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PodMed > Mobilisation (Pod med) > Flashcards

Mobilisation (Pod med) Flashcards

1
Q

What are the different types of ROM?

1?

2?

3?

A
  1. Active ROm: voluntary without external force
  2. Passive ROM: external force
  3. Passive accessory movement: patient can’t perform in isolation
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2
Q

What are the Concave-Convex role?

Concave motion role is when 1?

Convex motion role is when 2?

A
  1. Slide and glide in the same direction
  2. Slide and glide in the opposite direction
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3
Q

What are the principles for Joint mobalisation?

  1. Stimulate ?
  2. maintain/promote?
  3. Fire ?
  4. Fire?
  5. Abat?
  6. decrease or relax?
  7. provide ?
A
  1. Synovial fluid movement to nourish cartilage
  2. periarticular extensibility
  3. articular mechanoreceptors
  4. Cutanoues and muscular receptors
  5. nocioeptors
  6. muscle guarding
  7. Sensory input
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4
Q

What things would you assess before doing mobilisation?

1?

2?

3?

What do you consider during your mobilisation?

4?

5?

6?

7?

8.?

A
  1. Pain response
  2. Joint hypermobility
  3. End feel
  4. Join position
  5. Direction of mobilisation
  6. Type of mobilisation:
  7. Mobilisation dosage
  8. Grade
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5
Q

What are the different grades of mobilisation?

1?

2?

3?

4?

5.?

A
  1. small amplitude movement at the begining of available ROM
  2. large amplitude movement within the ROM
  3. large amplitude moevement that reaches the end of ROM
  4. small amplitude movement at the very end of ROM
  5. High velocity thurst of small ampitude at the end of ROM
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6
Q

The Talocrural joint:

Concave surface 1?

Convex surface 2?

Closed pack position 3?

Resting position 4?

Capsular pattern 5?

A
  1. Tib-fib talar dome
  2. Talus
  3. Maximum dorsiflexion
  4. 10 plantarflexion
  5. Plantarflexion>dorsiflexion
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7
Q

Ankle (TCJ) joint mobilisation

Technique:

Talocrural joint:

1? - which grades

2?- which movements?

A
  1. Passive physiological (PROM)- grade 2, 3 and 4
  2. Passive assecory movements (PAM):

Disractions, AP on talus to increase dorsiflexion, PA on talus for plantarflexion

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8
Q

Inferior tibiofibular joint

1? to increase dorsiflexion

2? to increase plantarflexion

A
  1. AP on fibula
  2. PA on fibula
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9
Q

What are the outcome measures for Ankle (TCJ) mobilisation?

  1. ?
  2. ?
  3. ?
  4. ?
A
  1. VAS score
  2. Goniometer
  3. Quality or quantity of functional movement
  4. Knee to wall
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10
Q

What is the DISRACTION technique for TCJ?

Prone:

1?

Both hands cup the 2?

Simultaneous lift of the 3?

4?

A
  1. Therapist knee rest on pt’s thigh and stabalise the proximal end of the ankle joint
  2. Talus and calcanues
  3. Talus and calcanues in caucad direction (diraction)
  4. Sustained hold for 1-3 sec
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11
Q

Ankle mobilisation (disraction)

TCJ

Supine:

Place the hand 1?

2?

A
  1. As supine, hand placements differ around talus and calc
  2. Weight of the pt’s leg stabalise the proxiaml end of TCJ
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12
Q

Join mobalisation to improve DORSIFLEXION

hand placement:

Distal hand 1?

Proximal hand 2?

A
  1. Proximal hand stabalizes the ankle mortise at tib-fib joint
  2. Distal hand cups the heel, forearm levers the foot into dorsiflexion
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13
Q

What are the clinical indications for manipulation techniques?

1.

2.

3.

4.

5.

6.

A
  1. Ankle surgery/Post cast
  2. Osteoarthritis
  3. Lateral ankle sprain
  4. Ankle equinus
  5. Pes planus feet
  6. General stifness limiting the function
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14
Q

The Subtalar joint:

Concave area : 1?

Convex area: 2?

Inversion: 3?

Eversion: 4?

A
  1. Talus
  2. Calcaneus
  3. Medial glide
  4. Lateral glide
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15
Q

What are the clinical indications for STJ mobilisation?

  1. ?
  2. ?
  3. ?
  4. ?
A
  1. The pes cavus foot type
  2. Tenosyovitis of the peroneal tendons
  3. Pes planus foot type
  4. General stifness limiting the movement
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16
Q

Midfoot mobilisation

Kaltenborn’s tets

Met 1 on 1?

Met 2 on 2?

Met 3 on 3?

Met 4 on 4?

Met 5 on 5?

Cuneiform 1, 2 and 3 on 6?

Navicular on 7?

Cuboid on 8?

A
  1. Cuneiform 1
  2. Cuneiform 2 & 3
  3. Cuneiform 2 & 3
  4. Cuboid
  5. Cuboid
  6. Navicular
  7. Talus
  8. Navicular
17
Q

What are the clinical ndications for midfoot mobilisation?

  1. ?
  2. ?
A
  1. Cuboid Syndrome
  2. Midfoot osteoarthritis
18
Q

Forefoot Mobilisation:

Concave Surface: 1?

Convex Surface: 2?

What are the clinical indications for Forefoot Mobilisation?

3?

4?

5?

A
  1. Distal articulation
  2. Proximal articulation
  3. Morton’s neuroma, interdigital neuroma
  4. MTP bursitis
  5. Hallux rigidus
19
Q

How to do you do joint immobalisation to improve plantarflexion:

Pt position?

Proximal Hand position?

Distal Hans position?

What type of moevements?

A

Pt position: Pt prone and knee flexed to 90 degrees

Proximal hand: holds the calcaneus posteriorly

Distal Hand: holds the talus anteriorly and plantarflexes the foot

Oscillatory movements, Small/Large movements depending on grade applied II, III, IV

20
Q

What’s the passive accessory technique for PA talocrucal joint?

  1. Pt’s position?
  2. Hand position for the proximal segment?
  3. Hand position for the distal segment?
A
  1. Pt in prone with knee flexed 90 degrees
  2. Proximal segment glides PA (Posterior to Anterior) which causes tib-fib to glide anterior relative to the talus
  3. Distal-Hand lift the foot into plantarflexion, which allows talus to glide in PA direction
21
Q

What’s the joint immobalisation technique to improve inversion:

  1. Pt’s position?
  2. Hand placement
  3. STJ inversion motion created by?
A
  1. Pt in prone with knee flexed to 90 degrees, therapist knee on the bed to support the shin
  2. The thumb and fingers of one hand hold the calcaneus & talus over the subtalar joint and the other hand grasps the midfoot
  3. STJ Inversion motion created by rolling fingers proximally Oscillatory mvts small/large depending on Grd applied II,III, IV
22
Q

The other passive accesory technique to improve inversion of subtalar joint:

Proximal hand position 1?

Distal hand position 2?

A
  1. Proximal hand stabalise and blocks talus
  2. Distal hand glides calcaneus medially

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