Mobilization 1 Flashcards

1
Q

where should the mobilizing hand be when performing a mob

A

as close t the joint line as possible
and
allow one digit to palpate the joint line when possible

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2
Q

if a patient has osteoprosis should we still perform a mobilization

A

no

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3
Q

what type of mobilization areused to increase peri-art extensibility

A

grade 3-5

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4
Q

Grade 3 mobs are performed up until was

A

the limit of the ROM

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5
Q

what is the beneficial effect of grade 1 and 2 mobs

A

neurophysiologic

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6
Q

mobilization force applied parallel to the treatment plane in the concave joint surface

A

glide

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7
Q

The articulating facets of the lumbar vertebrae are oriented where in terms of the transverse plane

A

90-deg

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8
Q

The articulating facets of the cervical and thoracic vertebrae are oriented where in terms of the transverse plane

A

45 degrees to the transverse plane and 60 degrees to the transverse plane in the thoracic spine.

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9
Q

can u mob someone with a fx

A

nope

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10
Q

what are contraindications to joint mobs

A

active disease
infection
advanced osteoporosis
articular hypermobility
fracture
acute inflammation
muscle guarding
joint replacement

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11
Q

what does 1/5 mean

A

the pt’s muscle contracts but there is no movement of the joint

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12
Q

2-/5 means

A

the patient does not complete the ROM in the gravity min position

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13
Q

2/5 means

A

poor

the subject completed the ROM in the gravity eleminated position

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14
Q

2+/5 means

A

the subject is able to iniate movement against gravity

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15
Q

3-/5 means

A

pt does not complete ROM against gravity

but does complete more the 1/2 of the range

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16
Q

3/5 means

A

the subject able to completed ROM against gravity without resistance

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17
Q

3+/5 means

A

the subject completes ROM against gravity with only min resitance

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18
Q

4-/5 means

A

pt completed ROM againts min/med resiatnce

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19
Q

4/5 means

A

pt completes ROM against moderate resistance

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20
Q

4+/5 means

A

pt completes ROM against gravity with med-max resisatnce

21
Q

5/5 means

A

the subject completed ROM against max resistance

22
Q

what is dynamometry

A

process of measuring forces that are doing work

23
Q

handheld dynamometry used to assess what

A

hand grip strength

muscle group strength

24
Q

non-dominant hand vs dominant hand dyano

A

dominant hand is normally 5-10 lbs stronger

25
Q

what is isometric dyno measure

A

measures the static strength of a muscle group without any movements

26
Q

what are the benefits of isometric dyno

A

attains peak and average force data

27
Q

isometric dyno cautions

A

caution with patients with orthodepdic injury, osteoprosis or hernia

this meathod is contraindicated for those with a fx

28
Q

what is isokinetic dyno for

A

measures the strength of a muscle group during movement with a constant predetermined speed

the muscle group with max contract throughout the moevement

29
Q

what is a make test

A

a test where a pt is asked to apply a force against a dyno

30
Q

what is a break test

A

eval procedure where a pt is asked to hold a contraction againt pressure that is applied in the direction opp of the contraction

31
Q

what is the MMT testing position for the lats

A

prone

32
Q

what is muscle insufficiency

A

limited muscle contraction strength 2/2 excessive lengthening or shortening of the muscle

33
Q

where does the biceps femoris insert into

A

the head of the fibula

34
Q

how do we test the lats - where do we give resistance

A

prone

against the forearm in the direction of abduction and flexion of the arm

35
Q

what do we have to avoid when testing the coracobrachialis

A

coracobrachialis is tested with the elbow in flexion and the forearm in supination.

This position is necessary since it dramatically reduces the ability of the biceps brachii to flex the shoulder.

36
Q

what is the function of the coracobrachialis

A

to produce flexion and adduction of the arm at the shoulder join

37
Q

pectoralis minor ONIA

A

O: ribs three to five

I: coracoid process of the scapula

38
Q

what is the MMT for the pect minor

A

supine

pressure is applied against the anterior aspect of the shoulder, downward toward the table

39
Q

teres major muscle action

A

adduct, extend, and medially rotate the shoulder

40
Q

what nerve innervates the teres major

A

lower subscapular nerve

41
Q

what innervates the supraspinatus

A

Suprascapular nerve

42
Q

what innervates the teres minor

A

axiallary nerve

43
Q

what innervates the subscapular muscle

A

upper and lower subscapular nerves

44
Q

strong and painful

A

minor lesion - muscle strains and tendonitis

45
Q

how do we test for a minor lesion

A

MMT

46
Q

pinch gauge function

A

able to assess all types of pinch techniques, including tip pinch, pad to pad, three-point chuck, and lateral pinch

47
Q

what is A cylinder grip

A

a type of power grasp primarily utilizing force generated from digits 3-5 against the hypothenar eminence.

48
Q

A cylinder grip is best assessed using what

A

a handheld dynamometer.