Mobilization

Question 1

Joint motion is ranked on a scale from _ - _ with _ being no movement and _ being complete instability.

Answer 1

0 - 6

Question 2

What does an empty end feel signify?

Answer 2

The “true” end feel is not met becasue the patient resists testing or ask that the movement be stopped

Question 3

What is a capsular pattern of movement?

Answer 3

A series of limitations of joint movement when the joint capsule is a limiting structure.

Question 4

The shoulder capsular pattern is external rotation > abduction > internal rotation. What does this mean?

Answer 4

external rotation is proportionally the most decreased movement, abduction the next decreased, and internal rotation the least decreased movement

Question 5

Describe a Grade I mobilization

Answer 5

small amplitude rhythmic oscillations are performed at the beginning of the range

Question 6

Describe a Grade II mobilization

Answer 6

large amplitude rhythmic oscillations are performed within the range of free movement, not reaching the limit

Question 7

Describe a Grade III mobilization

Answer 7

large amplitude rhythmic oscillations are performed up to the limit of the available motion and are stressed into the tissue resistance

Question 8

Describe a Grade IV mobilization

Answer 8

small amplitude rhythmic oscillations are performed at the limit of the available motion and stressed into the tissue resistance

Question 9

Describe a Grade V mobilization

Answer 9

Manipulation
small amplitude, high velocity thrust techniques are performed to “snap and tear” adhesions at the limit of the available motion

Question 10

What grade mobilization would you use to relieve pain and relax muscles?

Answer 10

Grade I or II

Question 11

What grade mobilization would you use to stretch shortened joint tissues?

Answer 11

Grade III or IV

Question 12

How can you tell the difference between muscle (contractile tissue) and joint/ligamentous (non-contractile) tissue dysfunction?

Answer 12

If resisted movements produce or increase symptoms you know it is muscle dysfunction.
If passive joint play movements produce or increase symptoms and are restricted you know it is joint/ligamentous tissue dysfunction

Question 13

If a resisted movement test results are painful and strong what can you conclude?

Answer 13

Minor lesion of a muscle or tendon

Question 14

If a resisted movement test results are painful and weak what can you conclude?

Answer 14

Major lesion of a muscle of tendon

Question 15

If a resisted movement test results are painless and weak what can you conclude?

Answer 15

Neurological lesion or complete rupture of a muscle or tendon

Question 16

If a resisted movement test results are painless and strong what can you conclude?

Answer 16

no pathology (normal tissue)