Mobilisation (Pod med) Flashcards
What are the different types of ROM?
1?
2?
3?
- Active ROm: voluntary without external force
- Passive ROM: external force
- Passive accessory movement: patient can’t perform in isolation
What are the Concave-Convex role?
Concave motion role is when 1?
Convex motion role is when 2?
- Slide and glide in the same direction
- Slide and glide in the opposite direction
What are the principles for Joint mobalisation?
- Stimulate ?
- maintain/promote?
- Fire ?
- Fire?
- Abat?
- decrease or relax?
- provide ?
- Synovial fluid movement to nourish cartilage
- periarticular extensibility
- articular mechanoreceptors
- Cutanoues and muscular receptors
- nocioeptors
- muscle guarding
- Sensory input
What things would you assess before doing mobilisation?
1?
2?
3?
What do you consider during your mobilisation?
4?
5?
6?
7?
8.?
- Pain response
- Joint hypermobility
- End feel
- Join position
- Direction of mobilisation
- Type of mobilisation:
- Mobilisation dosage
- Grade
What are the different grades of mobilisation?
1?
2?
3?
4?
5.?
- small amplitude movement at the begining of available ROM
- large amplitude movement within the ROM
- large amplitude moevement that reaches the end of ROM
- small amplitude movement at the very end of ROM
- High velocity thurst of small ampitude at the end of ROM
The Talocrural joint:
Concave surface 1?
Convex surface 2?
Closed pack position 3?
Resting position 4?
Capsular pattern 5?
- Tib-fib talar dome
- Talus
- Maximum dorsiflexion
- 10 plantarflexion
- Plantarflexion>dorsiflexion
Ankle (TCJ) joint mobilisation
Technique:
Talocrural joint:
1? - which grades
2?- which movements?
- Passive physiological (PROM)- grade 2, 3 and 4
- Passive assecory movements (PAM):
Disractions, AP on talus to increase dorsiflexion, PA on talus for plantarflexion
Inferior tibiofibular joint
1? to increase dorsiflexion
2? to increase plantarflexion
- AP on fibula
- PA on fibula
What are the outcome measures for Ankle (TCJ) mobilisation?
- ?
- ?
- ?
- ?
- VAS score
- Goniometer
- Quality or quantity of functional movement
- Knee to wall
What is the DISRACTION technique for TCJ?
Prone:
1?
Both hands cup the 2?
Simultaneous lift of the 3?
4?
- Therapist knee rest on pt’s thigh and stabalise the proximal end of the ankle joint
- Talus and calcanues
- Talus and calcanues in caucad direction (diraction)
- Sustained hold for 1-3 sec
Ankle mobilisation (disraction)
TCJ
Supine:
Place the hand 1?
2?
- As supine, hand placements differ around talus and calc
- Weight of the pt’s leg stabalise the proxiaml end of TCJ
Join mobalisation to improve DORSIFLEXION
hand placement:
Distal hand 1?
Proximal hand 2?
- Proximal hand stabalizes the ankle mortise at tib-fib joint
- Distal hand cups the heel, forearm levers the foot into dorsiflexion
What are the clinical indications for manipulation techniques?
1.
2.
3.
4.
5.
6.
- Ankle surgery/Post cast
- Osteoarthritis
- Lateral ankle sprain
- Ankle equinus
- Pes planus feet
- General stifness limiting the function
The Subtalar joint:
Concave area : 1?
Convex area: 2?
Inversion: 3?
Eversion: 4?
- Talus
- Calcaneus
- Medial glide
- Lateral glide
What are the clinical indications for STJ mobilisation?
- ?
- ?
- ?
- ?
- The pes cavus foot type
- Tenosyovitis of the peroneal tendons
- Pes planus foot type
- General stifness limiting the movement