Mobilization for peripheral joints

Question 1

Resting position for the ankle

Answer 1

10* PF

Question 2

Resting position for the carpometacarpal joint

Answer 2

anatomical (neutral) position of the wrist

Question 3

Resting position for the GH joint

Answer 3

55* Abd

30* Horix add

Question 4

Resting position for the hip

Answer 4

30* flexion
30* abd
slight ER

Question 5

Resting position for the IP joints of fingers

Answer 5

slight flexion of IP joints

Question 6

Resting position for the MCP joints

Answer 6

slight flexion

Question 7

Resting position for the radiocarpal joint

Answer 7

neutral flex/ext

slight ulnar dev

Question 8

Resting position for the radio humeral joint

Answer 8

anatomical position

Question 9

Resting position for the radioulnar (proximal) joint

Answer 9

70* elbow flex

35 * supination

Question 10

Resting position for the ulnohumeral joint

Answer 10

70* elbow flexion

10* supination

Question 11

Resting position for the radioulnar (distal) joint

Answer 11

10* supination

Question 12

Resting position for the tibiofemoral joint

Answer 12

25* knee flexion

Question 13

Where is the treatment plane located?

Answer 13

in the concave partner

Question 14

What is a Grade I distraction? Grade II? Grade III?

Answer 14

Grade I = initial joint separation, small amplitude with no stress on capsule
Grade II = to point of resistance, tightening capsule tissue
Grade III = applied beyond tissue resistance, stretching capsule

Question 15

What is a Grade I articulation technique? Grade II? Grade III? Grade IV?

Answer 15

Grade I = beginning of the range
Grade II = within range not reaching the limit
Grade III = up to the limit of the available motion and are stressed into the tissue resistance
Grade IV = at the limit of the available motion and stress into tissue resistance

Question 16

What grade of distraction technique would you use to increase ROM?

Answer 16

Grade III

Question 17

What oscillation speed would you use for grades I, II, III, and IV articulation techniques?

Answer 17

I and IV = small-amplitude; vibrations

II and III = large amplitude; 2-3 per second for 1-2 minutes

Question 18

What grade of oscillations would you use as a stretching technique?

Answer 18

Grades III and IV

Question 19

What grades of oscillations are used primarily for treating joints limited by pain or m guarding?

Answer 19

Grades I and II

• may have an inhibitory effect on the perception of painful stimuli by repetitively stimulating mechanoreceptors that block nociceptive pathways at the spinal cord or brainstem levels
• mom stretch motions may help move synovial fluid to improve nutrition to the cartilage

Question 20

What grades of articulation techniques are used in pain dominant patients?

Answer 20

Grades I and II

Question 21

What grades of articulation techniques are used in stiffness dominant patients?

Answer 21

Grades III and IV

Question 22

What sustained distraction technique should be applied to painful joints?

Answer 22

Grade I and II intermittent distractions for 7-10 seconds with 2-3 s rest between application

Question 23

What sustained distraction technique should be applied to restricted joints?

Answer 23

Grade III stretch force lasting min of 6 s, followed by a partial release of the distraction force to grade I or II for 3-4 seconds (repeated)