Mobilization 1 Flashcards
where should the mobilizing hand be when performing a mob
as close t the joint line as possible
and
allow one digit to palpate the joint line when possible
if a patient has osteoprosis should we still perform a mobilization
no
what type of mobilization areused to increase peri-art extensibility
grade 3-5
Grade 3 mobs are performed up until was
the limit of the ROM
what is the beneficial effect of grade 1 and 2 mobs
neurophysiologic
mobilization force applied parallel to the treatment plane in the concave joint surface
glide
The articulating facets of the lumbar vertebrae are oriented where in terms of the transverse plane
90-deg
The articulating facets of the cervical and thoracic vertebrae are oriented where in terms of the transverse plane
45 degrees to the transverse plane and 60 degrees to the transverse plane in the thoracic spine.
can u mob someone with a fx
nope
what are contraindications to joint mobs
active disease
infection
advanced osteoporosis
articular hypermobility
fracture
acute inflammation
muscle guarding
joint replacement
what does 1/5 mean
the pt’s muscle contracts but there is no movement of the joint
2-/5 means
the patient does not complete the ROM in the gravity min position
2/5 means
poor
the subject completed the ROM in the gravity eleminated position
2+/5 means
the subject is able to iniate movement against gravity
3-/5 means
pt does not complete ROM against gravity
but does complete more the 1/2 of the range
3/5 means
the subject able to completed ROM against gravity without resistance
3+/5 means
the subject completes ROM against gravity with only min resitance
4-/5 means
pt completed ROM againts min/med resiatnce
4/5 means
pt completes ROM against moderate resistance
4+/5 means
pt completes ROM against gravity with med-max resisatnce
5/5 means
the subject completed ROM against max resistance
what is dynamometry
process of measuring forces that are doing work
handheld dynamometry used to assess what
hand grip strength
muscle group strength
non-dominant hand vs dominant hand dyano
dominant hand is normally 5-10 lbs stronger
what is isometric dyno measure
measures the static strength of a muscle group without any movements
what are the benefits of isometric dyno
attains peak and average force data
isometric dyno cautions
caution with patients with orthodepdic injury, osteoprosis or hernia
this meathod is contraindicated for those with a fx
what is isokinetic dyno for
measures the strength of a muscle group during movement with a constant predetermined speed
the muscle group with max contract throughout the moevement
what is a make test
a test where a pt is asked to apply a force against a dyno
what is a break test
eval procedure where a pt is asked to hold a contraction againt pressure that is applied in the direction opp of the contraction
what is the MMT testing position for the lats
prone
what is muscle insufficiency
limited muscle contraction strength 2/2 excessive lengthening or shortening of the muscle
where does the biceps femoris insert into
the head of the fibula
how do we test the lats - where do we give resistance
prone
against the forearm in the direction of abduction and flexion of the arm
what do we have to avoid when testing the coracobrachialis
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.
what is the function of the coracobrachialis
to produce flexion and adduction of the arm at the shoulder join
pectoralis minor ONIA
O: ribs three to five
I: coracoid process of the scapula
what is the MMT for the pect minor
supine
pressure is applied against the anterior aspect of the shoulder, downward toward the table
teres major muscle action
adduct, extend, and medially rotate the shoulder
what nerve innervates the teres major
lower subscapular nerve
what innervates the supraspinatus
Suprascapular nerve
what innervates the teres minor
axiallary nerve
what innervates the subscapular muscle
upper and lower subscapular nerves
strong and painful
minor lesion - muscle strains and tendonitis
how do we test for a minor lesion
MMT
pinch gauge function
able to assess all types of pinch techniques, including tip pinch, pad to pad, three-point chuck, and lateral pinch
what is A cylinder grip
a type of power grasp primarily utilizing force generated from digits 3-5 against the hypothenar eminence.
A cylinder grip is best assessed using what
a handheld dynamometer.
