mobilization Flashcards

1
Q

____: passive movement within physiologic joint space administered by a clinician for the purpose of increasing overall ROM

A

mobilization

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2
Q

____: passive movement within physiologic joint space administered by a clinician for the purpose of increasing overall ROM

A

mobilization

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3
Q

mobilization is applied to ___ and related __ ___ at varying speeds and amplitudes using physiologic or accessory motions

A

joints

soft tissue

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4
Q

force of the mobilization is light enough that the patient ___ stop it

A

can

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5
Q

___: passive movement of short amplitude and high velocity which moves the joint into the paraphysiologic range

A

manipulation

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6
Q

thrust of the manipulation causes the joint to ___ and may be accompanied by an ___ pop

A

gap

audible

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7
Q

purpose of CMT: removal of structural ___ of joint and muscles that are associated with neurological alterations

A

dysfunction

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8
Q

biochemical/nutritional effects of mobilization

- causes ___ ___ movement

A

synovial fluid

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9
Q

biochemical/nutritional effects of mobilization

- provides nutrients to ___ ___ and ___

A

articular cartilage

menisci

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10
Q

mechanical effects of mobilization

- improve mobility of ___ joints: loosens ___ and ___ ___ ___

A

hypermobile
adhesions
thickened CT

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11
Q

mechanical effects of mobilization

- maintains ____ and __ ___ of articular tissues

A

extensibility

tensile strength

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12
Q

neurophysiological effects of mobilizations

- stimulates mechanoreceptors to ___ pain

A

decrease

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13
Q

neurophysiological effects of mobilizations

- increase in awareness of ___ and ____ because of afferent nerve impulses - ____

A

position
motion
proprioceptors

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14
Q

maitland joint mobilizatioin

grade 1

A

small amplitude rhythmic oscillating movement at the beginning of ROM

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15
Q

maitland joint mobilizatioin

grade II

A

large amplitude rhythmic oscillating movement within midrange of movement

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16
Q

maitland joint mobilizatioin

grade I used for?

A

manage pain and spasm

acute conditions

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17
Q

maitland joint mobilizatioin

grade II used for

A

manage pain and spasm

maintain availible ROM

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18
Q

maitland joint mobilizatioin

grade III

A

large amplitude rhythmic oscillating movement performed into resistance up to limit of ROM

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19
Q

maitland joint mobilizatioin

grade III used for?

A

increase ROM within a joint

stretches capsule and CT structures

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20
Q

maitland joint mobilizatioin

grade IV

A

small amplitude rhythmic oscillating movement performed well into resistance

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21
Q

maitland joint mobilizatioin

grade IV used for

A

more agressive forms of increasing ROM

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22
Q

maitland joint mobilizatioin

grade V

A

manipulation

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23
Q

maitland joint mobilizatioin

grade I and II mostly used for…

A

pain

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24
Q

maitland joint mobilizatioin

grade III and IV primarily used for…

A

increase motion

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25
Q

___ ___ postion: articulating surface are maximally separated; position used for both traction and joint mobilization

A

loose packed

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26
Q

___ ___ position: joint surface are in maximal contact with each other

A

close packed

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27
Q

extremes of joint motion are ___ __ and midrange positions are ___ ___

A

closed packed

loose packed

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28
Q

___ ___: involved separating one articulating surface from another; performed perpendicular to treatment plane; decrease pain and/or reduce joint hypomobility

A

joint traction

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29
Q

Kaltenborn traction

grade I

A

neutralizes pressure in joint without actual surface separation
produce pain relief by reducing compressive forces

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30
Q

Kaltenborn traction

grade II

A

separates articulating surfaces, taking up slack or eliminating play within joint capsule
determine joint sensitivity

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31
Q

Kaltenborn traction

grade I short name

A

LOOSEN

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32
Q

Kaltenborn traction

grade II short name

A

tighten or take up slack

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33
Q

Kaltenborn traction

grade III

A

stretching of soft tissue surrounding joint

increase mobility in hypomobile joint

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34
Q

Kaltenborn traction

grade III short name

A

stretch

35
Q

grade I traction used initially to reduce chance of ___ reaction

A

painful

36
Q

grade III traction should be used in conjunction with mobilization glides for ___ joints

A

hypomobile

37
Q

red flags for mobilization

A

ABSOLUTE

  • inflammatory arthritis
  • malignancy
  • TB
  • ligamentous rupture
  • severe OA
  • severe scoliosis
  • pts inabliity to relax
  • fracture
  • tendinous rupture
38
Q

yellow flags for mobilization

A

RELATIVE

  • osteoporosis
  • herniated disk with/without nerve compression
  • congenital bone deformities
  • vascular disorders
  • pregnancy
  • total joint replacement
  • joint effusion (grade I or II)
39
Q

mobilization is applied to ___ and related __ ___ at varying speeds and amplitudes using physiologic or accessory motions

