the shoulder, the first or correct direction to mobilize is:
Caudal (inferior) glide
- Stabilize scapula, move the proximal humerus
For limited supination at the distal radioulnar joint the first or correct direction to mobilize is:
Dorsal glide
- Stabilize ulna, move the distal radius
To improve wrist extension at the radiocarpal (wrist joint), the first correct direction to mobilize is:
Volar glide
- Stabilize distal radius, move the proximal row of carpal bones (scaphoid, lunate, triquetrum)
Contraindications to ultrasound?
- All those of heat such as acute inflammation
- Growing epiphyseal plates
- Reproductive organs, pregnant uterus
- Eye
- Brain and spinal column
- Regions that lack temperature sensation
Precautions or relative contraindications for US?
- Power – off ultrasound machine when head is “in air”, not in contact with water or patient, if not turned-off the crystal can fracture.
- Do not drop the sound head
- Maintain good contact with the skin – carefully follow contours.
- Keep the sound head moving.