A

joints

soft tissue

40
Q

force of the mobilization is light enough that the patient ___ stop it

A

can

41
Q

___: passive movement of short amplitude and high velocity which moves the joint into the paraphysiologic range

A

manipulation

42
Q

thrust of the manipulation causes the joint to ___ and may be accompanied by an ___ pop

A

gap

audible

43
Q

purpose of CMT: removal of structural ___ of joint and muscles that are associated with neurological alterations

A

dysfunction

44
Q

biochemical/nutritional effects of mobilization

- causes ___ ___ movement

A

synovial fluid

45
Q

biochemical/nutritional effects of mobilization

- provides nutrients to ___ ___ and ___

A

articular cartilage

menisci

46
Q

mechanical effects of mobilization

- improve mobility of ___ joints: loosens ___ and ___ ___ ___

A

hypermobile
adhesions
thickened CT

47
Q

mechanical effects of mobilization

- maintains ____ and __ ___ of articular tissues

A

extensibility

tensile strength

48
Q

neurophysiological effects of mobilizations

- stimulates mechanoreceptors to ___ pain

A

decrease

49
Q

neurophysiological effects of mobilizations

- increase in awareness of ___ and ____ because of afferent nerve impulses - ____

A

position
motion
proprioceptors

50
Q

maitland joint mobilizatioin

grade 1

A

small amplitude rhythmic oscillating movement at the beginning of ROM

51
Q

maitland joint mobilizatioin

grade II

A

large amplitude rhythmic oscillating movement within midrange of movement

52
Q

maitland joint mobilizatioin

grade I used for?

A

manage pain and spasm

acute conditions

53
Q

maitland joint mobilizatioin

grade II used for

A

manage pain and spasm

maintain availible ROM

54
Q

maitland joint mobilizatioin

grade III

A

large amplitude rhythmic oscillating movement performed into resistance up to limit of ROM

55
Q

maitland joint mobilizatioin

grade III used for?

A

increase ROM within a joint

stretches capsule and CT structures

56
Q

maitland joint mobilizatioin

grade IV

A

small amplitude rhythmic oscillating movement performed well into resistance

57
Q

maitland joint mobilizatioin

grade IV used for

A

more agressive forms of increasing ROM

58
Q

maitland joint mobilizatioin

grade V

A

manipulation

59
Q

maitland joint mobilizatioin

grade I and II mostly used for…

A

pain

60
Q

maitland joint mobilizatioin

grade III and IV primarily used for…

A

increase motion

61
Q

___ ___ postion: articulating surface are maximally separated; position used for both traction and joint mobilization

A

loose packed

62
Q

___ ___ position: joint surface are in maximal contact with each other

A

close packed

63
Q

extremes of joint motion are ___ __ and midrange positions are ___ ___

A

closed packed

loose packed

64
Q

___ ___: involved separating one articulating surface from another; performed perpendicular to treatment plane; decrease pain and/or reduce joint hypomobility

A

joint traction

65
Q

Kaltenborn traction

grade I

A

neutralizes pressure in joint without actual surface separation
produce pain relief by reducing compressive forces

66
Q

Kaltenborn traction

grade II

A

separates articulating surfaces, taking up slack or eliminating play within joint capsule
determine joint sensitivity

67
Q

Kaltenborn traction

grade I short name

A

LOOSEN

68
Q

Kaltenborn traction

grade II short name

A

tighten or take up slack

69
Q

Kaltenborn traction

grade III

A

stretching of soft tissue surrounding joint

increase mobility in hypomobile joint

70
Q

Kaltenborn traction

grade III short name

A

stretch

71
Q

grade I traction used initially to reduce chance of ___ reaction

A

painful

72
Q

grade III traction should be used in conjunction with mobilization glides for ___ joints

A

hypomobile

73
Q

red flags for mobilization

A

ABSOLUTE

  • inflammatory arthritis
  • malignancy
  • TB
  • ligamentous rupture
  • severe OA
  • severe scoliosis
  • pts inabliity to relax
  • fracture
  • tendinous rupture
74
Q

yellow flags for mobilization

A

RELATIVE

  • osteoporosis
  • herniated disk with/without nerve compression
  • congenital bone deformities
  • vascular disorders
  • pregnancy
  • total joint replacement
  • joint effusion (grade I or II)
75
Q

mobilization with movement (MWM) developed by ___ ___

A

brian mulligan

76
Q

____ ____ ___: pain free mobilization technique designed to allow wide range loading

A

mobilization with movement

77
Q

indications for MWM

A

restricted or painful movement

78
Q

___ ___ ___: occur after injury or strain; results in movement restrictions and/or pain

A

minor postural faults

79
Q

comparable signs of MWM

A

pain with active movement
decreased AROM
pain with specific functional activity

80
Q

NAGS =

A

natural apophyseal glides

81
Q

SNAGS =

A

sustained natural apophyseal glides

82
Q

____: oscillatory mid to end range mobilization for facet joints of C2-C7; passive P-A glide applied along facet planes of affected joints

A

NAGS

83
Q

____: sustained glide throughout the entire mobilization; can be C/S, T/S, L/S

A

SNAGS